Medication Training

1
Medication Training

• FOR ANY EMPLOYEE THAT GIVES MEDICATION AT SCHOOL

2
Medication Policy

• Chatham County Schools discourages the practice
  of students taking medication during the school
  day.
• Parents and physicians written approval must be
  presented to school administration.
• The school will assume no responsibility for
  students who self-medicate without written
  permission.
• Chapstick and throat lozenges are not covered by
  this policy.

3
Medication Administration

• Written instructions will be required on the
  Medication Dispensing Form.
• The Medication Dispensing Form must be signed
  by a physician and parent.
• The Medication Dispensing Form must be
  completed annually.
• Copy the Medication Dispensing Form and place in
  the Nurses box.

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Dispensing of Medication During School
Hours Chatham County Schools To be completed by
physician or nurse practitioner Name of
Student______________________
School____________________ Medication__________
_________________ Dosage____________________ For
m of Medication to be given is circled
below tablet ointment capsule
inhalation liquid Other
(Specify)__________________________________ Purpo
se of Medication_________________________________
____________ Time to be administered_____________
__a.m. _________________p.m. Possible side
effects__________________________________________
_____ Contraindications__________________________
_______________________ Termination Date for
Administering__________________________________ _
_____________________________ _______________ Phy
sician's Signature
Date ______________________________ Physicians
Phone Number
This section must be completed by health care
provider
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To be completed by Parent or Guardian I hereby
give my permission for my child (named above) to
receive medication during school hours. This
medication has been prescribed by a licensed
physician. I assume full responsibility for
informing the principal of any changes in my
childs health or medication. I hereby release
the School Board and their agents and employees
from any and all liability that may result from
my child taking the prescribed medication. I
will furnish this medication within a container
properly labeled by a pharmacist with identifying
information (e.g., name of child, medication
dispensed, dosage prescribed, and the time to be
given). ___________________________ __________ Si
gnature of Parent or Guardian
Date ___________________________ Parent or
Guardian Phone Number
This section must be completed by parent or
guardian
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Parent Responsibilities

• Supplying the medication to the school
• Medication must be in a container labeled by the
  pharmacist
• Over the counter medications must be provided in
  the original container or in a pharmacy labeled
  bottle
• Provide new labeled containers and medication
  form when medication changes are made.

7
Medication Log
Medication Log Student___________________________
________ School_________________________
School year______________________ Teacher______
_________________________
Physician________________________ Telephone
number________________ Name of
Medication_______________________________Special
Comments/Instructions____________________________
______________ (If a new medication is prescribed
or if the dose changes, a new medication log
needs to be completed) (Please initial the block
on day medication is given or chart reason why
not given - See chart below) Month 1 2 3
4 5 6 7 8 9 10 11 12
13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28
29 30 31 August September October November D
ecember January February March April May Initial
s Name Initials Name Codes (Chart
Reason) _____ ____________________ ______
___________________ ED Early Dismissal
Ab Absent FT
Field Trip _____ ____________________
______ ___________________ D/C
Medication Discontinued
NMS No Medication at school _____
____________________ ______
___________________ R Refused
O Omitted/Attempted to locate student
unsuccessful S Self Administered
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Completing the Medication Log

• Copy information exactly as on the Medication
  Dispensing Form
• Document daily when medication is given
• Please count the number of tablets and document
  on the Medication Log. (Document on the
  medication log each time new medication is
  brought in.)
  

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Emergency MedicationsAsthma Inhalers, Epi-Pens,
Glucagon, and Diazepam

• New laws have given students the right to carry
  emergency medications and self administer these
  medications.
• The Physician must specify on the Medication
  Dispensing Form that students may carry emergency
  medication and self administer.
• The nurse needs to be aware of any students who
  carry their emergency medications.

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The 5 Rights to Medication Administration
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Right Student

• Ask students name or call
  name before medication given
• Have picture on medication log if available

ALWAYS STATE STUDENTS NAME
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Right Medication

• Check prescription bottle for correct
  prescription information
• Check Medication Log or Dispensing Form to be
  sure information is the same

13
Right Dose

• Check dose listed on prescription bottle
• Check dose that is listed on the Medication Log

Date Childs Name Medication Time to be given
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Oral Medications
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Tablets/Capsules

• Medication given by mouth
• Only break tablets or capsules that are scored.

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Liquids

• When measuring liquids use a small cup or
  syringe.
• Check to be sure if medication needs to be
  refrigerated.

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Inhalers

• Shake inhaler
• Have student take a deep breath in and out
• Have student place inhaler in mouth and puff
  inhaler while breathing in deeply
• Have student hold breath for 10 seconds
• Wait 1 minute then repeat steps above

18
Eye Medication

• Be sure you have the correct eye.
• Do not touch any part of the eye with the tip of
  the eye drop bottle.
• Have student dab eye after insertion (do not
  allow them to rub eye).

19
Ear Medication

• Be sure you have the correct ear
• Have student lay with affected ear up
• Pull top part of the ear up and back
• Place correct number of drops in ear
• Have student keep head tilted for 2
  minutes

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Injections
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Epi-Pen Injections

• Remove insect stinger
• Remove white plastic cap
• Take medication from amber colored cylinder
• IF MEDICATION IS BROWN - DO NOT GIVE CALL 911
  AND PARENT
• Place (gray) cap to the side
• Place black tip to the thigh at a right angle
• Use a quick motion and press black tip hard into
  thigh (You will hear a loud pop.)
• Hold in place for 5-10 seconds
• Remove Epi-Pen. Discard in Red Sharps Container
• Massage injection site for 10 seconds
• CALL 911 AND PARENT

22
Glucagon Injection

• Remove flip-off seal from the bottle of glucagon
• Wipe top of bottle off with alcohol wipe
• Remove the needle protector from the syringe
• Inject the entire contents of the syringe into
  the bottle of glucagon
• Swirl bottle briefly until glucagon dissolves
  completely
• GLUCAGON SHOULD NOT BE USED UNLESS THE SOLUTION
  IS CLEAR AND OF A WATER-LIKE COSISTENCY
• Using the same syringe, hold bottle upside down,
  make sure the needle stays in the solution
• Withdraw 1 milligrams of solution into the
  syringe
• Cleanse injection site on buttock, arm, or thigh
  with alcohol wipe
• Inject the needle into one of the above sites
• Turn student onto his or her side
• Feed the student as soon as he or she awaken and
  can swallow

23
Right Time

• Check time on Medication Log or Medication
  Dispensing Form
• Medication may be given 30 minutes prior to or
  after prescribed time

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If information on the bottle does not match the
information on theMedication Dispensing Form,
the physicians office and/or parent should be
called.
Notify the School Nurse.
25
If medication is given to the wrong
studentorthe right student gets wrong
medicationor medication is found to be
missing,a Variance Report must be completed.
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Medication Variance Reportis located inSchool
Health Manual,page 120 b
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Complete Variance Report
Notify Parent
Notify School Nurse
Send copy of report to Principal
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If medication is found to be missing,complete a
Medication Variance Report.
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Complete Variance Report
Notify Principal
Notify Police
Notify School Nurse
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Review

• Medication Dispensing Form must be present and
  signed by Physician and Parent
• Medication Log should be copied directly from
  Medication Dispensing Form
• Remember the 5 Rights Right student,
  medication, dose, route, time
• Be sure student takes medication correctly
• Initial Medication Log
• Complete Variance Report if medication is given
  incorrectly
• Complete Variance Report if medication is missing

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Take your Medication Test Online Now