0
Medication Administration David Leard Health & Disabilities Manager
Topics <ul><li>Governance (Regulations & Standards) </li></ul><ul><li>Administration </li></ul><ul><li>Documentation </li>...
Governance (Regulations & Performance Standards) <ul><li>Arizona Administrative Code </li></ul><ul><ul><li>Office of Child...
Administration <ul><li>Who can administer a child’s medications? </li></ul><ul><ul><li>Only the Center Director, or a staf...
Administration…  continued <ul><li>What do I do if a doctor changes the dosage? </li></ul><ul><ul><li>Changes in medicatio...
Documentation <ul><li>Where do I document medication administrations? </li></ul><ul><ul><li>Medication Administration Form...
Documentation…  continued <ul><li>Do I have to complete a separate Medication Administration Form if the child is taking m...
Medication Storage & Disposal <ul><li>Where do I place the medication? </li></ul><ul><ul><li>All enrolled children’s medic...
Medication Storage & Disposal… continued <ul><li>Should we keep other medications on hand? </li></ul><ul><ul><li>NO … the ...
Administration Errors & Adverse Reactions <ul><li>I’ve given the wrong amount of Medication now what do I do?  Or I’ve giv...
Administration Errors & Adverse Reactions…  Continued <ul><li>Five Minutes ago I gave the child the medication and now she...
Parent/Guardian  & Physician Review <ul><li>When a child is being given medication should the parents see and review the M...
Parent/Guardian  & Physician Review… continued <ul><li>Should others be reviewing the form? </li></ul><ul><ul><li>Upon req...
Questions  &  Answers NACOG Head Start Medication Administration
Upcoming SlideShare
Loading in...5
×

Medication Administration David Leard

1,500

Published on

Published in: Technology, Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,500
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
38
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Transcript of "Medication Administration David Leard"

