Medication Administration Training Jackson County Public Schools This

Medication Administration Training Jackson County Public Schools

This training is required annually Medication Training Authorized school personnel may administer medications prescribed by a health care practitioner upon written request of the parents. To minimize disruptions to the school day, medicines should be taken at home rather than at school whenever feasible. School personnel should not agree to administer a medication that should be taken at home.

Authorized school employees may administer medications to students when all of the following conditions are met. These conditions apply to all medications, including over-the-counter medications without a prescription. Conditions for Administering Medications Parent Consent – the parent/guardian must create and submit a written/ signed request which authorizes school personnel to administer the medication to the student. Medication Authorization/order – a health care practitioner must prescribe the medication for use by the student and provide explicit written instructions for administering the medication. Certification of Necessity - The health care practitioner must certify that the administration of the medication during the school day is necessary to maintain and support the student’s continued presence at school.

Conditions for Administering Medications continued Proper Container/Labeling – If the medication to be administered is available by prescription only, the parent MUST provide the medication in a pharmacy-labeled container with directions for how and when the medicine is to be given. If the medication is available over-the-counter, it must be provided in the original container or packaging, labeled with the student’s name. Proper Administration – the employee must administer the medication as directed by the health care practitioner’s written instructions provided to the school by the student’s parent/guardian and in accordance with professional standards.

The health and welfare of the student must be of paramount concern in all decisions regarding the administration of medications Medication Policy The board generally encourages school personnel to administer medications from a centralized location. However, in all instances, whether administered from a centralized location or multiple locations, any student medications stored at school must be kept in a locked and secure place. An exception to the requirement for locked storage may be made for emergency medications that must be immediately accessible. Parent/guardian and Health care practitioner written approval must be presented to school administration before ANY medication will be given (over-the-counter or prescription).

A Medication Authorization Form must be signed by Health Care Practitioner and Parent/guardian for Prescriptions and over -the-counter medications! Medication Administration The Medication Authorization form is available in the front office of each school, on the Jackson County Public Schools website, or directly from the school nurse. This permission form is valid for one year only. If the student’s medication, dosage, or practitioner changes during the school year, a new order must be completed. All prescription medications will be kept in a container properly labeled by a pharmacist with the student’s name, the name of the medication, and the dosage, time and frequency to be given. All non-prescription medication shall be in the original container, properly labeled with the student’s name and instructions for administration. Pill boxes, plastic bags, unlabeled bottles etc. will not be accepted.

Wash hands before assisting student with medication Review the 6 rights with each administration to ensure safety (information in future slides) Medication Administration Keep medications secured at all times Once medication is removed from prescription bottle, do not leave medication unattended Do not repeat medication if a student spits out unless you are sure he/she did not retain any. Notify School Nurse for further instructions Do not repeat medications if student vomits. Notify parent/guardian

Medication Transportation The school will not be responsible for the transportation of medication to and from school. It is the responsibility of the parent/guardian to ensure that proper medication is brought to school, provided to the appropriate school official, and all appropriate paperwork is completed.

A Medication Inventory Log form will be filled out when medication is brought to school and when given back to parent/guardian or properly disposed. That form will include the following information Medication Inventory Log Date the medication was provided to the school Student name Medication name and dosage to be given Amount of the medication received Signature of parent/guardian and signature of person receiving the medication verifying amount. The medication inventory log will also be used for documentation of disposal date or the return to parent date.

Medication Administration Daily Log A medication administration daily log will be kept to document the administration of all medication which a student received during school hours. The log shall include the student’s name, the name and dosage of the medication being dispensed, the date and time of administration and the signature of the person dispensing the medication. Always write in BLACK ink on any medication forms. If you make an error on the form ALWAYS draw through it with one black line and initial above it. Make sure that you sign and place your initials at the designated spot on each medication administration daily log.

