Medications Training

The following presentation is designed to walk you through the process of administering medications to students. Please refer to your packet as you go along through the slides and highlight important facts about the intake, distribution, and recording of student medications.

I. Medication Defined Muskogee School Board Policy JHCD-A defines the term “medication” as filled prescription medications AND over-the-counter medication prescribed by a physician.

II. Delivery of Medication All medication must be delivered to school by a parent or guardian and presented as outlined above. It cannot be in an envelope or unmarked container. It is prohibited from being transported on a bus by students.

Filled Prescription Medication must… Be contained in a prescription vial with a label which correctly states Name and address of pharmacy Date prescription was filled Name of patient Strength of medication Prescription number Directions for administering medication

Over the Counter Medication must… Be presented in its original container and Be accompanied by a physicians written instructions

Self-Administered Medication is… Filled prescription medication. The prescription label must be attached to the inhaler and must state the same information as other filled prescription medications. An emergency supply of the medication must be provided to the school and its maintenance and administration must meet the same requirements as those for administering other medications to students.

III. Medication Teams Only the school employees who have been designated and trained as a primary or secondary medication team member may administer medication to students and have the respective duties outlined below:

Primary Medications Team is responsible for…  Receiving student medication  Administering student medication  Storage of student medication  Maintaining the documentation process for all student medications  …this includes utilizing correct procedures of documentation during each step of the process.

Primary Medications Teams include Building principal Assistant principals Counselors Office Assistant Building secretary

Secondary Medications Teams are… Individuals whose sole purpose is the resp onsibility of administering medications and filling out required forms during fieldtrips, athletic events, and other activities taking place away from the regular school site. Staff members who anticipate taking students to off campus events and all paraprofessionals should be trained.

Forms The following is a run down of the forms used with each step of student medication administration:

Parent/Guardian Authorization (Form MPS MED 01) No medication can be given unless the parent/guardian of the student has given the school WRITTEN permission to administer the medication. The medication must be presented as outlined in Part I of this procedure. Parent/guardian must sign the authorization form MPS MED 01. The form must be witnessed, signed and dated by a primary medications team member.

Parent/Guardian Request The parent/guardian must request that a specific medication be administered. This is done through the completion of the top of “Parent/Guardian Request for Administration of Medication,” Form MPS MED 2A. Be sure all information is completed. The parent/guardian must sign and date the form. The designated primary medication team member must also sign and date the form.

RECEIPT OF MEDICATION LOG (Forms MPS MED 2A & 2B) The receipt of medication must be logged any time it is received. This can only be done by a primary mediation team member. Initial receipt of the medication will be logged at the bottom of the “Receipt of Medication Log,” Form MPS MED 2A and continue to be logged on this form and Form MPS MED 2B. You must use a separate form for each medication a student administered at school. Each time medication is received you must complete the information required by the forms. Both you and the parent/guardian must sign off on the date medication was received, total number of pills or amount of liquid medication received, the date the prescription was filled, and the date the prescription expires. See form MED 2B

VII. MEDICATION ADMINISTRATION LOG (Form MPS MED 03) A record must be kept of each time that a student is administered medication. This must be done by a primary medication team member during the course of the school day or a secondary team member if the student is administered medication while attending a school activity away from the school. Medication administration must be logged on the “Medication Administration Log,” Form MPS MED 03 at the time it is administered. Complete the log as follows:

A separate Medication Administration Log must be kept on each medication administered to the student. The beginning pill count is the number of pills that you have on the first day of the month, prior to administering any medication. If it is a liquid medication, this would be the approximate amount contained in the bottle (report by liquid measure). Enter the time(s) that he student is to receive medication, per prescription label. Initial under the day of the month that you administered the medication. Enter the remaining pill count after you have administered medication. When additional medication is received during the month, report the total amount of medication the student now has at school on that specific date, after you have administered the medication. Form MPS MED 2A or 2B will reflect why there is an increase in your daily count. If student does not receive medication on a specific date, utilize the codes listed under the daily log to indicate why the medication was not administered. If there is an incident involving an error in the administering the medication, you must indicate I, immediately inform your building principal, and completion of Form MPSMED 06 is required. At the bottom of the page. all medication team members who have administered medication during the month must sign both their name and the initials utilized on the log.

