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Individual Narcotic Count Sheet Resident Name Medication Name Strength Physician s Name Please print name, sign, and initial below to identify initials used above. ... CONTROLLED MEDICATION COUNT. All controlled medications must be counted each ...

Individual Narcotic Count Sheet

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Half Of 189 99Individual's Name: Medication/Strength: Prescription Number: Quantity: DATE. TIME. AMOUNT. ON. HAND. AMOUNT. USED. AMOUNT. LEFT. SIGNATURE. Page 2. Page 2. MEDICATION COUNT SHEET Resident Quantity Date Started Drug Strength Staff Signature

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CONTROLLED MEDICATION COUNT

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