TOTOM HOUSE M.E.C.C. Administration of Authorised Medication Policy NQS QA2 2.1.1 2.1.4 2.3.2 Each child’s health needs are supported. Steps are taken to control the spread of infectious diseases and to manage injuries and illness, in accordance with recognised guidelines. Every reasonable precaution is taken to protect children from harm and any hazard likely to cause injury. National Regulations Regs 90 Medical conditions policy 91 Medical conditions policy to be provided to parents 92 Medication record 93 Administration of medication 94 Exception to authorisation requirement - anaphylaxis or asthma emergency 95 Procedure for administration of medication 96 Self-administration of medication EYLF LO3 Children are happy, healthy, safe and connected to others. Educators promote continuity of children’s personal health and hygiene by sharing ownership of routines and schedules with children, families and the community Educators discuss health and safety issues with children and involve them in developing guidelines to keep the environment safe for all Aim That Totom House educators can safely administer medication as necessary to children with the written or verbal authority of the child’s parents, or through stated emergency procedures as outlined in this policy. It is important to follow strict procedures in the correct administration of authorised medications to promote the health and wellbeing of each child at the Centre. Related Policies 1. 2. 3. 4. 5. 6. 7. Emergency Service Contact Policy Enrolment Policy Food Nutrition and Beverage Policy HIV AIDS Policy Immunisation and Disease Prevention Policy Incident, Injury, Trauma and Illness Policy Medical Conditions Policy Last Updated: 8/02/2016 Page 1 of 6 Implementation 1. General 1. Upon enrolment a General Authorisation form is to be signed by parents to cover: 1. Administration of Panadol or an alternative to Panadol. If the child is allergic to Panadol it is the parents/guardians responsibility to specify an alternative on the General Authorisation form. It is also the parents/guardians responsibility to supply the alternative medication to the Centre. 2. Parents of children who are in nappies will consent to use cream supplied by the Centre or will provide their own cream if their child has allergies or sensitive skin. Cream supplied by the Centre may have a nut content mainly in the form of nut oil. 2. If a child’s temperature reaches 38 degrees Centigrade or above, parents/guardians will be asked to collect their child immediately. 3. A long term Medication Record Form is to be signed if a child requires ongoing administration of medication (for periods exceeding one month). This form is to be updated every three months. 4. Teething gel will not be applied to a child unless a written permission letter from a registered medical practitioner is provided to the Centre. 5. Herbal or alternative medicine will not be administered to a child, unless a written permission letter from a registered medical practitioner is provided to the Centre. A parent/guardian of the child may attend the Centre to administer herbal or alternative medicine themselves. 6. If prescribed cream is to be applied to a child at the Centre, a written clearance letter from a registered medical practitioner must be provided to the Centre to state the child is suitable to attend a child care centre whilst having the prescribed cream administered, and that the child’s condition is not contagious. 7. There will be a staff member on duty at the Centre at all times who is trained in the use of specialised equipment (e.g. nebulisers). 8. Only Room Leaders and Certified Supervisors are to administer medication to children. 9. All medical forms are to be kept for seven years by the Centre, these being: 1. Administration of Authorised Medication Record 2. Medication Book 3. General Authorisation form Last Updated: 8/02/2016 Page 2 of 6 4. 5. 6. Medication Record Form Medical letters provided by parents Incident, Injury, Trauma and Illness Record 10. Panadol or an alternative to Panadol will be administered to a child at the Centre once only on any given day, unless a written permission letter from a registered medical practitioner is provided to the Centre authorising the Centre to administer multiple doses to the child within one day. 11. The Enrolment Form is to be checked and the parents/guardians contacted before administering Panadol or an alternative to Panadol medication. 12. If verbal (phone) permission is given by a parent/guardian to administer Panadol or an alternative to Panadol to their child, the parent/guardian must sign the Medication Record Form immediately upon collecting their sick child from the Centre. 