1. Washington County School District Health Services Training Module
MEDICATION
ADMINISTRATION
Welcome to the Washington County
Health Services Training Module
This information is being made available to school personnel who may be called on to assist students with medication administration. Let’s get started!

2. Medication Law
Utah Code 53A Allows school personnel to administer medication if: 1 2 3 4 5
Aug
Sept
Oct
Nov
PRESCRIBING PRACTITIONER AUTHORIZATION: I have determined that the above described medications and routes of administration are medically necessary during school hours to maintain this child’s physical health.
Signature_____________________ Date__________
PARENT/GUARDIAN AUTHORIZATION: The school authorized personnel have my permission to administer the above medication. I will also adhere to the following conditions of this agreement:
Signature_____________________ Date_________
Utah Code 53A
Allows school personnel to administer medication if:
Medication is properly identified (with a pharmacy label).
Medication is kept safe in a locked unit by the school.
Designated volunteer employees are trained by the School District Nurse
The school maintains records of administration of medication
Medication Authorization forms are signed by the parent or guardian and
the physician
School personnel and their employer are not civilly or criminally liable for any adverse reactions as a result of taking or discontinuing the medication so long as personnel are substantially compliant with the written prescription.
Maintains
Records of
Administration
Authorization
Forms Signed
Pharmacy
Label
Locked
Unit
Trained by
School Nurse
School Personnel are not civilly or criminally liable for adverse reactions,
nor from discontinuing medication when compliant with the prescription

3. Medication Exceptions
Utah Nurse Practice Act Rules: R156-31d-701a
The following medications are not allowed to be delegating
to school personnel
Medications with known frequent side effects that
can be life threatening
Medications that require a student’s vital signs or
oxygen saturation to be monitored before, during or
after administration
Medications that require nursing assessment or
judgment prior to, or immediately after administration
The first dose of a new medication or the first dose after
a change in doses.

4. Washington County School District
WCSD Policy 2320 establishes procedures for safe administration of medication to students and self administration
by students during school hours in accordance with
Utah Law 53A
Contact your nurse if you have concerns about
a request authorization for medication.
“WCSD has the right to refuse a request for
medication administration”
Read the slide
Contact your school district nurse if you receive an unusual request for medication to be administered at school. She will make the final decision about the appropriateness of the medication

5. Forms to Give to Parents
Give the following forms as appropriate:
District policy 2320
Permission to Release Medical Records
Medication Authorization(s)
Single medication
Multiple medications
Asthma
Allergy Anaphylaxis
Asthma/Allergy/Anaphylaxis
Glucagon & Self-Care Diabetes
Diabetic Medical Management Plan(DMMP)
If medication changes- new forms will be needed each time
Read the slide
If a parent/guardian refuses to sign the release of medical information, it is still possible to administer medication at school as long as the medical provider and parent/guardian sign the authorization.

6. Medication Files KEEP MEDICAL RECORDS IN ORGANIZED SYSTEM
Contact your school nurse if you do not have a Confidential Medical Information Book
EACH STUDENT FILE SHOULD INCLUDE:
Individual Student Medication Calendar
Medication Authorization(s)
Permission to Release Health Record
Individualized Health Care Plan for IEP, 504
or health conditions
Read the slide
If a student transfers to a new school in WCSD send the above files to the new school with
a note to the school secretary to place them in the Confidential Medical Information Book
If a student is moving out of the district place all of the above forms in the cumulative file.
Twice a year the School Nurse will audit the medication files.

7. School District Nurse Notification
Fax a copy of the following signed forms to
the school nurse as soon as possible:
Medication Authorization
Permission to Release Medical Records
Individualized Health Care Plan
Read the slide
Contact the school nurse for any errors/incidents
or concerns regarding medication.
Any medication incident should be documented on the
Medication Incident Report

8. Medication
The pharmacy label and the medication authorization form must be the same
If there is a Generic substitute
check the pharmacy label.
It should list the name of the
generic substitute
Call the school nurse
with any questions or concerns
Read the slide

9. Medication Must Be Ready For Administration
If the medical authorization orders ½ tablet the medication needs to come to school already cut in half
Read the slide

