Medication InService Refresher Course

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Medication In-ServiceRefresher Course

• XXXX

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Welcome to the Online Refresher Course for
Medication Administration

• This course should only be used as a refresher
  course and not for initial training.
• Initial training must be done by a district
  nurse.
• Always contact your district nurse if you have
  any questions about medication administration.

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Purpose

• To assure that medications given to students at
  school are dispensed safely, appropriately and in
  accordance with District Board Policy (5162) and
  California State law (C.E.C. 49423).
• State Law requires that you are trained yearly.

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Accepting Medication at School

• You Must Have
• The Parent/Guardian and Physician Request for
  Medication completely filled out.
• The medication must be in the original pharmacy
  container.
• The information on the container must match the
  written order.
• All medication must be stored in a locked area.

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Know the 5 Rights

• The Right Student
• The Right Time
• The Right Medicine
• The Right Dose
• The Right Route

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The Right Student
My name is John Doe.

• Have the student give you his/her name every
  time. They will soon learn that this is part of
  the procedure.

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The Right Time

• Medication can only be given within ½ hour of the
  time it is ordered.
• If the medication is missed, you need to call the
  parent.

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The Right Medicine

• Read the medicine label very carefully three
  times!
• Check with the District nurse if you are unsure
  of the generic name for a drug or have any
  questions.

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The Right Dose

• Check the dosage on the medication order to make
  sure it matches what is written on the medication
  container.
• If it doesnt match, dont give it and call your
  District Nurse.
• Always check liquid measurement at eye level.

Rx 12345 John Doe Take 2 tsp every 4 hours as
needed for cough.
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The Right Route

• Check to see if the medication is to be taken
  orally, inhaled, rubbed on the skin, inserted in
  the eye or ear, etc.

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AndOne moreRight

• The 6th Right
• The Right
• Documentation
• Properly fill out the Medication Administration
  Record (MAR).

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Oral Tablets and Capsules

• Wash your hands.
• Check the 5 rights.
• Pour the medication into the cap.
• Give with a full glass of water.
• Observe the child take it.
• Recap and return it to the proper place.
• Never pre-pour!!

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Liquid Medication

• Wash your hands.
• Check the 5 rights.
• Shake medication per label instructions.
• Use a medicine cup or spoon that is calibrated.
• Measure at eye level.
• Pour from the side of the medication opposite the
  label.
• Wipe off the container after administering.

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Skin (topical) Medication

• Gather supplies.
• Wash your hands.
• Wear gloves.
• Check the 5 rights.
• Note the condition of the skin and report
  anything unusual.
• Use a tongue blade to spread medication
• Cover with gauze if ordered.

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Eye Drops

• Wash hands and check the 5 rights.
• Observe the eye and report anything unusual.
• Clean each eyelid with a cotton ball, wiping from
  inside of the eye to the outside.
• Position with head tilted back and eyes looking
  up.
• Open eye to expose lower eyelid.
• Approach the eye from outside the field of
  vision.
• Gently drop medicine into the lower eyelid.
• Have student keep eye closed for a few minutes.
• Wait 1-5 minutes before instilling in the other
  eye if it is ordered.

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Eye Ointment

• Observe and report any unusual condition of the
  eye
• Cleanse eye with clean cotton ball, wiping once
  from inside to outside.
• Position with head tilted back and eyes looking
  up.
• Open eye to expose the lower eyelid.
• Approach from outside the field of vision.
• Apply a thin layer along the inside lower lid or
  as ordered.
• Hold lid open a few seconds
• Close the eye gently and have student keep it
  closed for a few minutes.
• Blot excess medication with tissue.

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Ear DropsPosition the child

• Position the student lying down facing opposite
  you.

• Cleanse entry to ear canal with clean cotton
  ball.
• Observe area for any unusual condition and report
  observations.

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Ear Drops (continued)

• Straighten the ear canal by pulling outer ear
  gently down and back (under age 3), or up and
  back (older children).
• Drop the medicine on the side of the canal.
  Avoid touching the dropper to anything.
• Instruct student to stay in that position for 1
  minute.

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Medication Inhaler

• Attach mouthpiece of inhaler to the spacer if one
  comes with the medicine.
• Have child stand or sit straight.
• Shake inhaler a few seconds.
• Position inhaler 1-2 from the lips or place
  mouthpiece of the spacer in mouth.
• Breathe out naturally
• Open mouth and inhale deeply and slowly, while
  squeezing canister down on mouthpiece.
• Hold breath as long as possible, up to 10
  seconds.
• Wait 1-2 minutes, then repeat if ordered.

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Documentation Medication Administration Record

• Make sure that you sign the form.
• Never sign a medication out before you give it.
• The form becomes a part of the students
  permanent record.

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MEDICATION ADMINISTRATION RECORD
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No Shows

• Always try to find the student within ½ hour of
  when the medication is due and give it.
• Call the parent if it was not given.
• Frequent know shows will need more
  intervention. Call your District Nurse for help.

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LETS REVIEWProcedure for giving medication

• Get medication from locked area.
• Check the FIVE RIGHTS name, time, medication,
  dosage, route.
• Assist the student following proper procedure.
• Observe the student take the medication.
• Document the time and sign on the Medication
  Administration Record.

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IMPORTANT!

• ALWAYS call your District Nurse if you have any
  question regarding medication administration.
• Health Services 949-234-9348

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Medication Errors

• You must always document medication errors on an
  Incident Report.
• Always immediately notify your District Nurse.
• Always notify your administrator.
• Always notify the parent.

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Serious Medication Errors

• EXAMPLES
• Overdose
• Medication given to the wrong child
• Medication given via the wrong route
• Call Poison Control at 714-634-5988 for advice
  IMMEDIATELY!
• Contact a District Nurse as soon as possible.

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Remembera few important points

• Always wash your hands before giving medication.
• NO ORDERS DO NOT GIVE MEDICINE
• Medication is ALWAYS to be kept in a locked area.
• If the signed forms are not turned in, a parent
  (or a parent designee) may come to school and
  give the student the medication. NO school
  district employee may give it.

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OVER THE COUNTER PRODUCTS APPROVED FOR SCHOOL
DISTRICT FIRST AID

• Very few products can be used by trained school
  personnel without parent or physician
  authorization.
• Examples Eye wash, hand lotion, antibacterial
  soaps.
• See the complete list on the form in the Health
  Services Manual.

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Also, there is a SECOND LIST

• This list shows authorized products for which a
  parent MUST give consent, but does not require a
  doctors order.
• Review the following two slides.
• This list is in your Health Services Manual.

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Disposal of Medications

• Medications that need to be disposed of will be
  placed in the sharps container. Do not flush
  them down the toilet.

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Thank you for taking the on-line medication
refresher course.

• But wait! You are not done
• Contact your district nurse to schedule your
  follow-up quiz and in-service of emergency
  medications.
• HAVE QUESTIONS?
• CONTACT YOUR DISTRICT NURSE