Medication Administration David Leard

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  • 1. Medication Administration David Leard Health & Disabilities Manager
  • 2. Topics
    • Governance (Regulations & Standards)
    • Administration
    • Documentation
    • Medication Storage & Disposal
    • Administration Errors & Adverse Reactions
    • Parent/Guardian & Physician Review
    • Questions & Answers
    NACOG Head Start Medication Administration
  • 3. 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
  • 4. 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
  • 5. 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
  • 6. 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
  • 7. 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
  • 8. 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
  • 9. 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
  • 10. 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
  • 11. 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
  • 12. 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
  • 13. 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
  • 14. Questions & Answers NACOG Head Start Medication Administration