1. Office of Health Services Baltimore County Public Schools

2. The Medication Back-Up is an employee assigned to administer prescribed medications to students in the absence of the school nurse. This employee must be trained in medication administration procedures by the school nurse. The Medication Back-Up should only be utilized in infrequent and non-routine circumstances.

3. Location of Medication Keys Location of Medications Medication Book OHS contact x6368

4. Pharmacy Labeled Bottle Healthcare Provider’s Order

5. Oral medications Inhalers (that don’t require a nursing assessment) Auto-Injector Epinephrine (if trained)

6. Discretionary Medications Medication via Nebulizer or Injection Any other medications that do not have: - Pharmacy Labeled Bottle - Valid Healthcare Provider’s Order

7. Oxygen by nasal cannula or mask Oral medication requiring dose calculation, pill to be crushed or cut Rectal Diastat Insulin, Glucagon

8. 1.Right Student 2.Right Medication 3.Right Route 4.Right Dose 5.Right Time 6.Right Documentation

9. Medication Administration Records - Standard MAR - Asthma MAR Documentation - Employee Signature & Initials

10. Confidentiality Give full attention to the task of medication administration Wash hands prior to and after medication administration Contact OHS x6368, if any questions arise during medication administration