Medication Administration

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  • 1. Medication Administration A Training for School Personnel School Health Services West Linn-Wilsonville School District
  • 2. The Law
    • The 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.
  • 3. 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 student’s parent.
    • School districts must adopt policies and procedures for this rule including policies which address students self medication.
  • 4. 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 Osteopathy
    • Physician Assistant
    • Nurse Practitioner
    • Dentist
    • Optometrist
    • Naturopathic Physician
  • 5. Administrative Rule
    • Separates prescription and non-prescription medication
    • Excludes dietary/food supplements
    • Requires 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 .
  • 6. Training
    • Administrators are responsible for selecting regular and back-up staff.
    • Only trained staff can administer medication.
  • 7. Prescription Medications
    • Does 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.
  • 8. Prescription Medications
    • Requires 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.
  • 9. Non-Prescription Medications
    • Age 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.
  • 10. Non-Prescription Medications
    • Require:
      • Written parent permission
      • Student name
      • Medication dosage, frequency, route
    • Must be in original container.
  • 11. Five Rights
    • Right Student
    • Right Medication
    • Right Dose
    • Right Time
    • Right Route
  • 12. Handling Medications
    • Obtain 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 student’s mouth.
  • 13. Handling Medication
    • Tablets 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).
  • 14. Routes Of Medication
    • Oral
      • Tablets
      • Capsules
      • Syrup, elixirs, and suspensions
    • Topical
      • Skin
      • Eyes
      • Ears
      • Nose
    • Inhaled
      • Mouth
      • Nose
  • 15.
    • Rectal medication administration and nebulizer treatments will not be taught in this training. They must be delegated in accordance with Oregon law.
  • 16. Asthma Inhalers
    • OSBA POLICY
    • Supports the need for students to carry
    • asthma inhalers
  • 17. Safe Storage And Handling
    • STORE 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
  • 18. Safe Storage and Handling
    • STORE medications in a clean, locked cabinet.
    • CERTAIN medications require counting upon arrival at school.
    • REFRIGERATION is required for some medication.
  • 19. 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 toilet
      • Regulated waste
  • 20. Documentation—If it’s not documented, it wasn’t 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).
  • 21. Confidentiality
    • Student medication files are CONFIDENTIAL .
    • Access limited to authorized school staff and parents.
    • Parent authorization required for release of information.
  • 22. Retaining Medication Records
    • Medication 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.
  • 23. Handling Unexpected Situations
    • Student does not come for medication at scheduled time.
      • Send for
      • Document
      • Notify parent
    • Student refuses medication.
      • Encourage
      • Document
      • Notify parent
    • Student vomits or spits out medication.
      • Document
      • Notify parent
      • Check for symptoms of communicable disease
  • 24. Medication Errors
    • Report medication errors immediately to school nurse, building administrator, and parent
      • Omissions
      • Medication administered to wrong student
      • Inaccurate dose or wrong medication
      • Wrong time
      • Incorrect route
  • 25. Side Effects
    • All medication has the potential for side effects.
    • Refer to “Medication Fact Sheet.”
    • Report promptly any unusual symptoms or behaviors to school nurse and parent.
  • 26. Student Self-Medication
    • Requires 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.
  • 27. Field Trips or off-Campus Activities
    • Staff 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.
  • 28. Medication Alert
    • School staff are protected by careful observation of regulations of the medication law, rules, and their own district policy.