Medication Administration Training

Miami Dade County Public SchoolsOffice of Comprehensive Health Services

Purpose of this Training

• Review of Medication Administration Manual

• Discuss your Role as the Medication Designee

• Forum for Medication Administration in the School Setting

• Discuss Specific Requirements for Medication Administration

Laws and Statutes

Administration of Medication in M-DPS

• FL Statute 1006.062• Rule 64F-6.004

School Board Rule 6GX13 5D 1.021

AS THE PRINCIPAL’S DESIGNEE: it is important for you to understand these rules & statutes.

Laws & Statues (con’t)

There shall be no liability for civil damages as a result of the

administration of such medication when the person administering such

medication acts as a reasonably prudent person would have acted

under the same or similar circumstances.

History

• Medication administration is one of the most common health-related activities performed in schools.  Historically, administering medications within the school setting has been a school nurse responsibility. Because the number of students needing medication administration has grown, school nurses increasingly are required to delegate medication administration to unlicensed assistive personnel (UAP) (McCarthy, Kelly, & Reed, 2000). 

• We Administer Medications at School When it Would Jeopardize Student Health Not to Give it, or the Medication Cannot be Accommodated at Home.

– We DO NOT give the 1st Dose of the Day– We DO NOT give any Meds at the END of the

School Day.

PARENTS ARE RESPONSIBLE FOR THE 1ST DOSE AND THE DOSE AT THE END OF THE SCHOOL DAY.

Our Role; Our Scope

PARENTS MUST “STILL” BE EXPECTED TO BE PARENTS

Parents MUST give PermissionParents/Guardians give medication administration for ALL medications.

Children’sMotrin

PRESCRIBED PRESCRIBED MEDICATIONMEDICATIONSS

OVER THE COUNTER OVER THE COUNTER MEDICATIONSMEDICATIONS

Receiving Medication

Always Think “Safety”

Always Think “Documentation”

Have a Witness/Coworker Count the Medication With you When it Arrives at

the School.

Ritalin40 Pills

______Signature______Signature

Receiving Medications (Con’t)

Encourage Parents to Send Enough Medication for at Least 1 Month

3 DAYS SUPPLY OF MEDICATION SHOULD ALWAYS BE

AVAILABLE.

The Authorization

Form

The Authorization Form (Con’t)

• MUST be Renewed Each Year• The Following Changes Require a New

Authorization Form:– Type– Frequency– Dose

• Place Expiration Date in RED at the Bottom of the Form

Don’t respond to interruptions, log in as soon as medication is administered.

Medication Log

Acute Illness vs. Chronic Illness

• Acute Illness – Sharp, Severe; Rapid Onset; Short Course– EXAMPLE: Upper Respiratory Infection

• Chronic Illness – Of Long Duration; A Disease Process showing Little Change or Slow Progression– EXAMPLE: Asthma

Medications May be Administered for CHRONIC Illnesses

Students CAN Self-Administer(some medications)

• Permission to Allow a Student to Carry Medication Requires a Written Parent/Guardian Authorization

• The Medication Should be for a Life Threatening Situation

• EXAMPLES:– Severe Allergies– Diabetes

A List of These Students Should be Kept in the Medication Book.

Medication: Original Container (1 of 11)

• Medications Must Arrive in the Original Container

• It is Dangerous to “Assume” • When in Doubt, Do NOT Accept the Meds

Medication: Delivered/Picked Up by Parent (2 of 11)

• Only the Parent or Guardian Should Deliver Medications

• Only the Parent or Guardian Should Pick up Unused Medications

• Remember to Count Medications with a Witness

• Document, Document, Document, Document

Medication: Biologicals (3 of 11)

• Mediations are Biologicals• Do NOT Store with Food• Medication Should be

Stored in a Secured Refrigerator with Absolutely No Food Items

• Limited Access to this Area is Crucial, Safe, and the Best Practice

Medication: STAT (4 of 11)

• EPI PENS• Emergency Medication is Intended to Either Avoid

Additional Care or to Stabilize the Student Until Additional Care can be Arranged

• January 2006: The “Kelsey Ryan Act”– “a public school student who has a life-threatening

allergic reaction may carry an Epi-Pen while in school, participating in school sponsored activities, or in transit to or from school activities. The school must be provided with parent & physician authorization.”

A List of These Students Should be Kept in the Medication Book.

Medication: 1st Dose; Late Afternoon Dose (5 of 11)

• Parents or Guardians Should Administer:– 1st Dose – Late Afternoon Dose

Medication: Be On Time(6 OF 11)

• Timing is Everything When it Comes to Medicine Control of a Condition

• Medication Should be Given at Their Prescribed Time

• If a Medication is Given MORE than 1 Hour Before or After the Prescribed Time, it is an Medication Error– THIS MUST BE REPORTED

Medication: Medication Errors (7 of 11)

• This is not Punitive• It’s the Safest Course of Action to Report

it• 5 Errors to Report

1) Wrong Medication2) Wrong Dose3) Wrong Time4) Missed Dose5) Wrong Child

Who Should you Notify?• Principal• Parent• (IF NECESSARY): Poison Control or 911

Medication: Unused/Discontinued (8 of 11)

• Unused Medications Must be Picked up by the Parent/Guardian

• Discontinued Medications Must be Picked up by the Parent/Guardian

• Notify the Parent/Guardian Immediately

• Send Certified Letters

Medication: Field Trips (9 of 11)

• Children on Medication ARE Allowed to Participate in Field Trips

• A copy of the Medication Authorization Must Accompany the Child on the Trip

• Develop a Relationship with the Teacher of all the Student on Meds to Assist in this Process

Medication: 8 Steps (10 of 11)

• There are 8 Steps to Medication Administration

1) Medication Notebook:a) Medication Authorizationsb) Student Medication Logs Worksheetsc) Handbook for Medication Administration

2) Identify the Student and Medication3) Wash your Hands4) Measure Carefully: Check Label &

Student 2 times

Medication: 8 Steps (Con’t)(11 of 11)

5) Administer the Medication

6) Log Medication Immediately

7) Replace the Medication in Locked Area

8) Wash Hands

CPR & Poison Control

• Each School Must have – 2 People Certified in CPR– 2 People Trained in First Aid

• National Poison Control Number:800-222-1222

Dade SchoolsComprehensive Students Services

Resources on this Website:1)Contact Information2)Downloads:

1)Medication Authorization Forms2)Medication Log3)School Board Rule4)Policy & Procedures Manuals

http://comprehensivehealthservices.dadeschools.net/

Miami Dade County Department of Health

School Health Program

• School Health Program– 786-845-0222

• http://www.dadehealth.org/

Questions/Comments

Call Wilma Steiner at 305-995-1235Miami Dade County Public SchoolsDivision of Comprehensive Services