Death of Elvina Roloff

February 3, 2001.
Hospice Southwest, Southwest Washington Medical Center,
Medication Record and Plan of Care, page 2 of 5
Nurse: Sarah Quackenbush and J. Higgins.
MD: David A. Smith
Patient Name: Elvina Roloff.

Pharmacy: Hi School Battleground

Name of Drug: Roxanol 20mg/ml.
Dosage: 0.05 - 2 cc.
Route: po/sl (by mouth / sublingual).
Frequency: Q 30 min prn pain (every 30 minutes as needed for pain).
Start Date: 2/3/01 (February 3, 2001)