Example: Bible, Android

  • PDF
  • DOC
  • XLS
  • RTF
  • TXT
  • PPT

Narcotics log sheet PDF results

narcotic sign-out sheet

narcotic sign-out sheet medication: dose: expiration date: type (injection, tabs): date patient name ordering physician dose ordered # of vials or tablets taken lot...

Individual narcotic count sheet

Dhs 4570 (1/07) keep 6 months then destroy client name: medication name: date of physician's order: dosage: physician's name: method of administration: rx number: date time amount on hand amount received amount given amount remaining signature witness signature note: any discrepancies documented on the next available line and mir completed, can use... State operated community program individual narcotic count sheet seniors and people with disabilities policy #4.012 attachment a page 1 of 1...

Aa - na attendance

Revised 5/01 aa - na attendance defendant's name officer's name the following record is a true representation of the aa/na meeting(s) that i have attended. i understand that falsifying or altering this document may constitute a criminal offense. aa/na group date time member's signature the community... Recovery is a process and we are asking that you please sign this sheet to document and verify the attendance of this meeting. defendant's signature

Aa/na meeting log

... number date time and location of aa/na meeting signature of meeting participant (other than self) please feel free to make as many copies of this form as necessary. Aa/na meeting log must submit by january 20, april 20, july 20, october 20 with other required forms. participant information: name case no: home address office...

narcotics safety and reporting

Purpose: to establish a guideline for the handling and accounting of federally recognized schedule ii narcotic medications. guideline: drug ordering/security 1. narcotics of a schedule ii nature will adhere to this guideline. reasonable and safe storage and accounting of all medications will continue to occur but will not be bound by these... This will be documented as "audit" on the narcotics log sheet. log discrepancy 1. if a discrepancy is found, all runs will be audited since the last accurate count to find...

Record of narcotics administered

Hospital hospital registration no. floor ward department month of datetime name of patientphysicianreg. no. narcoticdoseadministered by remarks Narcoticdoseadministered by remarks amount accounted for on this sheet:... cocaine hydrochloride cocaine hydrochloride * other * other record of narcotics...

Attendance record for alcoholics or narcotics anonymous meeting ...

... above named individual is required by the terms of his occupational driver's license to attend alcoholics/narcotics anonymous meeting(s) or alcohol awareness class. we will appreciate a member of the group signing this record of attendance at the end of each meeting/class. the applicant is expected to fill out all of the columns with the... Attendance record for alcoholics or narcotics anonymous meeting/alcohol awareness class

Attendance form for alcoholics/narcotics anonymous meetings

... alcoholics anonymous meetings. we will appreciate a member of the group signing this record of attendance at the end of each meeting. the defendant is expected to fill out all of the columns with the exception of the signature of regular member column. your cooperation is greatly appreciated. aa/na group group phone time date name of... Attendance form for alcoholics/narcotics anonymous meetings name: supervision officer: the above captioned individual is required by his...

Aa/na/ga verification sheet

... meeting sign this form after the meeting has ended. please include the date of the meeting, the location and the time. please submit this form to your probation officer along with your monthly supervision report. date of meeting location of meeting(address & telephone number) signature of meeting secretary time that this form was signed Aa/na/ga verification sheet due to your special condition(s), you are required to attend one (or ) aa, na or ga meetings per week. you must have the...

Recovery program meeting attendance log

Date time meeting type* location signature of verifying member general: aa-alcoholics anonymous specific: d-discussion meeting ca-cocaine anonymous sp-speaker meeting na-narcotics anonymous s/b-step or big book study meeting na-narcotics anonymous recovery program meeting attendance log*types of meeting (indicate both general and specific type): ... ca-cocaine anonymous sp-speaker meeting na-narcotics anonymous s/b-step or big book study meeting na-narcotics anonymous recovery program meeting attendance log...

A.a. / n.a. attendance verification sheet

59th district court probation department please check your officer's name 3161 wilson ave. sw brad vanzanten grandville, mi. 49418 debra sobieray tel: 616-531-2690 matt heintskill fax: 616-531-3955 chad overweg proof of a.a. / n.a. attendance probationer's name: address:... A.a. / n.a. attendance verification sheet. 59th district court probation department please check your officer's name 3161...

Policy ph-11-19: refrigerator temperature monitoring

University of kentucky hospital policy number: ph-11-19 chandler medical center first issued: 02/2005 department of pharmacy policy current as of: 11/09 subject: refrigerator temperature monitoring purpose: to describe the system to maintain proper storage conditions for refrigerated medications and food supplies. information: maintaining... This is achieved through use of the daily refrigerator temperature log sheet. refrigerator temperature log sheet a log sheet will be placed on the medication...

Catawba county emergency medical services

This policy explains the procedures for correctly securing, verifying and documenting the controlled catawba county emergency medical services standard operating guidelines 21 approved 7/1/08 controlled substances - security and signatures this policy explains the procedures for correctly securing, verifying and documenting the controlled ... the responsible paramedic must complete the appropriate columns on the log sheet, utilizing the same row as above. an incident number must be recorded each time narcotics...

Top Queries


Recent Searches

 
DOC-TXT