Medication Administration Annual Review A Training for School
Personnel February 2007 Revised June 2008 Begin Exit Slide 2
Welcome to KCSD annual medication administration re-training. This
program contains information required by law to administer
medications to school students. In order to complete this training,
you must have previously attended a course presented by one of the
nurses. Please read all of the information and complete the quiz.
Following the quiz, there is a survey. This information is required
and will assist in improving this course and developing others. You
must include your name, building, and date. This information is
required for our records. If this is your first time completing
this course, allow 1/2 hour to do so. Next BackNextBack Exit Slide
3 Goal This training is intended for non-nurse school staff who
have been assigned to give medications in school, following the
legal guidelines of ORS 339.867 to 339.870 and OAR 581-
021-0037.ORS 339.867 to 339.870 OAR 581- 021-0037. Next
BackNextBack Exit Slide 4 The Law Administrative rules were adopted
by the Oregon Department of Education in 1997, and amended by the
legislature in 2007. School districts must adopt policies and
procedures for this rule including policies which address student
self medication. Back Next Exit Slide 5 What the Law Says
Administrator must select regular and back up staff Designated
school personnel are REQUIRED to receive training annually ONLY
trained staff can administer medication Training program must be
approved by Oregon Department of Education Back Next Exit Slide 6
Oregon Dept of Education Initial training must occur face-to- face
with a nurse Annual retraining can be completed online Next Back
Exit Slide 7 Note: Only non-injectable medications are covered by
this law Nebulizer treatments, injections and rectal medication
administration will not be taught in this training Back Next Exit
Slide 8 Three Types Non-prescription medication Prescription
medication Student self-administered medications Back Next Exit
Slide 9 Non-Prescription Medication Commercially prepared Original
container Non-alcohol based Necessary for student to remain in
school Includes cough drops and antacids (e.g. Tums) Back Next Exit
Slide 10 Non-Prescription Medication Require: Written parent
permission & instructions Can be faxed Student name Medication
name Medication dosage, frequency, route Must provide own
medication Back Next Exit Slide 11 Prescription Medications Law
requires school personnel to be responsible only for prescription
medication scheduled to be given during school hours. Back Next
Exit Slide 12 Prescription Medication Does not include injectable
drugs Must be prepared and labeled by a U.S. pharmacist and be in
the original pharmacy container Back Next Exit Slide 13
Prescription Medication Requires written instruction from a
physician Prescription label meets this requirement Requires signed
permission and instruction from parent Medication Permission Form
New medication permission form must be completed each year
Administered only if required during school hours Back Next Exit
Slide 14 These People Can Write Orders: Doctor of
medicine/osteopathy/naturopathy Physician assistant Nurse
practitioner Dentist Optometrist Back Next Exit Slide 15 Student
Self-Medication Student must be able to carry and self-medicate,
without assistance No staff documentation necessary Must be in
original container May only carry one days supply at a time Back
Next Exit Slide 16 Self-Medication Changes for 2008-2009 Can
self-medicate at all schools Requires Self-Medication Permission
FormSelf-Medication Permission Form Requires medical order Only for
prescription medication Can be on the label Requires principal
permission Can be revoked Requires parent to provide back-up
inhalers & EpiPens to be kept in the office Next Back Exit
Slide 17 Routes of Medication Oral Tablets, capsules, elixirs or
suspensions Topical Skin, eyes, ears, nose Inhaled Mouth or nose
Back Next Exit Slide 18 Oral Medication Oral medicine should be
followed with water Obtain water from a clean source Do not obtain
water from sink where first aid provided Back Next Exit Slide 19
Oral Medication Tablets requiring cutting should be cut at home and
sent to school Parents should provide pill crusher if pills need to
be crushed Have parents provide calibrated spoon/cup if needed for
liquid medication Back Next Exit Slide 20 Topical Medication
Ointments Apply to a clean surface Do not apply with your bare
hands Use a cotton tipped applicator or gauze pad to apply
medication Back Next Exit Slide 21 Topical Medication Eye
Drops/Ointment Administer with student laying down or head tilted
back Apply drops or ointment without touching container to eye or
skin Do not administer directly to eyeball Apply to inner portion
of eye, close to nose Back Next Exit Slide 22 Topical Medication
Ear Drops Lay child on side opposite of ear you are medicating
While gently pulling up and back on ear, instill correct number of
