MEDICATION ADMINISTRATION RECORD
PATIENT DETAILS
Patient:Jane Smith
Date of Birth:12/03/1958
Ward / Bed:4B Oncology — Bed 12
Date:12/03/2026
Prescribing Doctor:Dr A. Reynolds
Allergies:Penicillin — rash. NKDA.
SCHEDULED MEDICATIONS
1.Morphine SR 30mg oral BD 0800/2000
2.Ondansetron 4mg oral TDS 0800/1400/2000
3.Dexamethasone 4mg oral daily 0800
4.Paracetamol 1g oral QID 0600/1200/1800/2200
PRN MEDICATIONS
PRN:Morphine 5mg SC PRN 4-hourly for pain above 5/10. Max 6 doses per 24 hours.
SPECIAL INSTRUCTIONS
Notes:Withhold metformin if contrast required. Monitor blood glucose BD. Neutropenic precautions in place.
Administered by:RN Sarah Jones