ISPP 2015

Career Opportunities in Pharmacy
Medication Training for Blount County Schools



on medication training for black county schools if you are asked to give medication per student this is the training that will give you the information to do that first of all the parent has to bring the medication in themselves it has to be given to you in the original container where there's over-the-counter or prescription will start with prescription first and the procedure for that so the parent brings in the medication in the original container you count how many pills or were given to you you ask the parent to fill this form out it's called prescription medication authorization form it's just a form that says I want you to get by student medication at school I saw that is there's no doctor's note required as long as they're asking you to give the medication the same exact way the bottle says this is the doctor's prescription so we don't need a doctor signature for this and now they're asking you to give the medication a different way than what the bottle says then you'll have to have an additional form or something signed from the doctor saying that it's different so the bottle has to match this so that's two forms of check points the third thing that you'll do is to fill out a medication administration record you fill that out completely and it should match all three of these other two things so these three things should match so every day when you give the medication you'll put your initials and you sign your name down here and put the initials down here so I'm I've got it over here for the summertime too if it's for friends so when they bring their medication in you flip the page over you cut the medication and you put mom brought in 12 pills or 12 capsules and then you sign your name so that we have to document how many times or how many pills are brought in each time now if mom gives you too many pills and they decide to go you know they're out of medication at home and they want to take some back you count those back and you make them sign not just and you know you don't have to summon they bring them in but you do have to document how many you've received so they receive some back or they you give them some back make them sign that they took four pills back home so make sure that you have them sign that so that's the medication administration record so you just put your initials some people put the time which is actually a good thing especially if it's given late you have about a 30 minute window if they're asking you to give it at noon you don't get it done till about 12:30 that's okay but if it's given more than 30 minutes past when it's supposed to be given then you need to let the parents know that it was not given in the right time and then they can tell you whether they want it or in it given or not because if they have it in the morning and then at noon saying you don't give the morning time until 9:00 o'clock and it's usually given at 8:00 then it has to be given you know spaced out and just the right amount of time so you might want to contact the parent about that and make sure that it was given in a correct time especially if it's a late afternoon dose they may be getting some at home so just communicate with the parents about that so that's a prescription medication you have a non prescription you make sure it's in their original containers we just don't take medicine and baggies it could be anything so here's the floor for that and again it's just a parent signature no doctor's note is required so this is a front and back hopefully you want to need both so this would be anything from tylenol to cough syrup to and might all to anything over-the-counter there's a lot of medication that they're asking us to get to give that may be given on a daily basis in that situation I would just go ahead and put it on this one because you're going to run out of room on this so this is mostly for prescription this is for just as needed medication you can also put a non prescription on this one if it's done on a daily basis even if it's over the counter so this is daily medication this is as needed medication okay so let's make sure that we're given the student the right pill now this is the best way that we have found to store the medication once you get the paperwork filled out you put it in the folder because you know if it's kept in a drawer or whatever it just gets too confusing so keep it in the Med and if you get it in the medication folder you can get a sticker and put it on there but some of these actually have a little tab that you can add to so that everyone gets their own folder so you put the paperwork in there and the bottle in there so the first thing you do is before you give the medication make sure your hands are clean you know I try not to ever ever touch the pill so I get the pill out I'll get the paperwork out I like to make sure this is matches this yep same kid okay then I say your name is yes what is your name okay and then I'll take the pill out and then I'll dump one pill into the cap and – that's a copy of the medicine bottle I never touch pills it's just I just don't so then I ask him to hold her hand out because if they put their dirty long hands in there that just can't ammonites the bottle so I ask them to hold their hand out then you dump some the pill out into their hand and then I say it is that and they lost and most the time I'll say is issue and they'll say yep so I make them free I make them read the bottle and then so I double triple check even if you're used to this kid every single day that's when the most mistakes are made is when you get too comfortable with giving the medication so I'll say their name is this you Jimmy Smith yes it's you is this your name yes it is does that look like your pill yes it does then you can take the pill once they take the pill you just return it right