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Code of Practice for Residential Care Homes (Elderly Persons) (IV) Confirmation by the RCHE Concerned In response to the request made by the said resident and/or his/her family member/guarantor to this RCHE for giving patent/non-prescription drugs to the said resident, our nursing/health care staff have reminded the said resident and/or his/her family member/guarantor of the potential adverse effects of the drugs, and have also consulted a registered medical practitioner (Name: of Hospital/clinic: ), who has not objected/confirmed that the drugs can be taken by the said resident. Signature of supervisor: Signature of nurse/ health worker: Name of supervisor: Name of nurse/ health worker: Date: Date: Remarks: (A) (B) (C) If the said resident suffers from any adverse effects after taking the aforementioned drugs, he/she should stop taking them immediately and consult a registered medical practitioner. The confirmation letter will have to be updated should there be any changes in the drugs listed in (I). The drugs listed in (I) have to be marked in the said resident’s Drug Record, which will be given to the said resident for reference when consulting a registered medical practitioner. (*Please delete where appropriate) Annex 11.2 - 2