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Medication Administration
 

Medication Administration

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    Medication Administration Medication Administration Presentation Transcript

    • Medication Administration A Training for School Personnel School Health Services West Linn-Wilsonville School District
    • 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.
    • 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.
    • 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
    • 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 .
    • Training
      • Administrators are responsible for selecting regular and back-up staff.
      • Only trained staff can administer medication.
    • 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.
    • 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.
    • 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.
    • Non-Prescription Medications
      • Require:
        • Written parent permission
        • Student name
        • Medication dosage, frequency, route
      • Must be in original container.
    • Five Rights
      • Right Student
      • Right Medication
      • Right Dose
      • Right Time
      • Right Route
    • 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.
    • 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).
    • Routes Of Medication
      • Oral
        • Tablets
        • Capsules
        • Syrup, elixirs, and suspensions
      • Topical
        • Skin
        • Eyes
        • Ears
        • Nose
      • Inhaled
        • Mouth
        • Nose
      • Rectal medication administration and nebulizer treatments will not be taught in this training. They must be delegated in accordance with Oregon law.
    • Asthma Inhalers
      • OSBA POLICY
      • Supports the need for students to carry
      • asthma inhalers
    • 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
    • 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.
    • 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
    • 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).
    • Confidentiality
      • Student medication files are CONFIDENTIAL .
      • Access limited to authorized school staff and parents.
      • Parent authorization required for release of information.
    • 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.
    • 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
    • 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
    • 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.
    • 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.
    • 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.
    • Medication Alert
      • School staff are protected by careful observation of regulations of the medication law, rules, and their own district policy.