Medication Administration Daily Log To transcribe the medication order, copy information exactly from the medication authorization form to the medication administration daily log (once the medication is transcribed it does not have to be transcribed again unless there is a new order) Document daily when medication is given by placing your initials in the box under the appropriate month and date. Place the appropriate code in the box if you did not give the medication. Additional notes about missing doses may be made in space provided on back of form. Always notify nurse if student is not coming to get medication or being noncompliant, etc.

The Six Rights of Medication Administration

Right Student Ask the student’s name to verify before giving the medication Having a picture of student is also helpful.

Right Medication Check prescription bottle for correct prescription information and correct student Check medication administration daily log and medication administration order to be sure information is the same

Right Dose Check dose listed on prescription bottle Check dose listed on the medication administration daily log DO NOT GIVE if dose is incorrect!

Right Time Check time on medication administration daily log and the medication authorization order Medications must be given within 30 minute of the time ordered (example: If the medication is written to be given at 12: 00 pm, you can give it between 11: 30 and 12: 30)

Right Route Make sure that the medication is given the way it is ordered to be given. Do not give a rectal medication by mouth or ear drops by mouth Call the school nurse with any questions about the proper route for medication administration

One form is needed for each different medication Initial immediately in the box to indicate medication given and time given Use BLACK pen for documentation, no markers, no pencils Right Documentation Do not alter with “white out” or erasers. If you make an unintentional entry, mark through it with a single line, initial, and date. Write explanation on back of form. If student does not take medication, use appropriate code and provide explanation if needed on back of form Sign your full name once, on the front, the first time you administer medication Sign your full name, on the back, each time comment added

Medication Routes

Oral medications are medications given by mouth Oral Medications Can include tablets, capsules, caplets, liquid etc Only break tablets that are scored. Do not open capsules or break any tablets unless the health care practitioner specifically orders it When measuring liquids use a small cup or syringe Check to be sure the medication needs to be refrigerated

Used for asthma Shake inhaler Have student take a deep breath and blow out Inhalers Have student place inhaler up to mouth and press down on the inhaler while breathing in the medication deeply (Encourage student to use a spacer if he/she has one as it helps the student inhale more of the medication) Ask School Nurse for individual training on spacers Have student hold breath for 5 seconds, then breath in and out slowly Wait 1 minute then repeat step above if two puffs are ordered Call parent if student is not improved in 15 to 20 minutes after the first dose was given. Call 911 for severe breathing problems Always notify the school nurse if a child is having breathing problems

Used for breathing problems, especially during cold months Nebulizers Nurse must provide individual training on these machines as all are different Contact the school nurse if a student’s parent requests Nebulizer at school

Be sure you have the correct eye Eye Medication Do not touch any part of the eye with the tip of the eye dropper Apply eye drops one drop at a time with student lying down. For applying ointment to eyes, pull the lower lid down and apply small ribbon of ointment to inside of eye lid. Have student blink. Do not allow student to rub eyes

Be sure you have correct ear Ear Medication Have student lay with affected ear up Pull top part of ear up and back Place correct number of drops in ear Have student keep head tilted, drop ear up, for 2 minutes

INJECTIONS May include Epi-Pen, Glucagon, Insulin, Hydrocortisone injection or Diastat Rectal injection Additional training and check-offs will be provided for appropriate staff

Medication Administration Incident Reporting In the event that an error occurs related to the dispensing of medications, a Medication Administration Incident Report form will be completed. The school will notify the parent or guardian of the student involved This includes giving the medication to the wrong student, medication that fails to be administered for some reason and if a medication were found to be missing If a student does not come to get their medication and you make no attempt to try and find out the reason within the required time for administration, you have made an error. You must have entered a code or your initials in each block on the medication administration daily log for daily medications IMMEDIATELY REPORT ERRORS TO SCHOOL NURSE

Medications will need to be disposed of when an order is discontinued, a student un-enrolls from the school, medication has expired, or at the end of the school year Medication Disposal Notify the parent/guardian of the need to pick up remaining medications Document amount of medication disposed or returned to parent/guardian on medication inventory log Obtain signature of parent/guardian picking up medication on medication inventory log Make two documented contacts with parent/guardian to pick up expired or discontinued medications before disposing