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Medication Administration Procedures
Every attempt must be made by the student’s parent and healthcare provider
to have medications administered at home during non-school hours. When this
is not possible a completed Medication/Treatment Authorization Form
must be provided for each medication to be administered during school hours.
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The principal
designee shall not administer medication until after he/she has
successfully completed the Medication Administration Workshop. He/she
will also do the annual update to continue to administer medications .
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School
personnel may not administer medication unless the parent presents the
school with a completed Medication/Treatment Authorization Form
signed by the parent and healthcare provider.
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Medication/Treatment Authorization Forms are
only valid for one year from the date the form was completed by the
healthcare provider. A copy should also be kept in the medication
administration binder.
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Any changes in
the type, dosage, or frequency of medication being administered will
require a new Medication/Treatment Authorization Form completed by the
healthcare provider and signed by the healthcare provider and parent.
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The
Medication/Treatment Authorization Form must be current. To assist
you in remembering when a new form is needed you can place the
expiration date in red in the top, right hand corner of the form.
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When
medications are discontinued, draw a red line through the name of the
medication on the Medication/Treatment Authorization Form .
Place your initials and the date at the end of the line. You may
continue to use the form for any other medications that may be listed on
it. You should place the form in the student’s Cumulative Health Folder
if the medication being discontinued is the only medication listed on
the form.
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In an
emergency situation a Medication/Treatment Authorization Form can
be faxed to the healthcare provider and returned by fax to the school.
An original must be obtained from the healthcare provider within one
week of obtaining the fax copy. The parent will need to sign the fax
copy and the original copy when they arrive at the school.
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Every time a
medication is given, all designees with use the universal medication
safety precautions known as the Five Rights of Medication
Administration.
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Always wash
hands before administering any medication. Remember to wash your hands
between students as well.
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If there is
any question concerning the medication, contact the parent, physician or
pharmacy before administering the medication.
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Medication are
to be brought to the school by the student’s parent.
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Medications
are not to be transported on a school bus unless the student is
accompanied by trained personnel or medication is a self-administered
emergency medication (epi-pen, diastat, inhaler). Students with
diabetes may transport all of the necessary equipment and supplies
needed for their care.
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Non-prescription (over the counter) medications must be received in the
original container and labeled with the student’s name. A completed
Medication/Treatment Authorization Form must accompany all over the
counter medications.
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Prescription
medication must be received in a pharmacy labeled container with the
student’s name, healthcare provider’s name, pharmacy name and phone
number, name of medication, directions concerning dosage and date of
prescription.
When giving medication s DO NOT:
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Pre-pour
medications, i.e. the day before they are to be administered or in the
morning for the entire day.
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Touch
medications with bare hands while counting or dispensing
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Store liquid
antibiotics in cabinet. They must be refrigerated.
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Allow students
to retrieve their medications from the storage cabinet.
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Administer
medications unless the Medication/Treatment Authorization Form is
current.
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Accept changes
unless they are on a new form signed by both the healthcare provider and
the parent.
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Give
medications to someone to administer on a field trip unless you know
that the person has received medication administration training.
Things to remember:
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Principal must
select regular and back up staff to administer medications.
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Designated
school personnel are required to receive training
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Only trained
personnel can administer medications, even on a field trip.
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Training
program must be approved by Health Education Services.
Please note
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Insulin and glucagon injection, rectal diastat and epi-pen
administration will not be taught in this training.
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The above
methods of administering medications require a separate, child-specific
training.
Types of
Medications
Prescription medications – A physician must write a prescription for the
family to receive the medication
Non-prescription or over the counter medications – Medications that can be
purchased by anyone with out a prescription
Student self-administered medications – medications that can be given by the
student and do not need to be administered by school staff.
All of the above medications still require a Medication Authorization Form
completed by a healthcare provider and signed by both the healthcare
provider and the parent. Additionally, there is a space for the healthcare
provider to indicate if the student may self administer medication and have
been trained on how to self-administer the medication. Medications that
students may self-administer are inhalers, epi-pens and insulin.
Self-administration of medications will be covered in more detail in another
module.
Healthcare
Providers With Prescriptive Privileges
You can accept a completed Medication Authorization Form from any of the
following healthcare providers:
MD – Doctor of Medicine
DO – Doctor of Osteopathy
ARNP – Nurse Practitioner
PA – Physicians Assistant
DDS or DMD - Dentist
Reasons to Contact Parents
Reasons to Contact Healthcare Provider
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