Medication Administration

1
Medication Administration

• for School Personnel

2
Healthy Kids Learn Better

• Components
• Many kids require medications while at school, so
  that they can be active participants in the
  classroom
• kids bring their whole life to school with
  themand it doesnt fit in a locker.

3
The Law

• Administrative rules were adopted by Oregon
  Department of education in 1997, and amended by
  the legislature in 2001.
• Only non-injectable medications are covered
  (there are other rules for injectable medications)

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Things to Remember

• Administrator must select regular and back up
  staff to be trained
• Only trained staff can administer medication
• Training program must be approved by Oregon
  Department of education

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Your Training

• Designated school personnel are REQUIRED to
  receive appropriate training approved by the
  Department of Education for the administration of
  prescription and non prescription medication.

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Your Training (cont.)

• School districts may not require you to
  administer medications to students UNTIL you have
  received training.

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Three Med Classifications

• Non-prescription medication
• Student self-administered medications
• Prescription medications

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Non-prescription Medications

• You must have Written Instructions from the
  students Parent/Guardian in order to give
  non-prescription medications

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Non-prescription Medication

• Must have a signed parent/guardian permission
  form which includes
• Students name
• Medication
• Medication dosage, frequency, and route
• Must be in the ORIGINAL CONTAINER

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Non-prescription Medications

• May only be allowed if
• The medication is necessary for the child to
  remain in school
• Excludes
• Dietary Supplements
• Food Supplements
• Must be
• Commercially prepared and non-alcohol

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Student Self Administration

• School districts MUST adopt policies and
  procedures that govern student self
  administration
• In ORDER FOR A CHILD TO DO SO
• Signatures are needed
• Parent/Guardian
• Building Administrator
• Student
• Doctor (if prescription)

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Self Administration

• Requires no assistance
• Requires no documentation that the medication was
  taken
• Each district develops own policy to address self
  medication

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Prescription Medications

• ONLY CERTAIN PEOPLE CAN WRITE a PRESCRIPTION
• Doctor of Medicine or osteopathy
• Nurse Practitioner
• Dentist
• Optometrist
• Naturopathic physician

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Prescription Medications.

• Must be prepared and labeled by a pharmacist
• Only administer if required during school hours
• Must have a signed permission and instruction
  from parent
• Separate training is needed for any injectable
  medications

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A Little More on Prescriptions

• Written Instruction from a physician
  (prescription label will meet this requirement)
• Original Pharmacy container
• Verbal doctors orders can only be taken by a
  licensed nurse

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Giving Medications Five Rights

• Right Student
• Right Medication
• Right Dose
• Right Time
• Right Route

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Handling Medications

• Get water from a clean source
• Do not use water from the sink where first aid is
  provided (OR-OSHA 1910.1030 (2) ix x)

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Handling Medications

• Always wash your hands!!!!!!
• Avoid Touching the medications
• Wear gloves if placing medication in the students
  mouth
• If tablets require cutting, the parent needs to
  cut them at home prior to sending them to school

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Some Considerations

• If the medication needs to be crushed, the parent
  is responsible for sending a pill crusher (to
  only be used for that student)
• Calibrated spoon/cup for liquid medications

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Routes of Medications -Oral-

• Mouth
• Tablets
• Capsules
• Syrups, elixirs and suspensions

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Route of Medication Topical

• Topical (on the outside of the body)
• Skin
• Eyes
• Ears
• Nose

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Routes of MedicationInhaled

• Inhalation
• Nose
• Mouth

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Safe Storage and Handling

• Store all medication in the original Container
• Store in a clean, locked cabinet
• File Cabinet
• Lock box
• Safe

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Safe Storage and Handling

• Medication should be brought to school and
  returned home by a parent
• DO NOT ALLOW STUDENTS to carry medications to and
  from home
• Certain medications require counting on arrival
  at school
• Should be counted by parent and trained school
  staff.

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Safe Handling

• Changes in medication instructions should always
  be made in writing from the parent/guardian
• Do not act on Verbal requests
• Refrigeration may be needed for some medications
• The fridge should be kept between 36-46 degree F

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Disposing of Medications

• Follow district policy for disposal of unused or
  expired medications
• Use the sink or toilet
• Regulated waste
• I prefer the toilet in the staff bathroom?

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Student Medication Record

• One sheet to sign in the supply and sign out
• One sheet to show what was administered by whom
  and when

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Confidentiality

• Student medication files are confidential
• Only parent/guardian and authorized school staff
  should have access
• Parent/guardian authorization is required for
  release of information

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Retaining Medication Administration Records

• At the end of the year
• If child does not have an IEP place them in the
  student record
• If there is an IEP, file it there

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Handling the Unexpected

• Student does not come at scheduled Med Time
• Send for them
• Document on the medication record
• Notify the parents via phone and in writing
  (forms are on the internet)

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Student Refuses Medication

• Encourage the child to take the medication
• Document on the medication record
• Notify the parent/guardian in writing

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Student Vomits or Spits Out Medication

• Document
• Notify
• Check for symptoms of illness
• Take temperature

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Medication Errors

• Report the medication error immediately
• Parent/guardian
• Physician
• Nurse
• Building administrator

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What Are Medications Errors

• Dose Omitted
• Medication given to wrong student
• Inaccurate dose or wrong medication
• Wrong time
• Incorrect route

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Side Effects

• All medications have a potential for side effects
• If in doubt check medication fact sheets, call
  the pharmacy, or contact the school nurse
• Antibiotics-may cause a rash
• Analgesics-may cause an upset stomach

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Side Effects

• Report promptly any unusual
• Symptoms
• Behaviors
• To the school nurse and parent

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Field Trips and Off Campus Activities

• During the time off campus medications will need
  to be given out
• A Trained staff person should accompany this
  child during the field trip
• Medication must be in the original container

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Field Trip Off Campus Activities

• Medication should be signed out and signed back
  in by the designated staff member
• The designated staff member should document
  administration on return

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Dealing with Concerned Parents

• Validate parents concerns and emotions by
  listening and identifying a way to address their
  specific concern
• Share written information
• Include school nurse/administrator
• Set boundaries and ensure your own safety

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Cooperative School Environment

• Success requires
• TEAM EFFORT

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Cooperative School Environment

• Include the teacher in plans, send them a notice
  so that they are aware that medications are being
  administered
• Share information on medication times at the
  staff meetings
• Talk with school staff to help problem solve
  missed medication times

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Thoughts

• School staff are protected by law if careful
  observation of the regulations are observed
• Any Questions