Medication Recertification Class

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Medication Recertification Class

• For Medication Certified Staff Members Only

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Act 87 of 1993

• Governs how we give medications in a school
  setting
• States that each parish will develop, follow and
  train their staff members who will administer
  medication according to their established policy
• Once trained the school board employee who
  administers medication can not decline such
  service at the time indicated unless exempted in
  writing from a licensed MD or RN.
• The school administrator is responsible for
  designating school employees to receive training
  to administer medication at school and at school
  sponsored events.
• Only teachers have the right to volunteer.
• The unlicensed trained school employee has the
  right to have a witness present upon request.

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Student Confidentiality

• All student information MUST be kept confidential
• HIPPA and FERPA Laws
• Do not administer medication to a student out in
  an open area or front office
• Do not call a student down via intercom to come
  take his/her medication
• Be professional when discussing students with
  others and only discuss students medication with
  others when absolutely necessary.

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Six Rights of Medication Administration

• Right Medication
• Compare label and order
• Right Dose
• Compare label and order, if there is a difference
  hold medication and notify parent immediately
• Right Student
• Verify students identity. Ask student their name
  and compare to name on medication label
• Right Time
• Give medication at specified time per order. 30
  minute grace period before and after specific
  time. Document exact time you have medication
• Right Route
• Make sure you are giving the medication properly
  as it is ordered. Oral should be the only way
  except in emergency situations such as Epi Pen.
• Right Documentation
• Always write on medication log immediately at the
  time you give the medication and document the
  time. Do not document the next day or before you
  give the medication.

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Special Precautions to Observe in Administering
Medication

• Never pour liquids in poor lighting
• Never use medication that is not clearly labeled
  or does not have a label.
• Pay attention
• Be on time
• Always verify student name
• One child at a time
• Have water available
• Keep meds locked up and never leave unattended.
• Dont use liquid paper or erase. Just draw a line
  through the error and correct it.
• Never take orders from parents/guardians
• Concerns about anything call your school nurse
• Time released meds DO NOT CRUSH, EMPTY OR OPEN
  CONTENTS
• Opening a capsule can only be done if ordered by
  MD not by parent or guardian.

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Important Points to Remember

• IMPORTANT POINTS TO REMEMBER
•  
• Only trained school personnel may receive
  medications from the parent/legal guardian or a
  responsible adult. All medications have to be
  accounted for and documented in the appropriate
  section of the Medication Log.
•  
• The 3 essential forms you must have when
  accepting medications are
• Physicians Medication Order and Request Form
• Parent/Guardians Request and Authorization Form
• Student Assessment Form (completed by the
  parent/legal guardian)
•  
• The initial dose of a medication must be
  administered by the students parent/legal
  guardian outside the school jurisdiction with
  sufficient time for observation for adverse
  reactions.
•  
• If the Physicians Medication Orders are not
  completely and correctly filled out by the
• Physician/Dentist/Nurse Practitioner or his/her
  staff, you cannot accept them. You must send the
  parent/legal guardian back to the Physicians
  office to have the forms completed the
  parent/legal guardian cannot fill out the
  medication orders.
• The Medication Orders cannot have any corrections
  made with liquid paper and/or marked-out places
  on them. The orders must be signed by the
  Physician/Dentist/Nurse Practitioner and cannot
  be a stamped signature. The orders cannot be a
  photocopy but we can accept Electronic signatures
  from the physician.

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Important Points to Remember Continued

• The Medication Orders may be faxed but the
  original orders must be received within 5
  business days.
• When accepting orders and medicine, make sure
  that the bottle and the medication order match
  correctly. For example, the bottle can never read
  Take as directed or Take 2 times daily, etc.
• Be sure that the medication bottle has only one
  kind of medication in it and that each bottle is
  properly labeled with the childs name,
  physician/dentist/certified nurse practitioner,
  pharmacy, drug, dosage, and designated time(s)
  for administering. IF MEDICATION IS NOT
  PROPERLY LABELED AND DOES NOT MATCH THE
  PHYSICIANS ORDER, IT MUST NOT BE GIVEN.
•  
• The orders and the bottle must be dated after
  July 1st of the current school year. If there is
  a situation that is questionable, please call
  your school nurse!
•  
• Maintain a medical log in the school for any
  medicine administered. See that the
  administration of all medication is properly
  supervised and documented. Each administration
  of medication must be recorded on a medication
  log which includes the date and time medication
  was given, the dosage administered, and the
  signature of the person administering the
  medication. It must be the responsibility of the
  principal to assign designated personnel to
  administer medication at each school.

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Important Points to Remember Continued

• All inhalers must be labeled and signed in on the
  Medication Log just like all other medications.
  If a student carries an inhaler on their person,
  it must be indicated on the medication order
  form.
•  
• The proper use of an inhaler includes the student
  holding the mouthpiece 1-2 inches from the mouth
  when pressing down on the inhaler or as directed
  by their personal physician/nurse practitioner.
•  
• Liquid medicines are to be accounted for and
  signed in on the Medication Log. Make sure the
  amount is measured and compares to the medication
  order.
•  
• Document that the medication was given
  immediately after giving it not the next day or
  the next week!
•  
• Never accept a change in medication orders
  verbally from a parent/legal guardian or
  physician/nurse practitioner. A new Medication
  Order must be received.
•  
• Notify your School Nurse as soon as a field trip
  is planned. When you send a field trip request
  to Risk Management, Transportation, appropriate
  Administrative Director, etc, please send request
  into the Nursing Department at the same time.
•  
• A medication trained person must be the person
  completing the field trip notification form.

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Field Trips

• When medication is administered on field trips, a
  copy of the following forms is required on each
  student and must accompany the trained school
  personnel.
• Parent/Legal Guardians Request and Authorization
  Form
• Medication Order Form
• Students Health Information Form
• The Medication Administration Log Sheet (this
  should be marked FIELD TRIP across the top of
  the copy)
• Always leave the original medication forms at
  school. Upon returning to school after the field
  trip is taken, be sure to mark F in the space
  for that day on the original medication log and
  place copies used for the field trip in the
  students cum folder. Make sure that you have
  documented correctly on the field trip copy of
  the log.
• Any time a field trip is extended beyond regular
  school hours, the parent/legal guardian must get
  a new set of orders covering the medication(s)
  received before and after school. This would
  include any medication that the student receives
  only at home. The parent/legal guardian must
  also supply the personnel with a correctly
  labeled bottle of medicine that concurs with the
  orders.
• The Notification of Field Trip Form must be faxed
  to the Nursing Department [phone], at
  least 15 school days prior to the field trip.
  The front office of your school has blank copies
  of this form, you can find an electronic copy on
  the CPSB website, or you can contact the Nursing
  Office for a copy.

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Field Trips Continued ..

• All of the usual guidelines apply to the
  administration of medication while on field
  trips. Please adhere to them because we are
  always accountable at all times and in all
  situations!
• If there are no students taking medication going
  on a field trip, notification to the Nursing
  Department is still required.
• Documentation of medication administration while
  on a field trip must be done as it is in the
  school setting.
• Only trained school personnel can administer
  medication to a student on a field trip, even in
  cases of an emergency.
• Appropriate diabetes care/management on field
  trips is necessary for the students immediate
  safety.
• If the parent/legal guardian does not provide the
  required forms and medication(s) to the school
  prior to the field trip, then the student cannot
  attend the field trip.
• Students requiring medication while on a field
  trip must stay with medication certified
  personnel.
• The Notification of Field Trip Form must be
  completed by a medication certified person.

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