back and then you document on the sheet that you gave it at what time do you put your initials on the medication administration record then you put it back into the door this should be locked up and all if you're given several medications you can keep it unlocked but I always take this medication locked up so let's go through the five hours so we're checking that we got the right student and we have the right medication and we have the right time of the day we're giving it the right route which means orally we don't give suppositories through the mouth rarely would you be asked to give that but at the right time so the right student the right pill at the right route and the right amount this is real tricky sometimes you may be asked to give two pills so make sure when you look at this bottle this is another little tricky thing that happens sometimes they may give you a 5 milligram tablets but the dose is 10 milligrams and sometimes that'll switch back and forth so whatever it is you need to document it at the top of this page exactly what you're giving so at the top of this page on this medication administration record if it changes so that they start maybe taking a 10 milligram tablet you'd put 10 milligram and you take it at noon so then a month later they have a new prescription and they run out of 10 milligram tablets so they give you 5 milligram tablets so now you're having to give 2 5 milligram tablets go to this next line and then add and you know just update it the date that it was updated so now you'll see medication and then it's the name like adderall or Ritalin Ritalin five milligrams dose 2 tablets and I put in parenthesis 10 milligrams so you want to put exactly how many pills and exactly how many milligrams are asking you to give so make make sure it's very specific about what you're given the milligrams and the number of pills that you're giving something very very specific about that and again just put your initials I also like to put on on the front here like if they brought in five pills this day a little five in the corner right here and circle let's talk and look back and say okay I've given five pills and that adds up so you always keep a good count of your medication there was an incident one time where someone stole some pills so you just kind of keep track of your inventory so look at your bottles and make sure that the inventory is matching up so it looks like you've given ten pills they brought in ten pills a couple weeks ago you should be down to zero so keep really good count of your inventory so you don't want to get accused of stealing anything okay so that is the prescription medication the five hours the right medication to the right kid at the right time at the right dose in the right route so that remember the five hours now the non prescription medication has to be given in the has to be brought to the school in its original container again you can just keep the same paperwork keep the paperwork and the medication in the folder and just document it the same way and make sure it's the right route and the make sure the parent tells you exactly because over-the-counter medication can be given in different dosages so make sure that they fill this out completely and exactly what they want and exactly the dose they want in the time in the frequency that they can give it so again the right route the right medication now when they do bring that medication in over-the-counter medication bottle it won't have their name on it you will have to take a sharpie or a permanent magic marker and write their name on it so make sure you write their name on the bottle because it could get in the wrong folder and you wouldn't know whose it is so make sure you write their name on that page inhaler so let's talk about inhalers for a second it is okay for children to carry their own inhaler with parent permission there has to be an asthma care plan you can get that from your school nurse or just contact me and I'll get make sure you have one and there may be one already on file in the nurse's station but you need to have a copy of asthma care plan if the doctor says it's okay for them to carry their inhaler then it's okay the thing about that is if they're using their inhaler we need to document it if they're using it more than every four hours it's only when it's supposed to be used but if it's every more than every four hours we need to contact the parent and make sure that they know that they're having trouble and then hailers not working and they're having to use it more than every four hours that's when you make a phone call and say hey they're not or they're not doing okay they need to shake the inhaler up it's best if they have a spacer when they use their inhaler and there will be some asthma training in your first-aid training but make sure if they have the spacer that they're breathing out very deeply and then breathing in very very slowly it's really important that we label that inhaler with a permanent magic marker and then I just put a piece of tape over that magic marker just to make sure it doesn't get rubbed off if you're asked to give topical medications use gloves or use a q-tip if you're asked to you to give eyedrops to make sure they lean their head back and you make a little cup with them have them do it or else you put a glove on and you do it if they're not old enough to do this just make a little cut that's their eye and then drop the eye I usually drop it in the corner of the eye so that runs over and then give them a Kleenex to lock the excess off so always try not to get the medication on your hands and make sure your hands are clean when you're doing this I think that's all that we have if you have any questions you can give me a call at central office eight six five nine eight four twelve twelve extension – two three – thank you

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