WEEKLY CALL LIST (Form MPS MED 04) Each building must maintain a weekly list that reflects each student who is to have medication administered at school. This requirement is met by utilizing the “Weekly Call List,” Form MPS MED 04. The purpose of the list is to daily check and document, as students are given their medication, to insure that all students requiring medication have had it administered. Be sure to number your page(s). See Form MPS MED 04. This is a confidential list and should be kept separate from individual student medication records because it contains more than one student’s name.

CONFIDENTIAL MEDICATION RECORD (Form MPS MED 05) Each building must keep a current master list of students who are administered medication at school. This list must remain in the principal’s office at all times for confidentiality purposes and systematic review. The list must include each student’s name, their homeroom teacher, the name of medication, and the dosage. This requirement is met by utilizing the “Confidential Mediation Record,” MPS MED Form 5.

MEDICATION ADMINISTRATION ERROR INCIDENT FORM (Form MPS MED 06) The “Medication Administration Error Incident Form,” Form MPS MED 06, is to be completed when a medication error has taken place. The following are examples of medication errors: – Failure to administer prescribed medication. – Administering the wrong dosage of prescribed medication. – Administering medication to the wrong student. – Daily pill count is not consistent with previous day’s count. – Spillage of liquid medication or loss/damage to other medication.

MEDICATION TEAM CHECK LIST (Form MPS MED 07) The “Medication Team Check List,” Form MPS MED 07, is provided as an assistance to those giving medication. It walks you through each step of medication administration. Although it not required to be filled out each time you administer medication, it would be very useful to have as a visual aid when you are doing so. See next page:

Muskogee Public Schools, District I-20 Medication Team Check List Know the “Five Rights” for administering medication. Ask yourself, do I... Have the RIGHT STUDENT? Have the RIGHT MEDICATION? Have the RIGHT DOSAGE? Have the RIGHT TIME? Have the RIGHT ROUTE? The rest of the form gives you a valuable step-by-step guide to follow in administering medications. Please utilize it for your safety and the safety of the student, especially if you are new to this procedure.

PARENT CONSENT FOR SELF-ADMINISTRATION OF MEDICATION (Form MPS MED 8A) Oklahoma State Law and Muskogee Public Schools Board Policy allows for self-administration of inhaled asthma medication by students. The parent/guardian of the student must authorize, in writing, the student’s self-administration of the medication. The “Parent Consent for Self- Administering of Medication,” Form MPS MED 8A, must be on completed and file in the principal’s office. In addition, completion of MPS MED 8B, MPS MED 8C, and an emergency supply of the student’s medication to be administered must be submitted in compliance with the requirements of filled prescriptive medication in sections I. through IX. of these procedures.

TREATING PHYSICIAN’S STATEMENT (Form MPS MED 8B) The parent/guardian of the student who will be self-administering medication must provide the district with a written statement from the treating physician which states that the student has asthma and is capable of, and has been instructed in the proper method of, the self-administering of medication. The “Treating Physician’s Statement,” Form MPS MED 8B, must be completed and on file in the principal’s office before the student can be approved for the self-administering of medication.

NON-LIABILITY STATEMENT (Form MPS MED 8C) The parent/guardian of the student who will be self-administering medication must complete the “Non-Liability Statement,” Form MPS MED 8C. This form is to be kept on file in the principal’s office with MPS MED Forms 8A & 8B.

You have now completed the Medications Training. Please click on the link to take the Medications Quiz. When you have completed the quiz, print off your score report sheet and mail it to the Professional Development Office. Thank you for your time and cooperation in this important training.