1. Medication Management in Residential Living Meeting the Students’ Needs 1

2. Goals Provide students’ medications safely Teach students to be independent Remember: Job Corps is a training facility, not treatment oriented 2

3. Personal Authorizations Questions 3

4. Personal Authorizations All center staff have personal authorizations signed by the center physician. They are called: PERSONAL AUTHORIZATION FOR NON-HEALTH STAFF FUNCTIONS IN ABSENCE OF HEALTH STAFF MEMBER 4

5. Personal Authorizations Some of the functions are: Monitor students’ use of prescription medications Offer over-the-counter medications and devices (e.g., Tylenol, Maalox, condoms) Obtain and record vital signs including: –Temperature –Pulse –Respiration –Blood pressure Implement symptomatic management guidelines (SMG) Give first aid for minor problems not addressed in the SMGs 5

6. Personal Authorizations Give basic first aid for major problems including: –Cardio-pulmonary resuscitation –Treatment of shock –Control of bleeding –Splinting or stabilizing of fractures Conduct alcohol testing based on suspicious behavior Call HWM or Officer of Day, who will contact RN or MD Call the RN or MD directly Send the student to the ER 6

7. The Residential Advisor’s Role Question 7

8. Dorm Life In the absence of licensed health personnel on center (i.e., weekends) students can either be given their weekend medications in advance on Friday, OR If diversion is a concern, these weekend medication doses can be secured in a lock box in the dorm, in which case the RA is simply making the medications available to the student, not “dispensing.” This is similar to a home medicine cabinet if the student was at home, where there would be no “medical supervision.” 8

9. Teaching Independence May provide individual supply of medication to student based on several factors: 1)Reliability of student 2)Type of medication 9

10. Medication Sign-Out Sheets 10

11. Medication Sign-Out Sheet Should include: 1)Student’s name at top 2)Place for student to sign 3)Place for staff signature 4)Date 11

12. Over-the-Counter (OTC) Sign Out Sheet Should include: 1)Slot for name of OTC medication 2)Place for student signature 3)Place for staff signature 4)Date and time 12

13. Kits 13

14. Dorm Kits Band-Aids Condoms Ibuprofen Acetaminophen Cough drops or throat lozenges Triple antibiotic cream/ointment Gloves 14

15. Classroom Kits Band-Aids Ibuprofen Acetaminophen Cough drops or throat lozenges Triple antibiotic cream/ointment Gloves 15

16. First Aid Kits Acetaminophen and/or Ibuprofen Tweezers Alcohol wipes Antiseptic hand cleaner Medical adhesive tape Sterile gauze (four inch squares are best) Elastic bandages Several sizes of adhesive bandages Insect bite swabs Triple-antibiotic ointment Hydrogen peroxide Bandage scissors Triangular bandages Instant cold packs Exam gloves Barrier device for CPR Important contact numbers- nurse on call, duty officer, emergency numbers, 911 16

17. Grab-and-Go Kits Airways Ambu bag Automated External Defibrillator (AED) Ammonia inhalant ampules Albuterol HFA inhaler Bandages, dressings, eye patches Eye irrigation bottle Gloves Injectable epinephrine (EpiPen and/or injectable adrenaline) Injectable diphenhydramine (Benadryl) Injectable glucagon Needles/syringes Tape Tourniquet Tweezers 17

18. Automated External Defibrillator (AED) Centers should have a minimum of at least one AED Should be kept in safety for quick availability for emergencies Recommended for all centers 18

19. Questions 19