Medication Administration - PowerPoint Presentation

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Medication Administration

A Training for School PersonnelSchool Health ServicesCrook County School DistrictSlide2

The Law

The law covers only non-injectable medication.Administrative rules were adopted by Oregon Department of Education. ORS 339.867 – 339.870Designated school personnel are now required to receive appropriate training annually for the administration of prescription and non-prescription medication.Slide3

The Law (cont.)

School districts may not require school personnel who have not received appropriate training to administer medication to students.Administration of non-prescription medication by school personnel requires written instructions from the student’s parent.School districts must adopt policies and procedures for this rule including policies which address students self medication.Slide4

Administrative Rule

The definition of physician includes these people licensed by the respective licensing board in the State of Oregon or an adjoining state:Doctor of Medicine or OsteopathyPhysician AssistantNurse Practitioner

Dentist

Optometrist

Naturopathic PhysicianSlide5

Administrative Rule

Separates prescription and non-prescription medicationExcludes dietary/food supplementsRequires school personnel to be responsible only for prescription medication scheduled to be given during school hours, or non-prescription medications necessary for the child to remain in school.Slide6

Training

Administrators are responsible for selecting regular and back-up staff.Only trained staff can administer medication.Slide7

Prescription Medications

Does not include injectable drugs!Must be prepared and labeled by pharmacist.Administered only if required during school hours.Requires signed permission and instruction from parent.Slide8

Prescription Medications

Requires written instructions from a physician (a prescription label meets this requirement).Must be in original pharmacy container.Verbal physician orders can only be taken by a licensed nurse.Slide9

Non-Prescription Medications

Age appropriate dosage (dosage must be consistent with the manufacturers guidelines) i.e. Ibuprofen.Commercially prepared.Non-alcohol based.Necessary for student to remain in school.Slide10

Non-Prescription Medications

Require:Written parent permissionStudent nameMedication dosage, frequency, route

Must be in original container.Slide11

Five Rights

Right StudentRight MedicationRight DoseRight TimeRight RouteSlide12

Handling Medications

Obtain water from a clean source.Do not obtain water from sink where first aid is provided.Always wash your hands prior to giving medication.Avoid touching medication.

Wear gloves if placing medication in student’s mouth.Slide13

Handling Medication

Tablets require cutting should be cut by the parent and sent to school.Parents should provide pill crusher if pills need to be crushed.Ask parents to provide calibrated instruments for measuring liquid medication (kitchen spoons are not accurate).Slide14

Routes Of Medication

OralTabletsCapsulesSyrup, elixirs, and suspensions

Topical

Skin

Eyes

Ears

Nose

Inhaled

Mouth

NoseSlide15

Rectal medication administration and nebulizer treatments will not be taught in this training. They must be delegated in accordance with Oregon law. Slide16

Asthma Inhalers

OSBA POLICYSupports the need for students to carry asthma inhalersSlide17

Safe Storage And Handling

STORE ALL MEDICATION in original containers in secure place.NEVER administer medications from an unlabeled container.NEVER empty medication into a plastic bag or other containerSlide18

Safe Storage and Handling

STORE medications in a clean, locked cabinet.CERTAIN medications require counting upon arrival at school.REFRIGERATION is required for some medication.Slide19

Safe Storage and Handling

MEDICATION should be brought to school and returned home by the parent. Do not allow students to carry medications home without parent permission which must be documented.CHANGES in medication instructions must be made by parent in writing. DO NOT act on verbal request.FOLLOW district policy for disposal of unused medications e.g.:

Regulated wasteSlide20

Documentation—If it’s not documented, it wasn’t done!

Documentation must be accurate and legible.Document in blue or black ink. Never use pencil.Never use white out.

If you make a mistake in entry, cross through and mark “ME” (mistaken entry).Slide21

Confidentiality

Student medication files are CONFIDENTIAL. Access limited to authorized school staff and parents.

Parent authorization required for release of information.Slide22

Retaining Medication Records

Medication records should by filed at end of school year in:Student health record for students without an IEP.Special Education Files for students with an IEP.Slide23

Handling Unexpected Situations

Student does not come for medication at scheduled time.Send forDocumentNotify parent

Student refuses medication.

Encourage

Document

Notify parent

Student vomits or spits out medication.

Document

Notify parent

Check for symptoms of communicable diseaseSlide24

Medication Errors

Report medication errors immediately to school nurse, building administrator, and parentOmissionsMedication administered to wrong studentInaccurate dose or wrong medication

Wrong time

Incorrect routeSlide25

Side Effects

All medication has the potential for side effects.Refer to “Medication Fact Sheet.”

Report promptly any unusual symptoms or behaviors to school nurse and parent.Slide26

Student Self-Medication

Requires no assistance.Requires no documentation that medication was taken.Student and parent to sign a self-medication agreement and have on file with Medication Authorization form in the office.Controlled substances to be discussed with the School Nurse.Slide27

Field Trips or off-Campus Activities

Staff person trained in medication administration must accompany group if medications will be required.Keep in original container.Sign in and out.Document administration on return.Slide28

Medication Alert

School staff are protected by careful observation of regulations of the medication law, rules, and their own district policy.