TO BE COMPLETED BY THE PHYSICIAN Sample Clauses

TO BE COMPLETED BY THE PHYSICIAN. The Xxxxxxxxxx County Department of Health and Human Services and the Xxxxxxxxxx County Public Schools discourage the administration of medication to students in school during the school day. Any necessary medication that possibly can be administered before and after school should be so prescribed. Only non-parenteral medications are administered except in specific emergency situations. School personnel will, when it is absolutely necessary, administer medication to students during the school day and while participating in outdoor education programs and overnight field trips, according to the procedures outlined on the back of this form. PLEASE USE A SEPARATE FORM FOR EACH MEDICATION Name of Medication: Diagnosis: Trade name and/or generic Dosage: Time(s) To Be Given At School: Route of Administration: Effective Dates: From / / To / / Side Effects: If PRN, specify: When indicated (signs/symptoms) Frequency of administration - - / / Physician’s Name (print/type) Physician Signature Phone Number DateSELF-CARRY/SELF-ADMINISTRATION OF EMERGENCY MEDICATION AUTHORIZATION/APPROVAL Self-carry/self-administration of emergency medication such as inhalers and EpiPens® must be authorized by the prescriber and be approved by the school nurse according to the State medication policy: Prescriber’s authorization for self-carry/self-administration of emergency medication / / Signature Date School RN approval for self-carry/self-administration of emergency medication / / Signature Date Check as appropriate: Parts I and II above are completed, including signatures. (It is acceptable if all items of information in Part II are written on the physician’s stationery/prescription blank.) Prescription medication is properly labeled by a pharmacist. Medication label and physician order are consistent. Over-the-counter medication is in an original container with the manufacturer’s dosage label and safety seal intact. / / Date any unused medication is to be collected by the parent or guardian (within one week after expiration of the physician’s order). / / Principal/School Nurse Signature Date 1. No medication will be administered in school or during school-sponsored activities without the parent’s/guardian’s written authorization and a written physician order. This includes both prescription and over-the-counter (OTC) medications. 2. The parent/guardian is responsible for completing Part I and obtaining the physician’s statement on Part II. This is required every school year for eac...
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TO BE COMPLETED BY THE PHYSICIAN. I understand that treatments may be administered in MCPS by non-health professionals. These individuals may be employees of MCPS who are designated to administer the treatment(s), or the DHHS School Health Room Aide. These persons will be trained by the School Community Health Nurse to give the specific treatment. Student Name Diagnosis Treatment Frequency and time(s) to be provided at school If not needed on a routine basis, specify when indicated Treatment orders effective: / / To / / Possible complications and/or special considerations Equipment needed for treatment, including any special care and handling Symptoms/observations to be reported List other condition(s) and/or diagnosis(es) of student that staff need to be aware of / / Physician’s Name (Print or type) Telephone Original Signature, Physician Date
TO BE COMPLETED BY THE PHYSICIAN. Emergency injections may be administered in Manassas City Public Schools by nonhealth professionals. These persons are taught by the school health nurse to administer the injection. For this reason, only Epipen Auto Injectors or Epipen Jrs. may be given. It should be noted that these staff members are not trained observers and therefore cannot observe for the development of symptoms before administering the injections.
TO BE COMPLETED BY THE PHYSICIAN. Emergency injections may be administered in Manassas Park Schools by nonhealth professionals. These persons are taught by the school health nurse to administer the injection. For this reason, only Epipen Auto Injectors or Epipen Jrs. may be given. It should be noted that these staff members are not trained observers and therefore cannot observe for the development of symptoms before administering the injections. Administer the following injection immediately after report of exposure to: (Indicate Specific Allergen(s) and Signs and Symptoms to Observe For) Check as appropriate: Xxx-xxx Xx. Repeat dose in 15 minutes if rescue squad has not arrived. (Two kits will be needed in school.) Epi-pen
TO BE COMPLETED BY THE PHYSICIAN. Providing information requested on this report will assist Northern Credit Union in planning our employee’s return to work. The patient/employee agrees to the provision of this information as evidence by his/her signature in Section I.
TO BE COMPLETED BY THE PHYSICIAN. (For over-the-counter medication for 3 days not prescribed by a physician or for an antibiotic for less than 10 days, Part II must be completed by a parent or guardian; in these instances a physician signature is not required.)
TO BE COMPLETED BY THE PHYSICIAN. The above-named attendee has been instructed in the proper use of his/her asthma inhaler/emergency medication. The attendee’s well-being is in jeopardy unless this medication is carried on his/her person. Therefore, I request that he/she be permitted to carry the asthma inhaler/emergency medication during this recreational program. He/she understands the purpose, appropriate method and frequency of use of the asthma inhaler/emergency medication.
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Related to TO BE COMPLETED BY THE PHYSICIAN

