Subcutaneous Injection Administration Record sample page preview

Subcutaneous Injection Administration Record

$24.99
Instant download. One-time purchase. Fully editable Word (DOCX).

An editable NDIS subcutaneous injection administration record for logging every injected dose given to a participant. Delegated support workers complete a row at each administration, and the health practitioner reviews the record monthly.

What is inside:

  • Participant details, month, delegating health practitioner and prescriber order reference
  • Administration log: date, time, medication name, dose in units or mg and injection site used
  • Blood glucose reading where applicable
  • Whether the dose was administered or refused, any adverse reaction and worker initials
  • Injection site codes for left and right abdomen, thigh and upper arm, with a reminder to record why any dose was withheld
  • Monthly health practitioner review, including whether the care plan needs updating

Good to know: adverse reactions are reported to the Registered Nurse immediately.

  • Reviewed against the current NDIS Rules, Practice Standards and Commission guidance
  • Editable DOCX with a placeholder legend, so you enter your details once
  • Instant download

These templates are general information, not legal advice. No template can guarantee registration or audit outcomes.

Buying more than one template? This one is also in

On its own this template is $24.99. Each pack below includes it, plus the rest of the set.

Digital product. Because these are instant downloads, we do not offer refunds for change of mind once your files have been accessed. This does not affect your rights under the Australian Consumer Law. Bought the wrong pack? Contact us within 30 days and we will credit what you paid towards the right one. If you have a technical issue accessing your files, contact us and we will sort it out. See our refund policy.
Your responsibility. These are editable templates provided as a starting point, not legal, compliance or professional advice. You are responsible for reviewing each template, adapting it to your service, and making sure the information is current, accurate and appropriate for your circumstances and your state or territory before you rely on it. Moreton Regional Support Services is not liable for any loss, penalty or outcome arising from your use of these templates, and no template can guarantee NDIS registration, audit or compliance outcomes.