Lesa Cotton RN, BSN Health Services Coordinator Calhoun County Schools

1. Medication Assistant Training Tips & Helpful Hints Lesa Cotton RN, BSN Health Services Coordinator Calhoun County Schools Alabama School Health

2. OBJECTIVES: Review ABN Administrative Code Re: Delegation Implementation In the School Setting Organization: Meds, Forms, Training etc. Alabama School Health

3. ABN Administrative code 610-x-7-02 Delegation by School Nurses WWW.ABN.ALABAMA.GOV nursing practice-school nurse tab Tab #2-Alsde Resource manual (1) The School Nurse is accountable and responsible for the nursing care delivered to students under the nurses jurisdiction. Alabama School Health

4. Summary of delegation by school nurses: The registered nurse is accountable for determining the tasks that may be safely performed by the unlicensed assistive personnel following appropriate training and demonstration of competency. The specific delegated tasks shall not require the exercise of independent nursing judgment or intervention. The task of providing prescribed oral, topical, ear, eye, nasal and inhalation medications to a student through twelfth grade may be delegated to unlicensed assistive personnel by the school nurse. The school nurse delegating the task may, at any time, suspend or withdraw the delegation of specific tasks to unlicensed assistive personnel. The School Nurse Consultant or School nurse Administrator shall submit a report(s) to the Alabama Board of Nursing in a format specified by the Board upon request. Alabama School Health

5. Delegation by School Nurses: The task of providing prescribed oral, topical, ear, eye, nasal and inhalation medications to a student through twelfth grade may be delegated to unlicensed assistive personnel by the school nurse only when the following conditions are met: *The school Nurse shall provide periodic and regular evaluation and monitoring of the individual performing the delegated tasks. The school nurse shall routinely and periodically conduct quality monitoring of the tasks performed by the unlicensed assistive personnel, including, but not limited to: Training Competency Documentation Error reporting Methods of identification of the right student, the right task, the right method and the right quantity at the right time. Alabama School Health

6. Implementation: Collaborate with administrator Select intelligent, willing participants  Schedule classes preferably before school starts. Offer flex days for participation if allowed by your administration Plan your monitoring Organize your documentation Alabama School Health

7. It is the school nurse’s responsibility to document training of unlicensed school personnel who are assisting with medications! • No documentation: didn’t do it. • Documented but didn’t do it: false documentation. Genell Lee MSN, RN,JDExecutive Director ABN Mega Presentation 2013 Alabama School Health

8. Delegation Form Make folders! Organize your documentation Alabama School Health

9. Individual files for medical assistant documentation Test answer sheet Medication Assistant Skill Observation sheet May include any needed documentation or follow up for this individual Alabama School Health

10. Unusual Occurrence Reports Establish reporting guidelines with Med assistants Document in a timely manner & report to administration Complete and accurate description of event Document contacts made (referrals etc.) Document follow up Remember to include your notes in I-NOW Alabama School Health

11. Organize your medication Locked cabinet RX meds OTC meds First aid supplies Alabama School Health

12. Organize Medication Forms • Keep forms with Medications • Red Dot  Alabama School Health

13. Questions????? Alabama School Health