1. Pass out Medication Policy/Training Manual and Quiz

2. Medication Policy and Administration Training
Objectives
Wasatch School District Policy
Student Health Information - HCP
State Law
District Forms
Medication Administration

3. Wasatch School District Policy
The Principal will:
Designate staff to administer medications
Insure proper maintenance of records
Legal Document/Cumulative file
Keep on file trained staff delegated to administer medications

4. Wasatch School District Policy
The Principal will:
Notify the School Nurse of medication administration needs
Arrange annual training

5. Checklist-Medication Audit
School Nurse
Provide annual training
Delegate and train UAP
Audit 2/year

6. Audit 2x a year Results will be given to:
School staff administering medications
School Principal
Student Service Director
Audit: HCP are in place, with parent, physician, school nurse, staff signatures, medications are locked up, daily administration form is being filled out,

7. Items not in compliance
Audit
Items not in compliance
Two weeks to rectify problem
Notify School Nurse when problem is rectified
If parents are not in compliance the school may withdraw authorization (see section 3.3)

8. Medication Delegation
Trained unlicensed personnel can administer:
oral, inhalant
eye and ear drops
Gastrostomy
Topical
Epinephrine, glucagon, or insulin
We can administer topical medications if we have a standing order written by the medical director, such as neosporin, ect. At this time we do not have any standing orders.

9. Medication Delegation
UAP CANNOT Administer: IV
Rectal
Intramuscular injections
subcutaneous injections
Excluding:
epi-pen
glucagon
insulin

10. Student Self Administration Preschool to grade 12
Asthma
Diabetes
Epi pen

11. Student Self Administration
Parents authorization
Student is responsible
Healthcare Providers signature
Self-Administration Forms
Misuse: Disciplinary action
District’s Safe School Policy

12. Student’s Preschool to Grade 4
Cannot self administer medications
Cannot carry a days dose of medication
Except: inhalers, insulin and supplies, and epi-pens

13. Grade 5 to Grade 12
Students can carry and self administer a one day dose of a temporary prescription or OTC medication
Excluding Narcotic Pain Medication

14. Narcotic Pain Medications
Will not be kept at school
Will not be administered by school personnel
Will not be allowed at school

15. Properly Labeled Medication
All medication, prescription and OTC medication, requires a pharmacy label on the original container

16. Properly Labeled Medication
Name of student, doctor, and pharmacy
Name of medication
Dosage
Time of day to be given
Method of administration (route)
Expiration date.

17. Wasatch School District Forms
Letter To Parents/Guardians
Student Health Information
Letter to parents is on the back of the Student Health Information – HCP form. Needs parent signature in 3 places. Do not accept without signatures. Make note if parent refuses to sign.

18. Wasatch School District Forms
Authorization of School Personnel to Administer Medication
Daily Medication Tracking Form

19. Wasatch School District Forms – State Law
Self Administration Forms
Medication administration
53A
Asthma: inhaler
53A
Epinephrine: epi pen
53A and HB 101, 2008
State law allows a student to carry Asthma medications: inhalers, Diabetes: insulin and supplies, and allergy: epi-pens medications as long as the appropriate forms are filled out giving authorization. 1) parent and physician need to sign the self administration authorization form Check Epi pen law??????

20. Wasatch School District Forms – State Law Self Administration Forms
Diabetes: Insulin and supplies
53A
Glucagon administration
53A

21. Wasatch School District Forms
Glucagon Authorization
Stored in office. Given only if student can’t take oral glucose for extreme low blood sugar.

22. District Forms Medication Error/Adverse Reaction Reporting Form
Medication Administration Training Form
Administration of Medication Checklist
Medication Disposal Form

23. Safe Keeping of Medication
Stored in a locked cabinet
Adequate temperature
Fluoride is a prescription drug. It needs to be locked up.

24. Unused Medication Notify parents Pick up within two weeks
Requires two signatures
Record on daily tracking form

25. Unused Medication
School nurse will discard expired or unused medication
Requires School Nurse and UAP signature
Proper disposal – police station

26. Watch MOVIE (20 Minutes)

27. Medication Administration Policies
Who dispenses
What medications can be given
How to dispense
Emergencies
Manage / store medications.

28. Authorization Form Student information Name of medication
Condition for which prescribed
Dosage, route and time to administer
Side effects
Doctor’s phone number and signature.

29. Additional Information
Date of the order and duration
Parent / guardian signature and phone number
Permission to contact doctor
Special directions

30. Log Sheet One for each student Separate sheet for each medication
Who administered
Time.
Get out Daily Medication Administration Form. Practice receiving medications.

31. Medication Daily Log
Practice receiving medications on Daily Log Sheet. Count pills with Parents. Signatures: parent and staff. Record Daily info….Call parents if the students does not come down to get medication.

32. Receiving Medications
Parent or guardian delivers medications
Pharmacy- labeled containers
Over-the- counter medications
Check the label.
Check and write down expiration date on daily log

33. Medication Preparation
Log sheet
Gather supplies
Wash your hands
Five Rights
Ask if any side effects.

34. The Five Rights Right student Right medication Right dosage Right time
Right route.

35. Administering Medications
Oral
Eye, ear, nose
Patch
Inhaler
EpiPen®.
Insulin or Glucagon
Call me for specific training

36. Recordkeeping Record dispensing Sign the log
Call parent / guardian if student didn’t show
New authorization form if medications change
One form per medication

37. Quiz
All medication should be kept in a drawer that anyone can open in case of an emergency.
Your authorization form should include information about the dosage required, how to administer it and when it should be given.
OTC medication should arrive at the school in the original container and the amount of medication counted and recorded by the responsible person.
1. False 2. True 3. True

38. Quiz
The “Five Rights” for administering medications are: is this the right student, right medication, right dosage, right time and right route.
You should never embarrass a student by asking the child to open his or her mouth to prove the medicine has been swallowed.
Oral Medications should never be followed by water.
4. True 5. False 6. False

39. Quiz
If the child requires drops in both ears, wait a minute or two before doing the other ear and then put a cotton ball in the outer portion of the first ear before turning the head.
Symptoms of anaphylaxis include wheezing or shortness of breath, swelling of the lips, tongue or area around the eyes, and hives or general itching and tingling.
7. True 8. True

40. Quiz
After using the EpiPen, check the black tip to see if the needle is showing, which means the medication was injected correctly.
Glucagon can cause a child to vomit so place the student on his or her side immediately afterwards to avoid choking.
9. True, True

41. Thank You
Thank You…..Questions