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Medication Administration A Training for School Personnel
School Health ServicesWest Linn-Wilsonville School District
The LawThe law covers only non-injectable medication.Administrative rules were adopted by Oregon Department of Education.Designated school personnel are now required to receive appropriate training annually for the administration of prescription and non-prescription medication.
The Law (cont.)School districts may not require school personnel who have not received appropriate training to administer medication to students.Administration of non-prescription medication by school personnel requires written instructions from the students parent.School districts must adopt policies and procedures for this rule including policies which address students self medication.
Administrative Rule The definition of physician includes these people licensed by the respective licensing board in the State of Oregon or an adjoining state:Doctor of Medicine or OsteopathyPhysician AssistantNurse PractitionerDentistOptometristNaturopathic Physician
Administrative RuleSeparates prescription and non-prescription medicationExcludes dietary/food supplementsRequires school personnel to be responsible only for prescription medication scheduled to be given during school hours, or non-prescription medications necessary for the child to remain in school.
TrainingAdministrators are responsible for selecting regular and back-up staff.Only trained staff can administer medication.
Prescription MedicationsDoes not include injectable drugs!Must be prepared and labeled by pharmacist.Administered only if required during school hours.Requires signed permission and instruction from parent.
Prescription MedicationsRequires written instructions from a physician (a prescription label meets this requirement).Must be in original pharmacy container.Verbal physician orders can only be taken by a licensed nurse.
Non-Prescription MedicationsAge appropriate dosage (dosage must be consistent with the manufacturers guidelines) i.e. Ibuprofen.Commercially prepared.Non-alcohol based.Necessary for student to remain in school.
Non-Prescription MedicationsRequire:Written parent permissionStudent nameMedication dosage, frequency, route
Must be in original container.
Five RightsRight StudentRight MedicationRight DoseRight TimeRight Route
Handling MedicationsObtain water from a clean source.Do not obtain water from sink where first aid is provided.Always wash your hands prior to giving medication.Avoid touching medication.Wear gloves if placing medication in students mouth.
Handling MedicationTablets require cutting should be cut by the parent and sent to school.Parents should provide pill crusher if pills need to be crushed.Ask parents to provide calibrated instruments for measuring liquid medication (kitchen spoons are not accurate).
Routes Of MedicationOralTabletsCapsulesSyrup, elixirs, and suspensionsTopicalSkinEyesEarsNoseInhaledMouthNose
Rectal medication administration and nebulizer treatments will not be taught in this training. They must be delegated in accordance with Oregon law.
Asthma InhalersOSBA POLICYSupports the need for students to carry asthma inhalers
Safe Storage And HandlingSTORE ALL MEDICATION in original containers in secure place.NEVER administer medications from an unlabeled container.NEVER empty medication into a plastic bag or other container
Safe Storage and HandlingSTORE medications in a clean, locked cabinet.CERTAIN medications require counting upon arrival at school.REFRIGERATION is required for some medication.
Safe Storage and Handling
MEDICATION should be brought to school and returned home by the parent. Do not allow students to carry medications home without parent permission which must be documented.CHANGES in medication instructions must be made by parent in writing. DO NOT act on verbal request.FOLLOW district policy for disposal of unused medications e.g.:Sink or toiletRegulated waste
DocumentationIf its not documented, it wasnt done!Documentation must be accurate and legible.Document in blue or black ink. Never use pencil.Never use white out. If you make a mistake in entry, cross through and mark ME (mistaken entry).
Student medication files are CONFIDENTIAL.Access limited to authorized school staff and parents.Parent authorization required for release of information.
Retaining Medication RecordsMedication records should by filed at end of school year in:Student health record for students without an IEP.Special Education Files for students with an IEP.
Handling Unexpected SituationsStudent does not come for medication at scheduled time.Send forDocumentNotify parent
Student refuses medication.EncourageDocumentNotify parent
Student vomits or spits out medication.DocumentNotify parentCheck for symptoms of communicable disease
Medication Errors Report medication errors immediately to school nurse, building administrator, and parentOmissionsMedication administered to wrong studentInaccurate dose or wrong medicationWrong timeIncorrect route
Side EffectsAll medication has the potential for side effects.
Refer to Medication Fact Sheet.
Report promptly any unusual symptoms or behaviors to school nurse and parent.
Student Self-MedicationRequires no assistance.Requires no documentation that medication was taken.Student and parent to sign a self-medication agreement and have on file with Medication Authorization form in the office.Controlled substances to be discussed with the School Nurse.
Field Trips or off-Campus ActivitiesStaff person trained in medication administration must accompany group if medications will be required.Keep in original container.Sign in and out.Document administration on return.
Medication AlertSchool staff are protected by careful observation of regulations of the medication law, rules, and their own district policy.