  • RELATIONSHIP WITH DIRECTORS Directors, officers and employees of the Advisor or an Affiliate of the Advisor may serve as Directors, officers or employees of the Company, except that no director, officer or employee of the Advisor or its Affiliates who also is a Director shall receive any compensation from the Company for serving as a Director other than reasonable reimbursement for travel and related expenses incurred in attending meetings of the Board.

  • Physician Visits This plan covers the services of a physician or other provider in charge of your medical care while you are inpatient in a general or specialty hospital.

  • Training a. The employer, in consultation with the local, shall be responsible for developing and implementing an ongoing harassment and sexual harassment awareness program for all employees. Where a program currently exists and meets the criteria listed in this agreement, such a program shall be deemed to satisfy the provisions of this article. This awareness program shall initially be for all employees and shall be scheduled at least once annually for all new employees to attend. b. The awareness program shall include but not be limited to: i. the definitions of harassment and sexual harassment as outlined in this Agreement; ii. understanding situations that are not harassment or sexual harassment, including the exercise of an employer's managerial and/or supervisory rights and responsibilities; iii. developing an awareness of behaviour that is illegal and/or inappropriate; iv. outlining strategies to prevent harassment and sexual harassment; v. a review of the resolution of harassment and sexual harassment as outlined in this Agreement; vi. understanding malicious complaints and the consequences of such; vii. outlining any Board policy for dealing with harassment and sexual harassment; viii. outlining laws dealing with harassment and sexual harassment which apply to employees in B.C.

  • Orientation The Employer shall provide planned and paid Orientation Programs of such content and duration as it deems appropriate taking into consideration the needs of the Employer and the Nurses involved. Such Nurses will not be considered part of core staffing during their Orientation Program nor will they be provided with primary assignments.

  • File Management and Record Retention relating to CRF Eligible Persons or Households Grantee must maintain a separate file for every applicant, Eligible Person, or Household, regardless of whether the request was approved or denied. a. Contents of File: Each file must contain sufficient and legible documentation. Documents must be secured within the file and must be organized systematically.

  • Time to be Devoted to Employment During the Employment Period, the Executive will devote substantially all of the Executive’s working energies, efforts, interest, abilities and time exclusively to the business and affairs of the Company and its Affiliates. The Executive will not engage in any other business or activity which, in the reasonable judgment of the Board, would conflict or interfere in any material respect with the Executive’s performance of his duties as set forth herein, whether or not such activity is pursued for gain, profit or other pecuniary advantage.

  • Hospice Individuals whose permanent residence and principal work location are outside the State of Minnesota and outside of the service areas of the health plans participating in Advantage. If these individuals use the plan administrator’s national preferred provider organization in their area, services will be covered at Benefit Level Two. If a national preferred provider is not available in their area, services will be covered at Benefit Level Two through any other provider available in their area. If the national preferred provider organization is available but not used, benefits will be paid at the POS level described in paragraph “i” below. All terms and conditions outlined in the Summary of Benefits will apply.

