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department of athletics policies & procedures - UNC Wilmington ...

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FORM C<br />

UNSECURED MEDICATION EXCEPTION LIST<br />

It has been determined by the <strong>UNC</strong>W Team Physicians that certain dangerous drugs<br />

requiring a prescription under Federal Law shall be stored outside the secured medical<br />

cabinet in the following facilities:<br />

George Diab Athletic Training Room<br />

Almkuist-Nixon Athletic Training Room<br />

The following medications shall be stored outside the secured medical cabinet for reasons<br />

such stated:<br />

Name <strong>of</strong> Medication<br />

Epi Pen<br />

Dexamethasone/Lidocaine<br />

Asthma Medication Metered Dose Inhaler<br />

Hydrocortisone Cream<br />

Various Compounding Medications<br />

Reasons<br />

Emergency Use for anaphylaxis<br />

Iontophoresis Use<br />

Emergency Use for asthma<br />

Phonophoresis<br />

Topical/Transdermal Use<br />

________________________________<br />

Director <strong>of</strong> Athletic Training<br />

______________________________<br />

Date<br />

________________________________<br />

Dr. Walter Laughlin- Team Physician<br />

______________________________<br />

Date<br />

________________________________<br />

Dr. Bill Sutton- Team Physician<br />

______________________________<br />

Date<br />

________________________________<br />

Dr. John O’Malley- Team Physician<br />

______________________________<br />

Date<br />

243

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