medication administration training wilkes county schools

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  • MEDICATION ADMINISTRATION TRAINING

    WILKES COUNTY SCHOOLS

  • How to use this training

    It can be used to supplement the Medication Training that is provided at the beginning of each school year

    It can also be used as a review for staff regarding Medication Administration Policies and Procedures

  • Medication Administration Policy

    ESTABLISHED BY THE WILKES COUNTY BOARD OF EDUCATION

    POLICY CODE 6125 ADMINISTERING MEDICINES TO STUDENTS

    AVAILABLE ON THE WILKES COUNTY SCHOOLS WEBSITE

  • WHAT THE POLICY SAYS

  • MEDICATIONS AT SCHOOLAdministered at school only if needed and cant be taken at home. (e.g. due at l2:00)

    Must have a completed Request for Medication to be given during school hours form

    Medications can only be administered by staff members who have received appropriate training.

  • Request for Medication to be Given During School Hours

    Name of Student_____________________________________________ Date of Birth____________ School (abbr.)_____

    PART A:PHYSICIANS INSTRUCTIONS (TO BE COMPLETED BY THE DOCTOR)

    In order to keep this child in optimum health and to help maintain maximum school attendance and performance, it is necessary that the following medication be given during school hours.

    Name of Medication__________________________________________________ Dosage (mg, cc, etc.)_____________

    Check one that applies:

    Chewable tablet

    ( Oral Inhaler

    Liquid

    ( Nasal Inhaler

    Capsule

    ( Other____________________________________________

    Tablet

    Time(s) to be given __________________________________________________________________________________

    Relationship to Meals:( With Meal ( Before Meal ( After Meal ( Not Applicable

    Classification (e.g., stimulant, antidepressant, analgesic, etc.) _____________________-___________________________

    If medication is to be given on a PRN (as needed) schedule, describe how the person administering the medication is to determine when the drug is needed: _____________________________________________________________________

    __________________________________________________________________________________________________

    __________________________________________________________________________________________________

    Significant information (include side effects, toxic reactions, omission reactions, etc.):_______________________________

    __________________________________________________________________________________________________

    __________________________________________________________________________________________________

    Other directions (e.g., contraindications for administering, etc.):________________________________________________

    __________________________________________________________________________________________________

    __________________________________________________________________________________________________

    _________________________________________________

    Physicians Signature

    ________________________________________________________________________________________

    Physicians Name (Please print)

    Phone #

    Date

    PART B:PARENTAL PERMISSION (TO BE FILLED OUT BY THE PARENT/GUARDIAN)

    I hereby give permission for my child, ____________________________, to receive the above named medication as prescribed by the licensed physician. I will furnish the medications in its original container or one appropriately labeled by a pharmacist or physician. I hereby release the School Board and their agents and employees from all liability that may result from my childs taking the prescribed medication at school.

    ______________________________________________________________________________________

    Parents/Guardians Signature

    Phone #

    Date

    Rev.SPG1/22/2010

  • Physicians Authorization For Medication To Be Given At School

    To be valid the form must include:-Childs full name-Date of Birth-Name of Medication-Medication Dosage-How often the Medication should be given-Contraindications to giving the medication-Possible side effects of the medication-If medication given on PRN (as needed basis), when the medication should be given -Doctors name and phone number, Doctor Signature-Parents Signature

  • MEDICINEAll Medications must be presented by the parent to the school. Students are not allowed to transport medications on the school bus.Prescription Medications must be brought in their original pharmacy/physician labeled container.Over the Counter Medications must be presented to the school in the original container.If school staff have concerns about the appropriateness of a drug or dosage for a student, medication should not be given and staff should contact physician who ordered medication.