10. Medication Must be kept in a locked unit
If medication must be refrigerated, it will need to be placed in a locked unit in the refrigerator
Locking cash boxes are usually large enough for medication in a refrigerator
Read the slide

11. Medication Administration
If the student fails to visit the office
for a scheduled medication
Call the student out of class
Medication must be given within
30 minutes of the scheduled time, either 30 minutes before or after
It is very important that medication is given daily, if a student misses several doses in a week contact the parent to help come up with a plan to encourage medication compliance

12. Medication Administration
Be ALERT & FOCUSED while
administering medication as
distraction can lead to errors.
Before administering
check the FIVE RIGHTS of
medication
Right student
Right medication
Right dose
Right time
Right route (how it is given)
Read the slide
It is very important to be exact with medication, have another employee answer phones or deal with the needs of the office until the medication is administered.

13. Medication Administration
Medication MAY NOT be shared with other students
Call the parent when the medication supply is getting low
Read the slide

14. Steps to Administer Medication
Wash your hands
Measure liquid on a flat
surface and use a calibrated
measuring cup
Place tablets or capsules in a clean
medication cup or in the students’ hand
4. Have the student take the medication
in your presence
5. Provide a cup of water if needed
Read the slide

15. Documentation Document the medication administration with your
initials on the Individual Student Medication Calendar.
If the medication is not given use one of the following
codes:
SA= Student absent
NS= No show( called, but did not come)
NM= No medication available
EO= Early out day
DC= Discontinued
(Write DC one time, then cross out remaining school days on calendar)
Documentation is part of administering medication and must completed daily.

16. Documentation (continued)
Document daily on the medication calendar
If it is not documented, it is considered “not done” by law.
Document any conversations with the parent and student on the bottom section and back of the Individual Student Medication Calendar
Read first two bullets
If medication is not recorded the law interprets it as neglect of our responsibility and the District could be held liable.
Read 3rd bullet
If a parent/guardian is upset or concerned about the medication, contact the school district nurse and she will discuss it with the parent.

17. 2009-2010 INDIVIDUAL STUDENT MEDICATION CALENDAR
□ RN NOTIFIED: Faxed Form 351 and Form 352 to the ATTN of District Nurse
Student___________________________ School_______________________Grade_________ DOB_________________
Medication_________________________Dose____________Time_____________ Route __________________________
Date started________________ Date discontinued_______________Discontinued by____________________________
Medication disposed of (5 days after DC): Date___________ Initials______ Witness initials_______________________
Codes: Initial= Given SA=Student Absent NS=No Show NM=No Med Available DC=Discontinued
MONTH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
August
September
October
November
December
January
February
March
April
May
June
July
Date & initial comments on bottom of this page & on the back.

18. Medication Incidents
A Medication incident report must be completed when:
An error is made in medication administration
An adverse reaction is observed
There is a confrontation with the student or parent
regarding administration of medication
Send or fax incident report to the school nurse labeled: CONFIDENTIAL
The medication incident report
is constructed to walk you through
the necessary steps, and will identify
those persons whom you should
contact.
Read the slide

19. Disposing of Medication
When medication is discontinued call parent to pick it up.
You may dispose of medication that has not been picked up after 5 days notice, by flushing it or placing it in a small sharps container.
Initial on the Medication Calendar and have a witness initial with you.
Read first 2 bullets
Medication is costly to most families, and it preferable that the parent/guardian pick it up at school
Read the 3rd bullet

20. Authorization to Administer Medication at School
You will be authorized to administer medication under
the delegation of the School Nurse after:
Completing this training module and
Take the test that goes with the module.
Complete and sign the Medication Administration Guide.

21. Washington County School District Health Services
This concludes the Health Services
Training Module
Please follow the instructions below to complete a short quiz.
Make a copy of the test for this module then
answer the questions.
You can also make a copy of this power point to
assist you with the test.
3. Check the answers.
4. Send a copy of your answers to the school nurse.
Thank you for taking the time to learn how to care
for students who are in need of medication at school.
Washington County School District Health Services