drops Do not touch tip of container to ear or skin Leave child on
side for a short time Back Next Exit Slide 23 Topical Medication
Nose Drops Have student lay with head back over a rolled pillow
Instill drops in nostril Keep student in this position for a few
minutes Observe for signs of choking or vomiting Back Next Exit
Slide 24 Inhaled Medication Student should be capable of self-
administering inhaler If student continues to experience difficulty
breathing 5 minutes after using inhaler Call parent and/or 9-1-1
Back Next Exit Slide 25 Five Rights Right student Always ask the
students name Right medication Check the label Right dose Check the
label Right time Can be given 30 min before or after the time
stated on the label Right route Check the instruction on the label
Back Next Exit Slide 26 Safe Storage and Handling Store medications
in a clean, locked cabinet NEVER administer medications from an
unlabeled container Narcotics, stimulants, and barbiturates should
be counted upon arrival at school May be counted with parent or
trained school staff Check with district nurse if you are unsure
Back Next Exit Slide 27 Safe Storage and Handling Medication should
be brought to school and returned home by the parent. Do not allow
students to carry medications home Changes in medication
instructions must be made by parent and/or physician in writing. DO
NOT act on verbal requests Only a licensed nurse can take verbal
orders from a physician Back Next Exit Slide 28 Safe Storage and
Handling Refrigeration is necessary for some medications Many
liquid medications need to be shaken well Beginning 2008-2009
refrigerated meds need to be locked District will provide lock
boxes Back Next Exit Slide 29 Handling Medications Always wash your
hands Avoid touching medication Wear gloves if placing medication
in students mouth Back Next Exit Slide 30 Handling Medications Do
Not leave meds unattended Prepare for one student at a time Compare
medication label with Medication Log Medication Log Next Back Exit
Slide 31 Disposal of Medication Notify parent of unused medication
Any unclaimed medication should be placed in sealable container in
the presence of two staff members Prescription Medication must be
counted and the number of pills documented Bring sealed container
to DO during secretary check-out Note parent contact and medication
disposal on Medication Log; sign by both staff membersMedication
Log Back Next Exit Slide 32 Record Keeping Legal document Ink
Students legal name and DOB Medication Permission FormMedication
Permission Form Medication LogMedication Log Sign initials in log
right after giving Back Next Exit Slide 33 Record Keeping Only one
student on each form No white-out If an error is made Put a single
line through it Initial and date it If there is a dose change Begin
a new line on the Medication LogMedication Log Back Next Exit Slide
34 Retaining Medication Records Send completed forms to the DO If
medication is complete The student moves At the end of the school
year They will be filed in Student Health Folder In SpEd file if
student has an IEP Back Next Exit Slide 35 Three Most Common
Unexpected Situations 1.Student does not come at scheduled time
2.Student refuses medication 3.Student vomits or spits out
medication Back Next Exit Slide 36 Student Does Not Come at
Scheduled Time Send for Student Document Notify Teacher Parent
Nurse Back Next Exit Slide 37 Student Refuses Medication Encourage
Document Notify Parent Nurse Back Next Exit Slide 38 Student Vomits
Or Spits Out Medication Document Notify Parent Check for symptoms
of illness Fever Stomachache Headache Back Next Exit Slide 39 Side
Effects & Allergic Reactions All medication can cause side
effects or allergic reactions Know where EpiPens are kept and who
is certified to use them Teachers should be aware of students
taking medication Report promptly any unusual symptoms or behaviors
to district nurse and parent Back Next Exit Slide 40 Prevent Errors
Take your time Do not allow yourself to be rushed Work with one
student at a time Always follow the 5 rights Record medication
immediately after giving on the Medication LogMedication Log Next
Back Exit Slide 41 What Are Medication Errors? Dose not given
Medication given to the wrong student Inaccurate dose or wrong
medication Wrong time Incorrect route Back Next Exit Slide 42
Medication Errors Accidents Happen Report medication errors
immediately to district nurse and building administrator Nurse will
contact parent Complete Accident/Incident Analysis Back Next Exit
Slide 43 Field Trips and Off- Campus Activities PLAN AHEAD! Staff
person trained in medication administration must accompany group if
medications will be required Document administration on a copy of
the Medication Log while on field trip and on the original when you
return Recommend notifying nurse two weeks prior to trip if
medication training is necessary Back Next Exit Slide 44 Field Trip
Supplies Copy of Medication LogMedication Log Medication in
original container Hand cleaner Drinking water Safe container to
