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Medication Administration Annual Review A Training for School Personnel February 2007 Revised June 2008 Begin Exit.

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Presentation on theme: "Medication Administration Annual Review A Training for School Personnel February 2007 Revised June 2008 Begin Exit."— Presentation transcript:

1 Medication Administration Annual Review A Training for School Personnel February 2007 Revised June 2008 Begin Exit

2 Welcome to KCSD annual medication administration re-training. This program contains information required by law to administer medications to school students. In order to complete this training, you must have previously attended a course presented by one of the nurses. Please read all of the information and complete the quiz. Following the quiz, there is a survey. This information is required and will assist in improving this course and developing others. You must include your name, building, and date. This information is required for our records. If this is your first time completing this course, allow 1/2 hour to do so. Next BackNextBack Exit

3 Goal This training is intended for non-nurse school staff who have been assigned to give medications in school, following the legal guidelines of ORS to and OAR ORS to OAR Next BackNextBack Exit

4 The Law Administrative rules were adopted by the Oregon Department of Education in 1997, and amended by the legislature in School districts must adopt policies and procedures for this rule including policies which address student self medication. Back Next Exit

5 What the Law Says Administrator must select regular and back up staff Designated school personnel are REQUIRED to receive training annually ONLY trained staff can administer medication Training program must be approved by Oregon Department of Education Back Next Exit

6 Oregon Dept of Education Initial training must occur face-to- face with a nurse Annual retraining can be completed online Next Back Exit

7 Note: Only non-injectable medications are covered by this law Nebulizer treatments, injections and rectal medication administration will not be taught in this training Back Next Exit

8 Three Types Non-prescription medication Prescription medication Student self-administered medications Back Next Exit

9 Non-Prescription Medication Commercially prepared Original container Non-alcohol based Necessary for student to remain in school Includes cough drops and antacids (e.g. Tums) Back Next Exit

10 Non-Prescription Medication Require: Written parent permission & instructions Can be faxed Student name Medication name Medication dosage, frequency, route Must provide own medication Back Next Exit

11 Prescription Medications Law requires school personnel to be responsible only for prescription medication scheduled to be given during school hours. Back Next Exit

12 Prescription Medication Does not include injectable drugs Must be prepared and labeled by a U.S. pharmacist and be in the original pharmacy container Back Next Exit

13 Prescription Medication Requires written instruction from a physician Prescription label meets this requirement Requires signed permission and instruction from parent Medication Permission Form New medication permission form must be completed each year Administered only if required during school hours Back Next Exit

14 These People Can Write Orders: Doctor of medicine/osteopathy/naturopathy Physician assistant Nurse practitioner Dentist Optometrist Back Next Exit

15 Student Self-Medication Student must be able to carry and self-medicate, without assistance No staff documentation necessary Must be in original container May only carry one days supply at a time Back Next Exit

16 Self-Medication Changes for Can self-medicate at all schools Requires Self-Medication Permission FormSelf-Medication Permission Form Requires medical order –Only for prescription medication –Can be on the label Requires principal permission –Can be revoked Requires parent to provide back-up inhalers & EpiPens to be kept in the office Next Back Exit

17 Routes of Medication Oral –Tablets, capsules, elixirs or suspensions Topical –Skin, eyes, ears, nose Inhaled –Mouth or nose Back Next Exit

18 Oral Medication Oral medicine should be followed with water Obtain water from a clean source Do not obtain water from sink where first aid provided Back Next Exit

19 Oral Medication Tablets requiring cutting should be cut at home and sent to school Parents should provide pill crusher if pills need to be crushed Have parents provide calibrated spoon/cup if needed for liquid medication Back Next Exit

20 Topical Medication Ointments Apply to a clean surface Do not apply with your bare hands Use a cotton tipped applicator or gauze pad to apply medication Back Next Exit

