Administration of medication form ct

    • [DOCX File]CT Administration of Iodinated Contrast Media

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      Jun 13, 2017 · CT Administration of Iodinated Contrast Media. POLICY and PROCEDURE. ... Outpatients are given a screening form to fill out. Patients who are on Metformin/Glucophage (Glucovance, Advanamet, Metaglip, ACTOplusmet, Janumet, Fortamet, Glumetza, Riomet, Glycon, etc.) for Diabetes should refrain from taking this medication for 48 hours after the ...


    • [DOC File]DEPARTMENT OF MENTAL RETARDATION …

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      35. Can safely carry own key to room and/or medication supply. 36. Has a history of drug and/or alcohol abuse. If “:yes”, specify: *May indicate “NH” in the drop down or “no” box that represents “No history of exposure to task” CONNECTICUT DEPARTMENT OF DEVELOPMENTAL SERVICES. SELF-ADMINISTRATION OF MEDICATION ASSESSMENT TOOL ...


    • Certified Non-licensed Staff Medication Administration ...

      This tracking form shall be permanently maintained as documentation of a pattern of errors. A copy should be shared when staff changes primary site. Class A medication errors/ PP: 1st, 2nd, 3rd, 4th occurrence = 0.5 tracking points assigned for each occurrence; 5th occurrence and beyond= 2 …


    • [DOC File]Medication Administration Record (MAR)

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      MO/YR: Start/Stop Date Facility Name: Medication Hour 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31


    • [DOCX File]Wallingford Public Schools

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      Authorization for the Administration of Medication by School, Child Care, and Youth Camp Personnel. In Connecticut schools, licensed Child Day Care Centers and Group Day Care Homes, licensed Family Day Care Homes, and licensed Youth Camps administering medications to children shall comply with all requirements regarding the Administration of Medications described in the State Statutes and ...


    • [DOCX File]Authorization to Administer Medication - Child Care ...

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      Log the dates and times medication was administered in the center medical log book. Blanket authorizations that exceed the length of time specified on the label are prohibited; no medication intended for use by a child in the care of the center may be kept at the center without a current medication administration authorization from the parent.


    • BROOKFIELD PUBLIC SCHOOL, BROOKFIELD, CT 06804

      I hereby request that the above medication, ordered by the MD, DDS, OD, APRN or PAC for my child be administered by school personnel. I understand that I must supply the school with the prescribed medication in the original container dispensed and properly labeled by a physician or pharmacist.


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