Page 54 - Handbook for House Staff Aug2024
P. 54

 Pupils taking long term prescribed medication
 Name of Pupil:.................................................................................................................................................... Name of medication and dose:................................................................................................................................. Times to be taken:................................................................................................................................................................. Start Date:............/............../............
Quantity Supplied:....................................................................................... Date .............../.................../..............
 DAY
Time Due
Taken
Time Due
Taken
Time Due
Taken
                                    Weekly Balance
                                                  Does the pupil know when and how to take their medicine.? Yes/No (Delete as appropriate)
Signed: ................................................................................................. (Pupil)
Signed: ................................................................................................. (HouseM/Assistant)
Date: .............../.................../..............
Date: .............../.................../..............
Mel Tillman Nurse Manager
Weekly Balance
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