Paramedic Medication Log Sheet
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1Name_______________________
Paramedic
Medication Log sheet
Facility ______________________
Med Name
Preceptor
Date
Gender/Age
Route
Dept.
Dosage
Signature/Comment
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
# of attempts
To be completed by instructor
# successful on 1st attempt
Percentage
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Parent category: Medical