5 8 X 1 3 4 X 8

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5 8 X 1 3 4 X 8

5 8 X 1 3 4 X 8

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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5 8 X 1 3 4 X 8Controlled 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. SOPHNET X Wild Style Naijel Graphic T Shirt Black FW22 CN Avery 15667 Easy Peel 1 2 X 1 3 4 Matte Clear Laser Printer Return

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 COPA PUENTE 1 5 8 X 1 5 8 Cascar

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