Pages_1234-1243_from_Dickstein_Medical_Files_folder_2_of_3_part_43_of_71.pdf

: ® ~ JTF-GTMO MEDICATION MINISTRATION RECORD ® i ALLERGIES TRANSCRIBER VERIFIED/ MONTH | AKL PATE ic WPL, PATE — _ YEAR EER Pas, Zp : rExA* Any refused, Foe firsto + Or other entry must be in red ink and verified by RIN» *%x+ : MEDICATION LEGEND: I =REFUSED 2= NOT IN STOCK 3= OTHER (Document beiow any reason weds 56: aiven.) : {Nurse Must Initia} (Must Notify Nurse) (Must Notify Nurse) | INT. PATE | DATF SCHEDULED MEDICATION | TIME 7 FE 7x 50 7 bY % Is 4 Yo | Ve HN 15 = BE 1 A PO TIL ST Co b)(3...