Canton City Schools
A federal mandate created in the
1970s obligated schools to provide
children with medical services,
including medication administration.
Medications that schools are asked to
manage may include controlled
substances, emergency and
psychotropic medications, and a range
of therapeutic interventions for
chronic illnesses such as diabetes and
asthma.
The purpose of this program is to allow you to
review the medication administration policy for
Canton City Schools at your convenience. There
is a post-test at the end. Print the test and
answer the questions. Send the the completed
answer sheet to Health Services via the PONY.
You will still need to be checked off on the
administration of medication by the school
nurse.
To get started press the space bar. To go back
to a previous page press the “backspace key.”
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Verbalize knowledge of laws and policies for
administration of prescribed and over the
counter medication to students.
Demonstrate understanding of proper
administration & documentation of oral
medications including asthma medications.
Follow procedures when medications are
delivered to the school by student or parent/
guardian.
Demonstrate knowledge of handling and
storage of all medications.
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Oral medication (both
Prescribed and Over-TheCounter) administration is
governed by Ohio Revised Code
(ORC) 3313.713-3313.716
The law authorizes school
districts to implement policies
and procedures so that students
can receive oral medication at
school.
Asthma inhalers are considered
oral medication.
Revised codes can be found at
http://codes.ohio.gov/orc
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Ohio Revised Code 3313.713 (E): No person who has
been authorized by a board of education to administer a
drug…. Is liable in civil damages for administering the drug,
unless such person acts in a manner that constitutes gross
negligence or wanton or reckless misconduct
ORC 3313.716 (B):School district employee is not liable in
damages in a civil action for injury, death, loss to the person
or property allegedly arising from a district employee’s
prohibiting / or permitting a student from using an inhaler
because of the employee’s good faith belief that the
conditions of (not having parent & licensed prescribed
authorization) had not been satisfied, nor allegedly arising
from the use of the inhaler by a student for whom it was not
prescribed
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Oral medications are those taken by
mouth. They need not be swallowed, but
may be inhaled through the mouth.
Oral medications can be in pill, tablet,
capsule, liquid or powder form.
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The Registered Nurse in the building may
oversee giving oral medication to students.
Licensed Health Care Provider & parent
permission is required before medication will be
administered.
New authorization is needed each school year.
Parents may come and administer medication.
Medication must be in the original pharmacy
labeled container.
Student may carry an inhaler when the SelfMedication for Asthma Inhalers Authorization
Form is completed and the School Nurse has
evaluated the student’s ability to properly use
the inhaler.
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Medication must come to school in the originally labeled
container complete with student’s name, medication name,
dosage and time to be given.
A responsible adult should bring medication to school when
possible.
All pills in bottle should be same color, shape & size.
Tablets should be cut by parents before being brought to
school when ½ tablet or pill is ordered.
Medications are kept in a locked area at all times.
Medication should be counted and recorded on the back of
the medication log upon receiving medication at school.
Any medication sent to school without Doctors
Authorization form and Parent Authorization correctly
completed must be sent back home until both forms are
received and completed.
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Never give medication without all written
instructions and a properly labeled container.
Never give medication if the written information
does not match the labeled container.
Contact your School Nurse if you have any
questions prior to giving the medication.
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School staff who will be administering
medications will be trained by a School Nurse
for the initial training.
The yearly review may be completed on line by
viewing this power point and obtaining a
minimum of 80% on the post test.
Individuals who have not received training per
CCS training protocol cannot administer
medication.
Remember these five rights when
administering medication to students.
 Right Student
 Right Medication
 Right Dosage
 Right Time
 Right Route
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Hand washing is the single most
important practice preventing
transmission of infectious organisms.
Hand washing should be encouraged
often.
It is also important to follow hand washing
procedures before and after administering
medication to the student.
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Read the medication label when picking up the container.
Ask the student to state his/her name, review photo (if
available).
Read the label again and pour the pill into the cap of the
medication bottle a paper cup or a medication cup.
Pour liquid into a measuring device.
Administer the medication.
Close the container and read the label again before
putting the container away.
Stay with the student until you are sure the medication
has been swallowed.
Document the medication administration on the
“Medication Administration Log” on the proper date with
your initials.
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Administration steps: student
should:
◦ Remove mouthpiece cover
◦ Shake inhaler well for 2 to 5
seconds
◦ Place inhaler in mouth
◦ Take a deep breath and
exhale completely
◦ Inhale slowly and deeply
through mouth, depress
medication canister fully
◦ Hold his/her breath for 10
seconds
◦ Wait one full minute between
each “puff” given.
