Medication administration details Billable duration 5 minutes + Parent notification documented Chief complaint recorded Procedure details recorded Follow up plan documented IHP referenced Parent contact information documented Out time VS recorded as appropriate Interventions Provided Staff notification if needed Return to class/dismissed early Documented Allergies noted Confidentiality maintained Clinic visit outcome provided Treatment authorization verified Student's verbal description noted Assessment findings listed and appropriate No abbreviations Clear discharge instructions RAD Complete Parent Name documented Health history referenced Student's response to treatment Parent contact attempt and times In Time Correct template as appropriate VS recheck recorded as appropriate Athletic clearance if appropriate Medication administration details Billable duration 5 minutes + Parent notification documented Chief complaint recorded Procedure details recorded Follow up plan documented IHP referenced Parent contact information documented Out time VS recorded as appropriate Interventions Provided Staff notification if needed Return to class/dismissed early Documented Allergies noted Confidentiality maintained Clinic visit outcome provided Treatment authorization verified Student's verbal description noted Assessment findings listed and appropriate No abbreviations Clear discharge instructions RAD Complete Parent Name documented Health history referenced Student's response to treatment Parent contact attempt and times In Time Correct template as appropriate VS recheck recorded as appropriate Athletic clearance if appropriate
(Print)
Medication administration details
Billable duration 5 minutes +
Parent notification documented
Chief complaint recorded
Procedure details recorded
Follow up plan documented
IHP referenced
Parent contact information documented
Out time
VS recorded as appropriate
Interventions Provided
Staff notification if needed
Return to class/dismissed early Documented
Allergies noted
Confidentiality maintained
Clinic visit outcome provided
Treatment authorization verified
Student's verbal description noted
Assessment findings listed and appropriate
No abbreviations
Clear discharge instructions
RAD Complete
Parent Name documented
Health history referenced
Student's response to treatment
Parent contact attempt and times
In Time
Correct template as appropriate
VS recheck recorded as appropriate
Athletic clearance if appropriate
