Individual Narcotic Count Sheet - Oregon DHS Applications home
|Client name: | |Medication name: | |
|Date of physician’s order: | |Dosage: | |
|Physician’s name: | |Method of administration: | |
| | |Rx number: | |
| | | | |
|[pic] | |
|Office of Developmental Disabilities | |
|Stabilization and Crisis Unit |Individual Narcotic Count Sheet |
DateTimeAmount
on-handAmount receivedAmount givenAmount remainingSignatureWitness signature
Document any discrepancies on the next available line and complete a GER Medication Error Report.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- county florida health insurance plans florida blue
- current cooperative agreements for
- cover letter initial license or initial license with
- health care licensing application florida
- long term home health and hospice care planning guide
- child care application and authorization
- emergency plan template home united methodist association
- individual narcotic count sheet oregon dhs applications home
- interoffice memorandum florida
- chapter 7 recertification
Related searches
- oregon dhs home care worker
- dhs home care worker application
- dhs oregon registry and referral
- dhs home care worker website
- dhs home care worker
- dhs home care provider
- oregon dhs caregiver
- excel inventory count sheet template
- cycle count sheet template
- operating room count sheet template
- cash count sheet template
- oregon dhs staff directory