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MuirtownPrimarySchool
MuirtownPrimarySchool
Administration of MedicationsPolicy
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ContentsPage Details
3 Introduction Letter with Policy Web Links
4 Parents’/Legal Guardians’ Responsibilities
7 Staff Procedures on Receiving Medications
8 Staff Procedures on Recording Medications
9 Staff Procedures on Administering Medications
10 Staff Procedures Concerning Controlled Medications
11 Staff Procedures when Returning Medications
12 List of Forms to be Completed
13 Forms
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MuirtownPrimarySchool
MuirtownPrimarySchool
Dear Parents, Guardians and Carers,
On the following pages you will find our Administration of Medications in School policy. This includes procedures which must be strictly followed by Parents/Guardians, Carers and Staff in order to safeguard the health and safety of your child.
We really appreciate your time and support in this matter.
These procedures allow Muirtown Primary school staff to meet the standards set out by the Highland Council in their ‘Administration of Medicines in School’ and the Scottish Executive’s ‘The Administrations of medicines in schools’ policy. Please follow the links below if you wish to access these two documents.
http://www.gov.scot/Publications/2001/09/10006/File-1
http://www.nhshighland.scot.nhs.uk/Services/Documents/Medicines%20in%20Schools/Administration%20of%20Medicines%20in%20Schools%20Policy%20and%20guidance%20-%20Highland%20Council%20and%20NHS%20Highland%20Jan%202012.pdf
Please do not hesitate to contact the school if you have any questions.
Forms which need completed can be downloaded from the school website or obtained from the school office.
Yours faithfully with thanks,
Mrs Meldrum
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MuirtownPrimarySchool
MuirtownPrimarySchool
Parents’/Legal Guardians’ Responsibilities
Medicine Administration in Schools in accordance with The Highland Council and NHS Best Practice Guidelines
To enable the safe administration of medication at school, Muirtown Primary School would kindly ask all parents/guardians to read and adhere to the following policy.
Where possible medications should be given at home; when this is not possible and pupils require medicines to be given at school the following steps should be followed:
All medications must be prescribed by an appropriate health care professional, e.g. GP/Pharmacist (this includes any medication which can be bought over the counter).
Parents/guardians should ask the GP for a separate supply of medication for home and school
School staff must follow the directions on the medicine label from the GP; medicines which are prescribed as ‘as required’ medication cannot be given at regular time intervals on parents’/guardians’ instructions. If a child is requiring a medicine at regular intervals the child must be reviewed by their GP
All medications must be handed in by the parent/guardian/carer and not by the pupil (in case a pupil drops it or another pupil finds it and takes it)
Medications must be given in the original packaging and the label must be from GP/Pharmacy
The label must be on the actual bottle of medication or the box of an inhaler The label must be clear and cannot be accepted if altered by parent/guardian/carer in
any way The patient information leaflet must be handed in with all medications The medication must be handed in, in the original box/packaging The first dose of any new medication must be given at home at least 24 hours before
the school can administer it (exceptions are emergency medications such as epipens) The parent/legal guardian must sign the administration of medication document
stating, date, time, dose of medication given and say if a reaction occurred or not (if a reaction occurs the parent should contact the GP)
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MuirtownPrimarySchool
MuirtownPrimarySchool
Parents’/Legal Guardians’ Responsibilities – continued
The parent/legal guardian must complete and sign the relevant forms before any medications can be administered at school
Form A – PARENTS’/GUARIANS’ DECLARATION
AndForm B – Part One and Two Request for Muirtown Primary School to Administer Short Term Medication. ORForm C – Part One, Two and Three Health Care Plan for a Pupil with Medical Needs
AndForm D if your child is in Primary 1 to Primary 7ORForm E if your child is in Nursery Optional - Form F - For parents/carers to complete if they wish their child to carry his/her own medication (e.g. Asthma Inhalers)
If the child is in Nursery, the staff will ask the parent/guardian to sign the record book at the end of any day on which medication has been given in school.
