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 AdministrationPreschool 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

• Pharmacy-labeled containers

• Over-the-counter 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