A Training for School Personnel 2017 Update A special thanks to MESD for their expertise in developing this PowerPoint and keeping it updated with current regulations THE LAW ORS 339867339870 amp OAR 5810210037 ID: 780915
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ADMINISTRATION OF MEDICATION TO OREGON STUDENTS
A Training for School Personnel
2017 Update
A special thanks to MESD for their expertise in developing this PowerPoint and keeping it updated with current regulations
.
Slide2THE LAW
ORS 339.867-339.870 & OAR 581-021-0037
Designated school personnel are required to receive annual medication training that meets ODE guidelinesDistricts may not require school personnel to administer medications without appropriate trainingCovers non-injectable medications only, with the exception of three emergency medicationsDistricts must adopt policies/procedures for the administration of medication to students by designated personnel, and for student self-administration of medications
Slide3THE LAW
Designated School Personnel
Identified based on school district policyPrimary/backup personnelMust have procedures for handling field trips (including overnight trips) and other events that occur outside the usual school setting
Slide4POLICIES & PROCEDURES
Each school district shall adopt policies and procedures that provide for:
Administration of medications to students by trained personnel;Student self-medication
Slide5POLICIES & PROCEDURES
Must
include a process to designate, train and supervise appropriate personnel for medication administration that takes into account when a student is:in schoolat a school sponsored activityunder the supervision of school personnelIn before-school and after-school care programs on school-owned propertyin transit to or from school or school-sponsored activities.
Slide6THE LAW
Training
Designated school personnel must take yearly trainingIn-person for initial and every 3 yearsOnline option for other years.
Slide7MEDICATION
Definition
Slide8PRESCRIBER
The definition of
prescriber in the medication laws includes these people licensed by their respective licensing board in the state of Oregon:Doctor of Medicine or Osteopathy (MD/DO)Physician AssistantNurse PractitionerDentistOptometristNaturopathic PhysicianPharmacist
Slide9NON-PRESCRIPTION
Under Federal law, doesn’t require a prescription from a prescriber
.Written permission form The dose must be consistent with the manufacturer’s guidelines for the age of student.Must be necessary for student to remain in school.Must be in original container.Transport of medications to/from school.
Slide10NON FDA-APPROVED
NON-PRESCRIPTION
Requires signed parent permission, but also a prescriber order that includes:Name of the studentMedication nameDoseMethod of administrationFrequencySpecial instructionsReason why it is necessary for the child to receive during school hoursPrescriber signature
Slide11PRESCRIPTION
Prepared and labeled by a registered U.S. pharmacist
In the original prescription bottle.Requires written instructions from an Oregon prescriber. A prescription label meets this requirement.Requires written permission from parent (or from student, pursuant to ORS 109.610, ORS 109.640, and ORS 109.675).Verbal orders/out of state.Only administered if required to be given during school hours or at school-sponsored activities (based on prescribed frequency).Age of consent.
Slide12THE SIX RIGHTS OF MEDICATION ADMINISTRATION
Right Student
Right MedicationRight DoseRight TimeRight Method of administering the medicationRight DocumentationThese must all be ‘RIGHT’ before any medicine is administered
Slide13RIGHT TIME
Parent written authorization for any medication must include a time for the medication to be given.
Ideally the medication is to be administered at the time specified. However, medicine may be given up to 30 minutes before or after the time specified and still be the Right Time.
Slide14HANDLING
Water source
Hand washingAvoid touching the medicationGloves
Slide15HANDLING
Cutting tablets
Pill crushingParent responsibility to provide calibrated measuring device for measuring any liquid medications.
Slide16ADMINISTRATION METHODS
Oral (by mouth)
TabletCapsuleSyrup, Elixir, Suspension
Slide17ADMINISTRATION METHODS
Topical
SkinEyesEarsNose
Slide18ADMINISTRATION METHODS
Inhalers
NasalOralEach Metered Dose Inhaler (MDI) has different use and care, priming, shaking, and cleaning directions.Review insert instructions before use.
Slide19ADMINISTRATION METHODS
Not covered in this training:
Rectal medicationsInhaled medication by nebulizerNasal medication for seizure disordersInjectable medicationsOxygen therapy If a student requires medication by these methods, your school nurse will initiate an individualized procedure and train appropriate personnel.
Slide20SAFE STORAGE & HANDLING
Original container
Secure, locked storageNever administer medications from an unlabeled container.Never accept medication in a bag or unmarked container.
Slide21SAFE STORAGE AND HANDLING
Refrigeration
Emergency plans
Slide22SAFE STORAGE AND HANDLING
Transport of medication
Medication changes: we cannot accept verbal requestsEnd of school year
Slide23SAFE STORAGE AND HANDLING
Medication Disposal:
Take-back/collection programs; orRemove from container, mix with undesirable substance such as pencil shavings or used coffee grounds, and place in an impermeable plastic sealable bag. Discard in trash as close to pickup day and time as possible.Student information should be removed or thoroughly concealed with marker before discarding bottle or container.
Slide24COUNTING PILLS
Some pills require counting by 2 people upon sign-in and sign-out, and additionally as required by district policy
Any controlled substance:SedativesStimulantsAnti-convulsiveNarcotic analgesicsPyschotropicsMay count with parent & staff, or 2 staff members
Slide25CHARTING FORMS
Slide26CHARTING FORMS
Slide27CHARTING
FORMS
Slide28DOCUMENTATION
Personnel must document
every time a medication is given. Documentation must be accurate, legible, and completed at the time of the administration.Document in blue or black ink only - No pencil.If a mistake is made in charting, cross out with a single line and mark “ME” (mistaken entry); do not use white out.
Slide29STUDENT SELF-ADMINISTRATION
No assistance required
No documentation requiredSelf-administration formSchool Nurse/Administrator approval
Slide30STUDENT
SELF-ADMINISTRATION
Slide31CONFIDENTIALITY
Student medication records are confidential.
Files should be locked with the medications and access limited to authorized school personnel.Parent (or student, pursuant to ORS 109.610, ORS 109.640, and ORS 109.675) written authorization is required for release of protected student information.
Slide32RECORDS RETENTION
Medication records should be filed at the end of the school year
. Place record in student’s health folder in the cumulative file.If medication administration is included as a related service on an IEP, the medication record is placed in the Special Education file for the student.
Slide33ERRORS & UNEXPECTED SITUATIONS
Report medication errors immediately to the parent, building administrator, and the school nurse.
The following actions constitute an error: Medication not given Medication administered to wrong studentWrong medication or wrong dose given to student Medication given at wrong time Medication given the wrong way or route
Slide34ERRORS & UNEXPECTED SITUATIONS
If student does not receive medication within a half hour of the scheduled time: document, and notify parent and school nurse.
If student refuses medication: ask for reason, encourage, document, notify parent and school nurse.If student vomits or spits out medication: document, notify parent, send home if ill.All medication has the potential for side effects. Report any unusual symptoms or behaviors to school nurse and parent immediately.
Slide35FIELD TRIPS OR OFF-CAMPUS ACTIVITIES
If a medication is to be administered when students are on a field trip or off-campus activity,
personnel trained in medication administration must accompany the student group.Any/all medications taken on the activity must be kept in their original container.Medication-trained personnel will sign the medications out, and then back in, and document any administration upon return to school.
Slide36PARENT COMMUNICATION
Newsletters
Registration Student handbooksParent/teacher conferences36
Slide37QUESTIONS?
THANK YOU