  • – ORIENTATION AND IN SERVICE 20.01 An orientation and in service program will be provided to all employees. These programs shall be reviewed and discussed from time to time by members of the Union-Management Committee. 20.02 A newly employed employee shall not be placed in charge, until she has been fully oriented to the home. 20.03 The following minimums shall be observed in the orientation/familiarization of a newly hired employee: (a) She is to be familiarized with the physical aspects of the building, the applicable policies and procedures of the Employer, and the daily routine of employees in the Home. (b) The period of orientation/familiarization shall be for a minimum of five (5) days or such greater period that the Employer deems necessary. (c) She shall be an additional employee to the usual staffing pattern. (d) The employee or employees involved in the orientation/familiarization will confirm that it has been completed, and this will be noted on the newly hired employee's personnel file, which will be reviewed with such employee, and the employee shall also be able to comment. (e) The employee may request up to three (3) additional days of paid orientation. When making her request, the employee will specify her learning needs and discuss with the Director of Care the development of the orientation learning plan. This request will not be unreasonably denied. (f) Notwithstanding the above, orientation/familiarization when an employee is transferred to a new unit/shift will be provided as required. (g) The Employer may, at its discretion, provide orientation in other circumstances. 20.04 Both the Employer and the Union recognize the joint responsibility and commitment to provide, and participate in, in-service education. The Union supports the principle of its members' responsibility for their own professional development and the Employer will endeavour to provide programmes related to the requirements of the Home. Programmes will be publicized and related material will be made readily accessible to staff in a timely manner. Any problems in accessing this information will be reported to the Union- Management Committee for resolution. (a) When an employee is required by the Employer to attend any in-service program or e-learning within the Home during her or his regularly scheduled working hours the employee shall suffer no loss of regular pay. (b) When an employee is required by the Employer to prepare for in service or to attend meetings, in service and other work related functions outside her regularly scheduled working hours, and the employee does attend same, she shall be paid for all time spent on such attendance at her regular straight time hourly rate of pay or at the employee's option, she shall receive equivalent time off. When an employee is required by the Employer to complete an e-learning programme outside her regularly scheduled working hours, she shall be paid for all time spent completing such learning at her regular straight time hourly rate of pay or at the employee's option, she shall receive equivalent time off. Part-time employees will be credited with seniority and service for all such hours paid as provided above while in attendance at in-services, meetings, and completing e-learning. (c) The Employer will endeavour where practical to schedule in-services at times which will facilitate the attendance of employees working outside the day shift. 20.06 When required by a certifying body to update an employee's qualifications, except where this matter is covered by another provision of the collective agreement, the Employer shall grant leave of absence without pay which shall include the time required to write any examinations. 20.07 The Employer undertakes to notify the Union in advance, so far as practicable, of any technological changes which the Employer has decided to introduce which will significantly change the employment status of the employee(s) within the bargaining unit. The Employer agrees to discuss with the Union the effect of such technological changes on the employment status of the employee(s) and to consider practical ways and means of minimizing the adverse effect, if any, on the employee(s) concerned. Employees who are subject to layoff due to technological change will then be given notice of such layoff at the earliest reasonable time and in keeping with the requirements of the applicable legislation and the provisions of Article 9.11 to

  • Experience, Financial Capability and Suitability Subscriber is: (i) sophisticated in financial matters and is able to evaluate the risks and benefits of the investment in the Shares and (ii) able to bear the economic risk of its investment in the Shares for an indefinite period of time because the Shares have not been registered under the Securities Act (as defined below) and therefore cannot be sold unless subsequently registered under the Securities Act or an exemption from such registration is available. Subscriber is capable of evaluating the merits and risks of its investment in the Company and has the capacity to protect its own interests. Subscriber must bear the economic risk of this investment until the Shares are sold pursuant to: (i) an effective registration statement under the Securities Act or (ii) an exemption from registration available with respect to such sale. Subscriber is able to bear the economic risks of an investment in the Shares and to afford a complete loss of Subscriber’s investment in the Shares.

  • Non-Medical, Personalized Services The Practice shall also provide Members with the following non-medical services:

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