Ogden City School District Annual Medication Administration
Training for School District Employees
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Why medications can safely be administered Utah Laws, District
Policy and Procedures, Rules Accepting medications at school
Authorization, Medication Containers Steps to follow to ensure safe
administration Medication Errors Frequently asked questions and
answers
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Medication administration in the school setting is governed by
both federal and state laws. The laws are designed to: Protect a
students right to access his/her medication. Protect the school
district employee from liability.
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53A 11 601. Administration of medication to students
Prerequisites Immunity from liability. (1) A public or private
school that holds any classes in grades kindergarten through 12 may
provide for the administration of medication to any student during
periods when the student is under the control of the school,
subject to the following conditions: (a) the local school board,
charter school governing board, or the private equivalent, after
consultation with the Department of Health and school nurses shall
adopt policies that provide for: (i) the designation of volunteer
employees who may administer medication; (ii) proper identification
and safekeeping of medication; (iii) the training of designated
volunteer employees by the school nurse; (iv) maintenance of
records of administration; and (v) notification to the school nurse
of medication that will be administered to students; and (b)
medication may only be administered to a student if: (i) the
student's parent or legal guardian has provided a current written
and signed request that medication be administered during regular
school hours to the student; and (ii) the student's licensed health
care provider has prescribed the medication and provides
documentation as to the method, amount, and time schedule for
administration, and a statement that administration of medication
by school employees during periods when the student is under the
control of the school is medically necessary. (2) Authorization for
administration of medication by school personnel may be withdrawn
by the school at any time following actual notice to the student's
parent or guardian. (3) School personnel who provide assistance
under Subsection (1) in substantial compliance with the licensed
health care provider's written prescription and the employers of
these school personnel are not liable, civilly or criminally, for:
( a) any adverse reaction suffered by the student as a result of
taking the medication; and (b) discontinuing the administration of
the medication under Subsection (2).
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8.24 MEDICATION AT SCHOOL 8.24.1 It is the policy of the Board
of Education of Ogden City School District that administration of
medication is the primary responsibility of the student or the
students parent/guardian. However, the Board of Education
recognizes that the health of a student may require assistance of
administration of medication by authorized school personnel during
the course of a school day. 8.24.2 It is the policy of the Board of
Education of Ogden City School District that as long as authorized
personnel act in a prudent and responsible manner, school or
District staff who provide assistance in substantial compliance
with the licensed medical providers written statement, are not
liable civilly or criminally for any adverse reaction suffered by
the student as a result of taking the medication, or discontinuing
the administration of the medication.
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A) ADMINISTRATION OF MEDICATION AT SCHOOL 1) Prescription
and/or over-the-counter medication may be administered to a student
only if: a. The students parent or legal guardian has provided a
completed, current, signed and dated Authorization of School
Personnel to Administer Medication form providing tor the
administration of medication to the student during regular school
hours. This request must be updated at the beginning of each school
year and whenever a change is made in the administration of
medication. b. The students licensed medical provider has also
signed and dated the Authorization of School Personnel to
Administer Medications form stating the name, method of
administration, dosage, time to be given, the side effects that may
be seen in the school setting from the medication and the necessity
for administering. c. The medication is delivered to the school by
the students parent/guardian, or authorized adult. A one weeks
supply or more is recommended. d. The prescription medication is in
a container that has been property labeled by a pharmacy. e. The
non-prescription, over-the-counter medication, is in the original
container and clearly labeled with childs name and dose, per
doctors order on the container. A one weeks supply or more is
recommended. f. The medication is an oral medication, inhalant
medication, eye or ear drop medication, gastrostomy, rectal
suppository, or topical medication, Epinephrine pen (Epi-pen) or
insulin. Medications requiring other routes, i.e., IV and other
injectable medications, cannot be administered by school personnel.
The exception of an I.M. Glucagon may be administered by a
volunteer who has been trained and authorized by the district nurse
as part of the students Diabetes Health Care Plan for school. 2)
Prescription and/or over-the-counter medication specified in a
students IEP or 504 accommodation plan will be administered as
outlined in the accommodation plan.
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3) The school will do the following: a. Designate a staff
member to administer medication and notify the school nurse of
medication needs. b. Arrange annual training with the school nurse
for designated personnel. This training will include: i. How to
properly administer medication(s). ii. Indications for the
medication(s). iii. Dosage and time of medications(s). iv. Adverse
reactions and side effects of medication(s). v. Proper maintenance
of records. vi. Designated staff, including teachers in charge of
field trips, will receive medication administration training. c.
Designated personnel have the responsibility to administer
medication to all students with a written physicians medication
order. If a medication is repeatedly refused, the parent/guardian
must be notified. d. Any adverse reactions or medication errors
will be reported promptly to the parent/guardian. If the parent is
unavailable, the students doctor will be called for further
direction. This adverse reaction or medication error must be
documented on the Medication Error/Adverse Reaction Reporting
Form.
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3) The school will do the following: (continued) e. Maintain
records regarding administration of medication. i. Each student
must have his/her own record which includes an Authorization of
School Personnel to Administer Medication and the Medication
Administration Record. ii. The Medication Administration Record
will show authorized initials of designated staff when medication
is administered. All boxes must contain initials of staff
administering medication or reason for medication not given. iii.
