Medication Administration Training Overview. Miami-Dade County Public Schools Division of Student Services, Comprehensive Health Services

Transcription

1 Medication Administration Training Overview Miami-Dade County Public Schools Division of Student Services, Comprehensive Health Services

2 Purpose of this Training To review the requirements of Florida Statues and School Board Policy as it pertains to Medication Administration

3 Acute Illness vs. Chronic Illness Acute Illness: sharp, severe, rapid onset, quick progression EXAMPLE: Upper Respiratory Infection Chronic Illness: Slow Progression, showing little change EXAMPLE: Asthma Medications ARE GIVEN FOR CHRONIC illness

4 Laws & Statutes on Medication Administration When you give Medication in M-DCPS, the following laws and policies must be followed. FL Statute, Administrative Rule, 64F School Board Policy 5330 AS THE PRINCIPAL S DESIGNEE: it is important for you to understand policies & statutes.

5 Who uses the Laws & Statues? ALL districts in each county of Florida use the Florida Statutes as a foundation. They then develop a more comprehensive protocol to deliver medication in their schools

6 Laws & Statues (continued) 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.

7 History Medication administration is one of the most common health-related activities performed in schools.

8 Authorizations are Needed OVER THE COUNTER PRESCRIBED MEDICATION

9 Scope of Services Medication is given in schools when not giving it would Jeopardize a Students Health. We should not be giving the 1 st dose of the day. We should not be giving medications at the end of the day (unless there is a person trained in medication administration in after school care). PARENTS should be encouraged to give the 1 ST dose and the last dose.

10 Medication Documentation Medication Notebook: a) Medication Authorizations b) Student Medication Logs Worksheets c) Handbook for Medication Administration d) Care Plans specific to metabolic health condition

11 Child Specific Care Plans For Child Specific Care Plans Call Comprehensive Health Services (305) allergies asthma seizures chronic ongoing metabolic conditions

12 Rules for Parents & Medical Providers FOR EACH PRESCRIBED MEDICATION AND EACH OVER THE COUNTER MEDICATION (Including items such as throat drops and insect spray) ANY CHANGE IN TYPE, DOSE, OR FREQUENCY REQUIRES A NEW FORM! A separate log must be kept for each medication given to a student at school.

13 Accepting Medication at School Sites Have a witness/coworker count the medication with you and document the amount when it arrives at the school. Over the counter medication should arrive sealed with the students name on it. RX d medication should arrive with the student s name and pharmacy name on the container. The medication name on the container must match the written medication authorization that was brought in.

14 Accepting Medication at School Sites Medications Must Arrive in the PHARMACY LABELED CONTAINER with the following information: A. Student s name B. Medical provider s name C. Pharmacy name and telephone number D. Name of medication, E. Directions concerning dosage and administration F. Date of prescription G. Expiration date

15 Injectable Medications EACH STUDENT REQUIRING AN AUTO INJECTOR, SHOULD MUST HAVE AN EMERGENCY ACTION PLAN AND A MEDICATION AUTHORIZATION COMPLETED Please contact Comprehensive Health Services to obtain an Emergency Action Plan

16 Receiving Medications Medications are not to be transported on a school bus, unless bus personnel have been trained. Encourage Parents to Send Enough Medication for at Least 1 Month.

17 When medication is brought in, enter the amount of medication with a witness signature along with your own. Medication Logs

18 Medication Logs At the end of the year a diagonal red line should be placed on the form and the form should be placed in the Cumulative Record.

19 Recap NEW AUTHORIZATION FORMS MUST BE SUBMITTED WHEN THERE IS A CHANGE IN MEDICATION Type, Frequency, Dose Put a red line through the old authorization and file it in the cumulative record.

20 Medication Error Report

21 NOT ACCEPTABLE The Authorization Form

22 Emergencies In an emergency the medication authorization may be faxed

23 Allergies ALL SCHOOLS SHOULD: Maintain a list of students with severe allergic reactions Copies of this list should be given to all teachers, and school based staff including cafeteria staff. A copy should also be kept in the medication book. Emergency Contact Cards should be completed updated at least yearly. All school-based staff should know the swarming season for bees ( October through June ).

24 Allergies (continued) Emergency medication is intended to either avoid additional care or to stabilize the student until additional care can be arranged EPI PENS The Kelsey Ryan Act a public school student who has a lifethreatening 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.