21 Topical Medication Eye Drops/Ointment Administer with student laying down or head tilted back Apply drops or ointment without touching container to eye or skin Do not administer directly to eyeball Apply to inner portion of eye, close to nose Back Next Exit

22 Topical Medication Ear Drops Lay child on side opposite of ear you are medicating While gently pulling up and back on ear, instill correct number of drops Do not touch tip of container to ear or skin Leave child on side for a short time Back Next Exit

23 Topical Medication Nose Drops Have student lay with head back over a rolled pillow Instill drops in nostril Keep student in this position for a few minutes Observe for signs of choking or vomiting Back Next Exit

24 Inhaled Medication Student should be capable of self- administering inhaler If student continues to experience difficulty breathing 5 minutes after using inhaler –Call parent and/or Back Next Exit

25 Five Rights Right student Always ask the students name Right medication Check the label Right dose Check the label Right time Can be given 30 min before or after the time stated on the label Right route Check the instruction on the label Back Next Exit

26 Safe Storage and Handling Store medications in a clean, locked cabinet NEVER administer medications from an unlabeled container Narcotics, stimulants, and barbiturates should be counted upon arrival at school May be counted with parent or trained school staff Check with district nurse if you are unsure Back Next Exit

27 Safe Storage and Handling Medication should be brought to school and returned home by the parent. Do not allow students to carry medications home Changes in medication instructions must be made by parent and/or physician in writing. DO NOT act on verbal requests Only a licensed nurse can take verbal orders from a physician Back Next Exit

28 Safe Storage and Handling Refrigeration is necessary for some medications Many liquid medications need to be shaken well Beginning refrigerated meds need to be locked District will provide lock boxes Back Next Exit

29 Handling Medications Always wash your hands Avoid touching medication Wear gloves if placing medication in student’s mouth Back Next Exit

30 Handling Medications Do Not leave meds unattended Prepare for one student at a time Compare medication label with Medication Log Medication Log Next Back Exit

31 Disposal of Medication Notify parent of unused medication Any unclaimed medication should be placed in sealable container in the presence of two staff members Prescription Medication must be counted and the number of pills documented Bring sealed container to DO during secretary check-out Note parent contact and medication disposal on Medication Log; sign by both staff membersMedication Log Back Next Exit

32 Record Keeping Legal document –Ink –Students legal name and DOB –Medication Permission FormMedication Permission Form –Medication LogMedication Log –Sign initials in log right after giving Back Next Exit

33 Record Keeping Only one student on each form No white-out –If an error is made Put a single line through it Initial and date it If there is a dose change –Begin a new line on the Medication LogMedication Log Back Next Exit

34 Retaining Medication Records Send completed forms to the DO If medication is complete The student moves At the end of the school year They will be filed in Student Health Folder In SpEd file if student has an IEP Back Next Exit

35 Three Most Common Unexpected Situations 1.Student does not come at scheduled time 2.Student refuses medication 3.Student vomits or spits out medication Back Next Exit

36 Student Does Not Come at Scheduled Time Send for Student Document Notify Teacher Parent Nurse Back Next Exit

37 Student Refuses Medication Encourage Document Notify Parent Nurse Back Next Exit

38 Student Vomits Or Spits Out Medication Document Notify Parent Check for symptoms of illness Fever Stomachache Headache Back Next Exit

39 Side Effects & Allergic Reactions All medication can cause side effects or allergic reactions Know where EpiPens are kept and who is certified to use them Teachers should be aware of students taking medication Report promptly any unusual symptoms or behaviors to district nurse and parent Back Next Exit

40 Prevent Errors Take your time Do not allow yourself to be rushed Work with one student at a time Always follow the “5 rights” Record medication immediately after giving on the Medication LogMedication Log Next Back Exit

41 What Are Medication Errors? Dose not given Medication given to the wrong student Inaccurate dose or wrong medication Wrong time Incorrect route Back Next Exit