If a pupil receives any medication which is to be given at home and at school on a ‘as required’ basis, a written and signed record must be handed in each day showing the times and dose given at home. The school will also complete the record showing any dose given at school. This includes Calpol/paracetamol. This is to ensure that pupils are receiving the correct amount of medication at the correct time intervals.
Parents/guardians should not ask the school to act on verbal instructions as the school can only act on written instructions from the GP/Pharmacy. Where necessary parents should ask the GP/Pharmacy for a new label to be issued
When pupils no longer need their medication parents/guardian need to collect the medication and take it to a pharmacy to be destroyed. The parent/guardian will be asked to sign a record book stating that the medication has been returned to them
The Care Commission state that pupils requiring Calpol/paracetamol for a raised temperature/fever should not be in school
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MuirtownPrimarySchool
MuirtownPrimarySchool
The Following Pages Contain Procedures Which Staff Follow in Muirtown Primary School.
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Receiving Medications Check the parent/legal guardian has completed and signed all
appropriate documentation: Form A – PARENT’S/GUARIANS’ DECLARATION Form B – Part One and Two Request for Muirtown Primary School to Administer Short Term
Medication. Form C – Part One, Two & Three Health Care Plan for a Pupil with Medical Needs Form D if your child is in Primary 1 to Primary 7 OR Form E if your child is in Nursery Optional - Form F - For parents/carers to complete if they wish their child to carry his/her own
medication (e.g. Asthma Inhalers)
1Check the medication 1. Clear Label on medicine bottle itself/cream/eye drops or inhaler box.... Label must be printed from GP/Pharmacy Label must not be changed in any way Label must state child's name, dose and how frequently it can be given/maximum dose Check expiry date Check how it is to be stored (room temperature/fridge) 2. Check that original packaging has been given along with the patient information leaflet 3. Check that the medication and label match the details completed by the parent/carer on all forms 4. Place the medication and the medication administration form in an individual pupil's zip sealed pouch. 4b. In Nursery the medication is normally kept in an individually labelled tub/container with secure lid 5. Complete MAR (see 'Recording Medications') 6. Complete triplicate receipt book (top copy to parent/guardian, middle copy to Head Teacher and lower copy to stay in book as a record 7. Securely lock away the medication in cupboard/fridge as appropriate
Check the parent/legal guardian has read and understood 'The Parents’/Carers’ Responsibilities and seek verbal agreement to help the school administer medication(s) in line with Highland Council Policy.
Make the Head Teacher aware of the details, e.g. pupil, medication and any other significant facts on the day the medication is handed in.
Make the class teacher aware of the details and times when the pupil may need to leave class or take medication with them
If a controlled drug/medication is handed in, make the Head Teacher aware immediately and follow the controlled drugs protocol/procedures.
Forms can be given out and explained by office staff. When medications are handed in the designated, trained member of staff (who is going to be administrating the
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MuirtownPrimarySchool
MuirtownPrimarySchool
medication) needs to check all forms and medication carefully.
Recording Medications
Record and sign for any medication handed in once the appropriate checks have been made (see 'Receiving Medications')
Make sure the amount of medication is recorded, e.g. number of tablets/ml of liquid/size of topical cream tube/ml in eye drops... (topical – applied to the skin)
Any time a medication is given the Individual Administration of Medication Record must be filled in. This includes date, dose, time, expiry date, your signature, stock balance and any notes
Any time a medication is given a record must go home (you can use an individual jotter)
When a medication is no longer required the parent/guardian must collect the medication. Both the designated member of staff and the parent/guardian must sign to say it has been returned (the number of tables/ml... being returned should be specified)
When an individual record of administration is completed or a course of medication is completed the record of administration should be kept in pupil's individual school file for 5 years. It is also advisable to keep all forms completed in the school file for 5 years.
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MuirtownPrimarySchool
MuirtownPrimarySchool
Administering Medications
Before giving any medication check carefully:
Only ever take one pupil at a time – two is never acceptable at any time Only take out one pupil’s medication zip bag at a time
Right pupil/child (name, age, date of birth and sometimes a photo).This must be done every time no matter how well you know the child.
