Medication Training

1
Medication Training
Revised 2007
2
Overview

• Medication policy and procedure
• Steps to take during intake of medication
• Medication request forms and medication log
• Steps to administer medication
• Additional information
• Medication errors

3
Policy and Procedure (pages 4-6)

• District policy and procedure is based on
  Washington State law
• The law must be followed when school staff take
  any responsibility for a students oral
  medication
• Must be trained and supervised by a registered
  nurse
• All requirements must be met to administer
  medication at school

4
Intake (Receipt) of Medication (Page 7)

• 1. FORM COMPLETE
• Student info (fill out top of log both sides)
• LHP portion, legible, signed and dated
• Parent portion, legible, signed and dated
• 2. PROPERLY LABELED
• Pharmacy label (prescription)
• original container w/student name (OTC)
• Epi-pens and Inhalers- Pharmacy label on box,
  device or holder labeled w/name

5
Intake of Medication (cont.)

• COUNT MEDICATION w/Parent
• On clean surface/tray
• Parent to split pills if indicated, before
  counting
• Both parent and staff sign and date log
• If parent/adult unavailable for count two staff
  count/date/sign contact parent to report of
  pills received
• DOCUMENT AMOUNT OF MEDICATION Remaining, Received
  and Total
• 5. IMMEDIATELY STORE IN SECURE LOCATION
• Contact your school nurse with
  questions/concerns or for any requests for
  non-oral medications/treatments
• If a medication is expired, contact your school
  nurse

6
Medication Request Form (page 8)Parent
Information Dear Parent(page 9)

• Each medication request form given to parent by
  the school office should include the Parent
  Information on the reverse

7
Medication Request Form LHP (Licensed
Health Provider) (page 8)
Johnny B Good
1/27/01
Fun Elementary
Joy /1st / 101
5 mg
po (oral)
11 am
Ritalin
ADHD
nervousness, insomnia, anorexia
9-5-06
6/20/07
Dr. Cant Write
7/4/06
123-4567
123-5678
Dr. Cant Write
8
Medication Request Form Parent/Guardian (Page 8)
9-5-06
6/20/07
today
Mr. Johnny B Gopd
987-6543
456-7890
9
Quarterly (Daily) Medication Log (page 10)
10
Back of medication log (page 12)

11
Yearly Medication Log (page 11)
12
Back of medication log (page 12)
13
Administering Medication (page 13)

• Call student to the med area
• Student to have cup of water
• Identify student
• Check container against the LHP written orders
• Check medication log to be sure medication has
  not been given

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Medication Administration cont.

• Pour medication into cap, then students hand
• Watch student take medication
• Record time and your initials in the date box
  immediately after giving the medication
• Use correct documentation
• No white out,
• Use only blue/black ink
• No empty date boxes for daily meds
• Return medication to secured/locked storage area

15
Medication Donts (page 13 9)

• DO NOT prepare any medication ahead of time
• DO NOT give medication that someone else has
  prepared
• CONTACT YOUR NURSE WITH ANY
• QUESTIONS OR CONCERNS
• except when preparing medication for a field trip

16
REMINDER

• Private Duty Nurses and Contracted Nurses (i.e.
  Maxim) can only give medication to the specific
  student they are providing care for.

17
Important Additional Information (page 14-16)

• Parent/guardian to bring medication to school
• Students carrying medication (see next slide)
• Transferring to other schools
• End of school year disposition
• Changes in medication dosage
• Field trips/day or overnight (see additional
  slide)

18
Students Carrying Medication (page 14)

• Requirements for students self carrying oral
  meds
• The student must be able to self administer
  without any assistance
• One days dosage only
• Note from parent with
• Date(s) the student will be carrying the
  medication
• The name of the medication
• Parent signature and parent contact information
• LHP name and contact information
• Any student may lose the right to carry
  medication if they are not using it responsibly.

19
Field Trips-General (page 16)

• Personnel who are trained in the administration
  of medication must accompany students that need
  medications given on a field trip.
• Nurse needs 72 hours notice to set up a training
• Office staff will prepare medications for the
  trip
• (this is the exception to never prepare meds
  ahead)
• Medications will be kept secure at all times
• The student that self carries is responsible for
  their own medications
• Contact nurse with questions/concerns

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Field Trip Medication Log (page 26)

• Staff who prepared medication__________________
  __
• Student______________________________________
  Teacher______________________________________
  Medication/Dosage_____________________________
  Amount to be given___________________
  __________ TIME (Give
  between)______--______
• FILL OUT BELOW AFTER MEDICATION IS GIVEN
• Date_______________ Time given________________
• Signature of staff member who gave
  medication ____________________________________
• Please return this form to the school office
  after the field trip.

21
Before and After the Field Trip(Guidelines for
Preparing Meds for a Field Trip page 25)

• Office staff prepares meds for trained staff only
• For students w/ daily and as needed meds
• Complete field trip log sheet w/ med in baggie
• Time Give between ex 1130 100
• _____________________________________________
• Staff returns log sheet and any med to office
• Staff who gave, enters time/initials in date box
• Office staff returns med to secure location
• Office staff files field trip log form in med
  notebook

22
Additional Information Cont. (pages 17-18)

• Medication administration on early release days
• Epi-pens
• Record retention
• Medication monitoring
• Student Medication administration time lines (see
  next slide)
• Medication reminder
• Medication expiration dates

23
Medication Administration Time (page 17)

• The dose must be given within 30 minutes before
  or 30 minutes after the time designated on the
  order.
• If LHP orders a lunchtime dose. The dose must be
  given within 30 minutes before or one hour after
  the students lunchtime.

24
What is a medication ERROR? (page 19)

• A missed dose of medication
• Medication given
• At the wrong time
• To the wrong student
• The wrong dosage
• Without a doctors order
• Without a parents signature

25
Medication Error-NOW WHAT! (page 19)

• Notify principal, parents and school nurse.
• Document the error in the comment section of the
  log
• Remember this is not the end of the world, we
  learn from our experiences

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Frequently Asked Questions can be found on pages
20-21. Nurse Delegation in the school setting on
page 22. Field Trip Forms are located in the back
of the manual on pages 24-26. All forms are
located on the school website at Secretarial
Services/ Health Resources http//www.spokaneschoo
ls.org/StudentSupport/HealthServices/Resources.stm

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