Medication Administration David Leard
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Medication Administration David Leard

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    Medication Administration David Leard Medication Administration David Leard Presentation Transcript

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