◦ Connect inhaler to spacer
when ordered.
◦ Have student rinse mouth
with water after using inhaler
to prevent tooth decay.
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Identify student.
Take medication out of locked cabinet.
Hold bottle with label facing away from you.
Pour medication at eye level into dispensing
cup.
Identify student again.
Administer medication.
Document medication administration on the
Medication log.
1. Pull off gray safety cap.
2. Place black tip on outer thigh.
Stabilize the thigh. You may
inject through clothing.
3. Press forcefully to activate
mechanism. Hold pen in place
for 10 seconds.
4. Dispose of Epi-Pen ® as a
contaminated sharp.
5. Massage the injection area for
10 seconds.
NOTE: You must demonstrate this
skill using the Epi-Pen
Trainer to your School Nurse
after viewing the Epi-Pen
video at the end of this
power point.
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Green Medication Logs are to be used for
medications given daily.
Blue Medication Logs are to be used for
asthma inhalers or nebulizers only.
Pink Medication Logs are to be used for as
needed medications with the exception of
asthma medications.
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The medication log becomes a permanent record
for parents and health providers, and provides
legal protection to those who give medications at
school.
It helps prevent children from missing their
medication.
Documenting prevents the student from receiving
a double-dose of the medication.
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Place your initials and signature on the
front of the proper log when giving a
medication for the first time.
 Place your initials in the proper date box
 If giving an as needed medication also place the time the
medication was given. You must verify what time the as
needed medication (including inhalers) was given last. You
may have to contact the parent or guardian if the student is
requesting the medication when it is ordered every 212hours ad needed. For example if an inhaler is ordered
every 3 hours as needed and the student request the
inhaler at 9:00am you must verify with the parent that the
inhaler has not been given since 6:00am.
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All daily medications must be documented
daily starting from the date the order and
parent authorization is received.
If a medication is missed for any reason
including snow days, days absent, or doses
forgotten the proper code should be placed
in the date box.
The codes for missed medications can be
found on the bottom of each medication log.
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Keep the student in the clinic.
Assess student’s status.
Identify the incorrect dose or type of medication taken by
the student.
Office staff should immediately notify the School Nurse
and Principal.
The School Nurse should determine if Poison Control
needs to be called.
School Nurse should notify the student’s parents and
physician for additional instructions and orders.
Submit a written report within 24 hours on the
Medication Error Form.
1.
Can I train others to administer medications ? No!
2.
Who can train me to administer medications? Only the Registered
3.
What do I need to know and do when accepting medication at school?,
4.
5.
School Nurse.
First Verify that there is a completed Physicians Authorization form
and Parent Authorization form. Next, count the medication and
document on back of the Medication Log.
After reviewing this PowerPoint, am I trained to administer oral
medications? No, your School Nurse will review your test and then
determine if you are ready to administer oral medication
What should I look for on the medication container? Student’s name,
prescriptive medication name, dosage and administration time.
6.
Can I distribute over-the-counter medication since it is not a
prescription? No, it is against the Ohio Revised Code
7.
What should I do if I am asked to do something I do not feel okay
about doing? Call the School Nurse, building Principal or your direct
Supervisor
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Take the medication test
that follows this page.
Print out the test and select
your answers on the test sheet.
Sign the test.
Send to Health Services via the PONY.
Follow the directions on the next slide after
the post test and view the Epi-Pen video.
Demonstrate administration of medication
and the Epi-Pen to the School Nurse.
1.
True or False Over-The-Counter medications
require a physician’s prescription and parent
signature in order to be administered at
school.
2. True or False If a student runs out of
medication it is okay to use another student’s
medications until the parent brings in another
supply.
3.
True or False Asthma inhalers are considered
an oral medication.
4.
True or False You can be held liable if
something happens to a student after
receiving a medication even if you followed all
procedures properly.
5.
True or False Under no circumstance can a
student carry an inhaler.
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Go to the following link and
view the EPI Pen administration
video at http://www.epipen.com/page/howto-use-epipen-auto-injector-index
 Find the “How to use Epi-Pen Auto Injection on the left
hand side of the screen and open that selection by
clicking on it.
 Under “please select speed English” click on the
“cable/DSL” selection. View the video.
Health Services
CCS School Nurses
2010-2011