2. Administration of Prescribed Medication 1. In the instance that a child has been prescribed a medication by a registered medical practitioner, the Centre will ensure the medication is administered appropriately as instructed by the child’s parent/guardian who must give written and signed permission on the Medication Record Form. 2. Medication can only be administered by the Centre if it receives written authority on the Medication Record Form, signed by the child’s parent or another responsible person named in the child’s enrolment record that is authorised by the child’s parents to make decisions about the administration of medication for the child. 3. The Centre will ensure that the Medication Record Form is completed for each child at the Centre who requires medication that has been prescribed by a registered medical practitioner. 4. Any person delivering a child to the Centre must not leave medications in the child’s bag or locker. Medication must be given directly to an educator for appropriate storage upon arrival. 5. Medication provided by the child’s parent must include the following : 1. Original container. Medication will only be administered from the original container. 2. Original label that is clearly legible 3. Child’s name clearly on the label. 4. Expiry Date 5. Any instructions attached to the medication or related to the use of the medication. 6. Any written instructions provided by an authorised medical practitioner. Last Updated: 8/02/2016 Page 3 of 6 13. Parents are to provide the following information on the Administration of Authorised Medication Record each time the medication is to be administered: 1. Child’s full name 2. Name of medication 3. Last time medicine administered 4. Dosage to be given 5. Method of administration 6. Time to be given 7. Parent’s signature 14. The first dose of medicine for the day should be given by the parent/guardian of the child, unless the dosage of the medicine restricts this from being possible eg if medication is only given once a day at lunch time. For such instances, the parent/guardian must state the last time the medicine was administered to the child from the previous day. 15. Staff administering medicine to a child, as documented on the Medication Record Form are to sign their name on the Medication Record Form, and state details of the dosage and time. 16. When medication is about to be administered to a child, a second permanent staff member is required to check the dosage to be given to the child, and also sign the Medication Record Form once the medication has been administered. 17. If medication is administered to the child, but the child then remains unwell and is not able to cope in group situations, parents/guardians will be contacted to collect the child immediately. 18. If medication is administered to a child, but the child then vomits immediately afterwards, the Centre will not re-administer the medication, but will inform the parents of the occurrence of vomiting as soon as they are able to. 3. Emergency Administration of Medication For anaphylaxis or asthma emergencies, please see separate section below. 1. In the event of an emergency, the Centre must follow the Incident, Injury, Trauma and Illness Policy and complete the Incident, Injury, Trauma and Illness Record. 2. In the event of an emergency and where the administration of medication must occur: a. The Centre must attempt to receive verbal authorisation by a parent or guardian of the child named in the child’s Enrolment Form who is authorised to consent to the administration of medication. Last Updated: 8/02/2016 Page 4 of 6 b. If a parent of the child cannot be contacted, the Centre must attempt to receive verbal authorisation from an emergency contact of the child named in the child’s Enrolment Form, who is authorised to consent to the administration of medication. c. If none of the child’s nominated contacts can be successfully reached within a reasonable timeframe, the Centre must contact a registered medical practitioner or an emergency service on 000. d. Written notice must be provided to parent/guardian(s) of the child or other emergency contact person listed on the child’s Enrolment Form, outlining the details of the administered medication. 4. Emergency Involving Anaphylaxis or Asthma For anaphylaxis or asthma emergencies, 1. Medication may be administered to a child without an authorisation following the procedures as listed above under ‘Emergency Administration of Medication’. 2. The Centre must contact the following as soon as practicably possible a. A parent of the child b. Emergency services. 3. The child will be positively reassured, calmed and moved to a quiet area under the direct supervision of a suitably experienced and trained educator. Sources Education and Care Services National Regulations 2011 National Quality Standard Early Years Learning Framework Putting Children First (1999) Childcare and children’s health: Medications use by children attending childcare Vol.2 No.4 National Health and Medical Research Council (2005) Staying Healthy in Child Care: Preventing infectious diseases in child care Australian Government Review. The review will be conducted by: Management Employees Last Updated: 8/02/2016 Page 5 of 6 Families Interested Parties Date for next review: February 2015 Last Updated: 8/02/2016 Page 6 of 6