1. Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

2. Act 160 Effective Dates  School Nurse Definition - Adm. Rule December 30, 2010  Administration of Drugs to Pupils – March 1, 2011

3. Medication Law – Chapter 118.29  Definition of Drugs  Packaging of Drugs  Training  Documentation

4. Definitions  Drug” means any substance recognized as a drug in the official U.S. pharmacopoeia and national formulary or official homeopathic pharmacopoeia of the United States or any supplement to either of them.  “Drug product” means a specific drug or drugs in a specific dosage form and strength from a known source of manufacturer.

5. Packaging of Drugs  Prescription drugs must come in legible pharmacy labeled containers.  Non-prescription drugs must come to school in the original manufacturer’s packaging with ingredients and recommended therapeutic dose.  Supplied by parent.

6. Training  DPI Approved Training  Knowledge  Skill component for non- oral medications  Determined in frequency and content – Adm. Rule  Civil Liability Exemption for school administrators and personnel contingent on training occurring

7. Documentation  Each dose medication administered administered  Medication errors

8. Resources  Q and A regarding DPI Approved Training End of School Year (available after rule passes)  DPI Medication training website: http://dpi.wi.gov/sspw/ medtraining.html http://dpi.wi.gov/sspw/ medtraining.html http://dpi.wi.gov/sspw/ medtraining.html

9. Wisconsin Department of Public Instruction Presents the Wisconsin School Meds On-Line Training Course

10. What is the School Meds On- Line Training Course?  Purpose – SAFETY  Program relationship with the school nurse  Medication administration resources

11. How is the medication on- line training course organized?  Course 1  Course 2  Course 3

12. Course 1  Unit 1 – Wisconsin Law and Regulation  Unit 2 – Confidentiality  Unit 3 – Authorized Role  Unit 4 – Classification of Medication  Unit 5 – Handwashing  Unit 6 – The Five Rights  Unit 7 – Documentation  Unit 8 – Giving Tablets, Capsules and Sprinkles  Unit 9 – Oral Liquid Medication  Unit 10 – Medication Errors

13. Course 2  Unit 1 – Topical Skin Administration  Unit 2 - Eye Medication Administration  Unit 3 – Ear Medication Administration  Unit 4 – Inhalers  Unit 5 – Self- Administration of Medication  Unit 6 – Gastrostomy Tube  Unit 7 - Nebulizers

14. Course 3  Unit 1 - Epinephrine  Unit 2 - Glucagon  Unit 3 - Diastat

15. Individual access to units in course 2 & 3 Certificates for successful completion Wisconsin SchoolMeds: http://www.wisconsins choolmeds.com/

16. Training Administrator One per district One per district Resource section Resource section Registration Registration Same registration password for the course Same registration password for the course Reports who trained in school district time and person Reports who trained in school district time and person

17. Webcasts/Test Save a Life with Save a Life with – EpiPen® – Twinject® Save a Life with Glucagon® Save a Life with Glucagon® Save a Life with Diastat Acudial® Save a Life with Diastat Acudial® Rescue Inhaler – Help Student Breathe Better Rescue Inhaler – Help Student Breathe Better

18. CompetencyChecklist Oral Oral Topical Topical Eye Eye Ear Ear Inhaler Inhaler G Tube – Low profile and tube G Tube – Low profile and tube Nebulizers Nebulizers Epinephrine Epinephrine Rectal Diazepam Rectal Diazepam Glucagon Glucagon

19. Access to DPI Webpage http://dpi.wi.gov/home.h tml Search Box Search Box – Medication Training – School nursing program

20. Questions Questions Rachel Gallagher, RN, CPNP, NCSN DPI School Nurse Consultant Rachel.gallagher@dpi.wi.gov (608) 266-8857