  • MEDICINEMedications will remained locked up at all times for safety reasons

    Parents are permitted to come to school and administer medication to his or her child at anytime while the child is on school property

    All student prescribed medications should be taken on field trips unless otherwise instructed by the parent or guardian prior to the trip

  • STUDENT SELF ADMINISTRATION OF MEDICATIONPer Policy, Students with Diabetes, Asthma, and Severe Allergies should be allowed to self-administer their medication during the school day and during school sponsored activitiesStudents who may need to carry and self administer medication must also have a Authorization for Self Medication form completed by physician and school nurse

  • STANDING ORDER MEDICATIONSSchool Nurses May Administer Certain Medications to students with approval of parent and without a Physicians Authorization for Medication.School Staff CANNOT administer these medications even with approval of parent.All School Staff must have a Physicians Authorization for Medications that includes a parent signature before giving medications

  • PROCEDURES FOR GIVING MEDICATION

  • THE FIVE RIGHTS OF MEDICATION ADMINISTRATION

    RIGHT PERSONRIGHT MEDICATIONRIGHT DOSAGERIGHT ROUTE RIGHT TIME

  • RIGHT PERSON

    VERIFY THE IDENITY OF THE INDIVIDUAL BEFORE ADMINISTERING MEDICATION

  • RIGHT MEDICATION

    VERIFY THE MEDICATION THAT YOU HAVE WITH THE MEDICATION LISTED ON THE PHYSICIAN MEDICATION AUTHORIZATION FORM.

  • RIGHT DOSAGE VERIFY THE DOSAGE ORDERED BY THE PHYSICIAN

    * Are the Miligrams correct? * How much medicine does the student receive (e.g. 1 tablet, 1 tsp???)

  • RIGHT ROUTE

    PER DOCTORS ORDERS,IS THE MEDICATION SUPPOSE TO BE GIVEN BY MOUTH, AS AN INJECTION, OR BY ANOTHER ROUTE

  • RIGHT TIMEWHAT TIME IS THE MEDICATION SUPPOSE TO BE GIVEN?

    (Should be given within 30 minutes before or after the prescribed time)

  • MEDICATION ERRORS

  • TYPES OF MEDICATION ERRORS

    Medication Dose OmittedWrong Child/Wrong MedicationMedication given by the Wrong Route (e.g. ears drops administered into eyes)Medication given at Wrong TimeWrong Dose of Medication (e.g. 2 tabs instead of 1)

  • DOSE OMITTED/WRONG TIMENotify Parent that dose was not given or given at the wrong timeNotify School Nurse If dose not given document why on back of Medication Log FormContact Prescribing Doctor if necessaryMonitor for Possible Side Effects

  • WRONG MEDICATION/WRONG CHILDNotify School Nurse, Students Doctor and Parent ImmediatelyMonitor Students for complaints or signs and symptoms of Emergency (e.g. problems breathing)Call Poison Control at 1-800-848-6946Call EMS for Emergency SymptomsDo not leave student alone

  • ORAL MEDICATIONSMost Medication given at school will be given by mouth (e.g. ADHD Meds, Tylenol)Always use a medication cup or syringe or medication measuring spoon when given liquid medicationsDo not open capsules or crush meds unless ordered by MDParents or Pharmacy should precut any tablets in which dose is tablet

  • INHALED MEDICATIONSUSUALLY USED FOR SUDDEN ASTHMA SYMPTOMS

    Some Indications for rescue inhaler use are:

    Difficult, shallow, rapid breathing

    Longer time exhaling than inhaling, whistling or wheezing noise with breathing

    Unable to speak more than 1-2 words without gasping

    Coughing continuously

    Flaring nostrils

    Neck/chest muscles pull in (retract) with breathing

    Cyanotic (turning blue)

  • Procedure for Administering Inhaled MedicationsShake Inhaler before usingMake sure that Inhaler is not clogged if hasnt been used recently (point inhaler away from persons and press down to make sure mist comes out)Have student take deep breath and exhale all air out of lungsPlace inhaler in mouthStart breathing in slowly through mouth and press down one time on the inhaler. Keep breathing in slowly as deeply as possible.Hold breath as count to 10 slowly.If using a spacer-first press down on inhaler and breathe in for 5-10 seconds. Hold breath for count of 10.Wait 30-60 seconds between doses if 2 puffs are orderedContact the school nurse if a student frequently uses the inhaler or has any breathing problems.

  • INHALERS (continued)Seek Emergency Medical Care if the studenthas any of the following:Coughing constantlyNo improvement 15-20 min. after initial treatment with Inhaler AND a relative cannot be reached.Difficulty breathing with:Chest and neck pulled in with breathingStooped body postureStruggling or gasping respirationsLips or fingernails grey or blue

  • EYE MEDICATIONS Check the medication log for proper eye to administer medication to. Wash hands, Put on gloves Pull the lower lid do