1. Medication Assistant Training
2014 Alabama School Health
Medication Assistant Training
Tips & Helpful Hints
Lesa Cotton RN, BSN
Health Services Coordinator
Calhoun County Schools
Alabama School Health
MEGA 2014

2. OBJECTIVES: Review ABN Administrative Code Re: Delegation
Implementation In the School Setting
Organization: Meds, Forms, Training etc.
Alabama School Health

3. ABN Administrative code
610-x-7-02 Delegation by School Nurses
nursing practice-school nurse tab
Tab #2-Alsde Resource manual
(1) The School Nurse is accountable and responsible for the nursing care delivered to students under the nurses jurisdiction.
Alabama School Health

4. Summary of delegation by school nurses:
The registered nurse is accountable for determining the tasks that may be safely performed by the unlicensed assistive personnel following appropriate training and demonstration of competency.
The specific delegated tasks shall not require the exercise of independent nursing judgment or intervention.
The task of providing prescribed oral, topical, ear, eye, nasal and inhalation medications to a student through twelfth grade may be delegated to unlicensed assistive personnel by the school nurse.
The school nurse delegating the task may, at any time, suspend or withdraw the delegation of specific tasks to unlicensed assistive personnel.
The School Nurse Consultant or School nurse Administrator shall submit a report(s) to the Alabama Board of Nursing in a format specified by the Board upon request.
Alabama School Health

5. Delegation by School Nurses:
The task of providing prescribed oral, topical, ear, eye, nasal and inhalation medications to a student through twelfth grade may be delegated to unlicensed assistive personnel by the school nurse only when the following conditions are met:
*The school Nurse shall provide periodic and regular evaluation and monitoring of the individual performing the delegated tasks.
The school nurse shall routinely and periodically conduct quality monitoring of the tasks performed by the unlicensed assistive personnel, including, but not limited to:
Training
Competency
Documentation
Error reporting
Methods of identification of the right student, the right task, the right method and the right quantity at the right time.
Alabama School Health

6. Implementation: Collaborate with administrator
Select intelligent, willing participants 
Schedule classes preferably before school starts.
Offer flex days for participation if allowed by your administration
Plan your monitoring
Organize your documentation
Alabama School Health

7. Genell Lee MSN, RN,JD Executive Director ABN
It is the school nurse’s responsibility to document training of unlicensed school personnel who are assisting with medications!
No documentation: didn’t do it.
Documented but didn’t do it: false documentation.
Genell Lee MSN, RN,JD Executive Director ABN
Mega Presentation 2013
Alabama School Health

8. Organize your documentation
Delegation Form
Make folders!
Organize your documentation
Alabama School Health

9. Individual files for medical assistant documentation
Test answer sheet
Medication Assistant Skill Observation sheet
May include any needed documentation or follow up for this individual
Alabama School Health

10. Unusual Occurrence Reports
Establish reporting guidelines with Med assistants
Document in a timely manner & report to administration
Complete and accurate description of event
Document contacts made (referrals etc.)
Document follow up
Remember to include your notes in I-NOW
Alabama School Health

11. Organize your medication
Locked cabinet
RX meds
OTC meds
First aid supplies
Alabama School Health

12. Organize Medication Forms Keep forms with Medications Red Dot 
Alabama School Health

13. Questions?????
Alabama School Health