The Core Rights
What are the foundational elements you must check three times before giving any medication?
What are the "Five (or Six) Rights"? (Right student, medication, dose, route, time, documentation)
Where must prescription medications for students be kept in a school building?
What is in a locked cabinet or secure, climate-controlled designated area
This emergency medication for severe allergic reactions is administered via an auto-injector into the outer thigh.
What is epinephrine / an EpiPen
This is the correct timeframe for signing a student's medication administration log (MAR).
What is immediately after administering the medication
Do this important hygiene step right before putting on a fresh pair of gloves.
What is wash your hands (or use hand sanitizer)
What should you do if a student's parent hands you a loose, unlabeled bottle of pills from home?
What is refuse to administer and request a labeled medicine bottle from the pharmacy
This type of specialized medical care plan must be on file before administering emergency rescue medications such as inhalers, epi pens, etc.
What is an Emergency Action Plan
This is what you do prior to administering an inhaler if it has not been used within the last 3 days.
What is prime it (shake the canister and puff a dose into the air). Continue to prime the number of times the manufacturer has determined.
Do this if you make a physical writing mistake on a paper medication log.
What is draw a single line through it, write "error," and initial it? (Never use white-out)
True or False: You can wash and reuse disposable medical gloves if they do not look dirty.
What is False (Gloves are single-use only)
True or False: You can skip checking the student's MAR/orders if you gave them the exact same pill yesterday.
What is false
Students are generally allowed to carry their own daily oral prescription medication in their backpacks.
What is False (with exceptions primarily for emergency life-saving meds like asthma inhalers or Epi-Pens with explicit provider/parent authorization and those MUST be in locked bags to prevent access from others.
Take these two actions immediately if you realize you made a medication error.
Types of medication errors include: wrong student, wrong medication and/or dose, wrong route, wrong time or a missed dose
What is notify the school nurse/administration and monitor the student
This documentation step is required if a student refuses to take their scheduled daily medication.
What is note the refusal on the MAR and immediately inform parent/the school nurse
This is the proper technique to remove the first glove without touching the outside surface with your bare skin.
What is pinch the outside of the glove near the wrist and peel it off inside out
This specific "Right" ensures the medication is given via the correct method, such as oral, topical, or inhaled.
What is the Right Route
This is the person who holds ultimate legal responsibility for delegating medication administration tasks to school staff.
Who is the licensed School Nurse (RN)
These are the most important things you should do if a student has a seizure.
What is make sure the student is in a safe place where they won't get hurt/fall and start timing the length of the seizure
*If this student has never had a seizure before, call 911 and the school nurse.
This is the primary legal reason school staff must maintain flawless medication logs.
What is to maintain a continuous, auditable medical record and protect student safety
True or False: Gloves should be worn when coming into contact with bodily fluids or blood?
What is True
Do this immediately if a prescription label does not match the school MAR/order authorization form.
What is hold the medication and contact the school nurse
True or False: Students can carry and self-administer over-the-counter ibuprofen or other medications without school paperwork.
What is False
Schools require authorization for all medications including: Ibuprofen, Tylenol, Throat lozenges, Neosporin, etc.
This is what you do after giving Epinepherine.
What is stay with the student, call 911 and school nurse
*A student must be transported to the hospital for monitoring even if they are now symptom free.
True or False: Medication orders can be used from last year if the medication and dosage have not changed?
What is false
Orders are only valid for current school year and new orders are needed every year. Orders must be signed by a doctor and a parent
Do this with your bare fingers to remove the second glove safely after the first glove is already off.
What is slide your bare fingers underneath the remaining glove at the wrist and peel it off inside out