42 Medication Errors Accidents Happen Report medication errors immediately to district nurse and building administrator Nurse will contact parent Complete Accident/Incident Analysis Back Next Exit

43 Field Trips and Off- Campus Activities PLAN AHEAD! Staff person trained in medication administration must accompany group if medications will be required Document administration on a copy of the Medication Log while on field trip and on the original when you return Recommend notifying nurse two weeks prior to trip if medication training is necessary Back Next Exit

44 Field Trip Supplies Copy of Medication LogMedication Log Medication in original container Hand cleaner Drinking water Safe container to transport Back Next Exit

45 Confidentiality Student medication files are CONFIDENTIAL Access limited to school staff with a legitimate “need to know” Parent/Guardian authorization is required for release of information Back Next Exit

46 Remember! Once KCSD has received a signed permission slip and medication, it is our responsibility –To administer it appropriately and on time (30 mins before or after time on prescription) –Monitor medication supply Back Next Exit

47 Parent Communication Avenues of communication to parents: Registration Student Handbooks School Newletters Informational Packets Back Next Exit

48 Dealing with Concerned Parent Validate parent emotions Remind them - student safety is the priority Share written information Include district nurse and administrator Set boundaries and ensure your own safety Back Next Exit

49 Establishing a Cooperative School Environment Success requires a team effort Include teacher in planning student’s medication needs Back Next Exit

50 Staff Protection School staff are protected by careful observation of regulations of the medication law, rules, district policy Nurse’s responsibility is to provide proper training Your responsibility is to follow the instruction Back Next Exit

51 Remember! NO Baggies NO Envelopes NO Medication Boxes Back Next Exit

52 If you have any questions or concerns call a nurse before giving the medication NextBack Exit

53 Medication Administration Quiz BeginExit

54 Question #1 Never give medication sent to school in a baggie. True False Exit

55 Correct All medication must be in the original container properly labeled with the name of the student, name of the medication, dose, route, and frequency of administration. Next question Exit

56 Incorrect Law states all medication must be in the original container properly labeled with the name of the student, name of the medication, dose, route, and frequency of administration Back Exit

57 Question #2 If a parent calls saying the doctor has increased the dose from one pill to two, always follow the parent’s instructions. True False Exit

58 Incorrect Medication must be given as directed on the prescription label. Written instructions from the doctor or a new prescription label are required to change the dose. Back Exit

59 Correct Medication must be given as directed on the prescription label. Written instructions from the doctor or a new prescription label are required to change the dose. Next question Exit

60 Question #3 Once a staff member has been trained to give medication by the nurse, they only need more training if the laws regarding medication administration change. True False Exit

61 Incorrect Oregon law states yearly instruction must be provided to designated school staff on the administration of medication. Back Exit

62 Correct Oregon law states yearly instruction must be provided to designated school staff on the administration of medication. Next question Exit

63 Question #4 A good way to assure the appropriate students receive their medication each day is to keep a list on the cabinet or refrigerator True False Exit

64 Correct Student medication information is confidential and should be shared only with staff who have a legitimate “need to know” Posting such information where students, parents, general staff can view it is a breech of confidentiality Next question Exit

65 Incorrect Student medication information is confidential and should be shared only with staff who have a legitimate “need to know” Posting such information where students, parents, general staff can view it is a breech of confidentiality Back Exit

66 Question #5 Alcohol-based cough syrup can be given at school with written permission from a parent True False Exit

67 Incorrect The law defines non-prescription medication as: commercially prepared, non- alcohol based medication to be taken at school that is necessary for the child to remain in school. This includes eyes, nose and cough drops, cough suppressants, analgesics, decongestants, antihistamines, topical antibiotics, anti-inflammatories and antacids that do not require written or oral instructions from a physician. Non- prescription medication does not include dietary food supplements Back Exit

