Medication Administration
Student vomits and does not receive full dose. What do you do?
DO NOT GIVE ANOTHER DOSE. Contact Guardian/Health Care Provider for further instruction
Tylenol (Acetaminophen) Name 3 indicators:
Headache without fever/Headache with fever of 101 or over, only if emergency contact is not available to take the student home
For specific injuries per parental/ guardian request
Muscle cramps and/or joint pain if unable to take ibuprofen
What is a severe allergic reaction that requires treatment with epinephrine and a call to 911.
Anaphylaxis
TRUE/FALSE
ALL medications prescription and OTC require medication authorization form to be complete
TRUE
What is asthma?
Chronic inflammation of the airways often caused by triggers and results in trouble breathing.
Standard Precautions taken before giving meds include:
Washing hands and wearing gloves when administering medication
IBUPROFEN; Name 2 indicators
Headache
Muscle cramps and/or joint pain if unable to take acetaminophen
What is used to treat mild itching and hives on the skin?
Benadryl (antihistamine)
What is a medication authorization form?
A contract between UAP, the school, school nurse, the parent of the child receiving medication and a person will prescriptive authority. Gives permission for UAP to administer medication. *Each medication requires its own form
Trouble breathing, wheezing, frequent cough, chest tightness, Not able to do activities. What zone are we in? (according to Colorado Asthma Action Plan)
Yellow zone
What is the protocol for medications no longer being used/expired?
Return to Guardian; never to be returned via student's backpack.
TUMS; what is the recommended age for use?
To be given for indigestion and/or complaints of upset stomach over the age of 12.
Where should epinephrine be given on body and in what position should the child be in? (ideally)
Upper thigh and student in a lying position. Student remains in lying position after administered
Who must sign medication authorization form? (3 people)
Parent/Guardian, Child's Health Care Provider AND School Nurse.
When would you repeat quick relief med (inhaler) if first 2-4 puffs did not show improvement? (mins)
Repeat quick relief med after 15 mins if symptoms not improving. Follow red zone if still no improvement.
Six Rights of Medication Administration
Right Child (First and Last Name)
Right Medication
Right Dose
Right Time
Right Route
Right Documentation
BENADRYL
To be given for hives related to possible dermal/topical allergy like rash
True/False
You should call the parent first after epinephrine use
False; Call 911 FIRST then parent.
What must be included on medication authorization form to be accepted? Name 3 things needed:
Medications purpose
Dosage route
Time to be given
Side effects to be reported
Special Instructions
These medications can be used when a child starts having symptoms (shortness of breath, wheezing, coughing)
Quick Relief (Inhaler)
Who can delegate the task of administering medication?
ONLY a Registered Nurse or Physician
What medication is preferred in the event of a head injury?
NONE! DO NOT GIVE MEDICATION.
How should you dispose a used epinephrine auto-injector?
Give it to EMS
What are the 4 times you need to document in the medication administration log?
1. When you receive medication from Parent/Guardian
2. When you administer the medication
3. When you should administer the medication to the child but are unable to for some reason (absent)
4. When you dispose of medication or return medication to parent/guardian.
Coughing constantly, struggles to breathe, trouble talking (only speaks 3-5 words), skin of chest and/or neck pull in when breathing, Lips fingernails gray/blue. What zone is this student in? What are the next steps?
Red zone. Give repeat dose 2-4 puffs, Call 911 FIRST then call parent. Remain with student.