medication administration a training for school personnel school health services crook county school...
TRANSCRIPT
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Medication Administration
A Training for School Personnel
School Health ServicesCrook County School District
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The Law● The law covers only non-injectable
medication.● Administrative rules were adopted by
Oregon Department of Education. ORS 339.867 – 339.870
● Designated school personnel are now required to receive appropriate training annually for the administration of prescription and non-prescription medication.
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The Law (cont.)● School districts may not require school
personnel who have not received appropriate training to administer medication to students.
● Administration of non-prescription medication by school personnel requires written instructions from the student’s parent.
● School districts must adopt policies and procedures for this rule including policies which address students self medication.
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Administrative Rule The definition of physician includes
these people licensed by the respective licensing board in the State of Oregon or an adjoining state:
● Doctor of Medicine or Osteopathy● Physician Assistant● Nurse Practitioner● Dentist● Optometrist● Naturopathic Physician
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Administrative Rule● Separates prescription and non-
prescription medication● Excludes dietary/food supplements● Requires school personnel to be
responsible only for prescription medication scheduled to be given during school hours, or non-prescription medications necessary for the child to remain in school.
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Training
● Administrators are responsible for selecting regular and back-up staff.
● Only trained staff can administer medication.
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Prescription Medications
● Does not include injectable drugs!● Must be prepared and labeled by
pharmacist.● Administered only if required
during school hours.● Requires signed permission and
instruction from parent.
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Prescription Medications
● Requires written instructions from a physician (a prescription label meets this requirement).
● Must be in original pharmacy container.
● Verbal physician orders can only be taken by a licensed nurse.
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Non-Prescription Medications
● Age appropriate dosage (dosage must be consistent with the manufacturers guidelines) i.e. Ibuprofen.
● Commercially prepared.● Non-alcohol based.● Necessary for student to remain in
school.
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Non-Prescription Medications
● Require:● Written parent permission● Student name● Medication dosage, frequency, route
● Must be in original container.
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Five Rights
● Right Student● Right
Medication● Right Dose● Right Time● Right Route
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Handling Medications● Obtain water from a clean source.● Do not obtain water from sink
where first aid is provided.● Always wash your hands prior to
giving medication.● Avoid touching medication.● Wear gloves if placing medication
in student’s mouth.
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Handling Medication● Tablets require cutting should be
cut by the parent and sent to school.
● Parents should provide pill crusher if pills need to be crushed.
● Ask parents to provide calibrated instruments for measuring liquid medication (kitchen spoons are not accurate).
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Routes Of Medication
● Oral● Tablets● Capsules● Syrup, elixirs, and suspensions
● Topical● Skin● Eyes● Ears● Nose
● Inhaled● Mouth● Nose
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Rectal medication administration and nebulizer treatments will not be taught in this training. They must be delegated in accordance with Oregon law.
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Asthma Inhalers
OSBA POLICYSupports the need for
students to carry asthma inhalers
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Safe Storage And Handling
● STORE ALL MEDICATION in original containers in secure place.
● NEVER administer medications from an unlabeled container.
● NEVER empty medication into a plastic bag or other container
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Safe Storage and Handling
● STORE medications in a clean, locked cabinet.
● CERTAIN medications require counting upon arrival at school.
● REFRIGERATION is required for some medication.
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Safe Storage and Handling
● MEDICATION should be brought to school and returned home by the parent. Do not allow students to carry medications home without parent permission which must be documented.
● CHANGES in medication instructions must be made by parent in writing. DO NOT act on verbal request.
● FOLLOW district policy for disposal of unused medications e.g.:● Regulated waste
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Documentation—If it’s not documented, it wasn’t done!● Documentation must be accurate
and legible.● Document in blue or black ink.
Never use pencil.● Never use white out. ● If you make a mistake in entry,
cross through and mark “ME” (mistaken entry).
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Confidentiality
● Student medication files are CONFIDENTIAL.
● Access limited to authorized school staff and parents.
● Parent authorization required for release of information.
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Retaining Medication Records
● Medication records should by filed at end of school year in:● Student health record for students
without an IEP.● Special Education Files for students
with an IEP.
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Handling Unexpected Situations● Student does not come for medication at scheduled
time.● Send for● Document● Notify parent
● Student refuses medication.● Encourage● Document● Notify parent
● Student vomits or spits out medication.● Document● Notify parent● Check for symptoms of communicable disease
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Medication Errors ● Report medication errors
immediately to school nurse, building administrator, and parent● Omissions● Medication administered to wrong
student● Inaccurate dose or wrong medication● Wrong time● Incorrect route
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Side Effects● All medication has the potential for
side effects.
● Refer to “Medication Fact Sheet.”
● Report promptly any unusual symptoms or behaviors to school nurse and parent.
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Student Self-Medication● Requires no assistance.● Requires no documentation that
medication was taken.● Student and parent to sign a self-
medication agreement and have on file with Medication Authorization form in the office.
● Controlled substances to be discussed with the School Nurse.
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Field Trips or off-Campus Activities
● Staff person trained in medication administration must accompany group if medications will be required.
● Keep in original container.● Sign in and out.● Document administration on
return.
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Medication Alert● School staff are protected by
careful observation of regulations of the medication law, rules, and their own district policy.