The Medication Administration Record will show medication, dosage,
time of day, and date. It will show when and how much medication
has been delivered to the school by the parent. It will also show
how much medication has been discarded (if necessary) and who
witnessed the disposal. iv. The Medication Administration Record
will be available to be viewed by parent/guardian upon request. v.
The medication documents will be placed in an appropriate file at
the end of each year. f. Provide a secure location for the
safekeeping of medications. i. Medication to be administered by
school staff must be stored in a locked cabinet or secure
refrigerated unit. ii. Unused medication(s) should be picked up
within two weeks following notification of parents/guardians, or it
will be disposed of by the school and recorded on the Medication
Administration Record. In disposing of Ogden City School District
Policy & Procedure medication, two people must be present to
record the medication, the amount of medication discarded, date,
and how discarded. iii. Both witnesses must sign the Medication
Administration Record.
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4) Authorization for administration of medication by school
personnel may be withdrawn by the school at the schools discretion
any time after notification to the parent/guardian. Among the
circumstances under which authorization may be withdrawn are the
following: a. The parent/guardian has been non-compliant with the
Medication Policy; or b. The student has been non-compliant with
the Medication Policy by: i. Refusing medication repeatedly; or ii.
Continued resistance to coming for medication at the appointed
time.
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5) The withdrawal of medication for students on 504
accommodation plans or an IEP can occur only after a meeting with
the parents has taken place. B) STUDENT SELF-ADMINISTRATION 1)
Students in kindergarten through grade 6 may not self-administer
medications except for asthma inhalers, epinephrine, or insulin.
Inhalers may be carried on the person. Inhalers, epinephrine, and
insulin may be administered by the student in elementary school if
the parents and medication provider sign and return the forms to
self-administer inhalers and insulin. 2) Students in grade 7
through grade 12 may carry one days dosage of their medication on
their person. Inhalers may be carried on the person. Inhalers,
epinephrine, and insulin may be administered by the student if the
parents and medical provider sign and return the form to
self-administer inhalers, epinephrine, and insulin. 3) Any misuse
of such medication by the student may be subject to disciplinary
action under the Districts Safe Schools Policy.
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In addition to Utah Law 53A-11-601 and Ogden City School
District Policy 8.24, medication administration in the school
setting is governed by the Utah Nurse Practice Act
R156-31b-701a
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R156-31b-701a. Delegation of Nursing Tasks in a School Setting.
R156-31b-701a. Delegation of Nursing Tasks in a School Setting. In
addition to the delegation rule found in Section R156-31b-701, the
delegation of nursing tasks in a school setting is further defined,
clarified, or established as follows: (1) Any task being delegated
by the school nurse shall be identified within a current IHP. The
IHP is limited to a specific delegatee for a specific time frame.
Any unlicensed person who administers medication to a student as a
delegatee of a school nurse, must receive training from a school
nurse at least annually. (2) The action of a medication shall
determine if the drug is appropriate to delegate the administration
to an unlicensed person. Any medication with known, frequent side
effects that can be life threatening shall not be delegated. (3)
Medications that require the student's vital signs or oxygen
saturation to be monitored before, during or after administration
of the drug shall not be administered by an unlicensed person. (4)
A nurse working in a school setting may not delegate the
administration of the first dose of a new medication or a dosage
change. (5) A nurse may not delegate the administration of any
medication which requires nursing assessment or judgment prior to
or immediately after administration. (6) The routine provision of
scheduled or correction dosage of insulin and the administration of
glucagon in an emergency situation, as prescribed by the
practitioner's order or specified in the IHP: (a) are not actions
that require nursing assessment or judgment prior to
administration; and (b) may be delegated to a delegatee. Insulin
and glucagon injections by the delegatee shall only occur when the
delegatee has followed the guidelines of the IHP.
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All employees, designated by the school principal to administer
medications, must receive this annual training.
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Before accepting any medication at the school, Ogden City
School District staff will: Receive the Authorization for School
Personnel to Administer Medications form for each medication
brought. This form must be updated each school year. Forms from the
previous school year are not valid. All blank spaces in this form
should be completed. This form MUST be signed by both
parent/guardian AND the students physician. The medication must be
in the original medication container that is labeled by the
pharmacist. (This includes both prescription and over-the-counter
medications.)
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Authorization for school personnel to administer medication All
spaces must be completed. New form for each school year. One form
for each medication. Forms can be found on Ogden City School
District website. It is the responsibility of the PARENT/GUARDIAN
to have this form completed and signed by the physician.
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Containers All medication must be labeled by pharmacist. This
includes non- prescription (over the counter) medications. Label
must include: medication name student name dose Frequency/time
expiration date
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PROPERLY LABELEDNOT PROPERLY LABELED
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The 6 RIGHTS to medication administration Before giving any
medication, ask yourself. Is this the right student? Is this the
right medication? Is this the right dose? Is this the right time?
Is this the right route? Have I got the right documentation?