transport Back Next Exit Slide 45 Confidentiality Student
medication files are CONFIDENTIAL Access limited to school staff
with a legitimate need to know Parent/Guardian authorization is
required for release of information Back Next Exit Slide 46
Remember! Once KCSD has received a signed permission slip and
medication, it is our responsibility To administer it appropriately
and on time (30 mins before or after time on prescription) Monitor
medication supply Back Next Exit Slide 47 Parent Communication
Avenues of communication to parents: Registration Student Handbooks
School Newletters Informational Packets Back Next Exit Slide 48
Dealing with Concerned Parent Validate parent emotions Remind them
- student safety is the priority Share written information Include
district nurse and administrator Set boundaries and ensure your own
safety Back Next Exit Slide 49 Establishing a Cooperative School
Environment Success requires a team effort Include teacher in
planning students medication needs Back Next Exit Slide 50 Staff
Protection School staff are protected by careful observation of
regulations of the medication law, rules, district policy Nurses
responsibility is to provide proper training Your responsibility is
to follow the instruction Back Next Exit Slide 51 Remember! NO
Baggies NO Envelopes NO Medication Boxes Back Next Exit Slide 52 If
you have any questions or concerns call a nurse before giving the
medication NextBack Exit Slide 53 Medication Administration Quiz
BeginExit Slide 54 Question #1 Never give medication sent to school
in a baggie. True False Exit Slide 55 Correct All medication must
be in the original container properly labeled with the name of the
student, name of the medication, dose, route, and frequency of
administration. Next question Exit Slide 56 Incorrect Law states
all medication must be in the original container properly labeled
with the name of the student, name of the medication, dose, route,
and frequency of administration Back Exit Slide 57 Question #2 If a
parent calls saying the doctor has increased the dose from one pill
to two, always follow the parents instructions. True False Exit
Slide 58 Incorrect Medication must be given as directed on the
prescription label. Written instructions from the doctor or a new
prescription label are required to change the dose. Back Exit Slide
59 Correct Medication must be given as directed on the prescription
label. Written instructions from the doctor or a new prescription
label are required to change the dose. Next question Exit Slide 60
Question #3 Once a staff member has been trained to give medication
by the nurse, they only need more training if the laws regarding
medication administration change. True False Exit Slide 61
Incorrect Oregon law states yearly instruction must be provided to
designated school staff on the administration of medication. Back
Exit Slide 62 Correct Oregon law states yearly instruction must be
provided to designated school staff on the administration of
medication. Next question Exit Slide 63 Question #4 A good way to
assure the appropriate students receive their medication each day
is to keep a list on the cabinet or refrigerator True False Exit
Slide 64 Correct Student medication information is confidential and
should be shared only with staff who have a legitimate need to know
Posting such information where students, parents, general staff can
view it is a breech of confidentiality Next question Exit Slide 65
Incorrect Student medication information is confidential and should
be shared only with staff who have a legitimate need to know
Posting such information where students, parents, general staff can
view it is a breech of confidentiality Back Exit Slide 66 Question
#5 Alcohol-based cough syrup can be given at school with written
permission from a parent True False Exit Slide 67 Incorrect The law
defines non-prescription medication as: commercially prepared, non-
alcohol based medication to be taken at school that is necessary
for the child to remain in school. This includes eyes, nose and
cough drops, cough suppressants, analgesics, decongestants,
antihistamines, topical antibiotics, anti-inflammatories and
antacids that do not require written or oral instructions from a
physician. Non- prescription medication does not include dietary
food supplements Back Exit Slide 68 Correct The law defines
non-prescription medication as: commercially prepared, non-alcohol
based medication to be taken at school that is necessary for the
child to remain in school. This includes eyes, nose and cough
drops, cough suppressants, analgesics, decongestants,
antihistamines, topical antibiotics, anti-inflammatories and
antacids that do not require written or oral instructions from a
physician. non- prescription medication does not include dietary
food supplements. Next question Exit Slide 69 Question #6 If a
parent sends a pill bottle with the students name on it to school
and keeps the original pill bottle at home, it is OK to give the
medicine. True False Exit Slide 70 Correct Prescription medication
