2 Medication Administration Guiding Principles Caregivers of children will inevitably give them medication at some point. It is crucial caregivers are informed of the guiding principles for medication administration.
3 Responsibilities in Administering Medications It is important that Resource Parents are fully informed of their responsibilities in administering medications.
4 Legal IssuesLegal issues in medication administration include children’s rights, refusal of medication, and confidentiality.
5 Obtaining Information about Medications Resource Parents must be fully informed about any medication they give a child.When medication is obtained, use the reference sheet from the pharmacy.Other sources of information include the doctor, pharmacist, nurse, current drug reference book, Internet or DCS Health Advocacy Nurse.
6 The Importance of Having Information about Medications To be familiar with common medications given to the childTo learn about new medications prescribed for the childTo understand why the medication is prescribed and learn of side effectsTo be able to observe and report if there is a beneficial changeTo be able to observe and report side effects causing harm or discomfort
7 Purpose of Prescribing Medications Maintain HealthTreat DiseaseRelieve SymptomsPrevent DiseaseAlter Body ProcessesDiagnose Disease
9 Drug OverdoseA drug overdose is the accidental or intentional use of a drug or medicine in an amount that is higher than is normally used. The amount of a drug needed to cause an overdose varies with the type of drug and the person taking it.
11 Five Rights of Medication Administration Right PersonRight DrugRight DoseRight TimeRight Route
12 What do you do?Angela is 16 ½ years old and has been prescribed Celexa for depression. The medication was started two weeks ago at her appointment with a nurse practitioner at the community mental health center. This morning when you get Angela’s Celexa ready, she informs you that she does not want to take it anymore.
13 Proper Procedures for Administering Medications Oral Tablets & CapsulesOral Liquid MedicationTopical MedicationNasal MedicationsEye Drops/OintmentsEar DropsInhalant MedicationsRectal MedicationsVaginal MedicationsAuto-Injectors for Allergic EmergenciesSubcutaneous Administration of Medication (Insulin)
14 DocumentationResource Parents must keep a record for each child on prescription medications.
15 Safe Storage and Control of Medication Must be single locked at minimum at all timesMust be stored in containers with original labelsIf requires refrigeration must be kept coldCannot be left out for child to take laterMust be stored to avoid access by child
16 Disposal of Medication Medication that is stopped, expired, unidentifiable or missing or unreadable label must be destroyedMedication that is refused or contaminated must be destroyedProblems with medication must be reported to prescribing provider or pharmacy
17 Disposal of Medication Do not flush medication down the toilet due to the risk of contamination of area streams and water sources.Ask your pharmacist if the pharmacy will accept old medicines back from patients.Check to see whether your area has a community household hazardous waste collection program.
18 Disposal of Medication When disposing of medication in the garbage:Keep the medication in the original container. Scratch out your name for security purposes.Add a small amount of water to pills, or an absorbent material like flour or cat litter to liquid medications, to discourage their use.Put the medication container in a paper bag or some other type of container to conceal, then toss as close to your trash pickup time as possible.
20 When a Medication Error Occurs Notify the prescribing provider and the DCS Case ManagerFollow all instructions given by the prescribing provider and write down any problems you seeIf the child is in acute distress, call 911 or your emergency response number
21 Components of Informed Consent DiagnosisNature of MedicationName of MedicationDosage and Frequency of MedicationExpected BenefitsPossible Risks and Side EffectsAvailable AlternativesExpected Outcome
22 Informed Consent for Psychotropic Medications Youth Age 16 Years and OlderBiological Parent or GuardianDCS Health Advocacy Nurse
23 What do you do?Jamie is 8 years old and was placed in your home last evening. The DCS Case Manager left a prescription bottle of Ritalin when he dropped Jamie off and instructed you to give Jamie one pill every morning. This morning you are preparing to give Jamie his medicine and you realize there are only two pills left in the bottle. You also remember from your medication administration training that you are supposed to have a signed Informed Consent for Psychotropic Medication and the Case Manager did not give you one.
24 THANK YOU FOR YOUR PARTICIPATION! Medication Administration for Resource Parents