  1. 1. Medication Administration David Leard Health & Disabilities Manager
  2. 2. Topics <ul><li>Governance (Regulations & Standards) </li></ul><ul><li>Administration </li></ul><ul><li>Documentation </li></ul><ul><li>Medication Storage & Disposal </li></ul><ul><li>Administration Errors & Adverse Reactions </li></ul><ul><li>Parent/Guardian & Physician Review </li></ul><ul><li>Questions & Answers </li></ul>NACOG Head Start Medication Administration
  3. 3. Governance (Regulations & Performance Standards) <ul><li>Arizona Administrative Code </li></ul><ul><ul><li>Office of Child Care Licensure </li></ul></ul><ul><ul><ul><li>Title 9, Chapter 5, Article 5, R9-5-516 </li></ul></ul></ul><ul><ul><ul><ul><li>Effective date – September 30, 2000 </li></ul></ul></ul></ul><ul><li>Head Start Performance Standards </li></ul><ul><ul><li>Standard 1304.22(c) Sections 1 - 6 </li></ul></ul>NACOG Head Start Medication Administration
  4. 4. Administration <ul><li>Who can administer a child’s medications? </li></ul><ul><ul><li>Only the Center Director, or a staff member designated in writing </li></ul></ul><ul><ul><li>Center Director will ensure that all staff designated to administer medications has been properly trained </li></ul></ul><ul><li>What documentation do I need before I can give a medication to a child? </li></ul><ul><ul><li>Written authorization signed by the enrolled child’s parent and health care provider </li></ul></ul><ul><ul><li>Prescription Medications must contain basic information and bottle must have original pharmacy or manufacturers label </li></ul></ul>NACOG Head Start Medication Administration
  5. 5. Administration… continued <ul><li>What do I do if a doctor changes the dosage? </li></ul><ul><ul><li>Changes in medication dosages must be documented in writing from the physician or nurse practitioner on letterhead or prescription pad. </li></ul></ul><ul><li>When do I let the child return to normal activities? </li></ul><ul><ul><li>Direct all staff to closely monitor the child for a period not less than 15 minutes after giving the medication. </li></ul></ul><ul><li>What are some types of adverse drug reactions? </li></ul><ul><ul><li>Difficulty in breathing </li></ul></ul><ul><ul><li>Lethargy (sleepiness, unresponsive) </li></ul></ul><ul><ul><li>Changes in coloring </li></ul></ul><ul><ul><li>Development of rashes on the body </li></ul></ul>NACOG Head Start Medication Administration
  6. 6. Documentation <ul><li>Where do I document medication administrations? </li></ul><ul><ul><li>Medication Administration Form </li></ul></ul><ul><li>When do I document that I have given any medications? </li></ul><ul><ul><li>Immediately after giving the child their medication </li></ul></ul><ul><li>What am I required to write down on the Medication Administration Form? </li></ul><ul><ul><li>First & Last name of child </li></ul></ul><ul><ul><li>Name, prescription number & amount of the medication (dosage) </li></ul></ul><ul><ul><li>Date & time the medication was given </li></ul></ul><ul><ul><li>Refusal of medication or any adverse/allergic reactions </li></ul></ul><ul><ul><li>Changes in the dosage as prescribed by a physician or nurse practitioner </li></ul></ul><ul><ul><li>Parent/Guardian review of Medication Administration Form </li></ul></ul>NACOG Head Start Medication Administration
  7. 7. Documentation… continued <ul><li>Do I have to complete a separate Medication Administration Form if the child is taking more than one (1) medication? </li></ul><ul><ul><li>Yes … you should complete a Medication Administration Form for each of the medications the child is currently being given. </li></ul></ul><ul><li>How long do I have to keep the Medication Administration Forms on file? </li></ul><ul><ul><li>Twelve (12) months from the date the medication was administered </li></ul></ul>NACOG Head Start Medication Administration
  8. 8. Medication Storage & Disposal <ul><li>Where do I place the medication? </li></ul><ul><ul><li>All enrolled children’s medication must be kept in a locked, leak proof storage cabinet or container that is maintained out of reach of the children </li></ul></ul><ul><li>Can staff members keep their medication locked up in the same cabinet or container? </li></ul><ul><ul><li>NO … staff members medications must be kept in a locked, leak proof storage cabinet or container that is separate from the children’s. </li></ul></ul><ul><li>Where should I keep the fluoride supplement tablets? </li></ul><ul><ul><li>Fluoride treatment tablets will be locked in the same storage cabinet or container designated for staff member medications </li></ul></ul>NACOG Head Start Medication Administration
  9. 9. Medication Storage & Disposal… continued <ul><li>Should we keep other medications on hand? </li></ul><ul><ul><li>NO … the facility should not maintain any type of prescription or nonprescription medication </li></ul></ul><ul><ul><li>This includes: </li></ul></ul><ul><ul><ul><li>Aspirin Acetaminophen (Tylenol) </li></ul></ul></ul><ul><ul><ul><li>Ibuprofen (Advil) Cough syrups </li></ul></ul></ul><ul><li>When do I get rid of the medications? </li></ul><ul><ul><li>Return all unused prescription and nonprescription medications to the parent </li></ul></ul><ul><ul><li>Medication that has expired </li></ul></ul><ul><ul><li>Destroy any medication that remains after a child has disenrolled and you are unable to locate the parent </li></ul></ul>NACOG Head Start Medication Administration
  10. 10. Administration Errors & Adverse Reactions <ul><li>I’ve given the wrong amount of Medication now what do I do? Or I’ve given the child someone else’s medication, now what do I do? </li></ul><ul><ul><li>Center Director or designated staff members will immediately call the child’s primary care physician </li></ul></ul><ul><ul><li>If the primary care physician is not available you should call (911) for additional guidance. </li></ul></ul><ul><ul><li>Document on the Medication Administration Form the error and fill out an Accident Report </li></ul></ul><ul><ul><li>Notify the parents according to NACOG Head Start policy on accident reporting </li></ul></ul><ul><ul><li>Contact the Health Coordinator </li></ul></ul>NACOG Head Start Medication Administration
  11. 11. Administration Errors & Adverse Reactions… Continued <ul><li>Five Minutes ago I gave the child the medication and now she seems to be breaking out with a rash….What should I do? </li></ul><ul><ul><li>Center Director or designated staff members will immediately call the child’s primary care physician </li></ul></ul><ul><ul><li>If the primary care physician is not available you should call (911) for additional guidance. </li></ul></ul><ul><ul><li>Document on the Medication Administration Form the reaction and the instructions given by medical personnel </li></ul></ul><ul><ul><li>Notify the parents according to NACOG Head Start policy on accident reporting </li></ul></ul>NACOG Head Start Medication Administration
  12. 12. Parent/Guardian & Physician Review <ul><li>When a child is being given medication should the parents see and review the Medication Administration Form? </li></ul><ul><ul><li>YES … Head Start Performance Standard 1304.22( C)(4) states that parents should routinely review the Medication Administration Form </li></ul></ul><ul><li>How often should they review the form? </li></ul><ul><ul><li>Parents should be encouraged and provided with the opportunity to review the Medication Administration Form on a weekly basis </li></ul></ul>NACOG Head Start Medication Administration
  13. 13. Parent/Guardian & Physician Review… continued <ul><li>Should others be reviewing the form? </li></ul><ul><ul><li>Upon request or as events warrant, the center should provide copies of the Medication Administration Form to parents, primary care physicians, or other emergency medical personnel. </li></ul></ul><ul><ul><li>Doctors should review the form when an adverse reaction occurs. </li></ul></ul>NACOG Head Start Medication Administration
  14. 14. Questions & Answers NACOG Head Start Medication Administration
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×