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