Download NEW BREMS/WVEMS Pharmacy Administration Record and

NEW BREMS/WVEMS Pharmacy Administration
Record and Instructions
The form below will be used to document medications administered from BREMS or WVEMS
Drug Boxes.
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No longer have to indicate S or O (Standing or Online order) on this form
Medications administered per Standing Order (per protocols) are entered in the middle of the form
Medications administered per Medical Control/Online Orders are entered in the lower third of the
form
Signature NO LONGER required for narcotics administered per Standing Orders (protocols)
Signature required for ANY medication administered per Medical Direction/Online Orders
Standing
Order/protocol
medications and
narcotics wastage.
NO Physician
signature for
Standing Order
narcotic
administration
AIC and agency
information moved to
just below patient and
call information box
Medical
Control/Online
Orders, narcotics
wastage from Online
Orders and Physician
Signature