Right medication Right dosage Right route (oral/topical/inhaled...) Right time (you may have to check when the dose was last
given at home – written signed for) Does it need to be given with food/before food..?
Right frequency Right documentation Check the medication is in date Check it has been stored correctly (room temperature/fridge) Read the patient information leaflet and make sure you are aware of all possible
reactions and side effects Check the child is willing to actually take the medication, if the child refuses phone
the parent/guardian Check the first dose was given and signed for by the parent at least 24 hours before
you give the second dose and that no reaction was stated by the parent/legal guardian (except for emergency medications)
Be aware that reactions can also occur after the second and subsequent doses are given
Prepare to give medication: Wash hands Use no-touch method Wash all equipment thoroughly and store in a clean environment Equipment should be labelled with the child's name and only used by them e.g.
spacers, syringes, medicine spoons...(a normal teaspoon is never to be used)Giving Medication:
Give the medication when you are happy all the checks have been thoroughly completed
If the child has a reaction get help (preferably by shouting so you can stay with the child) and phone 999
If you have any concerns do not give the medication – in this instance you must phone the parent/guardian straight away and contact the school nurse
Make sure the Head Teacher is aware of why you did not give the medication Complete the appropriate paperwork (Check 'Recording Medications')
and give the child a record to take home. Controlled Medications
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MuirtownPrimarySchool
MuirtownPrimarySchool
MuirtownPrimarySchool
MuirtownPrimarySchool
Consult with the Head Teacher
Separate MAR (Medication Administration Record book with space for two signatures)
Two designated and trained staff to check all forms (be together but check independently of each other)
Two staff to sign in medications and amount of medication
Two staff to complete all checks and sign all documentation
Two staff to administer medication
Two staff to check stock balance
Designated and locked cupboard for any controlled medication – check with the Head Teacher
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Returning Medications
When a course of medication is no longer required or it has expired the parent/carer needs to collect the medication (Staff are not permitted to take medication to be destroyed at a pharmacy)
Office staff can phone and agree a time for medication to be collected
The parent/guardian needs to print and sign their name for the medication at the bottom of the Individual Pupil's Administration Chart (MAR)
The parent/guardian should be advised to take this medicine to their local pharmacy so it can be safely destroyed
The designated person must then complete the MAR (Medication Administration Record) and sign to say it has been returned along with amount returned to the parent
The designated person must then complete the school record book, sign to say the medication has been returned and how much has been returned – this should accurately tally with the MAR
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MuirtownPrimarySchool
MuirtownPrimarySchool
Forms These can be downloaded or obtained from the school office
Forms to be completed before any medication can be received at Muirtown Primary: (please note these forms must be completed by the parent/legal guardian of the pupil)
All Parents/Guardians
Form A – PARENTS’/GUARDIANS’ DECLARATIONAnd Form B – Part One and Two Request for Muirtown Primary School to Administer Short Term Medication. ORForm C – Part One, Two and Three Health Care Plan for a Pupil with Medical NeedsANDForm D if your child is in Primary 1 to Primary 7ORForm E if your child is in Nursery
Optional
Form F - For parents/carers to complete if they wish their child to carry his/her
own medication (e.g. Asthma Inhalers)
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Form APARENTS’/GUARDIANS’ DECLARATION
I have read and understood the administration of medications policy.
I understand that it is my responsibility to make sure Muirtown Primary School has all the necessary information and materials to meet my child’s medical needs and the Highland Council and NHS standards.
I understand that it is my responsibility to keep the school supplied with medication which is in date and that I must sign for and remove any expired or discontinued medication.
