1. Giving Medicine At School Asheboro City Schools Policy & Procedures 2012-2013

2. Giving Medicine At School School Board Policy Guidelines for med administration 6 Rights of medication administration Procedure for giving medicine Student well-being Confidentiality Quiz Verification

3. School Board Policy Policy 6125- Asheboro City Schools recognizes that students may need to take medicines at school. However, to minimize disruptions to the school day, medicines should be taken at home rather than at school whenever feasible. The school district is not required to administer any medicine that could be given at home…… LINK To BOARD POLICY Healthy students learn better

4. Guidelines for Medication Administration 1. All medicines, prescription and non-prescription, administrated by school personnel during school hours must be prescribed by a physician/ dentist and have a written request/ permission signed by a parent/ legal guardian. All signatures must be completed on the Physician’s Authorization of Medication for a Student in School form. A new form must be completed annually. 2. All medicines must be brought to school in the original container appropriately labeled by the pharmacy/ physician/ manufacturer indicating student’s name, medication name and dosage. 3. All medicines are kept in a locked, secure place. Refrigerated meds should be kept separate from food items. Exceptions may be made for emergency meds.

5. Guidelines(cont’d) 4. Annually, the principal will designate school employees to be responsible for the security and administration of medicines in each school. All personnel will complete this training module. 5. The school nurse who serves the school will coordinate this program under the direction of the principal and will maintain a medication log for each student that is receiving medication during school hours. The nurse will review this log on a monthly basis so that each individual student is effectively monitored.

6. Guidelines(cont’d) 6. The person(s) who have been designated by the principal to administer and secure medications in the school shall maintain records of medication administration to the student as follows: a. Medication Administration Record: Record date and time for administration of medicine with initials in black ink, no erasures or mark-outs This record is a legal document b. Record date when medication is discontinued. c. Record the time medications are given on back of student’s MedicationAdministration Record each time med is given. Record date, time and initials. d. Record your name and initials on front of each medication log.

7. Guidelines(cont’d) 7. When a student is leaving the school grounds for a field trip, measures should be taken to provide medication as pre- scribed. Needed dosage of medicine should be transported by designated personnel in a sealed, secure and labeled container/ envelope as appropriate. 8. Students may not self-medicate unless the school has written permission form signed by parent and physician. Parents may administer meds to their children at any time while on school property. The school assumes no responsibility for students when parents administer their medications 9. Medications that the elementary and middle school student no longer need will be returned only to the parent. At AHS, medications may be returned home by the student after notification of the parent.

8. New Medication Request When a request to give medicine is received from a parent, notify your school nurse so that she might: Ensure all orders/forms are accurate & complete (including signatures of parents/physicians) Fill out a Medication Administration Record & review the medication label prior to first time administration Any changes in medication must be made in writing from parent & authorized by physician

9. 6 Rights of Giving Medicine Right Student Right Medicine Right Dose Right Time Right Route Right Recording

10. Right Student Check and double check the student’s name. Ask the student his or her name. Ask someone who is familiar with the student to identify him if you’re not sure of the student identity.

11. Right Medicine Compare the Medication name on the medicine label with the directions from the MD authorization sheet. The names should match Be aware Brand names and/or Generic names may be listed, if in doubt, ask your school nurse

12. Right Dose Compare the dosage on the medication label to the directions on the MD authorization sheet Note strength of medicine (ie:25mg) & note amount to be given: (1 tab., ½ tsp., 1Tb., etc.) Parents must provide appropriate measuring tools for liquid medicines

13. Right Time Compare directions on the MD authorization sheet with the label on the medication bottle. If the directions differ: Follow directions on the MD Authorization sheet Giving medicine 30 minutes before or 30 minutes after the prescribed time is still considered on time (grace period) Giving medicine outside of the ‘grace period’ is considered an error and should be documented/reported to school nurse

14. Right Route Compare the MD authorization form with the label on the medication bottle for the correct route (oral, topical, ear drops, eye drops, etc.)

15. Right Recording After an individual student’s medicine has been administered, record the time & your initials. Document in black ink only, never use white out or scribble out mistakes. If you make a mistake, mark through with one line and your initials. Remember the forms are legal documents

16. ????????????????????????????? If you have questions about anything, notify the school nurse or parent before giving medicine. Following the 6R’s will help avoid errors.

17. Procedure for Giving Medicines: Wash Hands Do not touch medicine with hands. Use lid to dispense. Practice the 6Rights Document on log if medicine is missed, refused or late using codes found on front of Medication Administration Record Maintain confidentiality If an error occurs while giving medicine, notify your principal and the school nurse immediately

18. Procedures for Giving Medicine Stay with student until medication is swallowed Do not crush/split pills or open capsules without instructions to do so by physician authorization form or School nurse When applying topical medication (patches or ointments) wear gloves & Rotate sights (left side/right side) with medication patches to avoid skin irritation

19. Student Medication Safety The health and welfare of the student is paramount in all decisions regarding the administration of a medicine. Therefore, if school personnel have concerns regarding the appropriateness of a medication administration or dosage for a student, verification should be obtained from the physician prior to administering the medication. Please contact your school nurse for help with this issue.

20. Student Medication Safety Per School Board Policy 6125: The School retains the discretion to reject requests for administering drugs or medications.

21. Confidentiality Written information maintained by the school or school personnel regarding a student’s medicinal or health needs is confidential. Do not discuss a child’s health issues or medication issues with others Parents and students must be afforded all rights under FERPA and state confidentiality laws

22. Quiz

23. Medication Training Quiz Mark all questions true or false 1. School Board policy # 6125 addresses medication administration. 2. Medication no longer needed may be returned home in the middle school student’s book bag. 3. Over the counter medication does not require the doctor’s authorization 4. Black ink is required on the medication log.

24. Medication Training Quiz(p 2) 5. The 6Rights of giving medicines are : right dose, right student, right time, right route, right recording and right medicine. 6. The parent has the right to administer medication to their child while on school property. 7. Parents are responsible to inform the school of any changes in medication. 8. Parents and students must be accorded all rights provide by ABC laws. 9. Medication policy must be made available to all students and parents annually. 10.Only teachers may give medicines.

25. Med Training Quiz Key 1. T 6. T 2. F 7. T 3. F 8. F 4. T 9. T 5. T 10. F

26. AFTER COMPLETION OF THIS TRAINING: See your school nurse with any questions NO PRINTING Sign log of completion located in the office at your school with your school secretary 2011-2012