68 Correct The law defines non-prescription medication as: commercially prepared, non-alcohol based medication to be taken at school that is necessary for the child to remain in school. This includes eyes, nose and cough drops, cough suppressants, analgesics, decongestants, antihistamines, topical antibiotics, anti-inflammatories and antacids that do not require written or oral instructions from a physician. non- prescription medication does not include dietary food supplements. Next question Exit

69 Question #6 If a parent sends a pill bottle with the students name on it to school and keeps the original pill bottle at home, it is OK to give the medicine. True False Exit

70 Correct Prescription medication must be in the original container with a pharmacy label attached Only a licensed pharmacist can legally package and label medication Next question Exit

71 Incorrect Prescription medication must be in the original container with a pharmacy label attached Only a licensed pharmacist can legally package and label medication Back Exit

72 Question #7 When a parent asks you to give their child two Children’s Tylenol for a headache, it is OK to do so if you have the medicine. True False Exit

73 Correct Oregon law requires written permission and instruction from the student’s parent to administer non-prescription medication It is the parent’s responsibility to provide a student’s medication Next question Exit

74 Incorrect Oregon law requires written permission and instruction from the student’s parent to administer non-prescription medication It is the parent’s responsibility to provide a student’s medication Back Exit

75 Question #8 When the trained medication person is absent, the principal can have another staff member give medicine even if they have not been trained. True False Exit

76 Incorrect Law states school staff designated to administer medication must receive yearly training Back Exit

77 Correct Law states school staff designated to administer medication must receive yearly training Next question Exit

78 Question #9 Any student can carry and administer their own non-prescription medication if their parent writes it on the permission slip. True False Exit

79 Incorrect Any student may carry and self- medicate non-prescription medication with: –Written parental permission Self- Medication Permission FormSelf- Medication Permission Form –Principal permission Medication must be in original container Student may only carry one days supply of medication at a time Back Exit

80 Correct Any student may carry and self- medicate non-prescription medication with: –Written parental permission Self- Medication Permission FormSelf- Medication Permission Form –Principal permission Medication must be in original container Student may only carry one days supply of medication at a time Next question Exit

81 Question #10 Students may carry and self-administer cough drops as long as their parent sends them with the student True False Exit

82 Correct Cough drops and antacids (e.g. Tums) are considered non-prescription medication and require: –Student to provide their own medication –Written parental permission & instructions to include: Student name Medication name Medication dose, frequency, route Next question Exit

83 Incorrect Cough drops and anti-acids (Tums) are considered non-prescription medication and require: –Student to provide their own medication –Written parental permission & instructions to include: Student name Medication name Medication dose, frequency, route Back Exit

84 Question #11 All medication should be stored in a clean, locked cabinet. True False Exit

85 Correct All medication should be stored in a clean, locked cabinet Refrigerated medication must be stored in a locked container in the refrigerator Next question Exit

86 Incorrect All medication should be stored in a clean, locked cabinet Refrigerated medication must be stored in a locked container in the refrigerator Back Exit

87 Question #12 If a student vomits after taking their medication, be sure to send a note home to the parent. True False Exit

88 Incorrect If a student vomits after taking their medication Document Observe for signs of an allergic reaction Check for signs of illness Contact parent Back Exit

89 Correct If a student vomits after taking their medication Document Observe for signs of an allergic reaction Check for signs of illness Contact parent Next question Exit

90 Question #13 When an eighth grade student does not come for their medication, it is their own problem; they are old enough to be responsible. True False Exit

91 Incorrect Once we have received medication and a signed permission slip from a parent, we are responsible for getting the medication to the student within ½ hour of the designated time If a student does not come for scheduled medication –Send for the student Back Exit

92 Correct Once we have received medication and a signed permission slip from a parent, we are responsible for getting the medication to the student within ½ hour of the designated time If a student does not come for scheduled medication –Send for the student Next question Exit

93 Question #14 When a student requiring medicine is going on a field trip, put their pills in a zip-lock bag with the students name and instructions, and give them to the teacher. True False Exit

