Follow the steps to complete the Medication/Treatment Authorization form.

1. Click ‘Get Form’ button to access the Medication/Treatment Authorization form and open it in the online editor.
2. Enter the name of the student in the designated field. Ensure you provide the last name first, followed by the first name.
3. Fill in the birth date of the student. This information helps identify the correct student.
4. Document the date and time of the variance. This should be the moment the medication error occurred or was discovered.
5. Provide the name of the school where the incident took place to contextualize the report.
6. List the prescribed medication, including dosage, route, and the time as indicated on the Medication/Treatment Authorization form. This section is critical for maintaining accurate health records.
7. Specify the name and position of the person administering the medication or treatment. This should include roles such as Health Aide, RN, or LPN.
8. Indicate the type of variance that occurred by checking the relevant box next to the corresponding error category. You may select multiple options as applicable.
9. Document the time and describe the incident in the provided box. This includes what happened and the steps taken following the error.
10. Mark the location where the variance occurred, ensuring accurate information is logged.
11. Describe the actions taken following the incident, including times and details of individuals contacted. This ensures transparency in the response process.
12. List all persons notified regarding the variance, including the public health nurse, principal, and parent/guardian, along with the dates and times of these notifications.
13. Print your name as the person completing the report in the designated area for clarity.
14. Sign your name to validate the report and indicate the date of completion.
15. Leave the 'Reviewed By' line blank for administrative use.
16. Send the completed form via inter-office mail or fax to the School Health Nursing Supervisor at the Landings.

Complete your FL Sarasota County Schools Medication/Treatment Authorization online today to ensure a safe learning environment.