I have completed in full all forms required:
Form A – PARENTS’/GUARDIANS’ DECLARATIONAnd
Form B – Part One and Two Request for Muirtown Primary School to Administer Short Term Medication. ORForm C – Part One, Two and Three Health Care Plan for a Pupil with Medical Needs
AndForm D if your child is in Primary 1 to Primary 7ORForm E if your child is in Nursery
Optional Form F - For parents/carers to complete if they wish their child to carry his/her
own medication (e.g. Asthma Inhalers)
Name of Pupil: Class:
Relationship to Pupil:
Print Name:
Signature:
Date
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MuirtownPrimarySchool
MuirtownPrimarySchool
Form B – part one
Request for Muirtown Primary School to Administer Short Term Medication (for example, a course of antibiotics or medication not required to be given for longer than two weeks). Head Teacher: Mrs McDaid
This form must be completed by parents/legal guardians if they wish the school to administer medicines. The school will not give your child medicine unless you complete and sign this form and school staff agree to administer the medication. Details of PupilSurname: Forename(s)
Address:
Date of Birth:
Gender:
Class:Condition or Illness:
Parents must ensure that medication supplied is in date and is properly labelled with a Pharmacy or Dispensed label. For full details please read page 4 and 5 with care which stipulates in detail what is required before the school can accept any medications. Name/type of medication:
How long will your child take this medication?Quantity:Full directions for use:
Note dosage and method. E.g. oral, injection, topical, other
Timing when medication should be given:
Special precautions:
Side effects:
‘As directed’ cannot be accepted by the schoolSelf-administration: Yes No
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MuirtownPrimarySchool
MuirtownPrimarySchool
Form B – part two
Request for Muirtown Primary School to Administer Short Term Medication. PROCEDURES TO FOLLOW IN AN EMERGENCY
Emergency Contact 1
Name:
Emergency phone number(s):Relationship to pupil:
Emergency Contact 2
Name:
Emergency phone number(s):Relationship to pupil:
I understand that I must deliver the medicine personally (to an agreed member of staff) and accept that this is a service which the school is not obliged to undertake.
I undertake to inform the agreed member of staff immediately of any changes in the medication and provide an appropriately labelled supply.
Please Note: Verbal information will not be acted upon.
Medicines will be replaced/replenished by me as required and I understand and agree that the school are not responsible for ensuring supply of the medication. Name (capitals):
Signature:
Relationship to pupil:Date:
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MuirtownPrimarySchool
MuirtownPrimarySchool
Form C – Part 1 Health Care Plan for a Pupil with Medical Needs (all parents/legal guardians to complete, Nursery and Primary 1 to Primary 7)
Date when completing this form:____________________________Name of Pupil _____________________________________________________________Pupil’s Date of Birth:___________________________________________Name of Medical Condition:_____________________________________________________________________________________________________________________________________________Pupil’s Stage/Class:___________________________ Contact Information Family Contact 1Name (Capitals)
Home Phone Number
Work Phone Number
Mobile Phone Number
Relationship to Pupil
Family Contact 2Name (Capitals)
Home Phone Number
Work Phone Number
Mobile Phone Number
Relationship to Pupil
GP/Doctor Name:____________________________________________Phone Number of GP’s Surgery:_____________________________________________Clinic/Hospital ContactName:_____________________________________Phone Number:________________________________________
Name of Person Completing this Form (Capitals):________________________________Designation (Parent/Guardian/School/Health Care professional):___________________________________________________________________________
Distribution of Information (Tick as appropriate):School Record___________________ School Nurse/Health Visitor______________________Lead Medical Practitioner (GP/Consultant/Community Paediatrician)____________________
Parent_________________ Other (please specify)_____________________________________
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MuirtownPrimarySchool
MuirtownPrimarySchool
Form C – Part 2
Health Care Plan for a Pupil with Medical Needs (all parents/legal guardians to complete, Nursery and Primary 1 to Primary 7)
Please describe and give details of pupil’s individual symptoms/signsCondition Name:________________________________________________________________Signs/Symptoms of an Emergency Situation:________________________________________________________________________________________________________________________________________________________________________________________________________
What should be done in an emergency?__________________________________________________________________________________________________________________________________________________________________________________________________________
What causes this to happen? ______________________________________________________________________________________________________________________________________________________________________________________________________________________
When should treatment/medication be given? ________________________________________________________________________________________________________________________
What Dose of medication should be given?___________________________________________How should the medication be given? (oral, injection…other please state)_________________________________________________________________________________________________
At what times should the medication be given?_________________________________________________________________________________________________________________________
Daily Care Requirements (e.g before sport, before or after food, dietary, therapy, nursing needs)____________________________________________________________________________________________________________________________________________________________________
What follow up care is required after an incident?___________________________________________________________________________________________________________________________
Members of staff (more than 1 in each school) trained to administer medication for this child. ______________________________________AND______________________________________________________________________________________________________________________________
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MuirtownPrimarySchool
MuirtownPrimarySchool
Additional Information:
Form C – Part 3
I agree that I will ensure that medication is supplied; in date and properly labelled with a Pharmacy or Dispensed label. For full details please read page 4 and 5 with care which stipulates in detail what is required before the school can accept any medications.