94 Incorrect Prescription medication must be in its original container with a proper pharmacy label attached non-prescription medication must be in its original container, labeled with the students name Anyone dispensing medication at school must receive annual, ODE approved training. Back Exit

95 Correct Prescription medication must be in its original container with a proper pharmacy label attached non-prescription medication must be in its original container, labeled with the students name Anyone dispensing medication at school must receive annual, ODE approved training. Next question Exit

96 Question #15 A student is given the wrong medication in error. The best thing to do is make the student vomit the medicine. True False Exit

97 Incorrect Never induce vomiting Medication errors must be reported to the nurse immediately Medication errors include: –Failing to give a dose –Giving medication to the wrong student –Giving medication at the wrong time –Giving the wrong medication or the wrong dose –Giving the medicine by the wrong route If a nurse is not immediately available, you may call Poison Center Back Exit

98 Correct Never induce vomiting Medication errors must be reported to the nurse immediately Medication errors include: –Failing to give a dose –Giving medication to the wrong student –Giving medication at the wrong time –Giving the wrong medication or the wrong dose –Giving the medicine by the wrong route If a nurse is not immediately available, you may call Poison Center Next question Exit

99 Question #16 Teachers should know when their students are taking medication, in spite of confidentiality laws. True False Exit

100 Correct Teachers have a “legitimate educational interest” in students taking medications All medication has the potential to cause side effects All medication has the potential to cause an allergic reaction Next question Exit

101 Incorrect Teachers have a “legitimate educational interest” in students taking medications All medication has the potential to cause side effects All medication has the potential to cause an allergic reaction Back Exit

102 Question #17 Always use pencil when recording medications so that you can make changes if a mistake is made. True False Exit

103 Incorrect Medication records are legal documents Must be written in ink When you write on the medication log, initial what you have written If your initials are on the log, place your initials and signature in the appropriate spot on the bottom of the log Back Exit

104 Correct Medication records are legal documents Must be written in ink When you write on the medication log, initial what you have written If your initials are on the log, place your initials and signature in the appropriate spot on the bottom of the log Next question Exit

105 Question #18 At the end of the year, send all of the medication logs to Health Services at the DO. True False Exit

106 Correct Send completed Medication Logs to the DO –If the medication is complete –The student moves –At the end of the school year Next question Exit

107 Incorrect Send completed Medication Logs to the DO –If the medication is complete –The student moves –At the end of the school year Back Exit

108 Question #19 When the prescription label says to give the medicine at 12:00 and lunch is at 11:45, it is OK to give before lunch. True False Exit

109 Correct Medication is to be given within ½ hour before or after the designated time Next question Exit

110 Incorrect Medication is to be given within ½ hour before or after the designated time Back Exit

111 Question #20 The 5 Rights of Medication Administration include: Right Student Right Medication Right Dose Right Time Right Route True False Exit

112 Correct If the person administering the medication always follows the “5 Rights”, it is unlikely an error will occur. Next Exit

113 Incorrect Right Student-always ask their name, even if you know them Right Medication-read the prescription label and compare it to the medication log Right Dose-give the exact amount specified by the physician on the label Right Time-check the medication log for the time it is to be given. Up to 30 minutes before or after the prescribed time is OK Right Route-always check the label which will tell you if it is to be taken by mouth, rubbed on the skin, or put in an ear Back Exit

114 References Oregon Department of Education. nurses/medicationadmin.pdf Accessed April 21, nurses/medicationadmin.pdf Oregon Administrative Rules, Chapter Administration of Prescription and Nonprescription Medication to Students (2005). Oregon Revised Statutes, Chapter Administration of medication to students; rules (2001). Perry, A. G. & Potter, P. A. (2006). Clinical nursing skills & techniques (6th ed.). Philadelphia: Mosby. Next

115 You have now completed the review. Click next to submit the results and complete a survey. The survey must be completed to document your training. Next


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