Slide 1 - Wasatch County School District

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Medication Policy and
Administration Training
Objectives
• Wasatch School District Policy
• Student Health Information - HCP
• State Law
• District Forms
• Medication Administration
Wasatch School District
Policy
The Principal will:
 Designate staff to administer
medications
 Insure proper maintenance of
records
 Legal Document/Cumulative file
 Keep on file trained staff delegated
to administer medications
Wasatch School District
Policy
 The Principal will:
 Notify the
School Nurse of
medication
administration
needs
 Arrange annual
training
Checklist-Medication Audit
School Nurse
 Provide annual training
 Delegate and train UAP
 Audit 2/year
Audit 2x a year
 Results will be given to:
 School staff administering
medications
 School Principal
 Student Service Director
Audit
Items not in compliance
• Two weeks to rectify problem
• Notify School Nurse when
problem is rectified
• If parents are not in compliance the
school may withdraw authorization
(see section 3.3)
Medication Delegation
Trained unlicensed
personnel can
administer:
• oral, inhalant
• eye and ear drops
• Gastrostomy
• Topical
• Epinephrine,
glucagon, or insulin
Medication Delegation
UAP CANNOT Administer:
IV
Rectal
Intramuscular injections
subcutaneous injections
Excluding:
epi-pen
glucagon
insulin
Student Self Administration
Preschool to grade 12
Asthma
Diabetes
Epi pen
Student Self Administration
Parents authorization
 Student is responsible
Healthcare Providers signature
Self-Administration Forms
Misuse: Disciplinary action
 District’s Safe School Policy
Student’s Preschool to Grade
4
•Cannot self administer medications
•Cannot carry a days dose of medication
•Except: inhalers, insulin and supplies,
and epi-pens
Grade 5 to Grade 12
Students can carry and self administer a
one day dose of a temporary prescription
or OTC medication
•Excluding Narcotic Pain Medication
Narcotic Pain Medications
Will not be kept at school
Will not be administered by school personnel
Will not be allowed at school
Properly Labeled Medication
All medication,
prescription and
OTC medication,
requires a
pharmacy label on
the original
container
Properly Labeled Medication
 Name of student,
doctor, and
pharmacy
 Name of
medication
 Dosage
 Time of day to be
given
 Method of
administration
(route)
 Expiration date.
Wasatch School District
Forms
Letter To Parents/Guardians
– Student Health Information
Wasatch School District
Forms
Authorization of
School Personnel
to Administer
Medication
Daily Medication
Tracking Form
Wasatch School District
Forms – State Law
Self Administration Forms
– Medication administration
• 53A-11-601
– Asthma: inhaler
• 53A-11-602
– Epinephrine: epi pen
• 53A-11-603 and 26-41 HB 101, 2008
Wasatch School District
Forms – State Law
Self Administration Forms
– Diabetes: Insulin and supplies
• 53A-11-604
– Glucagon administration
• 53A-11-603
Wasatch School District
Forms
Glucagon
Authorization
District Forms
Medication Error/Adverse Reaction
Reporting Form
Medication Administration
Training Form
Administration of Medication
Checklist
Medication Disposal Form
Safe Keeping of Medication
Stored in a
locked
cabinet
Adequate
temperature
Unused Medication
Notify parents
 Pick up within two weeks
 Requires two signatures
 Record on daily tracking form
Unused Medication
School nurse will
discard expired or
unused medication
 Requires
School Nurse
and UAP
signature
 Proper disposal
– police station
Medication Administration
Policies
• Who dispenses
• What medications can be given
• How to dispense
• Emergencies
• Manage / store medications.
Authorization Form
• Student information
• Name of medication
• Condition for which prescribed
• Dosage, route and time to
administer
• Side effects
• Doctor’s phone number and
signature.
Additional Information
• Date of the order and duration
• Parent / guardian signature and
phone number
• Permission to contact doctor
• Special directions
Log Sheet
• One for each student
• Separate sheet for each
medication
• Who administered
• Time.
Medication Daily Log
Receiving Medications
• Parent or
guardian
delivers
medications
• Pharmacylabeled
containers
• Over-thecounter
medications
• Check the label.
Medication Preparation
• Log sheet
• Gather supplies
• Wash your hands
• Five Rights
• Ask if any side effects.
The Five Rights
• Right student
• Right medication
• Right dosage
• Right time
• Right route.
Administering Medications
• Oral
• Eye, ear, nose
• Patch
• Inhaler
• EpiPen®.
• Insulin or Glucagon
Recordkeeping
• Record dispensing
• Sign the log
• Call parent / guardian if student
didn’t show
• New authorization form if
medications change
• One form per medication
Quiz
1. All medication should be kept in a
drawer that anyone can open in case
of an emergency.
2. Your authorization form should
include information about the dosage
required, how to administer it and
when it should be given.
3. OTC medication should arrive at the
school in the original container and
the amount of medication counted
and recorded by the responsible
person.
Quiz
4. The “Five Rights” for administering
medications are: is this the right
student, right medication, right
dosage, right time and right route.
5. You should never embarrass a
student by asking the child to open
his or her mouth to prove the
medicine has been swallowed.
6. Oral Medications should never be
followed by water.
Quiz
7. If the child requires drops in both
ears, wait a minute or two before
doing the other ear and then put a
cotton ball in the outer portion of the
first ear before turning the head.
8. Symptoms of anaphylaxis include
wheezing or shortness of breath,
swelling of the lips, tongue or area
around the eyes, and hives or general
itching and tingling.
Quiz
9. After using the EpiPen, check
the black tip to see if the needle
is showing, which means the
medication was injected
correctly.
10. Glucagon can cause a child to
vomit so place the student on
his or her side immediately
afterwards to avoid choking.
Thank You
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