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1 Medication Administration The Five Rights Adapted from a presentation by Division for Perinatal, Early Childhood, and Special Health Needs Massachusetts.

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Presentation on theme: "1 Medication Administration The Five Rights Adapted from a presentation by Division for Perinatal, Early Childhood, and Special Health Needs Massachusetts."— Presentation transcript:

1 1 Medication Administration The Five Rights Adapted from a presentation by Division for Perinatal, Early Childhood, and Special Health Needs Massachusetts Department of Public Health 2009

2 606 CMR 7.11(1 – 3) EEC Standards Regarding Medication Please review the regulations before completing this training The regulations can be downloaded at

3 Rationale for Training Benefits of Medicines: Cure infection Prevent chronic disease Ease pain and suffering Risks from Medicines: Injury Illness More than 700,000 emergency department visits annually

4 Young Children At Risk Children <5 years old = 98,000 emergency visits per year Children find and eat or drink medicines Correct dosing is critical

5 Get Ready Prepare the environment Take your time Be cautious Eliminate distractions THINK FIRST

6 Wash Your Hands! Wash your hands before and after administering medication to an individual child.

7 7 EEC Regulations Medication administration requires: Plan/policy for administration Written physician’s instructions* Written parental consent Documentation Proper/safe storage and disposal

8 Medication must be administered in accordance with physician’s orders. 8 EEC Regulations

9 9 Medication Plan Initial Steps Obtain written order (Rx) from health care practitioner* Obtain written consent from parent Verify that child has taken this medication before Before giving any medication: *Note: Written order from health care practitioner is not required for non-prescription (over-the-counter) medications in family child care homes.

10 10 New Training Regulations Every person who administers medication must be trained, and must demonstrate competence.

11 11 Training Requirements 5 “Rights” of medication administration Recognizing side effects/adverse reactions

12 12 The “5 Rights” of Medication Administration Right Medication Right Child Right Time Right Dose Right Route

13 13 Right Child ? Compare the label to the parent permission form Check ID with another educator Verify with a picture Ask the child (if appropriate)

14 14 Right Medication? labeled original bottle Check the label three times When removing When pouring When returning

15 15 Right Dose? Do not guess! Use a standardized measuring device. Give the exact amount ordered.

16 16 Right Time? Check with parent Check the medication log

17 17 Right Route? Check the pharmacy label chewed or swallowed (mouth) inhaled (nose or mouth) dropped (ears or eyes) applied/topical (skin)

18 18 Documentation Permission form Medication log For each child For each medication Signature or initials of person administering each dose Spills or refusals reactions or side effects

19 19 Documentation Omissions Errors

20 20 Common Adverse Reactions Difficulty Breathing Rash Drowsiness and/or confusion Nausea and/or vomiting Headache Muscle Weakness Severe stomach cramps and diarrhea

21 21 Medication Storage Maintain a secure area inaccessible to children. Store medication separately from food and toxic materials. “Controlled substances” must be locked. Rescue Meds must be immediately available!

22 22 Refrigerated Storage Read label for instructions. Refrigerate when necessary. Keep a separate refrigerator, or a separate (inaccessible) container within refrigerator.

23 23 Disposal of Unused Medication Return directly to parent Discard as recommended by the DPH Drug Control Program ( )

24 24 Thank you for your attention to this training. To check your understanding of the information presented, please answer the questions that follow.

25 25 1. According to EEC regulations, who must be trained to give medication to children? a. Parents b. Program Administrator c. All educators d. Any educator who will give medication.

26 26 2. What are the “Five Rights” of medication administration? a. Right hand, right child, right staff, right medication, right route b. Right child, right staff, right medication, right color, right time c. Right staff, right medication, right route, right time, right dose d. Right child, right medication, right dose, right time, right route

27 27 3.When should you check the label on the medication? a. When you take the medication out of the cabinet b. When you pour the medication out of the bottle c. When you put the medication back in the cabinet d. All of the above

28 28 4.Who needs to know about possible side effects /adverse reactions of medication? a. Parents b. Educators who give medications c. The Licensee d. The children e. All educators in a child care program

29 29 5. Which of the following are signs of adverse reaction to medication? a. Difficulty Breathing b. Rash c. Drowsiness d. Nausea or vomiting e. Headache f. All of the above

30 30 6. When must medication administration be documented? a. Immediately after each dose is given b. Once a day c. When the medication is finished d. All of the above

31 31 7. Which of the following circumstances must be documented? a. Whenever a medication is given b. Whenever a medication is forgotten c. Whenever the wrong dose is given d. Whenever a medication is spilled e. Whenever a child refuses to take his/her medication f. All of the above

32 32 8. What should you do with unused medication? a. Flush it down the toilet b. Return it to the parent c. Throw it in the trash d. Save it for another child who might need it

33 33 9. How do you know you are giving the right amount of medication? a. Check the label and use a standard measuring device b. Check the label and use a kitchen spoon to measure c. Determine the child’s height and weight and estimate d. Mix it up in applesauce and hope the child eats it all

34 What should you do if you make a medication error? a. Document the error in the child’s medication log. b. Monitor and observe the child. Do not leave the child alone. c. Complete an incident report. d. Notify the parent. e. Notify EEC, if hospitalization results or the wrong medication is given. f. All of the above.

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