DORRINGTON ACADEMY MANAGING MEDICINES Introduction The supervising or giving medicines to a child is a parental responsibility, but school staff may be asked to perform this task. If the administration of any medication requires special training, staff can only give it after being appropriately instructed by School Health personnel. Sometimes it is necessary for children to take medicines whilst at school. The policy and procedures developed at this school are primarily designed for the benefit of the child but it should also be remembered that we have an obligation to maintain the safety of school staff. NB When the ‘parent’ is used in this documentation it also reverse to any individual who may have legal responsibility for a child General Principles 1. On the child’s admission to the school the parent should be asked to complete a medication Consent Form giving full details of regular medication required, name of GP, emergency contact numbers, details of hospital consultants, allergies, special dietary requirements and any other relevant information. Verbal instructions are not satisfactory and if written instructions are not able to be obtained readily then the school nurse or the Headteacher should be informed. 2. When a child goes home daily, parents should be encouraged to ask the child’s doctor to prescribe medicines which can be administered outside school hours wherever possible. For example, asthma maintenance drugs, anticonvulsants, antibiotics, antirheumatic drugs. If a child sleeps some nights at home and some at school, then a specific arrangement should be made between staff and parents as to who should administer the medication and such an agreement recorded. This will avoid omission or duplication. 3. There must be adequate access to and privacy for the use of medicines 4. The name and location of the school nurse should be known by the appropriate school staff. Parental Responsibilities 1. If a child does need to receive medicines during the school day, parents must provide a written request detailing all appropriate information. This should be filed in the school surgery and a copy kept by both the staff member who is to be responsible for administering the medication and the Headteacher. 2. The medicine should be handed over by the parent to the taxi guide or to a member of the school staff. In no circumstances should children carry their own medication with the possible exception of Asthma Reliever Inhalers. 3. The medicine should be in the original container dispenses by the chemist and must be clearly labelled with: Name of child Name of medicine Strength of medicine How much to give ie dose When it should be given Length of treatment date/stop date where appropriate Any other instructions Expiry date whenever possible 4. All medicines must be kept in their original container. Liquid medicines should be accompanied by a spoon if possible. The label “To be taken as directed” does not provide sufficient information. Precise information must be supplied including the Duration of treatment or expiry date of medicine where appropriate. 5. If the medicine needs to be replenished by a new prescription, this should almost always be done by the parent. School staff should only deal with prescriptions in emergencies or when they are provided by the local out of hours GP and only then with full parental knowledge and consent. 6. If the medication needs to be changed or discontinued, the school should be informed in writing by the parent. A new consent form needs to be completed for changes to a child’s medication. School Responsibilities 1. Pre-admission, parents will be provided with a Medication Consent Form. This needs to be filled out in full with details of all medication and dosages before medication can be given. 2. On arrival, staff will refer to the Medication Consent Form and file it in the house medication file. Any medication given should be in accordance with the consent form. Any discrepancies should be checked with parents immediately 3. School will only accept prescribed medicines 4. Medication should be checked against the consent form and then counted and recorded in the medication file 5. When medication is given, it should be recorded immediately on the recording sheet within the medication file 6. The school will remind parents as necessary if medication supplies are running low – remember to give reasonable notice 7. House staff should send home a new consent form for completion by parents, if they are aware of any likely or actual changes of medication as a result of a medical appointment or other 8. If a medicine is sent into school without the appropriate labelling (as per Parental Responsibilities Point 3 above) or is without consent, parents should be informed immediately. The school cannot give medication without correct labelling or appropriate consent. In such circumstances it may be necessary for the child to return home until the matter can be rectified. Storage of Medicines Medicines when not in use should be stored in a safe and secure place. This means a locked cupboard, preferably in a cool place but allowing for ease of access for the child. The medicine must be accessible to the appropriate member of staff at all times Inhalers which need to be used on demand should be kept readily available at all times, including prior to and during exercise Some medicines need to be refrigerated. An appropriate refrigerator should be identified and medicines needing refrigeration should be stored in a closed plastic container with a lid clearly marked “Medicines” and kept on a separate shelf in the fridge Out of School Activities Medication required during a school trip should be carried by a member o staff. Parents need to give permission for the administration of travel sickness preventatives It is the responsibility of the person leading any out of school activity to check if pupils require medication. Care must be taken to ensure that any member of staff responsible for the children when off site is made aware of an individual’s need for medication. Non-Prescription Medicines (eg Paracetamol) Children should only be given paracetamol if a parent has given written permission or completed the standard consent form. Record Keeping For any prescribed medication administered a record should be kept of the pupil’s name, the name of the medicine, the time and date it is given and the person responsible for administering it. Disposal/Return of Medicines Medicines should be returned to the child’s parents When the course of treatment is complete When labels become detached or unreadable When instructions are changed When the expiry date has been reached At the end of each term (or half term if necessary) All medication returned should be recorded. If it is not possible to return a medicine it should be given to the local pharmacy for disposal. Disposal of medication must also be clearly recorded Potential problems of the medication procedure Appropriate action to take Illegible prescription label Refer to parent initially, otherwise refer to medical staff and withhold administration of drug until advice has been sought but do not delay in seeking advice Child is absent when a drug is due Record non-administration on record sheet. If appropriate administer on return to school. (Always follow the advice given in the patient information leaflet enclosed with the medication). Always inform parents of missed medication Child vomits shortly after administration of drug Re-assure the child. Inform parent. DO NOT ASSUME IT IS SAFE TO GIVE A REPEAT DOSE!! Child develops reaction to drug In mild cases: Observe child for any future changes Check the advice given in the patient information leaflet enclosed with the medication Inform parents and school nurse or GP In severe cases: Symptoms include any or all of the following Swelling of lips Swelling of face Blueness of lips Difficulty breathing Swelling of limbs Flushed appearance Sweaty appearance CALL 999 IMMEDIATELY AND ASK FOR A PARAMEDIC AMBULANCE Reviewed academic year 2013/2014 Signed Chair of Governors