PowerPoint Presentation - MEDICATION TRAINING by wuxiangyu

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									 Medication Training

FOR ANY EMPLOYEE THAT
 GIVES MEDICATION AT
       SCHOOL
            Medication Policy
• Chatham County Schools discourages the practice
  of students taking medication during the school
  day.
• Parents’ and physicians’ written approval must be
  presented to school administration.
• The school will assume no responsibility for
  students who self-medicate without written
  permission.
• Chapstick and throat lozenges are not covered by
  this policy.
    Medication Administration
• Written instructions will be required on the
  “Medication Dispensing Form”.
• The “Medication Dispensing Form” must be
  signed by a physician and parent.
• The “Medication Dispensing Form” must be
  completed annually.
• Copy the Medication Dispensing Form and
  place in the Nurses’ box.
                   Dispensing of Medication During School Hours
                                Chatham County Schools
To be completed by physician or nurse practitioner:
Name of Student:______________________                 School:____________________
Medication:___________________________                 Dosage:____________________
Form of Medication to be given is circled below:
              tablet       ointment   capsule   inhalation      liquid
Other (Specify):__________________________________
Purpose of Medication:_____________________________________________
Time to be administered:_______________a.m. _________________p.m.
Possible side effects:_______________________________________________
Contraindications:_________________________________________________
Termination Date for Administering:__________________________________
______________________________                         _______________
Physician's Signature                                        Date

______________________________
Physician’s Phone Number



 This section must be completed by health care provider
 To be completed by Parent or Guardian:
 I hereby give my permission for my child (named above) to
 receive medication during school hours. This medication has
 been prescribed by a licensed physician. I assume full
 responsibility for informing the principal of any changes in
 my child’s health or medication. I hereby release the School
 Board and their agents and employees from any and all
 liability that may result from my child taking the prescribed
 medication. I will furnish this medication within a container
 properly labeled by a pharmacist with identifying information
 (e.g., name of child, medication dispensed, dosage prescribed,
 and the time to be given).
 ___________________________                 __________
 Signature of Parent or Guardian             Date

 ___________________________
 Parent or Guardian Phone Number




This section must be completed by parent or guardian
        Parent Responsibilities
• Supplying the medication to the school

• Medication must be in a container labeled by the
  pharmacist

• Over the counter medications must be provided in
  the original container or in a pharmacy labeled
  bottle

• Provide new labeled containers and medication
  form when medication changes are made.
                                                        Medication Log
                                                                             Medication Log
Student:___________________________________                                   School:_________________________                           School year:______________________
Teacher:_______________________________                                       Physician:________________________                         Telephone number:________________
Name of Medication:_______________________________Special Comments/Instructions:__________________________________________
                       (If a new medication is prescribed or if the dose changes, a new medication log needs to be completed)
                           (Please initial the block on day medication is given or chart reason why not given - See chart below)
Month       1 2        3   4   5   6   7   8   9   10      11      12   13   14   15   16   17   18   19   20   21       22   23    24    25    26   27     28    29    30   31
August
September
October
November
December
January
February
March
April
May
            Initials               Name                 Initials              Name                                Codes (Chart Reason)
            _____ ____________________ ______ ___________________                                 ED = Early Dismissal         Ab = Absent                FT = Field T rip

            _____ ____________________ ______ ___________________                                D/C = Medication Discontinued                            NMS = No Medication at school

            _____ ____________________ ______ ___________________                                R = Refused                     O = Omitted/Attempted to locate student unsuccessful

                                                                                                 S = Self Administered
 Completing the Medication Log

• Copy information exactly as on the
  “Medication Dispensing Form”
• Document daily when medication is given
• Please count the number of tablets and
  document on the Medication Log.
  (Document on the medication log each time
  new medication is brought in.)
      Emergency Medications
Asthma Inhalers, Epi-Pens, Glucagon, and Diazepam

New laws have given students the right to
 carry emergency medications and self
 administer these medications.
The Physician must specify on the Medication
 Dispensing Form that students may carry
 emergency medication and self administer.
The nurse needs to be aware of any students
 who carry their emergency medications.
     The 5 Rights to
Medication Administration
              Right Student
• Ask student’s name
           or
  call name before
  medication given
• Have picture on
  medication log if
  available



