Helping Belton ISD Students Succeed What BISD Staff Need to Know About:

1. Helping Belton ISD Students Succeed What BISD Staff Need to Know About: Medication Administration Belton ISD Health Services 2013-2014 Medication Administration

2. When would you help administer medication to a student? • In an Emergency • On a Field Trip or UIL Event • I have been assigned by my principal as an Unlicensed Assistant for the Health Services Clinic when our nurse is unavailable • I have been assigned by my principal as an Unlicensed Diabetic Care Assistant for a Diabetic Student on my campus Medication Administration

3. Click here to viewBelton ISD Medication Administration Policy & Guidelines Medication Administration

4. General Procedures for all Medications • If this is the first time for you to give the medication, make sure you have reviewed the proper training, both general and specific for the student’s medication. You should have been given an opportunity to ask the school nurse or parent any questions about administering the medication safely • Before giving the medication, ask the student how they feel. If the student appears ill or if they refuse to take the medication, call the school nurse for instructions and document the reason the medication was not given on the student’s medication administration form. Medication Administration

5. Follow the 6 Rights ofMedication Administration • Right Student : Properly Identify Student: Ask the student to state their name (show ID if available). If student does not respond, look up the student on Skyward or ask the student’s teacher to identify them. • Right Medication : Match the medication name on the container with the medication name on the med administration record. Ask the student the name of the medication or the color and shape • Right Dosage: Match the dosage on the container with the dosage on the medication administration record. Dosage may be listed as mg (milligrams), teaspoons, puffs, etc. Verify the student gets the correct # of tablets or liquid according to the milligrams listed. Ask the student how many they take. • Right Route: Match the route on the container with the route listed on the medication administration record. Route may be by mouth, inhaled, in ear, in eye, on skin, injected, etc. Ask the student how they take the med, or which ear?, etc. • Right Time:Match the time on the container with the time listed on the medication administration record. If the time is scheduled, you may give 30 minutes before or after unless directions specify otherwise. If the medication is as needed, check with the school nurse or parent if you are not sure when the last dose was given before giving the medication. • Right Documentation: Write the exact time the med was given on the medication administration record and your initials underneath the time. Make sure you print and sign your name on the record as well. Medication Administration

6. General Procedures for all Medications • Errors can happen. If one of the 6 rights is not followed, it is a medication error. Contact the school nurse or your administrator immediately. Help prevent errors by preparing and giving the medication in a well-lit, undistracted area • Never use one student’s medication for another student • Never provide medication for a student • It is your responsibility that the student gets it at the right time. A “no show” is unacceptable. For some medications, it would be unsafe for the student to miss a dose. Medication Administration

7. General Procedures for all Medications • District Policy FFAC(Legal):District’s employees are immune as described below, provided: • The District has received a written request to administer the medication from the parent, legal guardian, or other person having legal control of the student. • When administering prescription medication, the medication is administered either: • From a container that appears to be the original container and to be properly labeled; or • From a properly labeled unit dosage container filled by a registered nurse or another qualified District employee, as determined by District policy, from a container that appears to be the original container and to be properly labeled. Medication Administration

8. General Procedures for all Medications • All drugs have the potential to cause side effects. Ask and observe student’s response to medication. Do not give the medication and report to nurse, parent, and/or principal any changes in behavior, awareness, rash, complaints or anything that may be related. Document the behavior and actions taken. • Check expiration dates Medication Administration

9. General Procedures for all Medications • Gather necessary supplies • Wash hands and place gloves if indicated • Prepare the correct dosage without touching the med if possible • While preparing the medication, do not leave the med unattended or within reach of the student • Identify the student. Ask the student his/her name Medication Administration

10. General Procedures for all Medications • Explain the procedure to the student. If the student questions the right medication, stop and verify the medication against records or with parent • Remember...you may want to ask the student: • What is the name of your med? • What color is your med? • How much do you take? Medication Administration

11. General Procedures for all Medications • Provide confidentiality and privacy for the student as much as possible • Position the student properly for the medication administration according to the correct route • Document as soon as possible on the appropriate form Medication Administration

12. General Procedures for all Medications • Store medication in a locked cabinet, if applicable. Most medication needs to be stored in a cool, dry place. Some medication need refrigeration • Clean, return, and/or dispose of equipment as necessary • Wash hands • Reports all medication incidents or errors to the nurse and principal Medication Administration