25 Medication: Unused/Discontinued Notify the Parent/Guardian Immediately Unused Medications Must be Picked up by the Parent/Guardian Discontinued Medications Must be Picked up by the Parent/Guardian Send Certified Letters

26 Medication Storage MEDICATION MUST BE STORED IN LOCKED CABINETS ALWAYS!

27 Medication Storage (continued) Do NOT store with Food Medication should be stored in a secured refrigerator with absolutely no food items Limited access to this area is a best practice

28 Self-Administered Medications Students can administer SOME medications. Permission to allow a student to carry medication requires a Medication Authorization, along a written Parent/Guardian authorization. The Medication Should be for a Life Threatening Situation EXAMPLES: Severe Allergies Diabetes Asthma Pancreatic Enzymes

29 Medication: Be On Time Timing is everything: If a Medication given more than ½ hour before or ½ after the prescribed time, is called a Medication Error. THIS MUST BE REPORTED Each teacher/substitute should have a list of students, by name and time of administration, who require medications. The list needs to be available for teacher substitute.

30 Medication Errors Medication: Medication Errors 1) Wrong Medication 2) Wrong Dose 3) Wrong Time 4) Missed Dose 5) Wrong Child 6) Expired Medication Who Should you Notify? Principal Parent (IF NECESSARY): Poison Control or 911

31 Medication and Field Trips Medication and Field Trips Children on medication must be allowed to participate in field trips A trained staff member must accompany the child A copy of the medication authorization must accompany the child on the trip

32 POISON CONTROL Prevention Intervention - Identification ANYTHING CAN BE POISONOUS IN EXCESSIVE AMOUNTS

33 Prescription Medication Poisoning Sharing meds How does it happen? Lack of routine for taking medication Taking multiple medications / interactions Vision challenges Increased sensitivity to substances Vitamins and Minerals are essential to good health but too many may be toxic

34 Prescription Medication Poisoning What kind of medication can you be poisoned by? ANY Most medication poisonings come from: Stimulants Antidepressants Pain Killers

35 Prescription Medication Deaths In 2008 more Florida residents died from medication poisoning than car crashes. According to the Florida Poison Control Centers: 7 Floridians die from prescription medication use each day.

36 Prescription Medication Deaths NEVER LET SOMEONE SLEEP OFF OVERMEDICATING THEMSELVES. THEY MAY NOT GET UP!!!!!!

37 Identification of Medication TOLL FREE HOTLINE AVAILABLE 24 HOURS A DAY 7 DAYS PER WEEK UM POISION CONTROL CENTER HANDLES 40,000 poisonings per year. 80 % can be handled at home without going to the E.R.

38 Poisoned by Plants Poisoned by plants Pencil Cactus Lantana Oleander Angel s Trumpet Rosary Pea Caladium Peace Lily Croton

39 Symptoms of Plant Poisoning Irritation to skin Irritation to eyes Irritation to mouth Difficulty breathing Difficulty swallowing Anaphylaxis

40 Marine Poisoning Jelly Fish Stings Portuguese Man of War Lion Fish Catfish Sting Ray Sea Urchin

41 Marine Poisoning DON T respond to marine poison with lemon juice, or bleach DON T remove spines with bare fingers, or touch dead jellyfish with bare fingers.

42 Household Poisons Approx. 400 containers of toxic substances are brought into the home each year. This includes: finger nail polish remover, cosmetics, personal care products, household cleaners, plant fertilizers, coins, watch batteries, tobacco, etc. Toddlers explore the world through their mouth. Even things that taste and smell bad go in their mouth. Toddlers imitate. Don t call medicine candy to get them to take it.

43 Keep Safe against Household Poisons Keep products in their original containers. Many poisonings happen because poisonous products were stored in a milk or drink container. Antifreeze is a DEADLY poison for people and pets. Over 700 calls are received each year by the poison control center for rat and mouse poisons which are on the floor where crawling curious children have easy access.

44 CPR & Poison Control Each school must have: 2 People Certified in CPR 2 People Trained in First Aid POISON CONTROL CENTER open 24 hours a day 7 days a week, and it is confidential! When you call the center they can help determine whether you should stay at home or go to the hospital. National Poison Control Number: Florida Statewide Poison Control Number:

45 Miami-Dade County Public Schools Comprehensive Students Services Resources on this website: 1) Contact Information 2) Downloads: 1) Medication Authorization Forms 2) Medication Log 3) School Board Rule 4) Policy & Procedures Manuals