Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to access the form and open it for editing.
2. Begin by filling in the date for presentation to the Rights Committee.
3. Enter the name of the individual and the clinician’s name in the designated fields.
4. Indicate any known allergies of the individual in the appropriate section.
5. List the PRN medication being prescribed, along with the appropriate dosage.
6. Explain the purpose of the medication, detailing the intended outcome.
7. Describe the behaviors or actions observed that may necessitate the use of PRN medication, ordered from least to most intense.
8. Document any side effects or risks associated with the medication.
9. Outline the support strategies attempted before the administration of PRN, ordered from least to most intrusive, along with the benefits and risks of each strategy.
10. Identify how the strategies will be monitored for effectiveness, using the provided checkboxes.
11. List the successes for the individual regarding the applied strategies.
12. Detail the plan to reduce or fade the use of PRN medication.
13. Ensure all required signatures are obtained, including from the support worker, supervisor, clinician, and the person supported.
14. Finally, save your changes, and choose whether to download, print, or share the completed form.

Take a moment to complete your forms online for a smoother process.