Contents Mission Statement and Aim 2 1. Legal requirements 2 2. Prescribed Medication 3 3. Non-prescribed Medication 4 4. Asthma 4 5. Safety Management 4 6. Disposal of Medicines 5 7. Parents Responsibility 5 8. Individual Health Care Plan - IHCP 5 9. Managing Medicines on School Trips 5 10. Emergencies 6 11. Role of the Headteacher and Governing Body 6 12. Monitoring and Review 6 13. Relevant Policies and Documentation 6 Appendix 1 - Parental agreement to administer medicine 7 Appendix 2 - Administering Prescribed Medicine Record 8 Appendix 3 - Asthma Record Letter 9 Appendix 4 - Asthma Record 10 Appendix 5 - Administering asthma Inhaler Record 11 Administering Medicines Policy 2012 Page 1 of 14 Mission Statement Life is an adventure, embrace it Life is a challenge, meet it Life is an opportunity, capture it. Aim Most children will at some time have short term medical needs, perhaps entailing finishing a course of medicine such as antibiotics. Some children however have longer term medical needs and may require medicines to keep them well, for example children with wellcontrolled epilepsy or cystic fibrosis. Tackley School is committed to ensuring that children may return to school as soon as possible after an illness (subject to the health and safety of the school community) and that children with chronic health needs are supported at school. This policy sets out clearly a sound basis for ensuring that children with medical needs receive proper care and support in school. This policy aims to: support regular attendance of all children ensure staff understand their role and responsibility in administering medicines make clear to parents the school policy on administering medicines ensure medicines are stored and administered safely. The successful implementation of this policy is dependent upon a rigorous home-school partnership which is essential for the health and safety of all concerned. 1. Legal Requirements 1.1. There is no legal or contractual duty on staff to administer medicine or supervise a child taking it. 1.2. Support staff may have specific duties to provide medical assistance as part of their contract. 1.3. Anyone caring for children including teachers and all non-teaching staff have a common law duty of care to act like any reasonable prudent parent. Staff need to make sure children are healthy and safe. Administering Medicines Policy 2012 Page 2 of 14 1.4. In exceptional circumstances the duty of care could extend to administering medicine and/or taking action in an emergency. This duty also extends to staff leading activities taking place off site such as visits, outings or field trips. 2. Prescribed Medication 2.1. Medicines should only be brought to school when essential, where it would be detrimental to the child’s health if the medicine were not administered during the school day. 2.2. All medicines must be delivered to the class teacher by the parent or carer. Teaching assistants should not take receipt of any medicines in the classroom. 2.3. All medication must be in the original container with the pharmacist’s label which includes the following information: a) The child’s name b) The name and strength of the medication c) The dosage and time/frequency of administration, accompanied by a dosage spoon d) The expiry date of the medication. 2.4. In the case of long-term medication a care plan will be required, see No. 8 Individual Health Care Plans - IHCPs. 2.5. The medicine must be clearly marked with the child’s name and class. 2.6. In no circumstances should medicines be left in a child’s possession. 2.7. Medicines will only be accepted for administration in school on completion of the ‘Parental Agreement to Administer Medicine Record’ by a parent or carer and signed by the Headteacher. 2.8. An agreement form must be completed each time there is a request for medication to be administered or there are changes to medication or administration instructions. 2.9. When any medication is administered, it must be recorded on the back of the Parental Agreement to Administer Medicine Record, stating the time and dose given. 2.10. If in doubt about any procedure, staff should not administer medicines but check with the parents or a health professional before taking further action. 2.11. Reasons for not administering prescribed medicine, including if a child refuses, must be recorded on the administration record and parents informed immediately or as soon as reasonably possible. 2.12. Pupils with complex medical needs will require an Individual Health Care Plan. 2.13. All medical information must be kept confidential. Administering Medicines Policy 2012 Page 3 of 14 Prescribed medicine will not be given: a. Where the timing of the dose is vital and where mistakes could lead to serious consequences b. Where medical or technical expertise is required c. Where intimate contact would be necessary. In these circumstances, parents will be expected to administer the medication. 3. Non-prescription Medication 3.1. Non-prescription medicines such as (liquid) paracetamol, ibuprofen, painkillers and cough medicines must not be administered in school. 