Medication self administration form
[DOCX File]OCFS-LDSS-7002 - Home | OCFS
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OCFS-LDSS-7002 (5/2015) FRONTNEW YORK STATE. OFFICE OF CHILDREN AND FAMILY SERVICES. MEDICATION CONSENT FORM. CHILD DAY CARE PROGRAMS. This form may be used to meet the consent requirements for the administration of the following: prescription medications, oral over-the-counter medications, medicated patches, and eye, ear, or nasal drops or sprays.
[DOC File]INDEPENDENT WITH MEDICATION SELF-ADMINISTRATION
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This form is to be completed when a resident would prefer to manage his/her own medications; re-evaluate using this form following changes in condition as well as during a full assessment. MEDICATION ORDERING AND DELIVERY. ... INDEPENDENT WITH MEDICATION SELF-ADMINISTRATION ...
FORM 3 - ADMINISTRATION OF MEDICATION
FORM 3 - ADMINISTRATION OF MEDICATION This form is to be used when a parent/carer requests school staff to administer medication to their child on a short term basis. Note: Long term administration of medication should be incorporated in a health care plan.
[DOCX File]Request for Supervision of Self-Admininstration of
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(5) The "Request for Supervision of/Self-Administration of Medication At School" form must be completed and on file with the school office prior to supervision of any self-administered medication. (6) Medication which is to be self-administered under the supervision of school personnel will: (a) be in its original pharmaceutical container.
[DOCX File]Self-Administration of Asthma Medication Authorization ...
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Self-Administration of Asthma MedicationAuthorization Procedure. When a health care provider, parent/guardian, student and school nurse agree that self-administration of asthma or other medication is appropriate for an individual student, the procedure must be done safely, carefully and accurately.
[DOCX File]HSP154 Carying and or self administration of medication
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The Principal or Director (or nominated delegate) will determine if a child or young person is capable of assuming the responsibilities of carrying, self-administering and/or disposal of nominated medication(s); and will determine what level of notification, supervision and documentation of the medication administration is required.
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