must be in the original container with a pharmacy label attached
Only a licensed pharmacist can legally package and label medication
Next question Exit Slide 71 Incorrect Prescription medication must
be in the original container with a pharmacy label attached Only a
licensed pharmacist can legally package and label medication Back
Exit Slide 72 Question #7 When a parent asks you to give their
child two Childrens Tylenol for a headache, it is OK to do so if
you have the medicine. True False Exit Slide 73 Correct Oregon law
requires written permission and instruction from the students
parent to administer non-prescription medication It is the parents
responsibility to provide a students medication Next question Exit
Slide 74 Incorrect Oregon law requires written permission and
instruction from the students parent to administer non-prescription
medication It is the parents responsibility to provide a students
medication Back Exit Slide 75 Question #8 When the trained
medication person is absent, the principal can have another staff
member give medicine even if they have not been trained. True False
Exit Slide 76 Incorrect Law states school staff designated to
administer medication must receive yearly training Back Exit Slide
77 Correct Law states school staff designated to administer
medication must receive yearly training Next question Exit Slide 78
Question #9 Any student can carry and administer their own
non-prescription medication if their parent writes it on the
permission slip. True False Exit Slide 79 Incorrect Any student may
carry and self- medicate non-prescription medication with: Written
parental permission Self- Medication Permission FormSelf-
Medication Permission Form Principal permission Medication must be
in original container Student may only carry one days supply of
medication at a time Back Exit Slide 80 Correct Any student may
carry and self- medicate non-prescription medication with: Written
parental permission Self- Medication Permission FormSelf-
Medication Permission Form Principal permission Medication must be
in original container Student may only carry one days supply of
medication at a time Next question Exit Slide 81 Question #10
Students may carry and self-administer cough drops as long as their
parent sends them with the student True False Exit Slide 82 Correct
Cough drops and antacids (e.g. Tums) are considered
non-prescription medication and require: Student to provide their
own medication Written parental permission & instructions to
include: Student name Medication name Medication dose, frequency,
route Next question Exit Slide 83 Incorrect Cough drops and
anti-acids (Tums) are considered non-prescription medication and
require: Student to provide their own medication Written parental
permission & instructions to include: Student name Medication
name Medication dose, frequency, route Back Exit Slide 84 Question
#11 All medication should be stored in a clean, locked cabinet.
True False Exit Slide 85 Correct All medication should be stored in
a clean, locked cabinet Refrigerated medication must be stored in a
locked container in the refrigerator Next question Exit Slide 86
Incorrect All medication should be stored in a clean, locked
cabinet Refrigerated medication must be stored in a locked
container in the refrigerator Back Exit Slide 87 Question #12 If a
student vomits after taking their medication, be sure to send a
note home to the parent. True False Exit Slide 88 Incorrect If a
student vomits after taking their medication Document Observe for
signs of an allergic reaction Check for signs of illness Contact
parent Back Exit Slide 89 Correct If a student vomits after taking
their medication Document Observe for signs of an allergic reaction
Check for signs of illness Contact parent Next question Exit Slide
90 Question #13 When an eighth grade student does not come for
their medication, it is their own problem; they are old enough to
be responsible. True False Exit Slide 91 Incorrect Once we have
received medication and a signed permission slip from a parent, we
are responsible for getting the medication to the student within
hour of the designated time If a student does not come for
scheduled medication Send for the student Back Exit Slide 92
Correct Once we have received medication and a signed permission
slip from a parent, we are responsible for getting the medication
to the student within hour of the designated time If a student does
not come for scheduled medication Send for the student Next
question Exit Slide 93 Question #14 When a student requiring
medicine is going on a field trip, put their pills in a zip-lock
bag with the students name and instructions, and give them to the
teacher. True False Exit Slide 94 Incorrect Prescription medication
must be in its original container with a proper pharmacy label
attached non-prescription medication must be in its original
container, labeled with the students name Anyone dispensing
medication at school must receive annual, ODE approved training.
