Page 51 - Handbook for House Staff
P. 51
Pupils taking short term prescribed medication
Name of Pupil:.................................................................................................................................................... Name of medication and dose:................................................................................................................................. Times to be taken:................................................................................................................................................................. Start Date:............/............../............ Finish Date:............/............../............
Quantity Supplied:..............................................................................................................
DAY
Time Due
Taken
Time Due
Taken
Time Due
Taken
Time Due
Taken
Does the pupil know when and how to take their medicine.? Yes/No (Delete as appropriate)
Signed: ................................................................................................. (Pupil)
Signed: ................................................................................................. (HouseM/Assistant)
Mel Tillman Nurse Manager
51