3.2. In extenuating circumstances the school may consider administration of nonprescription medicine. For example where pain relief is needed following a fractured limb or a clinical procedure. Written advice from parents detailing the reason for medication, dose and durate must be provided for the school to proceed. 3.3. We do not allow cough sweets in school. 4. Asthma 4.1. Children with asthma need to have immediate access to their reliever inhalers when they need them. 4.2. Inhalers should be readily available and kept in the PPA room in a medical box with the child’s photograph and name clearly visible. 4.3. All medical boxes and inhalers must be clearly labelled and include guidelines on administration. 4.4. All administration of an inhaler should be logged on the Administering Asthma Inhaler Record sheet kept in the medical box and signed by an adult (see appendix). All original forms must be kept in the Medicines folder in the Headteacher’s office. 4.5. It is the responsibility of the parents to regularly check the condition of inhalers and ensure that they are working and have not been completely discharged. 5. Safety Management 5.1. All medicines may be harmful to anyone for whom they are not appropriate. 5.2. All medicines must be stored in accordance with product instructions (paying particular attention to temperature) in the PPA room next to the first aid box or in the staff room fridge. Children should know where their medicine is stored and who has agreed to administer it. Administering Medicines Policy 2012 Page 4 of 14 5.3. Medicines for use in an emergency e.g. Epi-pens, asthma inhalers and anticonvulsants must be stored in the supplied container in a school medicines box with the child’s photograph and name clearly visible, with all dosage, administration records and medical details. 6. Disposal of Medicines 6.1. Staff should not dispose of medicines. 6.2. Parents are responsible for ensuring that medicines that have passed the expiry date are returned to the pharmacy for safe disposal. 6.3. Parents must collect all medicines at the end of the agreed administration period. 7. Parents’ Responsibility 7.1. Parents must give sufficient information about their child’s medical needs if treatment or special care is required. 7.2. Parents must deliver all medicines to the class teacher in person and complete and sign the parental agreement form. 7.3. Where it is practicable, parents should administer medicines to their child during school hours. 7.4. Older children may be able to manage their own medication, under adult supervision, but only with parental agreement on completion of the appropriate forms. 7.5. Parents are responsible for ensuring that all medication kept in school e.g. asthma inhalers and Epi-pens, are kept up to date. 7.6. Parents are responsible for notifying the school if there is a change in circumstances e.g. if symptoms change, or a child is no longer asthmatic. 8. Individual Health Care Plans – IHCPs 8.1. A health care plan may reveal the need for some staff to have further information about a medical condition or specific training in administering a particular type of medicine or in dealing with emergencies eg administering an Epi-pen. Staff should not give medicines without appropriate training from health professionals. 8.2. Children with an IHCP will have their plan reviewed at least three times a year and / or following any changes in medication, dosage, etc. 9. Managing Medicines on School Trips Administering Medicines Policy 2012 Page 5 of 14 9.1. It is the responsibility of the class teacher to take the class permission forms with emergency contacts and medical details on every school trip. 9.2. The class teacher must ensure any medication provided by parents is taken on the school trip and administration logged on the record sheet. 9.3. For details regarding medication on a residential trip, refer to the Educational Visits Policy. 10. Emergencies Where a child requires a serious level of care, including hospital: 10.1. The parents must be informed immediately. 10.2. If the parent is not available, the nominated emergency contact for the child should be informed. 10.3. Staff must never take children to hospital in their own car; it is safer to call an ambulance. 10.4. Where necessary, a member of staff will accompany the child until such time as a parent arrives. 10.5. The staff member should provide any vital information about the injury / illness and the child’s medical background to pass on to the nurse / doctor. 11. Role of the Headteacher and Governing Body The Headteacher and governors must: 11.1. Ensure that there is an appropriate number of trained first aiders on site at all times. 11.2. Train as many staff as possible in emergency first aid and keep this up to date. 11.3. If the administration of any medicine requires technical or medical knowledge, then individual, child specific training must be provided for staff from a qualified health professional. 12. Monitoring and Review 12.1. The Pupil, Partnership, Community and SIAS Committee will implement and review this policy in light of our Christian values and ethos every 3 years. 