MCS Student Daily Sick Log

MCS Student Daily Sick Log

To Be filled out every Two (2) Hours while a Student is on Sick Bed
NOTE: Student must stay on sick bed until they have had no temperature, diarrhea, etc. for 24 hours straight.
Staff Name:

First NameLast Name
Student Name:
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Blood Pressure
Temperature
OTC Meds #1
Dosage for OTC Meds #1
OTC Meds #2
Dosage for OTC Meds #2
Prescription Medication Given #1
Dosage for Prescription Medication #1
Prescription Medication Given #2
Dosage for Prescription Medication #2
Comments
Leadership Initial (must be intials, no lines or "x")
Should be Empty: