This document provides guidelines for training non-licensed school personnel in medication administration. It discusses federal and local laws regarding medication in schools and outlines the objectives and purpose of medication administration training. The training covers understanding medication documentation, storing and handling medications properly, administering medications correctly, and responding to medical conditions in students. Participants must complete a return demonstration of medication administration to be certified every 3 years.
Digestive Problems in GP part 2 – By Prof.Dr.R.R.Deshpande
• These ppts will be very useful for Medical students & New Practioners ,for rapid revisions of topic & as ready reference through their smart phones .This ppt contains 9) Dysphagia 10) Pain In Abdomen 11) IBS 12) Jaundice 13) Peptic ulcer
• Visit – www.ayurvedicfriend.com M- 9226810630
Marma therapy is an Ayurvedic technique that works on vital energy points (marmas) in the body to restore balance. There are 107 marmas located along veins, muscles, bones and joints. Stimulating these points can help reduce pain, boost immunity, and improve overall well-being. The document outlines the history, classification, procedures and effects of marma therapy as well as its potential applications for various medical conditions.
Nasya is an Ayurvedic detox therapy that involves instilling medications through the nose to pacify disorders in the head and neck region. It aims to remove toxins from this area by using oils, decoctions or powders. Nasya is effective for issues like headaches, sinusitis, neck stiffness, facial paralysis, and even psychological disorders, as the nasal route is said to directly access the brain. There are different types of Nasya depending on whether Kapha, Vata or Pitta doshas need pacification. The procedure involves loosening toxins beforehand and then administering and massaging in the medicine through one nostril at a time while following post-treatment rules.
Sneha (fats and oils) play an essential role in the human body by providing nutrients, aiding vitamin absorption, and providing energy. Ayurveda emphasizes the importance of sneha for maintaining health and treating disease. Snehapana (internal administration of oils) is used to eliminate doshas from the tissues and bring them back to the gastrointestinal tract for elimination. Different oils, fats, and techniques are used depending on the dosha imbalance and severity of the condition. Objective assessment of sneha in the body can be done by analyzing the quantity of oil in stool samples.
Ayurvedic management of arthritis by dr. pradeep duaduadrpradeep
Ayurveda, the ancient science of life has in store a huge armamentarium of herbs and therapeutic procedures which may benefit patients of arthritis if taken under supervision of qualified and expert personnel.
Smritisagara rasa is an Ayurvedic herbo-mineral formulation used to improve memory and treat conditions like epilepsy. It contains minerals like arsenic and mercury compounds processed with memory-enhancing herbs like Brahmi and Vacha. Studies show it may improve symptoms of schizophrenia and epilepsy by reducing frequency and duration of seizures. The key active compounds like bacosides in Brahmi are responsible for its neuropharmacological effects. Toxicity is a concern if excessive doses are taken for long periods due to high mineral content. More research is still needed on its mechanisms and safety.
Digestive Problems in GP part 2 – By Prof.Dr.R.R.Deshpande
• These ppts will be very useful for Medical students & New Practioners ,for rapid revisions of topic & as ready reference through their smart phones .This ppt contains 9) Dysphagia 10) Pain In Abdomen 11) IBS 12) Jaundice 13) Peptic ulcer
• Visit – www.ayurvedicfriend.com M- 9226810630
Marma therapy is an Ayurvedic technique that works on vital energy points (marmas) in the body to restore balance. There are 107 marmas located along veins, muscles, bones and joints. Stimulating these points can help reduce pain, boost immunity, and improve overall well-being. The document outlines the history, classification, procedures and effects of marma therapy as well as its potential applications for various medical conditions.
Nasya is an Ayurvedic detox therapy that involves instilling medications through the nose to pacify disorders in the head and neck region. It aims to remove toxins from this area by using oils, decoctions or powders. Nasya is effective for issues like headaches, sinusitis, neck stiffness, facial paralysis, and even psychological disorders, as the nasal route is said to directly access the brain. There are different types of Nasya depending on whether Kapha, Vata or Pitta doshas need pacification. The procedure involves loosening toxins beforehand and then administering and massaging in the medicine through one nostril at a time while following post-treatment rules.
Sneha (fats and oils) play an essential role in the human body by providing nutrients, aiding vitamin absorption, and providing energy. Ayurveda emphasizes the importance of sneha for maintaining health and treating disease. Snehapana (internal administration of oils) is used to eliminate doshas from the tissues and bring them back to the gastrointestinal tract for elimination. Different oils, fats, and techniques are used depending on the dosha imbalance and severity of the condition. Objective assessment of sneha in the body can be done by analyzing the quantity of oil in stool samples.
Ayurvedic management of arthritis by dr. pradeep duaduadrpradeep
Ayurveda, the ancient science of life has in store a huge armamentarium of herbs and therapeutic procedures which may benefit patients of arthritis if taken under supervision of qualified and expert personnel.
Smritisagara rasa is an Ayurvedic herbo-mineral formulation used to improve memory and treat conditions like epilepsy. It contains minerals like arsenic and mercury compounds processed with memory-enhancing herbs like Brahmi and Vacha. Studies show it may improve symptoms of schizophrenia and epilepsy by reducing frequency and duration of seizures. The key active compounds like bacosides in Brahmi are responsible for its neuropharmacological effects. Toxicity is a concern if excessive doses are taken for long periods due to high mineral content. More research is still needed on its mechanisms and safety.
Shirodhara is an Ayurvedic therapy that involves gently pouring warm liquids such as oils, milk, buttermilk, or herbal concoctions over the forehead in a continuous stream. It works to restore balance and harmony between the body's three doshas (Vata, Pitta, and Kapha) by improving blood circulation and oxygen supply to the brain and nervous system. Shirodhara has benefits for reducing stress, insomnia, headaches, and other mental and skin disorders. There are different types of Shirodhara defined by the liquid used - Thailadhara uses oils, Ksheeradhara uses milk, Takradhara uses buttermilk, and Kashayadhara uses
Yogyasutreeya Surgical training in Sushrut periodDrNeharu Mandoli
Sushruta advocated for practicing surgical procedures on models similar to the human body before operating on patients. He described various models that could be used to practice different surgical techniques like excision, incision, probing, and suturing. These practices on models help students gain experience and avoid confusion when performing procedures on real patients. Sushruta's method of using simulated training prior to clinical practice remains an acceptable method today through the use of physical models and computer-based simulations.
LN Ayurved College & Hospital, Kolar Road, Bhopal professor of Panchakarma and Head of the department Dr K Shiva Rama Prasad has delivered a Guest lecture on the Importance and Standard procedures of Raktamokshana at Institute of Post Graduate Ayurvedic Education & Research under Dept. of Health & Family Welfare, Government of West Bengal on 18th November 2019.
The concept of pathya apathya w.s.r. to charak samhitabrijeshbhu
Ayurveda has holistic and scientific approach in health management. It emphasizes much more on diet and regimen along with medicines. The diet and regimen which is beneficial to the body and gives the happiness to the mind is known as Pathya and opposite to that is known as Apathya. Most of the health problems develop due to the faulty eating habits and regimen. Ayurveda deals with the pathya vyavastha (planning of diet- dietetics) in a very scientific way. The planning of diet mentioned in our classical literature is very rational and based on certain principles. Lot of importance is given to the diet with regard to its processing, quality, quantity and so on.
Due consideration is given to the atmosphere, psychological condition, status of health, digestion etc. of the person while dealing with this issue. The diet should also be planned according to the age, season, habitat and the preference of the person.
Ayurvedic management of pcos
in this slide we had given scientific and ayurveda based approach to treat pcos.it will help to new generation doctors and patient also to understand PCOS.
Drugs used in emergency and operation theatreRUCHIT PATEL
The document discusses various emergency drugs used to treat life-threatening conditions in the areas of cardiology, respiratory medicine, neurology, and endocrinology. It states that oxygen should be present on all emergency hospital trays as without it, brain death can occur within six minutes. For cardiac emergencies, it recommends drugs like glyceryl trinitrate for angina, aspirin for myocardial infarction, adrenaline for cardiac arrest, and dopamine or dobutamine for cardiogenic shock. For respiratory emergencies, it suggests salbutamol for asthma, furosemide for pulmonary edema, and cefriaxone for epiglottitis. Common treatments for seizures include diazepam,
murivenna has been a formulation used in Ayurveda since a longtime.with its origin in the siddha system ,this formulation has become an inevitable component in the management of dislocations,fractures and tendon tears in the Ayurveda system. although widely used for bandaging ,this wonder drug can be administered via various other routes of administration including enema(vasti) and snehapanam.
Ayurvedic Prakruti or biotype By Prof.Dr.R.R.Deshpande,Pune,Indiarajendra deshpande
Biotype or Prakruti is like Key for your Health .Once you know your Biotype ,you can understand about Ideal Life style,Diet ,Exercises ,Occupation etc suitable for your Constitution. Visit also www.ayurvedicfriend.com .
This document discusses rakthamokshana karma or bloodletting therapy in Ayurveda. It defines rakthamokshana as the removal of blood and describes different types including siravyadha using sharp instruments, suchi using needling, and jalaukavacharana using medicinal leeches. It outlines the historical use of bloodletting, provides details on leech collection and use procedure, and explains the therapeutic mechanisms and indications of leech therapy for reducing doshas in conditions like skin diseases.
Ayurmitra & Nadi Guru
Prof KSR Prasad (Technoayurveda)
9290566566/9503227966 / technoayurveda@yahoo.com
Lifestyle is a combination of determining intangible or tangible factors – the diseases generates because of are Lifestyle disorders
This document discusses various complications (vyapat) that can occur during virechana (purgation therapy) in Ayurveda. It defines vyapat and introduces 10 types: ayoga, atiyoga, adhmana, parikatika, parisravi, hridgraha, and angagraha. For each vyapat, it outlines the causes, clinical features, and recommended treatment approaches based on Ayurvedic principles. The goal is to educate healthcare practitioners on properly assessing and managing potential complications during virechana therapy.
This document discusses Ayurvedic approaches to emergency medical situations. It begins by defining a medical emergency and outlining the levels of care involved in emergency treatment. It then classifies emergencies based on disease type, procedural issues, iatrogenic causes, and emotional or anxiety-related situations. The document emphasizes the importance of Vata dosha in Ayurvedic emergencies and outlines methods to regulate the five subtypes of Vata through respiratory resuscitation, digestion regulation, and spreading/excreting techniques. Basic emergency measures of airway maintenance and fluid/electrolyte maintenance are also mentioned.
Swedana is an Ayurvedic therapy that induces sweating through the use of steam generated from medicated herbal decoctions. It is often performed before detoxification therapies to strengthen the body. There are various types of swedana that apply steam in different ways, such as through bundles, chambers, or direct application to the body. Swedana is used to treat conditions like sinusitis, cough, asthma, and more by removing toxins and improving circulation. It also provides benefits like reduced stiffness, improved skin and relaxation.
swasthvritta and panchakarma in health promotionDr.Shalu Jain
Ayurveda focuses on preventive health and explains daily and seasonal regimens to maintain well-being. Panchakarma procedures like Vaman, Virechana, and Basti are internal purification techniques that detoxify the body while strengthening immunity. When performed according to individual constitution and season, Panchakarma promotes health, prevents disease, and rejuvenates the system. Daily practices like Dincharya and following codes of conduct support physical, mental and spiritual wellness according to Ayurveda.
Ayurvedic description of kamala (jaundice) from charaka samhita, sushrutha samhita and Ashtanga hrudaya by Dr.Shruthi Panambur MD in Ayurveda Samhita and Siddhanta.
Benefits of Ayurveda for Women's Health by Dr.Nutan PakhareDr.Nutan Pakhare
Ayurveda offers many benefits for women's health. It focuses on prevention of disease and rejuvenation of the body. Ayurveda views health as a balance of the doshas (vata, pitta, kapha), dhatus (tissues), malas (waste products), agni (digestive fire), and mental well-being. It provides natural treatments to address common issues women face like PMS, menstrual problems, menopause, and fertility. Lifestyle practices like diet, exercise, meditation, and herbal remedies are recommended for overall wellness and balancing hormones throughout a woman's life.
Agnikarma (An Ancient Ayurvedic Therapy) - Benefits, Indications and ProceduresChandigarh Ayurved Centre
Agnikarma is an ancient Ayurvedic therapy that uses cauterization or heat therapy to treat various musculoskeletal conditions. It involves using hot metallic probes called shalakas to burn the skin over affected areas like joints to form scar tissue and harden the area. According to ancient texts, cauterization is considered the final remedy when other treatments like drugs or surgery have failed. The document discusses the history of cauterization in various ancient cultures and how modern physics has helped explain its therapeutic effects like improved blood flow and healing through deep penetration of infrared heat into tissues. It also presents various common conditions treated with Agnikarma and shows images of ancient and modern cauterization instruments and techniques
SBEBA - Solution to all problems in AyurvedaRemya Krishnan
This document discusses the need for a "Science Based Evidence Based Ayurveda" (SBEBA) approach to address the lack of standardized practices and clinical confusion faced by Ayurvedic physicians. It notes that physicians currently rely too heavily on intuition, experience and tradition rather than scientific evidence. SBEBA would incorporate standardized techniques for applying scientific principles to clinical practice and research. The author submitted a proposal for implementing SBEBA in Ayurvedic education and clinical standards to the Indian Ministry of Health and AYUSH in 2014 but received no response. SBEBA is presented as a solution to move Ayurveda towards evidence-based practices, global acceptance, and economic benefits for India by reducing healthcare costs.
Agnikarma is a medical procedure done using controlled heat and fire. It is done in various Disease like Corn, Warts, Piles, Fistula in Ano, To Arrest bleeds etc.
This document provides information on various aspects of medication administration in a nursing context. It discusses definitions of key terms, indications for drug use, routes of administration including oral, topical, intravenous, intramuscular and more. It also covers assessing patients, drug orders, rights of medication administration, policies, guidelines and procedures for safely preparing and giving different types of medications to patients.
1) The document outlines the 5 rights of medication administration which are checking the right client, right time, right drug, right dose, and right route.
2) It emphasizes verifying the client's identity, medication order details, that the drug and dose are correct, and that the route is suitable before administration.
3) The 5 rights should be checked three times - when first reviewing the order, when obtaining the medication, and again at the bedside before giving the medication.
Shirodhara is an Ayurvedic therapy that involves gently pouring warm liquids such as oils, milk, buttermilk, or herbal concoctions over the forehead in a continuous stream. It works to restore balance and harmony between the body's three doshas (Vata, Pitta, and Kapha) by improving blood circulation and oxygen supply to the brain and nervous system. Shirodhara has benefits for reducing stress, insomnia, headaches, and other mental and skin disorders. There are different types of Shirodhara defined by the liquid used - Thailadhara uses oils, Ksheeradhara uses milk, Takradhara uses buttermilk, and Kashayadhara uses
Yogyasutreeya Surgical training in Sushrut periodDrNeharu Mandoli
Sushruta advocated for practicing surgical procedures on models similar to the human body before operating on patients. He described various models that could be used to practice different surgical techniques like excision, incision, probing, and suturing. These practices on models help students gain experience and avoid confusion when performing procedures on real patients. Sushruta's method of using simulated training prior to clinical practice remains an acceptable method today through the use of physical models and computer-based simulations.
LN Ayurved College & Hospital, Kolar Road, Bhopal professor of Panchakarma and Head of the department Dr K Shiva Rama Prasad has delivered a Guest lecture on the Importance and Standard procedures of Raktamokshana at Institute of Post Graduate Ayurvedic Education & Research under Dept. of Health & Family Welfare, Government of West Bengal on 18th November 2019.
The concept of pathya apathya w.s.r. to charak samhitabrijeshbhu
Ayurveda has holistic and scientific approach in health management. It emphasizes much more on diet and regimen along with medicines. The diet and regimen which is beneficial to the body and gives the happiness to the mind is known as Pathya and opposite to that is known as Apathya. Most of the health problems develop due to the faulty eating habits and regimen. Ayurveda deals with the pathya vyavastha (planning of diet- dietetics) in a very scientific way. The planning of diet mentioned in our classical literature is very rational and based on certain principles. Lot of importance is given to the diet with regard to its processing, quality, quantity and so on.
Due consideration is given to the atmosphere, psychological condition, status of health, digestion etc. of the person while dealing with this issue. The diet should also be planned according to the age, season, habitat and the preference of the person.
Ayurvedic management of pcos
in this slide we had given scientific and ayurveda based approach to treat pcos.it will help to new generation doctors and patient also to understand PCOS.
Drugs used in emergency and operation theatreRUCHIT PATEL
The document discusses various emergency drugs used to treat life-threatening conditions in the areas of cardiology, respiratory medicine, neurology, and endocrinology. It states that oxygen should be present on all emergency hospital trays as without it, brain death can occur within six minutes. For cardiac emergencies, it recommends drugs like glyceryl trinitrate for angina, aspirin for myocardial infarction, adrenaline for cardiac arrest, and dopamine or dobutamine for cardiogenic shock. For respiratory emergencies, it suggests salbutamol for asthma, furosemide for pulmonary edema, and cefriaxone for epiglottitis. Common treatments for seizures include diazepam,
murivenna has been a formulation used in Ayurveda since a longtime.with its origin in the siddha system ,this formulation has become an inevitable component in the management of dislocations,fractures and tendon tears in the Ayurveda system. although widely used for bandaging ,this wonder drug can be administered via various other routes of administration including enema(vasti) and snehapanam.
Ayurvedic Prakruti or biotype By Prof.Dr.R.R.Deshpande,Pune,Indiarajendra deshpande
Biotype or Prakruti is like Key for your Health .Once you know your Biotype ,you can understand about Ideal Life style,Diet ,Exercises ,Occupation etc suitable for your Constitution. Visit also www.ayurvedicfriend.com .
This document discusses rakthamokshana karma or bloodletting therapy in Ayurveda. It defines rakthamokshana as the removal of blood and describes different types including siravyadha using sharp instruments, suchi using needling, and jalaukavacharana using medicinal leeches. It outlines the historical use of bloodletting, provides details on leech collection and use procedure, and explains the therapeutic mechanisms and indications of leech therapy for reducing doshas in conditions like skin diseases.
Ayurmitra & Nadi Guru
Prof KSR Prasad (Technoayurveda)
9290566566/9503227966 / technoayurveda@yahoo.com
Lifestyle is a combination of determining intangible or tangible factors – the diseases generates because of are Lifestyle disorders
This document discusses various complications (vyapat) that can occur during virechana (purgation therapy) in Ayurveda. It defines vyapat and introduces 10 types: ayoga, atiyoga, adhmana, parikatika, parisravi, hridgraha, and angagraha. For each vyapat, it outlines the causes, clinical features, and recommended treatment approaches based on Ayurvedic principles. The goal is to educate healthcare practitioners on properly assessing and managing potential complications during virechana therapy.
This document discusses Ayurvedic approaches to emergency medical situations. It begins by defining a medical emergency and outlining the levels of care involved in emergency treatment. It then classifies emergencies based on disease type, procedural issues, iatrogenic causes, and emotional or anxiety-related situations. The document emphasizes the importance of Vata dosha in Ayurvedic emergencies and outlines methods to regulate the five subtypes of Vata through respiratory resuscitation, digestion regulation, and spreading/excreting techniques. Basic emergency measures of airway maintenance and fluid/electrolyte maintenance are also mentioned.
Swedana is an Ayurvedic therapy that induces sweating through the use of steam generated from medicated herbal decoctions. It is often performed before detoxification therapies to strengthen the body. There are various types of swedana that apply steam in different ways, such as through bundles, chambers, or direct application to the body. Swedana is used to treat conditions like sinusitis, cough, asthma, and more by removing toxins and improving circulation. It also provides benefits like reduced stiffness, improved skin and relaxation.
swasthvritta and panchakarma in health promotionDr.Shalu Jain
Ayurveda focuses on preventive health and explains daily and seasonal regimens to maintain well-being. Panchakarma procedures like Vaman, Virechana, and Basti are internal purification techniques that detoxify the body while strengthening immunity. When performed according to individual constitution and season, Panchakarma promotes health, prevents disease, and rejuvenates the system. Daily practices like Dincharya and following codes of conduct support physical, mental and spiritual wellness according to Ayurveda.
Ayurvedic description of kamala (jaundice) from charaka samhita, sushrutha samhita and Ashtanga hrudaya by Dr.Shruthi Panambur MD in Ayurveda Samhita and Siddhanta.
Benefits of Ayurveda for Women's Health by Dr.Nutan PakhareDr.Nutan Pakhare
Ayurveda offers many benefits for women's health. It focuses on prevention of disease and rejuvenation of the body. Ayurveda views health as a balance of the doshas (vata, pitta, kapha), dhatus (tissues), malas (waste products), agni (digestive fire), and mental well-being. It provides natural treatments to address common issues women face like PMS, menstrual problems, menopause, and fertility. Lifestyle practices like diet, exercise, meditation, and herbal remedies are recommended for overall wellness and balancing hormones throughout a woman's life.
Agnikarma (An Ancient Ayurvedic Therapy) - Benefits, Indications and ProceduresChandigarh Ayurved Centre
Agnikarma is an ancient Ayurvedic therapy that uses cauterization or heat therapy to treat various musculoskeletal conditions. It involves using hot metallic probes called shalakas to burn the skin over affected areas like joints to form scar tissue and harden the area. According to ancient texts, cauterization is considered the final remedy when other treatments like drugs or surgery have failed. The document discusses the history of cauterization in various ancient cultures and how modern physics has helped explain its therapeutic effects like improved blood flow and healing through deep penetration of infrared heat into tissues. It also presents various common conditions treated with Agnikarma and shows images of ancient and modern cauterization instruments and techniques
SBEBA - Solution to all problems in AyurvedaRemya Krishnan
This document discusses the need for a "Science Based Evidence Based Ayurveda" (SBEBA) approach to address the lack of standardized practices and clinical confusion faced by Ayurvedic physicians. It notes that physicians currently rely too heavily on intuition, experience and tradition rather than scientific evidence. SBEBA would incorporate standardized techniques for applying scientific principles to clinical practice and research. The author submitted a proposal for implementing SBEBA in Ayurvedic education and clinical standards to the Indian Ministry of Health and AYUSH in 2014 but received no response. SBEBA is presented as a solution to move Ayurveda towards evidence-based practices, global acceptance, and economic benefits for India by reducing healthcare costs.
Agnikarma is a medical procedure done using controlled heat and fire. It is done in various Disease like Corn, Warts, Piles, Fistula in Ano, To Arrest bleeds etc.
This document provides information on various aspects of medication administration in a nursing context. It discusses definitions of key terms, indications for drug use, routes of administration including oral, topical, intravenous, intramuscular and more. It also covers assessing patients, drug orders, rights of medication administration, policies, guidelines and procedures for safely preparing and giving different types of medications to patients.
1) The document outlines the 5 rights of medication administration which are checking the right client, right time, right drug, right dose, and right route.
2) It emphasizes verifying the client's identity, medication order details, that the drug and dose are correct, and that the route is suitable before administration.
3) The 5 rights should be checked three times - when first reviewing the order, when obtaining the medication, and again at the bedside before giving the medication.
This document discusses principles of medication administration including aseptic technique, the six rights of drug administration, various routes of administration including oral, parenteral, pulmonary, and others. It provides information on different types of medication packaging and delivery systems as well as guidelines for properly administering medications through different routes to ensure safety and effectiveness.
This document provides training and guidelines for school personnel on the administration of prescription and non-prescription medications to students. It outlines Oregon law and rules regarding which staff can administer medications, requirements for labeling and storing medications, documentation procedures, potential medication errors, and ensuring medications are administered correctly during activities away from school. School districts must adopt policies for medication administration and only train staff can give medications to students in accordance with physicians' instructions and parents' permissions.
This document provides information about medication administration by nurses. It discusses key responsibilities of nurses including having thorough knowledge of the medications being administered, ensuring the right patient, drug, dose, route, time and frequency. It covers drug classifications, effects, interactions and incompatibilities. The document also reviews the nursing process for safe administration including assessment, diagnosis, planning intervention and evaluation. Different routes of medication administration such as oral, parenteral, topical and inhalation are explained.
The document discusses medication safety and the national patient safety goal of reducing medication errors. It notes that medication errors cause 7,000 deaths per year. While medication safety used to focus on the "5 Rights," there are now reportedly 8-10 rights that should be followed to ensure proper medication administration. These rights include confirming the right patient, medication, dose, route, time, documentation, reason, and response. The document provides details on following each of these rights to help prevent medication errors.
Rosemary Doherty - Mental Health at Midland HeartEleanorCappell
Midland Heart provides a wide range of mental health services including nursing homes, residential care, and floating support. Key innovations include specialized services for those with complex needs or chaotic lifestyles, and a 24-hour anti-trafficking service provided in partnership with the Salvation Army. Midland Heart's services contribute to well-being in areas like social connection and learning, and all of their buildings are now smoke-free based on customer consultation. Going forward, they aim to expand dementia services, outreach for those with complex needs, use of individual budgets, and employment/volunteering pathways.
The document provides guidance on medication administration policies and procedures for school personnel. It outlines 14 key points including storing medication securely, following proper routes of administration, documenting properly, responding to errors, and ensuring only trained staff members administer medications. It emphasizes the importance of always protecting student safety and confidentiality while following all legal requirements.
This document defines key terms and concepts in pharmacology. It discusses how pharmacology is the study of drug interactions with living systems. The four main processes that determine a drug's effects are absorption, distribution, metabolism, and excretion. Factors like genetics, age, and health conditions can influence how individuals respond to drugs. Adverse reactions, drug interactions, and tolerance are important considerations when using medications. Standards and regulations aim to ensure drugs are safe, effective, and produced consistently.
Ideas from MediaPost's Marketing for Health ConferenceGSW
This week, we had the opportunity to attend MediaPost’s first annual Marketing Health conference. Thirty-eight speakers – including our own Ritesh Patel and Leigh Householder – from the top agencies and brands in our industry took to the stage to talk about big shifts in digital possibilities and fast-changing consumer expectations. Inside, you’ll find a quick-scan summary of the conference’s content, including short stories, big data points, memorable quotes and even a few share-worthy charts.
adverse events
their first 4 years of
practice or who have
completed Modules
1 and 2
Fundamental
For all participants Drug administration
regardless of
experience level
Module 1: National
Inpatient Medication
Chart
Module 2: Therapy
delivery pumps
Modules 3–5 build on the skills and knowledge from previous modules.
Module 1 focuses on the medication chart. Module 2 covers therapy pumps.
Module 3 addresses drug administration. Module 4 examines drug reactions
and adverse events. Module 5 considers error awareness.
The document provides guidance for certified caregivers on safely assisting residents with medication administration. It outlines the objectives of reviewing medication policies and procedures to decrease errors. Caregivers should identify common medication errors, read physicians' orders correctly, and know potential adverse effects. Key skills include preparing one resident's medications at a time, double checking the resident and medication match each time, and giving medications within an hour of the scheduled time except for certain cases. Resident rights and reporting adverse effects are also emphasized.
Drug administration is an important but dangerous duty for medical assistants. They must understand pharmacology principles, fundamentals of administration including various routes, dosage calculations, and the seven rights of medication administration. When preparing to administer a drug, medical assistants must pay close attention to dose, route, form and follow rules like preparing in a well-lit area, properly identifying the patient, having the physician in office, observing the patient after, and documenting properly. Special considerations must be made for pediatric, pregnant, breastfeeding and elderly patients due to alterations in drug metabolism and absorption. Proper documentation of drug administration in the patient's chart is also essential.
This document provides guidance on medication administration including the five rights and tips for oral and injectable medications. It discusses assessing patients' ability to take oral medications and ensuring the right patient, medication, dosage, route and time. Tips are provided for preparing oral medications at the bedside and checking medications. Calculating dosages using tablets and vials is explained. Intramuscular and subcutaneous injection sites and techniques are outlined along with working with insulin vials. Students are assigned worksheets to practice for lab this week.
The document provides information on medication administration for nursing students. It describes the 8 rights of administration and safety guidelines. It discusses various medication orders, components of drug orders, delivery systems, routes of administration including oral, topical, instillations, injections and associated techniques. It also covers charting, responsibilities of student nurses and behaviors to avoid.
Medication Administration and Calculation for Nurses Returning to PracticeIHNA Australia
This presentation outlines the responsibility and role of nurses in administrating medication and calculation of medication in Australia. This presentation was compiled by Gulzar Malik, an experienced and qualified Nursing Educator at IHNA. For more information about IHNA's return to nursing programs, please call 1800 22 52 83.
My 2013 PBMI presentation on my thoughts about using data and consumer engagement to shift the pharamcy industry to a industry focused on value as part of the overall health reform efforts.
The document discusses the types of medication orders, the six rights of administering medication, routes of medication administration, important considerations when administering medication including dosage calculations and identifying the patient, common abbreviations used, and the importance of proper documentation. It emphasizes that nurses must understand pharmacology and drug administration fundamentals to safely administer medications.
The document outlines the 10 rights of medication administration that nurses must follow to safely administer medications to patients. These include always verifying the patient's identity, medication, dosage, and route before administering and documenting properly after administering. Nurses must also inform patients and their representatives about the medication and obtain consent when possible.
Neurons are the basic structural and functional units of the nervous system. They transmit electrical and chemical signals and have three main parts - the cell body, dendrites, and axon. The cell body contains the nucleus. Dendrites receive signals and the long axon conducts signals away from the cell body. Neurons communicate with each other via synapses, where neurotransmitters are released by the presynaptic neuron and bind to receptors on the postsynaptic cell. This allows signals to be transmitted electrically along neurons and chemically between neurons.
This document outlines Newberg School's policies and procedures for medication administration by personnel. It discusses required training, classifications of medications, documentation requirements, safety protocols, storage, disposal, errors, and regulations. Key points include: personnel must complete approved training before administering medications; medications must be in original containers with written parent/guardian instructions; proper administration includes following the 5 Rights; and strict confidentiality and cooperation are required.
Child Care: Administration of medication Deborah Fears
This document provides guidance on safely administering medication to children in child care settings. It emphasizes the importance of only giving medication to the right child in the right dose by the right route and time as designated by parents and physicians. Staff must be trained annually on proper medication administration policies and techniques. This includes using accurate dosing devices, documenting medication properly, recognizing and responding to potential allergic reactions or other issues, and protecting children's safety throughout the process. The goal is to ensure medications are given correctly to avoid ineffectiveness or harm.
The document discusses the nursing process as it applies to drug administration. It outlines the key steps - assessment, planning, implementation, and evaluation. Assessment involves collecting subjective and objective data on the client, medication, and environment. Planning involves analyzing the data to develop nursing diagnoses and goals. Implementation means preparing and administering the medication correctly. Evaluation monitors the client's response to the drug. The document also reviews a nurse's responsibilities in areas like safe storage, accurate transcription of orders, informed consent, and documentation.
The document summarizes different roles in the pharmacy industry. Pharmacy aides assist with clerical duties under informal training. Pharmacy technicians have certificates or associate's degrees and fill prescriptions under a pharmacist's direction. Pharmacists complete 5-7 years of education including an internship, becoming drug experts who advise on medications, counsel patients, and work in drug stores or hospitals. Related careers include pharmaceutical researchers who develop drugs and representatives who promote them. The document also outlines drug labeling, packaging, and categories of controlled substances.
This document discusses several key aspects of medication safety:
1. Medication errors are a major cause of preventable patient harm. Proper knowledge of pharmacology principles is important for safely administering and monitoring medications.
2. Several factors can contribute to medication errors, including lack of communication, assumptions, inadequate labeling, and lack of checking procedures. Errors can be prevented by developing safe habits like verifying medications and using memory aids.
3. Patients should be educated on their medication regimens and actively involved in their own care by maintaining accurate medication lists. Thorough medication histories are important to avoid unintended interactions or duplications.
1) This document outlines Water Primary School's policy for the administration of medicines.
2) It explains that while staff are not required to administer medication, they may do so voluntarily with proper consent and training. All medication must be clearly labelled and stored securely.
3) The policy aims to safely store and correctly administer medication with proper parental consent in order to protect children and avoid adverse reactions. It provides guidelines for receiving, storing, recording, and returning medication.
The document outlines responsibilities and guidelines for the safe administration of medications by health care providers. It describes four responsibilities of providers including having up-to-date medication information, accurately assessing patient needs, skillfully delivering medications with documentation, and educating patients. It also lists the 10 rights of medication administration and provides guidelines for oral administration including checking the patient's identification and medication order, preparing and monitoring the dosage, and documenting the administration.
Eficacia manejo de tratamiento responsabilidad uso medicamentos - CICATSALUDCICAT SALUD
The document discusses several key issues regarding effective medication use in primary pediatric care. It notes that medication errors are more common in children than adults, often due to dosing issues as dosages need to be calculated based on weight. It provides recommendations to improve safety, including double checking dosages, communicating effectively, and ensuring proper identification of patients. The document also addresses medication use during breastfeeding, noting that most medications are safely transferred to infants in small amounts.
This document discusses various aspects of medication including definitions, purposes, uses, classifications, forms, routes of administration, orders, and effects. A medication is a substance used for diagnosis, treatment, or prevention of disease. Drugs can be used for diagnostic, prophylactic, or therapeutic purposes. Medications are classified based on their target body system, use, disease treated, or effect. Proper storage, administration according to the 6 rights, and documentation are important. Medication orders should include patient name, drug, dosage, route, time, and prescriber signature.
The document discusses safe medication administration practices for nurses. It covers the nurse's legal responsibility to safely administer medications, the six rights of administration, types of medication prescriptions, tools to minimize medication errors, using the nursing process, and providing atraumatic care when giving medications to pediatric patients.
This document discusses oral medication administration and the nurse's responsibilities. It defines oral medication as drugs that are swallowed through the oral cavity. Nurses must follow the 10 rights of medication administration, which include the right patient, medication, dose, route, time and documentation. The nurse's responsibilities include identifying the patient, selecting the correct medication, administering it properly, educating the patient, documenting appropriately, and evaluating the effects of the medication. Safe oral drug administration requires thorough assessment, accurate documentation and monitoring of the patient.
Medications are substances used to treat diseases, symptoms, and prevent illnesses. They are administered according to prescriptions under legal guidelines. Medications can be used for diagnostic, prophylactic, or therapeutic purposes. Nurses must follow principles of safe administration including checking the "3 rights" and "10 rights" to ensure the correct patient receives the right drug by the proper route and dose at the correct time. Medication orders contain essential information and abbreviations are used to indicate timing of doses. Proper storage and documentation are also important aspects of medication administration.
The Rainbow Clinic Triage Education FlipbookTanisha Davis
This document provides information for a nursing education flipbook to promote health literacy and improve care coordination at the Rainbow Clinic. It defines health literacy and discusses its scope. It outlines nurse sensitive indicators for ambulatory care like medication reconciliation, pain assessment, smoking cessation, and controlling blood pressure. The document provides education materials on these topics in a question and answer format intended to improve patient understanding and engagement. The overall goal is to address nurse sensitive indicators through a nursing-driven education and triage process to enhance collaboration and quality of care.
This document provides guidance for schools on safely managing and administering medications for students with conditions like asthma and allergies. It stresses the importance of having clear policies and training staff to ensure medications are securely stored and properly recorded and administered. It also addresses issues like stocking emergency medications, overseas medications, self-administration, field trips and managing anaphylaxis emergencies. Resources from organizations like Allergy UK and Anaphylaxis Campaign are recommended to help schools support students with allergies.
This document defines key terms related to medication safety such as medication error, incident, sentinel event, and culture of safety. It identifies common medication errors like opioid patches, acetaminophen, and methadone. Safe practices to prevent errors are discussed, including following the rights of administration, using two patient identifiers, and proper documentation. The roles of communication and agencies like the FDA in medication safety are also reviewed.
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This document discusses medication administration procedures and guidelines. It provides definitions of pharmacokinetics and pharmacodynamics, lists common medication abbreviations, and outlines the 10 rights of medication administration including checking the right drug, patient, dose, route, time, documentation, history, ability to refuse, interactions, and education. It also describes different types of tablets, capsules, and other forms medications can be administered such as powders, lozenges, implants, and irrigation solutions.
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1. Created by:
Health Services
O c t o b e r , 2 0 1 6
ADMINISTRATION OF
MEDICATION
*RECERTIFICATION FOR SCHOOL
EMPLOYEES
2. Participants will have an understanding of federal and local
laws regarding medication administration in schools.
Participants will be able to verbalize the seven rights of
medication administration.
Participants will know best practices of storing, handling and
disposing of medications in the school setting.
Participants will understand proper documentation content
and procedures needed to safely administer medications in
school.
Participants will be able to recognize and respond
appropriately to the enumerated medical conditions
commonly encountered in District of Columbia Schools.
Participants will successfully complete a hands-on return
demonstration of medication administration.
OBJECTIVES
3. The purpose of this presentation is to provide a guideline to
aide in training non-licensed school personnel in medication
administration.
Student’s safety when administering medications is always the MAIN priority.
PURPOSE
4. Medication Administration Training Program
a) The Mayor of DC has developed and implemented a medication
administration program, which shall provide training and certification of
employees and agents of a school to:
Administer medication to students with valid medication action plans who are not authorized
to possess that medication or are not competent to self-administer the medication; and
Administer medication in emergency circumstances to any student suffering an acute
episode of asthma, anaphylaxis, or other illness
b) All training provided pursuant to subsection (a) of this section shall be
conducted by a health care professional licensed in the District of
Columbia
c) A health care professional shall provide a school with written
certification of successful completion of the training for each employee
or agent of the school. The certification shall be valid for 3 years.
CODE OF THE DISTRICT OF COLUMBIA
5. Code of the District of Columbia 38-651.05 Administration of
Medication reads as follows:
An employee trained and certified pursuant 38-651.04 may
administer medication to a student with a valid medication action
plan; provided, that:
The responsible person has delivered the medication to be administered
to the school;
The employee or agent of the school is under the general supervision of
licensed health practitioner; and
Except in emergency circumstance, the responsible person has
administered the initial dose of a new medication.
CODE OF THE DISTRICT OF COLUMBIA
6. A student may possess and self-administer medication at the
school in which the student is currently enrolled, at school-
sponsored activities, and while on school-sponsored
transportation, in order to treat asthma, anaphylaxis, or other
illness; provided that:
The responsible person has submitted a valid medication action plan
to the school.
STUDENT SELF-CARRY LEGISLATION
7. School Administrators are responsible for designating
someone within the school to be trained in medication
administration.
Education and training must be completed by the designated
staff member.
Details regarding this training:
Who trains?
The School Nurse
What is the training?
The Administration of Medication Training provided by the DC DOH and Children’s School
Services
How often is the training required?
Every 3 years
WHAT DOES THIS MEAN?
8. If a medication can be given at home and not brought into the
school at all, this is ideal.
For example: medications prescribed to be taken three times a day (TID)
could be given at home before school, after school, and in late
evening/bedtime.
Discuss with parents these options before making the decision to store
and administer a medication in school.
Home before school if possible!
(We know this isn’t always possible.)
FIRST THINGS FIRST…
9. Prescription (ordered by a health care provider…physician, dentist,
nurse practitioner, physician assistant)
ADHD meds: most are a controlled substance (oral, transdermal patch)
Antibiotics (oral, ear drops, eye drops)
Anti-seizure meds (oral, rectal-Diastat™)
Diabetic meds: (insulin, Glucagon® (injections)
Asthma meds: (inhaled, oral)
EpiPen® (injection)
Others
OTC (over the counter) medications
Acetaminophen (Tylenol®)
Ibuprofen (Advil®, Motrin®, etc.)
Cetirizine (Zyrtec®)
Diphenhydramine (Benadryl®)
Others
Sidwell Friends School has a written policy on medication
administration. Be familiar with this policy,
MEDICATIONS IN SCHOOL
All prescription and
OTC meds need a
health care
provider’s order!
10. Medications must be brought in by parents/guardians. First,
determine…
Option 1: Is this a medication that is to be stored in a locked cabinet
(health services’ office if on campus) that staff need to help
administer
Option 2: Is this a medication that the student carries
and self-administers?
Inhaler—asthmatic reactions
Epinephrine—severe allergic reactions
Others?
Many times, providers will write
a note stating that a child should
have their rescue inhaler or Epipen®
with them. This should also be a part of the
medical care plan for that student.
BRINGING MEDS INTO SCHOOL
Self-carry meds are
generally those that are
used in life-threatening
situations and the student
needs immediate access to
them!
11. Next, make sure proper paperwork is completed.
Medication Authorization Form
Name of medication (as it appears on the medication
bottle/container) and strength
Dose
Route
When to give
What the medication is to be given for
Parents signature
Special instructions…i.e. please call parent before
administering medication.
Written order (signed) from prescribing provider
This can be a separate form but should be with or attached to the medication
form.
For all prescription medications
For OTC medications (OTC Medication Authorization Form)…especially if “off-label” or different dose
than recommended
PAPERWORKPaperwork
valid for
current school
year only.
12. Self Carry/Self Administer
Section is included on the Medication Authorization Form and must be:
Signed by parent
Signed by the licensed healthcare provider
Medication Administration Flow Sheet
Each medication should have its own row on the form.
See example (next slide)
All paperwork must match medication label. If the paperwork does
not match, you will need to redo it and get the appropriate signatures
again.
Any changes in dose or medication require a new written provider
order.
PAPERWORK, CONT.
15. Medication must be in the original container whether it’s
prescribed or OTC.
No medications in Ziploc® bags, spice bottles or other containers.
Why? You need to be sure the medication is really what they say it is. You
need to know the lot number, expiration date and strength.
You should document the quantity brought in.
Count and document the quantity of the medication or if it’s an
unopened bottle of pills, take note of the quantity in the bottle. For
liquids, you can document how many mL’s are present when brought
in.
Controlled substances: should be counted, logged (both in and out),
and recounted at least weekly to make sure there is no drug
diversion.
Drug Diversion is when licit drugs are used for illicit purposes. Basically,
the medication is being used in an illegal manner.
It is not uncommon for people to steal medications, especially controlled
substances. You need to keep tight control of these types of medications!
MEDICATION STORAGE
16. Controlled Substance
Definition: a substance subject to the U.S. Controlled Substances Act
(1970), which regulates the prescribing and dispensing, as well as
the manufacturing, storage, sale or distribution of substances
assigned to five schedules according to their 1) potential for or
evidence of abuse, 2) potential for psychic or physiologic
dependence, 3) contribution to a public health risk, 4) harmful
pharmacologic effect, or 5) role as a precursor of other controlled
substances.
http://www.drugs.com/dict/controlled-substance.html
WHAT IS A CONTROLLED SUBSTANCE?
Adderall
30 mg
Adderall XR 30 mg
Ritalin 10 mg
18. CONTROLLED SUBSTANCES IN SCHOOLS
Vyvanse 50 mg Vyvanse 30 mg
Metadate CD 20 mg
Metadate CD 30 mg
Metadate ER 20 mg
CD=controlled delivery
CR=controlled release
ER=extended release
LA=long acting
SR=sustained release
TR=time release
XR=extended release
XL=extended release
https://www.riverpharmacy.ca/faq/what-do-
the-acryonyms-cd-cr-la-sr-tr-xl-and-xr-stand-for
All medication pictures from
www.drugs.com
19. Locked cabinet
Locked office/room
Organized
Many different ways to do this….what works best for you?
Alphabetical
Time of day meds are to be given
The better things are organized, the less chance for mistakes!
Clean
Away from light/sun
Oral medications separated from topical medications
Refrigerators:
Medications in fridges—insulin, certain antibiotics
Designated medication fridge (no personal food/drinks)
Generally temps between 36º-46º Fahrenheit.
Colder or warmer temps can change medication’s effectiveness.
MEDICATION STORAGE
double locking is best practice
20. All medications (both prescription and OTC) should have the
student’s name and date of birth on them.
You will need to hand write this on the bottle of OTC medications.
MEDICATION STORAGE CONT.
SHOULD BE:
Organized, clean and easy to read
*label with student’s name
Messy, mixed together
21. Medications are serious business…even OTC ones.
Before giving any medication, you must know and follow the 7 RIGHTS
of medication administration.
Right person (student)
Right medication
Right dose
Right route (oral, ear drops, topical, etc.)
Right time (this does make a difference)
Right documentation (after med is administered)
Right Attitude
Always use two identifiers prior to giving a medication…ask student:
Name
Date of birth
Picture of student
attached to paperwork:
this is especially
nice for back-ups.
BEFORE GIVING A MEDICATION
If something doesn’t seem
right, or you have questions,
do not give the medication!!
Call the nurse, doctor, parent
or pharmacy!
22. Prior to giving a medication, follow these steps…
Wash hands thoroughly with soap and water or alcohol-based hand
foam or gel.
If using alcohol-based hand sanitizer, be sure to let hands dry completely
before doing anything else.
Wear disposable gloves if necessary.
If risk of coming in contact with blood or other bodily fluids
If you have any open sores or cuts on your hand
If you will be touching a transdermal patch
Medication is absorbed through the skin.
Do not use latex gloves as some people
have latex allergies.
There are vinyl glove options in the first aid kits.
INFECTION CONTROL
23. Medication administration should be conducted in a quiet,
private place.
Privacy of student
No distractions
SETTING
24. Always be familiar with the medication you are administering:
Read package insert.
Speak with parent(s)/guardian(s) about previous experience with the
medication. How has child reacted at home?
Know the side-effects and what serious adverse reactions to watch
for.
Adverse reactions:
A result of drug therapy that is neither intended nor expected in normal
therapeutic use and that causes significant, sometimes life-threatening
conditions. http://dictionary.reference.com/browse/adverse reaction
Unlicensed school staff cannot administer parenteral (injectable)
medications without completion of this training.
There are certain exceptions in emergency situations, which will be discussed later.
School staff that have successfully completed the Administration of Medication(AOM)
Training CAN administer parenteral meds under the direct supervision of a nurse.
BE FAMILIAR…
25. By mouth
Swallowed, chewed, dissolved under tongue
Sometimes you have to check student’s mouth to make sure they are not
hiding their medication (cheeking).
Absorption: from stomach or intestine to bloodstream and then
to other parts of your body.
Different oral medications absorb at different rates/speeds.
Type: liquid or tablet
Taken with food or on an empty stomach
Special coatings
Taken with other medications at the same time
Doctors and pharmacists will specify the way the medication should be
taken.
Do NOT crush, break or chew any capsule or tablet
before swallowing unless directed to do so by a
doctor, pharmacist or per package insert.
If unsure, ASK!
ORAL MEDICATIONS
If student has
trouble
swallowing a pill,
talk with the
doctor or
pharmacist for
other options
26. Most oral tablets and capsules should be taken with water.
Rule of thumb, give with water unless otherwise directed.
Chewable tablets should be chewed until they are dissolved
completely. They are not meant to be swallowed.
Some “soft chew” medications are meant to melt in your
mouth or be chewed.
TABLETS & CAPSULES
27. Liquid medications:
Only use measuring devices made for medications.
Household teaspoons are not an accurate method to measure meds.
Shake the bottle if indicated as some medications settle to the
bottom.
Measure at eye level.
Place on flat surface and crouch down so you are eye level with the
measuring device (preferred method).
LIQUID MEDICATIONS
28. Be sure you know the correct dose. Don’t guess!
KNOW YOUR CONVERSIONS
29. The same medication can come in
different strengths. For example,
let’s look at Tylenol…
160
mg per 5 mL
KNOW DIFFERENCE IN STRENGTHS
32. Many cold medicines have acetaminophen (Tylenol®) in them
also. Be careful not to
double up.
Giving regular Tylenol® along
with Tylenol® cold medicine
could lead to an overdose!
This is why it is a good idea
to speak with the nurse (or parents if on
an overnight trip) before
giving a PRN (as needed)
medication…to make sure nothing
was given at home earlier in the morning.
STRENGTH
33. Inhaled medications are generally those used to treat asthma.
Inhalers:
INHALED MEDICATIONS
Metered Dose Inhaler
Dry Powder Inhaler
Metered Dose Inhaler with Spacer
35. METERED DOSE INHALER WITH SPACER
If you have trouble getting the video to play, copy and paste
this link in your internet browser:
https://www.youtube.com/watch?v=ma_cmlU9DxU#t=24
36. DRY POWDER INHALER
If you have trouble getting the video to play,
copy and paste
this link in your internet browser:
If you have trouble getting the video to play,
copy and paste
this link in your internet browser:
If you have trouble getting the video to play, copy and paste
this link in your internet browser:
https://www.youtube.com/watch?v=_Sc7j9iW9TM
37. NEBULIZER WITH MOUTHPIECE
If you have trouble getting the video to play, copy and paste
this link in your internet browser:
https://www.youtube.com/watch?v=07inzRroRVQ
38. NEBULIZER WITH MASK
If you have trouble getting the video to play, copy and paste
this link in your internet browser:
https://www.youtube.com/watch?v=9ezTnY00rI4
39. Review page 30 in your Manual
Wash hands.
Put on gloves
Child should lie or sit with affected ear facing up.
Hold the dropper ½ inch from the ear and administer the prescribed
drops
After administering, have child remain lying down for 1-2 minutes.
EAR DROPS
40. Review page 29 in your Manual
Wash hands.
Wear gloves
Lay down or tilt head back.
Don’t touch eyeball with dropper or
tip of tube.
After administering, ask child to
close or blink eyes for a minute.
EYE MEDICATIONS
42. Review pages 67-68 in your Manual
Insulin basics :https://youtu.be/-FlavJim_NI
Injecting insulin by syringe: https://youtu.be/IfWiEqnVJYo
Injecting insulin via pen: https://youtu.be/D9Qa5J35ZPo
Injecting insulin via pump: https://youtu.be/w7-JBjJgKS4
INSULIN
43. THE 7 RIGHTS…
RIGHT STUDENT (PERSON)
RIGHT MEDICATION
RIGHT DOSE
RIGHT ROUTE
RIGHT TIME
RIGHT DOCUMENTATION
RIGHT ATTITUDE
REMEMBER…
44. Sometimes, medications that are not normally given by non-
licensed personnel, need to be given. Examples…
Diabetic hypoglycemia—low blood sugar (Glucagon, injection)
Signs and symptoms; must have emergency care plan.
Anaphylactic reaction—severe allergic reaction (EpiPen®, injection)
Signs and symptoms; must have emergency care plan.
Non-stop seizures—acute repetitive seizures (Diastat®, rectal)
Signs and symptoms; must have emergency care plan.
These are all emergency situations and the administration of
these medications can and will save lives!
Do or Die
EMERGENCY SITUATIONS
45. No employee or agent of the school shall administer
medication in emergency circumstances to any student unless
they have been trained and certified pursuant to DC Code 38-
51.04
A student need not have a known diagnosis or medication
action plan to receive treatment in emergency circumstances
from a trained employee or agent of the school
Emergency Care Plan should be in place for those students
with a known diagnosis.
ADMINISTRATION OF MEDICATION IN
EMERGENCY CIRCUMSTANCES
46. rDNA origin (hormone)—used for severe hypoglycemia
How to administer Glucagon – Review page 141 in your
Manual
https://youtu.be/OC-dcDgmXuI
http://pi.lilly.com/us/rglucagon-ppi.pdf (can print)
Phone app available.
Automatic 911 call
Give medication first and then call 911 if you are by yourself.
GLUCAGON
47. Epinephrine—used for anaphylactic reaction
How to administer an EpiPen®
https://www.epipen.com/en/about-epipen/how-to-use-epipen
Phone app available
Automatic 911 call
Give medication first and then
call 911 if you are by yourself.
EPIPEN®
48. Epinephrine—used for anaphylactic reaction
How to administer Auvi-Q®
Voice instructions
https://www.auvi-q.com/auvi-q-demo
Phone app available
Automatic 911 call
Give medication first and then
call 911 if you are by yourself.
AUVI-Q®
49. Epinephrine—used for anaphylactic reaction
http://adrenaclick.com/how_to_use_adrenaclick_epinephrine
_injection_USP_auto_injector.php#
Automatic 911 call
Give medication first
and then
call 911 if you are
by yourself.
ADRENACLICK®
50. Diazepam rectal gel—used for acute repetitive seizures
How to administer:
http://www.diastat.com/Portals/21/Pdf/Ped%20admin.pdf
(can print)
Automatic 911 call
Give medication first and then
call 911 if you are by yourself.
DIASTAT™
51. There are many different kinds of medication errors.
Giving too much medication (overdose)
Giving too little medication (under dosing)
Giving the wrong medication
Incorrect route
Incorrect time
Incorrect patient
Missed dose
If a student doesn’t show up to get their medication, you need to track
him/her down and administer the medication. It is not ok to just not give
it.
If a medication error occurs, you must contact the parent/guardian
immediately. You may also need to contact the doctor, pharmacy or in some
cases, poison control.
MEDICATION ERRORS
53. When a medication error occurs, a Medication Error Report
form should be completed.
This serves to examine how this error occurred and what could have
been done or can be done in the future to prevent it.
This serves as documentation of what the error was, who was
notified, if there were adverse effects on the student, etc.
MEDICATION ERROR REPORT FORM
It can be very difficult to
admit that you made a
mistake. When it
comes to medication,
you have no choice but
to notify the correct
people…parent, doctor,
pharmacist, school
administrator, etc.
There can be serious
adverse reactions and
those need to be
addressed.
54. This is an example of
the form that is used
at SFS.
Even “near misses” can
be and should be documented.
A near miss is when an error
didn’t occur, but it almost did.
56. DON’T…
Give a student somebody else’s medication
Skip a dose
Crush or break pills unless instructed to by a medical provider/pharmacist
Change the dose or timing
Give medication that is not in original package, bottle or container
DO…
Know the medication you are giving
Give the medication exactly how it’s prescribed
Have a written order from a medical provider
Follow the 6 Rights
Use two student identifiers
Watch expiration dates
Lock medication cupboard
Give in private, non-distracting setting
DO’S AND DON’TS
57. Factual information, no opinions.
Never white out, scribble over, cover up, or erase what has
already been written.
If error in documentation, draw single line through incorrect
information and initial.
Don’t use abbreviations.
Write legible so it is easy to read.
Black or blue ink is best, if handwritten. No pencil.
Computerized: nothing that has previously been a part of the
student’s medical file should ever be deleted.
RULE OF THUMB…
“IF IT’S NOT DOCUMENTED, IT’S NOT DONE”!
DOCUMENTATION
58. Family Education and Privacy Rights Act of 1974
FERPA:
http://www2.ed.gov/policy/gen/guid/fpco/ferpa/index.html
Health Insurance Portability and Accountability Act of 1996
HIPAA:
http://www.hhs.gov/ocr/privacy/
Health information should only be shared for purposes such as
continuation of care, to protect the health or safety of the student,
emergency situations, etc.
NEED TO KNOW BASIS
PRIVACY ACTS
59. ALL medications must be picked up by the parent/guardian at
the end of the year/trip.
Do not send the meds home with the students.
Proper notice should be given regarding the
medication pick-up procedures.
Any medications not picked up should be
destroyed or taken to an appropriate place.
Utilize drug take-back programs (many times
these are conducted by local law enforcement in
conjunction with U.S. Drug Enforcement
Administration).
END OF YEAR
60. Check prescription drug label to see if there are specific disposal
instructions.
Otherwise, follow these instructions:
Do Not flush meds down the sink or toilet unless you are specifically
instructed to do so.
Liquids and creams will be mixed with kitty litter, placed in a plastic bag
and thrown in the garbage
Pills will be crushed, dissolved in water, mixed with kitty litter, placed in
a plastic bag and thrown in the garbage
Inhalers will have all the medication expelled, the label removed or
obscured and the canister thrown in the garbage.
Make sure any personal information is not visible on
the prescription bottle and throw in garbage.
Disposal of any controlled substance will need verification by
both the school nurse and a second party.
Document the disposal
DRUG DISPOSAL
62. A student brings a baggie of Tylenol® to the school
Administrative Assistant stating that his mom said to drop it
off at the office because he has been struggling with
headaches. Mom told him if he needs it throughout the day,
the secretary can administer it. What is incorrect about this
scenario?
Student brought medication in. Medications should always be
brought in by parent or guardian.
Medication was not in original container.
Parent did not sign a medication administration consent form.
POST TEST
63. A guardian brings in a prescription bottle of Metadate ER 20
mg. All appropriate paperwork, including a written order, was
completed. The guardian states that the child has trouble
swallowing the pill and it should be crushed and mixed with
pudding so that the student can swallow the medication
better. What is incorrect about this scenario?
ER means extended release and these types of pills should never be
crushed (unless ordered by a medical provider or pharmacist). By
crushing the pill, it will disrupt the timing that the medication is
supposed to be released throughout the body.
POST TEST
64. A student presents to the school office at 10 a.m.
complaining of a bad headache. The school principal, who is
the trained medication administration staff member, looks
and sees that the student does have Ibuprofen and all of the
completed paperwork for this medication. The parent signed
the consent form and the student is to receive 1 tablet or 200
mg. The principal gives the student the Ibuprofen tablet after
confirming it was the correct student, medication and dose.
What is incorrect about this scenario?
The principal did not call the parent or guardian to determine if the
student had received any medications earlier in the day. By failing to
do this, there is potential that the student could be getting too much
Ibuprofen (overdose).
POST TEST
65. A fourth grade boy with ADHD has run out of his Intuniv. The
school Administrative Assistant has contacted his dad and
dad is in process of getting a prescription refill, but it won’t
be ready until the next day. In the meantime, the boy is really
struggling and so is his teacher. There is another student who
takes Intuniv and has plenty of medication at school. The
secretary decides she can borrow one days worth of Intuniv
from this other student and re-pay him as soon as the boy
gets his new prescription. That way the boy and the teacher
will have a better day. What is incorrect about this scenario?
The Administrative Assistant gave the student another student’s
medication. You can NEVER give somebody else’s medication to a
student.
POST TEST
66. A student, who is severely allergic to bee stings, was stung
while at recess. The school nurse is away from campus that
day so the student is brought to the office. There is an
emergency care plan for the student. It states that an EpiPen
Jr. is available and should be administered immediately if the
student is stung…even if there aren’t any immediate
symptoms. But, the secretary remembers that she is not
supposed to give injections. Should she give the EpiPen Jr.?
YES!! The Administrative Assistant should have received instruction
during annual EpiPen Training from the school nurse. This is also one
of those emergency situations and an exception for administering
parenteral (injectable) medications. The secretary SHOULD
administer the epinephrine then call 911 immediately.
POST TEST
67. A parent brings in some regular strength Tylenol for her 9 year
old daughter. She completed the appropriate paperwork with
the school nurse. According to the label on the Tylenol, the
correct dose for the girl is 1 tablet or 325 mg. Mom states
that she always gives her daughter 2 tablets or 650 mg
because that works better for her. Can you give the girl the
650 mg (2 tablets)?
NO, you cannot administer medication off label. This means not
following the recommended directions. If mom insists on 2 tablets,
she will have to administer the medication or you will have to get a
written order from the girl’s healthcare provider stating that that
dose is appropriate. You cannot administer the increased dose until
the written order from the healthcare provider is returned.
POST TEST
68. The school nurse suddenly got the stomach flu and had to
leave for the day. A diabetic student is just finishing lunch and
needs her insulin. The school Administrative Assistant has
been trained in medication administration. Can she give the
insulin?
Yes, in this case, a nurse, trained medication administration aide
(under the direction of the nurse) or parent must be the one to
administer the insulin.
POST TEST
69. A student is scheduled to meet a teacher trained to
administer medication in a private area while away on an
overnight trip. The student is supposed to take his ADHD
medication, Ritalin, at lunchtime. He doesn’t show up so the
trained medication administration staff member thinks to
himself, “I guess missing one day won’t hurt, I will make sure
he gets his dose tomorrow.” Is this ok?
No, it is not ok to let a student skip their medication dose. The
student will need to be tracked down so that he can receive his
medication.
POST TEST
70. While away on an overnight school-sponsored trip, a student is
on Keppra, a seizure medication, for epilepsy. The student has a
medical care plan, the medication, and all of the appropriate
paperwork for that medication. The student is to get 125 mg in
the morning and 125 mg in the afternoon for a total of 250 mg
per day. The trained medication administration staff member
realizes that today she accidentally gave 250 mg each time, so
500 mg for the day. What should she do?
Admit the mistake right away.
Call Poison Control if in the United States
Call the medical provider (who prescribed the medication) or pharmacist
to get instructions as to what needs to be done.
Call the parent.
Complete a medication error form and document everything that
happened.
Notify school administrators
POST TEST
71. A student is in the front office to receive his Metadate from the
school administrative assistant (AA). There are two other
students sitting by the principals office, a parent waiting to talk
to the AA and a custodian fixing a burned out lightbulb in the
same area. The meds are stored in the vault. The secretary
unlocks the vault and the student is handed a medicine cup with
his medication. Suddenly, a teacher yells down the hall asking
the secretary for help. She takes off down the hall to help the
teacher. What is wrong with this scenario?
Busy area—medication administration should be in a quiet, non
distracting environment.
This area does not provide privacy for the student who is taking the med.
Other students, parents, and staff could see exactly where the
medications are stored.
The AA ran off without locking the vault again. Other people now have
access to the medications.
The AA didn’t observe the student taking his medication. Did he really
take it? Did he pocket it? Did he give it to another student?
POST TEST
72. This is to certify that:
(Name)______________________________________________
Has completed the training on Medication Administration in the
School Setting for the _________ school year.
Instructor Signature_______________________________ date___________
(Must be an RN)
Trainee Signature_________________________________ date___________
CERTIFICATE OF COMPLETION