3 X 5 X 8 4 X 2 X 25

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3 X 5 X 8 4 X 2 X 25

3 X 5 X 8 4 X 2 X 25

In MEDICATION column include drug product name strength of drug date prescribed dosage route how often medication is to be taken any special instructions *Medication authorization form must be used as either a two-sided document or attached first and second page. Medication is appropriately labeled.

Medication Administration Record MAR RCEB

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3 X 5 X 8 4 X 2 X 25Controlled substance administration logs are recommended to document appropriate use and prevent diversion of medications with a high potential for abuse. Medication Administration Record MAR MO YR Facility Name Medication Hour Put initials in appropriate box when medication is given B Circle

Instructions. A. Write initials in appropriate box at the time medication is given. B. Circle initials when medication is refused. 33108004 Tireoide Normal PTN Pepi s Tire Noodle Rokkline 1 St ck Inkl

Medication Administration Record MAR

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NOTE This form is intended to be used by HWC staff for prescribed non controlled medications and prescribed controlled substances File this in the SHR monthly X 3 x 1 6 4 2x 3 5 x 1 16 2x 3 3 2x 7 x 2 3x 3 4 5x 3 x x 3 x

Edit your medication administration record template form online Type text complete fillable fields insert images highlight or blackout data for discretion Rehbock Forum F r Naturfotografen C Purlin 4 X 2 X 0 5 14ga 25 King Metals