module two medication administration. medication administration in the school setting
TRANSCRIPT
Module TwoModule TwoMedication Administration Medication Administration
Medication AdministrationMedication AdministrationIn the School SettingIn the School Setting
How to Safely Meet the How to Safely Meet the Medication Needs of Our Medication Needs of Our
Students Students
Parent
Trained Personnel
Physician
Nurse
Student
Who is responsible?
What is Medication What is Medication Administration? Administration?
It is an important It is an important responsibility! responsibility!
It is impossible to It is impossible to overemphasize the responsibility overemphasize the responsibility assumed when administering assumed when administering medicine to a child. medicine to a child.
What is Medication What is Medication Administration? Administration?
This includes medicines prescribed This includes medicines prescribed by a health care provider (such as by a health care provider (such as antibiotics, medicines for seizures antibiotics, medicines for seizures or behavior problems, or inhalers or behavior problems, or inhalers for asthma) as well as those for asthma) as well as those purchased over-the-counter (such purchased over-the-counter (such as cold pills, cough syrups, as cold pills, cough syrups, vitamins, Tylenol, or Advil).vitamins, Tylenol, or Advil).
It Is More Complicated Than It Is More Complicated Than You Might Think! You Might Think!
Each state has specific regulations Each state has specific regulations and guidelines for the school setting and guidelines for the school setting that address safe administration of that address safe administration of medication. medication.
BE SURE YOU KNOW THE BE SURE YOU KNOW THE REGULATIONS IN YOUR STATE!REGULATIONS IN YOUR STATE!
It Is More Complicated Than It Is More Complicated Than You Might Think! You Might Think!
There may be There may be additionaladditional regulations regulations in areas such as nursing or pharmacy in areas such as nursing or pharmacy that affect administration practices in that affect administration practices in your state. your state.
This information covers the This information covers the basics basics onlyonly! !
Why is Medication Why is Medication Administration Important?Administration Important?
Medications have been developed Medications have been developed which help children combat short and which help children combat short and long-term illnesses and improve their long-term illnesses and improve their health and life. health and life.
Careful and accurate administration Careful and accurate administration of these drugs is essential to treat of these drugs is essential to treat illnesses and prevent health illnesses and prevent health problems. problems.
Why is Medication Why is Medication Administration Important?Administration Important?
Each child reacts uniquely to each Each child reacts uniquely to each medication. In addition to prescriptions from medication. In addition to prescriptions from their health care provider, families may their health care provider, families may independently purchase many medicines, independently purchase many medicines, herbs, vitamins, and home remedies. herbs, vitamins, and home remedies.
Since these all affect the body and may Since these all affect the body and may interact with each other, they must ALL be interact with each other, they must ALL be considered as medications in the school considered as medications in the school setting. setting.
When Should Medication be When Should Medication be Given in a School Setting?Given in a School Setting?
Medicines should only be given in a Medicines should only be given in a school setting when it is truly school setting when it is truly necessary. necessary.
It is safest and best for children It is safest and best for children to receive their medicines at to receive their medicines at homehome
When Should Medication be When Should Medication be Given in a School Setting?Given in a School Setting?
Doses up to three times a day can often Doses up to three times a day can often be given before and after school hours.be given before and after school hours.
When the number of doses, or the action When the number of doses, or the action of the medication requires a dose during of the medication requires a dose during school hours, an agency policy based on school hours, an agency policy based on state regulations must be in place.state regulations must be in place.
These requirements must be met before These requirements must be met before starting the medication. starting the medication.
Why So Many Forms?Why So Many Forms?
The multiple forms and signatures required The multiple forms and signatures required seem quite "formal" and are sometimes seem quite "formal" and are sometimes confusing to both parents and care providers. confusing to both parents and care providers.
It is important to recall that the role of It is important to recall that the role of provider is a professional one and is distinct provider is a professional one and is distinct from the role of a parent.from the role of a parent.
The rules and forms exist to protect the The rules and forms exist to protect the child, the parent, and the provider against child, the parent, and the provider against harmful mistakes. Once this is clear, the harmful mistakes. Once this is clear, the forms seem more "friendly". forms seem more "friendly".
Who May Give Medications?Who May Give Medications?
