Post on 03-Jun-2015
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Medication AdministrationFor Newberg School Personnel
Training Training must be approved by ODESchool district may not allow personnel to administer medication until training is complete. Content AreasNon-prescription medications Student Self-Administration Prescription medications
Three Medication ClassificationsNon-prescription Medication
Non-Prescription MedicationNon-alcohol based
Medications necessary for students to remain in school.
You must have written instruction from parent or guardian in order to administer to student
Non-Prescription Medication Written parameters for administrationSigned permission from parent or guardian. Must includeStudents nameMedication nameMedication dose, frequency and route Must be brought to school by the parent in the original container or packaging.
Student Self AdministrationSelf administration of Medications: The student must demonstrate the ability developmentally and behaviorally to self medicate.
Requires no assistance from personnelRequires no documentation
Student Self-AdministrationIn order for a student to self administer, signatures are needed from:Parent/GuardianBuilding AdministratorStudentDoctor (if medication is prescription)
Student Self-AdministrationSelf administering prescription medications include managing asthma and/or severe allergy. Inhalers must have label attached.All medication must be kept in its original container. Students can only carry the amount of medication needed for that school day. For emergency medications such as bronchodilators/epinephrine, backup medication may be kept within the school for immediate access.
Prescription MedicationAny non-injectable medication prescribed by one of the followingPhysician Nurse PractitionerDentistOptometristPsychiatrist
Prescription MedicationMust be prepared and labeled and prepared by registered Pharmacist. Must have signed permission and instruction from parent. Should only be administered if medication is required during school hours.
Prescription MedicationWritten instruction from parents or guardian must include the following:Name of StudentName of MedicationDosageRouteFrequency of administrationOther special instructionsSignature from parents/guardian
More About PrescriptionsEnsure that all prescriptions:Have written instruction from physician or pharmacistPrescription label meets these requirementsAre brought in original container from pharmacy
5 Rights of Medication AdministrationPrior to administering any medications, always follow the standards of safety: The 5 Rights.Right studentRight medicationRight doseRight timeRight route
Handling MedicationAlways wash your hands before giving medication.Avoid touching medication with your bare hands. Get any water needed for oral medication from a clear source; not from a sink where first aid is provided.Do not use your fingers to put medication in the students mouth.
Some ConsiderationsSome medications need to be crushed or cut:Parents are responsible for providing a pill cutter/crusher Measuring liquid medication:Only use calibrated medicine cups
Routes of Medication Oral/MouthTablets, capsules, syrups, elixirsTopical/outside of the bodySkin, eyes, ears, noseAlways wear gloves when assisting with topical medicationsAvoid touching the eye with the tip of the bottle or tube to decrease risk of infection
Routes of Medication InhalationNose, mouth Metered Dose Inhalers: Using the inhalerRemove cap from canister and shake wellPlace spacer on canister mouth piece if providedInstruct student to blow out a deep breathPlace mouth around opening, press down once on canister and breath in deepHold breath for at least 10 second
Safe Storage and Handling Store all medications in the original container.Store in a clean, locked cabinet.Medications should be brought to school and returned home by a parent. Do not allow students to carry medications to or from school. The only exception is a student with a signed self medication agreement.
Safe Storage and Handling Medications that require counting have the potential for abuse; it is essential to carefully monitor and store these.Should be counted by parent and trained school staff. These medications include antianxiety, ADHD and narcotics medications. If medication changes, parents must notify in writing. Do not accept any verbal requests. Refrigerated medications must be kept between 36 and 46 degrees F.
Disposing of MedicationMedication not picked up by the parent at the end of the school year or within 5 school days of the end of the medication period, whichever is earlier, will be disposed of by a designated school staff in accordance with current recommendations from state and federal government.
Disposing of Medication Any medication that is disposed of at school should:Mixed with undesirable substance, ex. Coffee grounds Placed in impermeable containers and then into trash Original container/personal identification should be destroyed Do not flush any medication down the toilet unless specific instructions state it is safe to do so. All disposal of medications will be documented on the back of the medication record.
Student Medication RecordRequired for each student receiving medication administration at school.One sheet for signing supply in and out.One sheet to show what was administered by whom and when. RecordingAlways use black or blue ink, never use white out or pencil
Confidentiality All student medication files are confidential.Access to records is limited to:Parent/guardianAuthorized school staffParental authorization is required for release of information.
The 2 Big CsConfidentiality and CooperationOnly share medical information on a need to know basis.Work together with teacher and all school staff to achieve mutual goals. Examples: Cafeteria works should know who your diabetic students are and can help with monitoring food. Can med times be adjusted to avoid classroom disruption?
Unexpected Situations Student does not come at scheduled time:Send for themDocument on the medication record and notify parents via phone/writingStudent refuses: Encourage student to takeDocument on the medication record and notify parents via phone/writingStudent vomits or spits out medication:Document, notify parents
Medication Errors What are medication errors?No dose or wrong dose givenWrong student, time or route Report medication errors immediately to:parent/guardianPhysician/nurseBuilding administrator
Side Effects Report any unusual symptoms/behaviors to the school nurse and parent immediately. Serious allergic reactions: In the event, policies are in place to notify 911School personnel should be trained in CPR in the event ofAbsent pulse/absent breathing
Off Campus Activities A trained staff person will be designated to administer medications to students. Medication must be in the original container. Medication must be signed out and back in by the designated staff member. Administration will be documented when medication is given or as soon as you return. Medication should be stored in a secure location.
RegulationsORS 339.870 Liability of School Personnel Administering MedicationA school administrator, teacher, or other school employee designated by the school administrator, who in good faith administer medications to a pupil pursuant to written permission of the pupils parents or guardians and in compliance with the instructions of a physician, is not liable in a criminal action or for civil damages as a result of the administration except for an act of omission amounting to negligence or willful and wanton misconduct.
One more LawOAR 581-021-0037OAR 581-021-0037 requires that staff be designated and trained before administering any non injectable medications. This rule lists definitions, directs school districts to adopt specific policies, and describes the elements of the procedure that permits administration of prescription and non prescription medications. School districts must address student self-medication in the policies and procedures. Please see OAR 581-021-0037 at the ODE website for more information and JHCD-AR at our district website for medication policy.
Finals Thoughts School staff are protected by law if careful observation of the regulations are followed. Share written information with school nurse and the administer to keep all parties informed. This will help to build a cooperative school environment to ensure success.