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Get and Sign 1702 Form Wake County 2012-2022

Get and Sign 1702 Form Wake County 2012-2022

Create a custom wake 1702 form 2012 that meets your industry’s specifications.

Gel 7.5 10.0 mg mg mg Diabetes Glucagon 0.5 1.0 mg mg Exercise Induced Asthma Asthma School: ADHD Cystic Fibrosis Seizure Diabetes Other: Allergy Emergency Medication(s) DOB: 2 puffs 1 vial (ampule) Asthma Yellow Zone Asthma Red Zone Please check one 2 puffs 4 puffs 1 vial (ampule) Call 911 4 puffs 1 vial (ampule) 2 3 4 Upon Exposure Mild Reaction By Mouth Upon Exposure Severe Reaction Intramuscular (IM) If provided, repeat dose after _____ min for continued...
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the Mar is the most important form you will be using when administering or supervising the self administration of medications it is by using this document you are able to confirm the five rights of medication administration for this reason a properly completed and up-to-date Mar is essential when you have completed this section you should be able to correctly fill out the form and be able to identify whether something is missing and requires the Mar to be updated into the name of the person who will be receiving medication-assisted services and to the month that will be reported using this Mar sheet enter the year enter any allergies a person they have included drugs food and latex allergies as applicable put aka for no known allergies or NK PA for no known drug allergies then add the food or latex allergy the information about the medication goes here the name of the drug the strength of the drug how many to give what route you give how often to give and any special instructions put t


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