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MED-PASS:  The Fine Art of Document Design

Unnecessary Medication/Quality Assurance Evaluation Sheet - 100/pad


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This comprehensive Q/A form reviews for ADRs, appropriate dosage, resident functional status, usage duration, acceptable diagnosis and attempted gradual dose reductions to assure that a resident‘s psychoactive medication regimen is properly managed and monitored.

The form provides for review by psychoactive medication class and prompts for documentation specific to each class of psychoactive medication. Psychoactive medication reference and regulatory information is provided on side two.

Revised to reflect the November 9, 2016, changes to the State Operations Manual regarding Unnecessary Medications.


Size 8-1/2 x 11
Unit Pad of 100
Other Info Handwritten
Hole Punch 3 holes left

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