I understand that I must deliver the medicine personally (to an agreed member of staff) and accept that this is a service which the school is not obliged to undertake.
I undertake to inform the agreed member of staff immediately of any changes in the medication and provide an appropriately labelled supply.
Please Note: Verbal information will not and can not be acted upon.
I undertake to replace/replenish medicine(s) and make sure the school has an adequate and in date supply. I understand and agree that the school is not responsible for ensuring supply of medication(s).
I agree that the medicine above may be administered to my child in accordance with this plan. I agree to provide the school with all medicines required in appropriately labelled containers, following the parents’/Guardians’ guidelines. I agree that the medical information contained in this form may be shared with individuals involved in the care and education of:
Pupil’s Name:________________________________________________________
Permission for pupils to carry own medication YES NO
Parent or Guardian’s name (Capital letters):___________________________________________
Parent or Guardian’s signature:____________________________________________Date:_________
Name, Signature & Designation (school personnel):__________________________________________
_____________________________________________________________________Date:___________
Name, Signature & Designation of Health Care Professional (if required)________________________
_____________________________________________________________________Date:
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MuirtownPrimarySchool
MuirtownPrimarySchool
Form D RECORD OF DETAILS OF MEDICATION/ADMINISTERED TO INDIVIDUAL PUPILS IN MUIRTOWN PRIMARY SCHOOL
Pupil’s Name Name of Medication
Pupil’s D.O.B StrengthPupil’s Address Method/route of
administrationN.B. Check date of dispensing is within three months and medication has not expired. If in doubt please contact dispensing source for further advice (see label).
Date Time Dose Check date of dispensing/expiry is valid – Please tick
Comments e.g. medication refused/dropped etc. Condition e.g. Seizure, any reaction…
Signature of member of staff
Stock Balance
Reason for returning to parent/guardianBalance returned by Print name: Signature: Date:Balance received by Print name: Signature: Date:N.B. This record to be retained for a minimum of five years after leaving school in pupil file.
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Form E RECORD OF DETAILS OF MEDICATION/ADMINISTERED TO INDIVIDUAL PUPILS IN MUIRTOWN NURSERY SCHOOL
Pupil’s Name Name of Medication
Pupil’s D.O.B StrengthPupil’s Address Method/route of
administrationN.B. Check date of dispensing is within three months and medication has not expired. If in doubt please contact dispensing source for further advice (see label).
Date Time Dose Check date of dispensing/expiry is valid – Please tick
Comments e.g. medication refused/dropped etc. Condition e.g. Seizure, any reaction…
Signature of member of staff
Signature of parent/carer when they collect pupil
Stock Balance
Reason for returning to parent/guardianBalance returned by Print name: Signature: Date:Balance received by Print name: Signature: Date:N.B. This record to be retained for a minimum of five years after leaving school in pupil file.
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Form F
Form for parents/guardians to complete if they wish their child to carry his/her own medication
This form must be completed by parents/legal guardians
Pupil’s Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Class: _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _
Condition or illness: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Name of Medication: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Procedures to be taken in an emergency: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Contact Information
Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Daytime telephone number(s): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I would like my son/daughter to keep his/her medication on him/her for use/self-administer as necessary
Signed: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date: / /
Relationship to child: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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MuirtownPrimarySchool
MuirtownPrimarySchool
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