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Medication Administration Record

This document is a medication administration record for a patient listing their name, age, sex, room number, attending physician, and hospital number. It includes spaces to record the date and time of each medication ordered, the dose, route, and frequency as well as spaces for nurses administering the medication to sign and date at different shifts.

Uploaded by

Jalica Bantuas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
757 views

Medication Administration Record

This document is a medication administration record for a patient listing their name, age, sex, room number, attending physician, and hospital number. It includes spaces to record the date and time of each medication ordered, the dose, route, and frequency as well as spaces for nurses administering the medication to sign and date at different shifts.

Uploaded by

Jalica Bantuas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Name:_____________________Age: ____ Sex____ Rm/Ward_________ Attending Physician____________ Hosp.

#__

Medication Administration Record


Date Medication Dose Shift Date/Sig Date/Sig Date/Sig Date/Sig Date/Sig
Ordered Route & Frequency
11-1

7-3

3-11

11-1

7-3

3-11

11-1

7-3

3-11

11-1

7-3

3-11

11-1

7-3

3-11

11-1

7-3

3-11

Medication Nurse Sample Medication Nurse Sample Medication Nurse Sample


7-3 Signature 7-3 Signature 7-3 Signature

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