# PRN Medication Record Date: ________________________ [ ] Evening Toilet Time: ________ Initials: ________ ## PRN Medications Lorazepam | Time: ________ Dose: ________ Initials: ________ Tylenol | Time: ________ Dose: ________ Initials: ________ Bowel regimen | Time: ________ Dose: ________ Initials: ________ | Time: ________ Dose: ________ Initials: ________ | Time: ________ Dose: ________ Initials: ________