1. Medication Administration
Training
Miami Dade County Public Schools
Office of Comprehensive Health Services

2. Purpose of this Training
Review of Medication Administration Manual
Discuss your Role as the Medication Designee
Forum for Medication Administration in the School Setting
Discuss Specific Requirements for Medication Administration

3. Administration of Medication in M-DPS
Laws and Statutes
Administration of Medication in M-DPS
FL Statute
Rule 64F-6.004
School Board Rule
6GX13 5D 1.021
AS THE PRINCIPAL’S DESIGNEE: it is important for you to understand these rules & statutes.

4. Laws & Statues (con’t)
There shall be no liability for civil damages as a result of the administration of such medication when the person administering such medication acts as a reasonably prudent person would have acted under the same or similar circumstances.

5. History
Medication administration is one of the most common health-related activities performed in schools.  Historically, administering medications within the school setting has been a school nurse responsibility. Because the number of students needing medication administration has grown, school nurses increasingly are required to delegate medication administration to unlicensed assistive personnel (UAP) (McCarthy, Kelly, & Reed, 2000). 

6. Our Role; Our Scope
We Administer Medications at School When it Would Jeopardize Student Health Not to Give it, or the Medication Cannot be Accommodated at Home.
We DO NOT give the 1st Dose of the Day
We DO NOT give any Meds at the END of the School Day.
PARENTS ARE RESPONSIBLE FOR THE 1ST DOSE AND THE DOSE AT THE END OF THE SCHOOL DAY.
PARENTS MUST “STILL” BE EXPECTED TO BE PARENTS

7. Parents MUST give Permission
Parents/Guardians give medication administration for ALL medications.
PRESCRIBED MEDICATIONS
OVER THE COUNTER MEDICATIONS
Children’s
Motrin

8. Always Think “Documentation”
Receiving Medication
Always Think “Safety”
Always Think “Documentation”
Have a Witness/Coworker Count the Medication With you When it Arrives at the School.
Ritalin
40 Pills
______
Signature

9. Receiving Medications (Con’t)
Encourage Parents to Send Enough Medication for at Least 1 Month

10. 3 DAYS SUPPLY OF MEDICATION SHOULD ALWAYS BE AVAILABLE.

11. The Authorization Form

12. The Authorization Form (Con’t)
MUST be Renewed Each Year
The Following Changes Require a New Authorization Form:
Type
Frequency
Dose
Place Expiration Date in RED at the Bottom of the Form

13. Medication Log
Don’t respond to interruptions, log in as soon as medication is administered.

14. Acute Illness vs. Chronic Illness
Acute Illness – Sharp, Severe; Rapid Onset; Short Course
EXAMPLE: Upper Respiratory Infection
Chronic Illness – Of Long Duration; A Disease Process showing Little Change or Slow Progression
EXAMPLE: Asthma
Medications May be Administered for CHRONIC Illnesses

15. Students CAN Self-Administer (some medications)
Permission to Allow a Student to Carry Medication Requires a Written Parent/Guardian Authorization
The Medication Should be for a Life Threatening Situation
EXAMPLES:
Severe Allergies
Diabetes
A List of These Students Should be Kept in the Medication Book.

16. Medication: Original Container (1 of 11)
Medications Must Arrive in the Original Container
It is Dangerous to “Assume”
When in Doubt, Do NOT Accept the Meds

17. Medication: Delivered/Picked Up by Parent (2 of 11)
Only the Parent or Guardian Should Deliver Medications
Only the Parent or Guardian Should Pick up Unused Medications
Remember to Count Medications with a Witness
Document, Document, Document, Document

18. Medication: Biologicals (3 of 11)
Mediations are Biologicals
Do NOT Store with Food
Medication Should be Stored in a Secured Refrigerator with Absolutely No Food Items
Limited Access to this Area is Crucial, Safe, and the Best Practice

19. Medication: STAT (4 of 11) EPI PENS
Emergency Medication is Intended to Either Avoid Additional Care or to Stabilize the Student Until Additional Care can be Arranged
January 2006: The “Kelsey Ryan Act”
“a public school student who has a life-threatening allergic reaction may carry an Epi-Pen while in school, participating in school sponsored activities, or in transit to or from school activities. The school must be provided with parent & physician authorization.”
A List of These Students Should be Kept in the Medication Book.

20. Medication: 1st Dose; Late Afternoon Dose (5 of 11)
Parents or Guardians Should Administer:
1st Dose
Late Afternoon Dose

21. Medication: Be On Time (6 OF 11)
Timing is Everything When it Comes to Medicine Control of a Condition
Medication Should be Given at Their Prescribed Time
If a Medication is Given MORE than 1 Hour Before or After the Prescribed Time, it is an Medication Error
THIS MUST BE REPORTED

22. Medication: Medication Errors (7 of 11)
This is not Punitive
It’s the Safest Course of Action to Report it
5 Errors to Report
Wrong Medication
Wrong Dose
Wrong Time
Missed Dose
Wrong Child
Who Should you Notify?
Principal
Parent
(IF NECESSARY): Poison Control or 911

23. Medication: Unused/Discontinued (8 of 11)
Unused Medications Must be Picked up by the Parent/Guardian
Discontinued Medications Must be Picked up by the Parent/Guardian
Notify the Parent/Guardian Immediately
Send Certified Letters

24. Medication: Field Trips (9 of 11)
Children on Medication ARE Allowed to Participate in Field Trips
A copy of the Medication Authorization Must Accompany the Child on the Trip
Develop a Relationship with the Teacher of all the Student on Meds to Assist in this Process

25. Medication: 8 Steps (10 of 11)
There are 8 Steps to Medication Administration
Medication Notebook:
Medication Authorizations
Student Medication Logs Worksheets
Handbook for Medication Administration
Identify the Student and Medication
Wash your Hands
Measure Carefully: Check Label & Student 2 times

26. Medication: 8 Steps (Con’t) (11 of 11)
5) Administer the Medication
6) Log Medication Immediately
7) Replace the Medication in Locked Area
8) Wash Hands

27. CPR & Poison Control Each School Must have
2 People Certified in CPR
2 People Trained in First Aid
National Poison Control Number:

28. Dade Schools Comprehensive Students Services
   
STUDENTS
PARENTS
EMPLOYEES
COMMUNITY
   
Dade Schools Comprehensive Students Services
Resources on this Website:
Contact Information
Downloads:
Medication Authorization Forms
Medication Log
School Board Rule
Policy & Procedures Manuals
                                        
                                                        
                                                       
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29. Miami Dade County Department of Health School Health Program

30. Questions/Comments Call Wilma Steiner at 305-995-1235
Miami Dade County Public Schools
Division of Comprehensive Services