EACH STATE WILL HAVE ITS OWN RULES EACH STATE WILL HAVE ITS OWN RULES
ABOUT THIS! ABOUT THIS! Be sure to understand your state’s nursing Be sure to understand your state’s nursing
delegation laws. delegation laws. In Alabama the school nurse in In Alabama the school nurse in
collaboration with the principal, will select collaboration with the principal, will select the person to assist students with the person to assist students with medication and provide training and medication and provide training and supervision for this activity.supervision for this activity.
Who May Give Medications?Who May Give Medications?
In Alabama the term Medication Assistant In Alabama the term Medication Assistant will be used to identify that individual will be used to identify that individual chosen by the school nurse for training.chosen by the school nurse for training.
According to the State of Alabama Nurse According to the State of Alabama Nurse Practice Act, the Board of Nursing began Practice Act, the Board of Nursing began working with school nurses, educators working with school nurses, educators and school administrators to address and school administrators to address how, and who gave medicines in the how, and who gave medicines in the school. school.
Who May Give Medications?Who May Give Medications?
Prior to December 3, 2001, school Prior to December 3, 2001, school nurses could teach unlicensed school nurses could teach unlicensed school employees or teachers about employees or teachers about medicines but could not delegate a medicines but could not delegate a nursing task or function to an nursing task or function to an unlicensed person.unlicensed person.
Who May Give Medications?Who May Give Medications?
Delegation is a key issue because the Delegation is a key issue because the licensed nurse retains responsibility licensed nurse retains responsibility for the task that is delegated to for the task that is delegated to someone else---someone else someone else---someone else performs the task but the nurse performs the task but the nurse retains the responsibility for the retains the responsibility for the outcome.outcome.
The Alabama Board of Nursing’s legal The Alabama Board of Nursing’s legal mandate is the protection of public mandate is the protection of public health, safety and welfare.health, safety and welfare.
Who May Give Medications?Who May Give Medications?
Any staff member who administers Any staff member who administers medication should receive training (the medication should receive training (the school nurse provides this training). school nurse provides this training).
Topics should include categories and Topics should include categories and actions of medications, routes of actions of medications, routes of administration, dosages and administration, dosages and measurement, the Six Rights* laws, measurement, the Six Rights* laws, documentation, and the specific policies of documentation, and the specific policies of the LEA. the LEA.
How Can Medications be How Can Medications be Given Safely? Given Safely?
Safety is promoted when staff is well-prepared Safety is promoted when staff is well-prepared and specifically trained in medication and specifically trained in medication administration.administration.
Having specific staff consistently assigned to Having specific staff consistently assigned to this responsibility increases accuracy and this responsibility increases accuracy and safety. safety.
The *Six RIGHTS must always be respected The *Six RIGHTS must always be respected when giving medications to a child. These are:when giving medications to a child. These are:
Right CHILD, MEDICINE, DOSE, ROUTE , Right CHILD, MEDICINE, DOSE, ROUTE , Time & Documentation.Time & Documentation.
Medication SafetyMedication Safety
Have the written health care provider’s order, the Have the written health care provider’s order, the pharmacy-labeled bottle, and the parent’s written pharmacy-labeled bottle, and the parent’s written request BEFORE giving the first dose. Make sure request BEFORE giving the first dose. Make sure all three documents agree with each other. all three documents agree with each other.
Keep the medicine at the facility!Keep the medicine at the facility! When medication is sent back and forth from When medication is sent back and forth from
home to the school, it increases the risk of missed home to the school, it increases the risk of missed doses, lost medicine, unsafe storage, and other doses, lost medicine, unsafe storage, and other children accidentally taking the drug. Most children accidentally taking the drug. Most pharmacies will gladly "split" the prescription at pharmacies will gladly "split" the prescription at no extra charge. no extra charge.
Medications Safety Medications Safety
A safe and secure method of medication A safe and secure method of medication storage is essential. storage is essential.
Accurate written documentation of Accurate written documentation of every dose is crucial. It is also important every dose is crucial. It is also important to clearly document missed or late to clearly document missed or late doses and errors! This helps prevent doses and errors! This helps prevent further mistakes and helps improve the further mistakes and helps improve the safety and health of your children. safety and health of your children.
Thank You for Your Thank You for Your Participation!Participation!
Please continue with Module 3Please continue with Module 3 The information for this presentation came from The information for this presentation came from
The National Resource Center for Health and The National Resource Center for Health and Safety in Child Care. ( Safety in Child Care. ( http://www.nrc.uchsc.edu ) )