       ALWAYS STATE STUDENT’S NAME
            Right Medication

• Check prescription
  bottle for correct
  prescription
  information
• Check Medication Log
  or Dispensing Form to
  be sure information is
  the same
                  Right Dose


• Check dose listed on
  prescription bottle

                           Date
• Check dose that is
                           Child’s Name
  listed on the
                           Medication
  Medication Log           Time to be given
Oral Medications
             Tablets/Capsules


• Medication given by
  mouth
• Only break tablets or
  capsules that are
  scored.
                     Liquids

• When measuring
  liquids use a small cup
  or syringe.
• Check to be sure if
  medication needs to be
  refrigerated.
                   Inhalers
• Shake inhaler
• Have student take a
  deep breath in and out
• Have student place
  inhaler in mouth and
  puff inhaler while
  breathing in deeply
• Have student hold
  breath for 10 seconds
• Wait 1 minute then
  repeat steps above
               Eye Medication
• Be sure you have the
  correct eye.
• Do not touch any part
  of the eye with the tip
  of the eye drop bottle.
• Have student dab eye
  after insertion (do not
  allow them to rub
  eye).
               Ear Medication
• Be sure you have the
  correct ear
• Have student lay with
  affected ear up
• Pull top part of the ear
  up and back
• Place correct number
  of drops in ear
• Have student keep
  head tilted for
  2 minutes
Injections
                Epi-Pen Injections
•   Remove insect stinger
•   Remove white plastic cap
•   Take medication from amber colored cylinder
•   IF MEDICATION IS BROWN - DO NOT GIVE
                CALL 911 AND PARENT
•   Place (gray) cap to the side
•   Place black tip to the thigh at a right angle
•   Use a quick motion and press black tip hard into thigh
        (You will hear a loud pop.)
•   Hold in place for 5-10 seconds
•   Remove Epi-Pen. Discard in Red Sharps Container
•   Massage injection site for 10 seconds
•   CALL 911 AND PARENT
                   Glucagon Injection
•   Remove flip-off seal from the bottle of glucagon
•   Wipe top of bottle off with alcohol wipe
•   Remove the needle protector from the syringe
•   Inject the entire contents of the syringe into the bottle of glucagon
•   Swirl bottle briefly until glucagon dissolves completely
•   GLUCAGON SHOULD NOT BE USED UNLESS THE SOLUTION IS
    CLEAR AND OF A WATER-LIKE COSISTENCY
• Using the same syringe, hold bottle upside down, make sure the needle
  stays in the solution
• Withdraw 1 milligrams of solution into the syringe
• Cleanse injection site on buttock, arm, or thigh with alcohol wipe
• Inject the needle into one of the above sites
• Turn student onto his or her side
• Feed the student as soon as he or she awaken and can swallow
                  Right Time

• Check time on
  Medication Log or
  Medication
  Dispensing Form
• Medication may be
  given 30 minutes prior
  to or after prescribed
  time
If information on the bottle does
not match the information on the
  Medication Dispensing Form,
   the physician’s office and/or
     parent should be called.


     Notify the School Nurse.
          If medication is
       given to the wrong student
                    or
the right student gets wrong medication
                    or
   medication is found to be missing,
       a Variance Report
       must be completed.
Medication Variance Report
       is located in
 School Health Manual,
        page 120 b
  Complete Variance Report


         Notify Parent



      Notify School Nurse


Send copy of report to Principal
If medication is found to be missing,
             complete a
    Medication Variance Report.
Complete Variance Report

    Notify Principal

     Notify Police


  Notify School Nurse
                    Review
• Medication Dispensing Form must be present and
  signed by Physician and Parent
• Medication Log should be copied directly from
  Medication Dispensing Form
• Remember the 5 Rights
       Right student, medication, dose, route, time
• Be sure student takes medication correctly
• Initial Medication Log
• Complete Variance Report if medication is given
  incorrectly
• Complete Variance Report if medication is
  missing
Take your Medication Test Online Now

								
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