Back Exit Slide 95 Correct Prescription medication must be in its
original container with a proper pharmacy label attached
non-prescription medication must be in its original container,
labeled with the students name Anyone dispensing medication at
school must receive annual, ODE approved training. Next question
Exit Slide 96 Question #15 A student is given the wrong medication
in error. The best thing to do is make the student vomit the
medicine. True False Exit Slide 97 Incorrect Never induce vomiting
Medication errors must be reported to the nurse immediately
Medication errors include: Failing to give a dose Giving medication
to the wrong student Giving medication at the wrong time Giving the
wrong medication or the wrong dose Giving the medicine by the wrong
route If a nurse is not immediately available, you may call Poison
Center 1-800-222-1222. Back Exit Slide 98 Correct Never induce
vomiting Medication errors must be reported to the nurse
immediately Medication errors include: Failing to give a dose
Giving medication to the wrong student Giving medication at the
wrong time Giving the wrong medication or the wrong dose Giving the
medicine by the wrong route If a nurse is not immediately
available, you may call Poison Center 1-800-222-1222 Next question
Exit Slide 99 Question #16 Teachers should know when their students
are taking medication, in spite of confidentiality laws. True False
Exit Slide 100 Correct Teachers have a legitimate educational
interest in students taking medications All medication has the
potential to cause side effects All medication has the potential to
cause an allergic reaction Next question Exit Slide 101 Incorrect
Teachers have a legitimate educational interest in students taking
medications All medication has the potential to cause side effects
All medication has the potential to cause an allergic reaction Back
Exit Slide 102 Question #17 Always use pencil when recording
medications so that you can make changes if a mistake is made. True
False Exit Slide 103 Incorrect Medication records are legal
documents Must be written in ink When you write on the medication
log, initial what you have written If your initials are on the log,
place your initials and signature in the appropriate spot on the
bottom of the log Back Exit Slide 104 Correct Medication records
are legal documents Must be written in ink When you write on the
medication log, initial what you have written If your initials are
on the log, place your initials and signature in the appropriate
spot on the bottom of the log Next question Exit Slide 105 Question
#18 At the end of the year, send all of the medication logs to
Health Services at the DO. True False Exit Slide 106 Correct Send
completed Medication Logs to the DO If the medication is complete
The student moves At the end of the school year Next question Exit
Slide 107 Incorrect Send completed Medication Logs to the DO If the
medication is complete The student moves At the end of the school
year Back Exit Slide 108 Question #19 When the prescription label
says to give the medicine at 12:00 and lunch is at 11:45, it is OK
to give before lunch. True False Exit Slide 109 Correct Medication
is to be given within hour before or after the designated time Next
question Exit Slide 110 Incorrect Medication is to be given within
hour before or after the designated time Back Exit Slide 111
Question #20 The 5 Rights of Medication Administration include:
Right Student Right Medication Right Dose Right Time Right Route
True False Exit Slide 112 Correct If the person administering the
medication always follows the 5 Rights, it is unlikely an error
will occur. Next Exit Slide 113 Incorrect Right Student-always ask
their name, even if you know them Right Medication-read the
prescription label and compare it to the medication log Right
Dose-give the exact amount specified by the physician on the label
Right Time-check the medication log for the time it is to be given.
Up to 30 minutes before or after the prescribed time is OK Right
Route-always check the label which will tell you if it is to be
taken by mouth, rubbed on the skin, or put in an ear Back Exit
Slide 114 References Oregon Department of Education.
www.ode.state.or.us/groups/supportstaff/hklb/school
nurses/medicationadmin.pdf Accessed April 21,2007.
www.ode.state.or.us/groups/supportstaff/hklb/school
nurses/medicationadmin.pdf Oregon Administrative Rules, Chapter
581-021-0037. Administration of Prescription and Nonprescription
Medication to Students (2005). Oregon Revised Statutes, Chapter
339.869 Administration of medication to students; rules (2001).
Perry, A. G. & Potter, P. A. (2006). Clinical nursing skills
& techniques (6th ed.). Philadelphia: Mosby. Next Slide 115 You
have now completed the review. Click next to submit the results and
complete a survey. The survey must be completed to document your
training. Next
