School nurse medication administration form
[DOC File]Medication Administration
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*Medication Administration Procedure Code: CPT T1002 = RN services up to 15 min. or CPT T1003 = LPN services up to 15 min. To be completed by Attending Provider (School Nurse/RN): NOTE: LPN must use supervising RN’s NPI number
[DOC File]ADMINISTRATION OF MEDICATIONS TO STUDENTS
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Submit this authorization to the building principal, school nurse, or authorized staff member. Personally ensure that the drug is safely transported and received by the building office staff in the container in which it was dispensed by the prescribing physician or licensed pharmacist or the manufacturer’s container.
[DOC File]Authorization for Administration of Medication in School
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I authorize the school nurse to contact the prescribing physician’s office and allow his/her office to disclose the necessary information regarding this/these medications. _____ _____ Parent Signature Date Note: All medication must be in original container, properly labeled, including a recent date.
[DOC File]REQUEST FOR ADMINISTRATION OF MEDICATION
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Jun 07, 2017 · SELF-ADMINISTRATION OF EMERGENCY. medication form. ADMINISTERING MEDICATION. If you would like the school nurse to administer medication to your child during the school day, please follow the guidelines below. Doctor’s orders are required for over-the-counter medications like Advil, as well as for prescription medications.
[DOCX File]Request for Supervision of Self ... - School Webmasters
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2. In the event that a student is incapable of supervised self-administration of medication, his/her medication will be administered by a school nurse (R.N.) or by the parents. For students for whom medication must be administered, the school nurse and parent(s)/guardian(s) will meet to discuss the logistics of the administration of the medication.
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