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Medication Administration Record Document EVERY medication
administered. Federal and State law impose restrictions on student
health records. Medication Administration Records are considered
confidential information. Please keep medication records separate
from the students CUM file. Always forward copies district
nurse.
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Always wash your hands first. Identify student by asking them
to state their name. Select the correct medication. Check both the
label on the bottle and the Authorization for School Staff to
Administer Medication form. Pour the pill into the cap of the
bottle, then pour it into the students hand. Watch the student
until the medication is safely swallowed. Document the medication
administration on the Medication Administration Record.
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Always wash your hands first. Identify student by asking them
to state their name. Select the correct medication. Check both the
label on the bottle and the Authorization for School Staff to
Administer Medication form. Poor the medication into the measuring
cup (provided by parent). Watch the student until the medication is
safely swallowed. Document the medication administration on the
Medication Administration Record.
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Asthma Medications Students who have medications to treat
asthma at school, should have an Asthma Plan for School and an
Asthma Medication Self-Administration Form. These forms will
identify when a student needs medication, how often a student is
permitted to take the medication, and what medication can be
taken.
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Inhalers Always follow the Asthma Plan for School. 1. Shake
then prime the inhaler by depressing the canister once before the
student uses it. 2. Have student blow out breath. 3. Place inhaler
in mouth 4. Press inhaler down once while student breathes in
slowly. 5. Have student hold breath for 10 seconds then breathe out
slowly. Repeat once,if indicated, on the Asthma Plan for
School
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Use of Inhaler with a Spacer 1. Shake and prime the medication
before giving it. 2. Insert the mouthpiece into the end of the
spacer. 3. Have the student breathe out. 4. Place the other end of
the spacer in mouth and make a tight seal with lips. 5. Press the
inhaler down once to trap the medication in the spacer. 6. Have
student breathe in slowly and deeply. 7. Have student hold breath
5- 10 seconds then breathe out slowly. Repeat once,if indicated, on
the Asthma Plan for School
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Medications for Allergic Reactions Students who have a
potential for severe allergic reactions may have medications at the
school. In addition to medication forms, parents should complete a
health plan to help staff identify when the student may need
medication. For students with food allergies, parents may also
request a Special Meal Accommodation Form. The district nurse can
help you to find the correct forms for different types of
allergies.
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Use of Epinephrine There are many different types of
epinephrine delivery devices. Please contact your school nurse to
request a demonstration on the types of epinephrine at your school.
Always call 911 if epinephrine is administered.
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Glucagon Injections* Insulin via Pumps, Pens, and Syringes*
Emergency Medications for Seizures (Nasal, Suppository, G-Tube)* *
These medications can be safely given to students at school, but
all require specialized training and authorization. Please contact
a district nurse to schedule a separate training.
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Medication must be kept in a locked area. Emergency medications
must be easily accessible to all trained staff. Diabetes
medications, Epinephrine, and Asthma medication may be carried by
the student with the proper authorization. Emergency medications
should be carried by a trained teacher/staff on field trips.
Scheduled medications may need to be carried and administered by a
trained teacher/staff if field trip occurs when medication is due.
Medications may be kept in the school office, in the classroom, or
in the Special Education classroom as long as it is stored in a
safe and locked area. (It is not recommended for teachers to keep
medications in their classrooms unless other trained staff have
access to the area that the medication is kept.)
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Medication Errors or Adverse Reactions Mistakes can be made
when giving medications to students such as wrong medication, wrong
dose, wrong time, or wrong student. Sometimes a student may have an
adverse reaction to a medication that was given correctly. If this
happens, its important to report this information to parents and
the district nurse. A Medication Errors/Adverse Reaction form
should always be completed. Always call 911 if you notice a severe
adverse reaction including respiratory distress, chest pain,
uncontrolled vomiting/diarrhea, or involuntary muscle
movements.
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Q What if the student does not come to the office to take
his/her daily medication? A It is the responsibility of the
designated school employee to assure medications are given at the
time prescribed. If a student is non-compliant (or doesnt remember)
to take medication, additional steps should be taken to solve the
problem. Please contact a district nurse for assistance. Q What if
the student only needs medication administered for a short period
of time? (Example: 10-day course of antibiotics) Do the parents
still have to complete the authorization form? A Yes. All
medications administered by a school district employee MUST have
authorization. Q Can a student administer his/her own medication
without authorization? A No. All students K-12 may administer their
own asthma medications, diabetes medications, and Epinephrine only
when the authorization forms are complete. Q How do I contact a
district nurse?
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District NurseTelephone (Office)Telephone (Cell)E-Mail Sheena
Robinson801-737-8830801-430-8830 [email protected] Mitzi
Chrisoffersen801-737-8826801-430-4280 [email protected]
Tina Skerl801-737-8825801-430-4281 [email protected]
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Never accept medication without the proper authorization. Never
accept medication without the proper labeling. Never give a
medication when the authorization form does not match the label on
the bottle. All medication forms can be found on the district nurse
website. Always call the district nurse if you have questions about
medication administration.
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Thank you for completing the Annual Medication Administration
Training Program. Please complete the Annual Medication Training
Certification form and send a copy to the District Nurses
Office.