12.2. The Governor responsible for Health and Safety will monitor the effectiveness of current procedures and that all records are up to date. 13. Relevant Policies and Documentation This policy should be read in conjunction with these documents: Managing Medicines in Schools and Early Years Setting Safeguarding Pupils Policy and associated documents Administering Medicines Policy 2012 Page 6 of 14 Educational Visits Policy Tackley School - Parental Agreement to Administer Medicine Tackley follows Oxfordshire County Guidelines and will not administer non-prescribed medicines. Staff will not give your child prescribed medicine unless you complete and sign this form. Name of child Class/year group Teacher Medical condition or illness Medicine Name/type of medicine (as described on the container) Date dispensed Expiry date Dosage and method Timing Number of days Special precautions Side effects Self-administration Yes No Procedure to take in an emergency Contact details Name Daytime telephone number Relationship to child Address Parent/Carer I accept that this is a service that Tackley School is not obliged to undertake. I understand that I must notify the School of any changes in writing. Signature Teacher I understand that I must administer the medication listed above. Administering Medicines Policy 2012 Page 7 of 14 Signature Headteacher’s signature Administering Prescribed Medicine Record Name of child Class Name of teacher administering medication Name of medication Original packaging Date Time Pharmacist label (including child’s name, date, dosage) Dosage Notes Administering Medicines Policy 2012 Signature Page 8 of 14 Dear Parent/Carer RE: Asthma Records Many children have asthma and research suggests that numbers are increasing. Our recently updated medical records show that you have identified your child as suffering from asthma. Your child spends over a third of their waking hours at school, so it is important that their daily health needs are acknowledged. As part of accepted good practice, we are now asking all parents of pupils with asthma to help us to complete a school Asthma Record for their child. We acknowledge that everyone’s asthma is different and an accurate and detailed record will help school staff to ensure that pupils with asthma receive the best possible treatment at all times. You will be asked to update the record yearly, but please inform the school in writing if treatment is changed before this time so that our records can be kept up to date. As a matter of urgency, we also ask that you provide the school with a spare inhaler which is in date and labeled by the pharmacist with your child’s name and dosage details. This will be kept in school in a labeled box in case of emergency. It is your responsibility to ensure that the medication does not pass the expiry date. I look forward to receiving the completed Asthma Record. At Tackley School we take our responsibility for pupils with asthma very seriously. Thank you for your co-operation in this important matter. For the full details of the Administering Medicines policy, see the school website. Please return your completed form to the school office as soon as possible. If you have any further concerns, please do not hesitate to contact me at the end of the school day. Yours sincerely Administering Medicines Policy 2012 Page 9 of 14 Mrs J. Chalmers Headteacher Asthma Record Child’s full name Year group My child’s details and contact numbers Date of Birth Parent(s) name(s) Telephone: Home Work Mobile Doctor (GP) name Doctor (GP) telephone Asthma nurse (if applicable) Symptoms and triggers typical to my child Known triggers/allergies List of symptoms typical to child Any other medical problems? Administering Medicines Policy 2012 Page 10 of 14 My Child’s Medication Reliever medication (usually blue) Medication name How taken/device Dose When taken (e.g. SALBUTAMOL) (e.g. 1 blister) (e.g. when wheezy, before exercise) (e.g. disk-inhaler) Other Medication 1.1. Most preventers can be taken outside of school hours – check with your GP or asthma nurse Dose When taken How taken/device Medication name My child requires an inhaler in school at all times YES * NO * If you have ticked Yes, parents are responsible for ensuring that the school has an inhaler which remains in school at all times. (Please note, for those children who travel on the bus, it is the parents responsibility to ensure that their child has access to an inhaler) Emergency Treatment In the event of severe asthma, my doctor has advised that my child can take up to puffs of their reliever (usually Salbutamol) inhaler via a spacer (if applicable) until they get further medical help. Signed: (Parent) Date Important key points for parents to remember Administering Medicines Policy 2012 Page 11 of 14 This record is for school. Remember to update it if treatment is changed. Remember to check you provide your child with enough inhaler doses and that the inhaler is in date and labeled by the pharmacist with your child’s name and dosage details. Administering Asthma Inhaler Record Name of child Class Name of teacher administering medication Name of medication Original packaging Date Time Pharmacist label (including child’s name, date, dosage) Dose Outcome / Observation Administering Medicines Policy 2012 Signature Page 12 of 14 Tackley CE Primary School Administering Medicine Policy Administering Medicines Policy 2012 Page 13 of 14 Administering Medicines Policy 2012 Page 14 of 14