Allergies and Anaphylaxis
Describe a mild allergic reaction.
Bonus Question:
What document would you pull out and follow if a child had a mild or severe allergic reaction?
Bonus Answer:
Allergy and Anaphylactic Plan
What are the 6 rights of medication (you get bonus points for each one you list correctly!! woo hoo)
The Right Child (100 points)
Right Medication (bonus!)
Right Dose (bonus!)
Right Time (bonus!)
Right Route (bonus!)
Right Documentation (bonus)
What do you need in order to administer over the counter medications?
Answer: An order
Bonus Question:
Do you need an order for sunscreen?
Bonus Question 2:
Do you need an order for diaper rash cream if there is no open sore or irritation on the area it is designated for? In other words, you are using it preventatively.
What is the category of medicine that includes things like Tylenol or cough syrup?
Bonus Question:
Do you have to have an order?
Over the counter medications (OTC)
Bonus Answer:
Yes
Describe what side effects of medication are? What would you see?
Bonus Question:
How would you respond or what would you do if a child had these symptoms?
They are expected and not harmful in the long term. In fact, they often get better over time and stop happening.
Examples:
Bonus Answer:
Let supervisor know, contact parent, stop medication, call CCHC nurse (bonus points for each mentioned)
This is the document Colorado child‑care teachers must follow when giving emergency allergy medicine like a Benadryl or an EpiPen.
BONUS Question:
What other item/s should you have in order to be able to administer these medications?
Answer:
The child’s Allergy and Anaphylaxis Action Plan
Bonus Answer:
1. Inhaler bonus points xs1
2. Spacer bonus points xs2
Another bonus point if you tell me how to put the spacer on the inhaler and how it works!
You notice the doctor order says to give 5 mL, but the parent wrote 10 mL on the form. Can you give 10mls?
Bonus Question:
What is the right you used to check this and find this error?
NO, the order has to match the instructions, you can give the 5mls but not 10mls
Bonus Answer:
Right Dose
How should medications be stored
Bonus Question:
How do we store Inhalers and Epi Pens?
Answer:
In a locked cabinet, out of reach of children
Bonus Answer:
out of reach of children but accessible to teachers (they don't need to be locked, but they travel with children off site and outside.)
Can you give natural supplements if you have:
1. An order from a provider
2. A plan that your CCHC Nurse consultant signs off on
3. And the medication is labeled with child's name on it?
YES! New Colorado legislation allows the use of natural supplements with provider order and your CCHC nurse approval.
Bonus Question:
What about CBD? Can we give that?
Describe what adverse effects of medication are? What would you see?
Bonus Question:
If a child displayed these symptoms what would be your next step? What would you do?
An adverse reaction to medication is not expected and is often harmful or unintended response to a drug taken at the correct dose.
Symptoms of an Adverse Drug Reaction
Bonus Answer:
Call 911
Call Supervisor
Call Parents/guardians
Call CCHC Nurse
When would you use an Epi Pen?
Bonus Question:
What do you do after you administer the epi pen even if the child is feeling better?
Use an EpiPen at the first sign of a severe allergic reaction, such as difficulty breathing, swelling, or when two or more mild allergic from different body systems are witnessed such as:
Bonus Answer:
Call 911
A child brings in medicine that looks different from what you saw yesterday. what should you do?
Bonus Question:
Name the right you used to find this error
STOP, grab your supervisor or call CCHC to check if it is the "Right Medication".
Check does the label match the administration sheet details such as medication name, time given, child's name, and route.
Bonus Answer:
Right Medication
Name this medication:
This kind of medicine is rubbed on the skin, like sunscreen or diaper cream, and must be applied only the way the doctor ordered. What is this called?
Topical Medications
This step must be taken before giving liquid medication to ensure accurate dosing.
Place medication cup on a flat surface and pour at eye level or using a syringe for accurate dosing.
Will also accept:
Utilizing the 6 Medication Rights
*Bonus Points for mentioning both
When a medication error occurs what should you do?
Report it to supervisor
Bonus Points if mentioned:
Fill out incident report
What do you need in order for a child to have an inhaler at the school for their allergy or asthma included with the child’s Allergy and Anaphylaxis Action Plan?
Bonus Question:
Who can give the medication to the child
1. Doctor Order
2. Medication
3. Spacer
Bonus Answer:
Teacher must be delegated by the schools Child Care Health Consultant Nurse to give it!
A parent asks you to give medicine at lunchtime, but the doctor’s form says 3:00 p.m. can you give it with lunch?
Bonus Question:
Name this ‘Right’ that helped you catch this error
NO (you have to follow the order)
Bonus Answer:
Right Time
Start from the beginning and tell me step by step how would you apply topical medications?
Apply topical medications by:
1. washing hands
2. Apply using a clean applicator or gloves
3. Ensure you are applying the correct amount to the correct affected area
4. Remove Gloves, wash hands
5. Finally documenting the administration properly.
Before giving an oral medication, preschool staff must verify these six key details.
Right Medication
Right Child
Right dose
Right Time
Right Route
Right Documentation
Will accept the answer: Check the 6 rights
(but you get bonus points for each right you list)
When a medication expires or is no longer needed at school how do you get rid of it?
Bonus Question:
When should you check the expiration date on medications?
Give it to the parent to take home and dispose of
will accept give it to supervisor
Bonus Answer:
Every time you give the medication as part of your regular process
List for me: Signs of an Asthma Attack
You are about to give medicine, but the child says, ‘That’s not mine.’ What do you do?
Bonus Questions:
Name the two ‘Rights’ that you used to double‑check to prevent an error. (You get double bonus points to name both)
Ensure that you have the right medication and the right child
Bonus Answer:
Right Child (xs 1), Right Medication (xs 2)
What is the category name of medicines (like ADHD medications, some anxiety, or pain medicines), that must be locked up and counted because they can be misused or diverted (stollen).
Bonus Question:
List the times you would count these medications
2nd Bonus Question:
How do you count these medications?
Controlled medications
A controlled medication is a drug regulated by the government due to its potential for abuse, addiction, or harm, categorized into schedules based on medical use and risk.
Bonus Answers:
When parent brings them and again when they pick them up
When you give them
When you bring them with you on an outing
Double BONUS Answer:
With a second teacher, both sign that they agree to the count
This document must be completed every time an oral medication is administered in a preschool setting.
Medication Administration Log Sheet
Bonus Question:
Where is this kept?
What is the definition of a medication incident?
Bonus Question:
Give an example of a medication incident
A medication incident refers to any error, omission, or unexpected event during medication administration that could affect a child's health or safety.
or I will accept:
The failing to complete any of the 6 rights
Bonus Answer:
Examples: incorrect dosage, missed medication, or adverse reactions.