1. Medication Administration Training Miami Dade County Public Schools Office of Comprehensive Health Services

2. Purpose of this Training • Review of Medication Administration Manual • Discuss your Role as the Medication Designee • Forum for Medication Administration in the School Setting • Discuss Specific Requirements for Medication Administration

3. Laws and Statutes Administration of Medication in M-DPS • FL Statute 1006.062 • Rule 64F-6.004 School Board Rule 6GX13 5D 1.021 AS THE PRINCIPAL’S DESIGNEE: it is important for you to understand these rules & statutes.

4. Laws & Statues (con’t) 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.

5. History • Medication administration is one of the most common health-related activities performed in schools.  Historically, administering medications within the school setting has been a school nurse responsibility. Because the number of students needing medication administration has grown, school nurses increasingly are required to delegate medication administration to unlicensed assistive personnel (UAP) (McCarthy, Kelly, & Reed, 2000). 

6. Our Role; Our Scope • We Administer Medications at School When it Would Jeopardize Student Health Not to Give it, or the Medication Cannot be Accommodated at Home. • We DO NOT give the 1st Dose of the Day • We DO NOT give any Meds at the END of the School Day. PARENTS ARE RESPONSIBLE FOR THE 1ST DOSE AND THE DOSE AT THE END OF THE SCHOOL DAY. • PARENTS MUST “STILL” BE EXPECTED TO BE PARENTS

7. Parents MUST give Permission Parents/Guardians give medication administration for ALL medications. • PRESCRIBED MEDICATIONS • OVER THE COUNTER MEDICATIONS Children’s Motrin

8. Receiving Medication Always Think “Safety” Always Think “Documentation” Have a Witness/Coworker Count the Medication With you When it Arrives at the School. Ritalin 40 Pills ______ Signature ______ Signature

9. Receiving Medications (Con’t) Encourage Parents to Send Enough Medication for at Least 1 Month

10. 3 DAYS SUPPLY OF MEDICATION SHOULD ALWAYS BE AVAILABLE.

11. The Authorization Form

12. The Authorization Form (Con’t) • MUST be Renewed Each Year • The Following Changes Require a New Authorization Form: • Type • Frequency • Dose • Place Expiration Date in RED at the Bottom of the Form

13. Medication Log Don’t respond to interruptions, log in as soon as medication is administered.

14. Acute Illness vs. Chronic Illness • Acute Illness – Sharp, Severe; Rapid Onset; Short Course • EXAMPLE: Upper Respiratory Infection • Chronic Illness – Of Long Duration; A Disease Process showing Little Change or Slow Progression • EXAMPLE: Asthma Medications May be Administered for CHRONIC Illnesses

15. Students CAN Self-Administer(some medications) • Permission to Allow a Student to Carry Medication Requires a Written Parent/Guardian Authorization • The Medication Should be for a Life Threatening Situation • EXAMPLES: • Severe Allergies • Diabetes A List of These Students Should be Kept in the Medication Book.

16. Medication: Original Container (1 of 11) • Medications Must Arrive in the Original Container • It is Dangerous to “Assume” • When in Doubt, Do NOT Accept the Meds

17. Medication: Delivered/Picked Up by Parent (2 of 11) • Only the Parent or Guardian Should Deliver Medications • Only the Parent or Guardian Should Pick up Unused Medications • Remember to Count Medications with a Witness • Document, Document, Document, Document

18. Medication: Biologicals (3 of 11) • Mediations are Biologicals • Do NOT Store with Food • Medication Should be Stored in a Secured Refrigerator with Absolutely No Food Items • Limited Access to this Area is Crucial, Safe, and the Best Practice

19. Medication: STAT (4 of 11) • EPI PENS • Emergency Medication is Intended to Either Avoid Additional Care or to Stabilize the Student Until Additional Care can be Arranged • January 2006: The “Kelsey Ryan Act” • “a public school student who has a life-threatening 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.” A List of These Students Should be Kept in the Medication Book.

20. Medication: 1st Dose; Late Afternoon Dose (5 of 11) • Parents or Guardians Should Administer: • 1st Dose • Late Afternoon Dose

21. Medication: Be On Time(6 OF 11) • Timing is Everything When it Comes to Medicine Control of a Condition • Medication Should be Given at Their Prescribed Time • If a Medication is Given MORE than 1 Hour Before or After the Prescribed Time, it is an Medication Error • THIS MUST BE REPORTED

22. Medication: Medication Errors (7 of 11) • This is not Punitive • It’s the Safest Course of Action to Report it • 5 Errors to Report • Wrong Medication • Wrong Dose • Wrong Time • Missed Dose • Wrong Child • Who Should you Notify? • Principal • Parent • (IF NECESSARY): Poison Control or 911

23. Medication: Unused/Discontinued (8 of 11) • Unused Medications Must be Picked up by the Parent/Guardian • Discontinued Medications Must be Picked up by the Parent/Guardian • Notify the Parent/Guardian Immediately • Send Certified Letters

24. Medication: Field Trips (9 of 11) • Children on Medication ARE Allowed to Participate in Field Trips • A copy of the Medication Authorization Must Accompany the Child on the Trip • Develop a Relationship with the Teacher of all the Student on Meds to Assist in this Process

25. Medication: 8 Steps (10 of 11) • There are 8 Steps to Medication Administration • Medication Notebook: • Medication Authorizations • Student Medication Logs Worksheets • Handbook for Medication Administration • Identify the Student and Medication • Wash your Hands • Measure Carefully: Check Label & Student 2 times

26. Medication: 8 Steps (Con’t)(11 of 11) 5) Administer the Medication 6) Log Medication Immediately 7) Replace the Medication in Locked Area 8) Wash Hands

27. CPR & Poison Control • Each School Must have • 2 People Certified in CPR • 2 People Trained in First Aid • National Poison Control Number: 800-222-1222

28. Dade SchoolsComprehensive Students Services http://comprehensivehealthservices.dadeschools.net/ • Resources on this Website: • Contact Information • Downloads: • Medication Authorization Forms • Medication Log • School Board Rule • Policy & Procedures Manuals

29. Miami Dade County Department of HealthSchool Health Program • School Health Program • 786-845-0222 • http://www.dadehealth.org/

30. Questions/Comments Call Wilma Steiner at 305-995-1235 Miami Dade County Public Schools Division of Comprehensive Services