Client Medication Worksheet Report

Description: This report acts as a print-ready manual record of a client's medication information.

Use: This report can be used by the agency to provide a physical copy of a medication sheet to either the client or a designated caregiver.

Limitations: This report will not automatically populate most fields and is meant to be manually filled in after printing.

This report can be filtered by:

Field	Description
Company	The selected company.
Location	The selected location.
Admit Type	The code for the client's admission.
Team	The selected team.
Client	Client by name (last name, first name) or Sandata Client ID. When a partial name is entered the report displays results that begin with the entered characters.
Client Status	The selected client status.
Date	The selected date.

Each column of the report displays:

Field	Description
Client Name	The client's name (last, first).
Chart ID	The client's Chart ID number.
Social Security Number	The client's social security number.
Birthdate	The client's date of birth.
Sex	The client's designated sex.
Home Phone	The client's home phone number.
SOC Date	The client's start of care date.
Current Certification	The client's current certification period.
Client's Address	The client's primary address.
Case Manager	The client's case manager.
Physician	The client's primary physician.
Current Medications As Of	The client's current medication.
Pharmacy Information	The client's pharmacy information.
Disaster Code	The client's disaster group.
Nutrition/Diet	The client's nutrition/diet.
Allergies	The client's allergies (if applicable).
Medications	A table listing the client's medications.
New	Indicates if the medication is new.
Chg	Indicates if the medication has been changed.
DC'D	Indicates if the medication has been discontinued.
Effective Date	The date the medication is effective.
Medication/Dosage/Route	The name, dosage, and route of administration of the medication.
Indication	The condition that indicates the drug prescribed.
Diet (Comments/Notes)	Written notes regarding the client's diet.
Reviewed By	A signature field for the practitioner.
Date	The date of the signature.