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MEDICATION DELEGATION TO UNLICENSED PERSONNEL

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MEDICATION DELEGATION TO UNLICENSED PERSONNEL KAREN TURMEL RN BSN MEd NURSING SUPERVISOR CHICOPEE PUBLIC SCHOOLS AUGUST 2013 Identify accurately the student for whom ... – PowerPoint PPT presentation

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Title: MEDICATION DELEGATION TO UNLICENSED PERSONNEL


1
  • MEDICATION DELEGATION TO UNLICENSED PERSONNEL
  • KAREN TURMEL RN BSN MEd
  • NURSING SUPERVISOR
  • CHICOPEE PUBLIC SCHOOLS
  • AUGUST 2013

2
TRAINING OBJECTIVES..
  • ?Identify accurately the student for whom the
    medication is ordered.
  • ?Read and interpret accurately the medication
    administration plan.
  • ?Follow directions on the medication
    administration plan.
  • ?Read the medication label accurately
  • ?Follow the directions on the medication label
  • ?Demonstrate the safe handling and proper storage
    of medications
  • ?Demonstrate the ability to administer medication
    properly
  • ?Describe the proper action to be taken if a
    medication is not taken/given either by refusal
    or omission or if an error was made.
  • ?Ability to use resources appropriately
    including school nurse, parent/guardian, or
    emergency service when problems arise.
  • ?Describe appropriate behaviors which assure
    confidentiality.

3
CONFIDENTIALITY
  • ALL information about students is confidential!
  • Do NOT discuss or share information about
    students or medications with other school staff
    or people outside of school unless directed to do
    so by the school nurse. Refer all questions or
    comments about students or medications to the
    school nurse.

4
ROLE OF UNLICENSED SCHOOL PERSONNEL IN MEDICATION
ADMINISTRATION
  • ?Administers medication(s) or assists or reminds
    student to take own medication(s)
  • ?Obtains medical information from the medication
    administration plan developed by the school nurse
  • ?Follows the specific instructions for the
    administration of each students medication
  • ?Administers only those medications where there
    is a specific order for the specific child
  • ?Reports any unusual reactions
  • ?Reports any problems to the school nurse
  • ?Seeks instruction from the school nurse for any
    problems or in case of uncertainty.

5
Limitations of Unlicensed School Personnel
  • May NOT administer over the counter medications
    under protocols
  • i.e.. Tylenol as it requires an assessment
  • May NOT give medication by injection EXCEPT
    epinephrine in a life threatening situation where
    the student has a known allergy and there is a
    specific order from a licensed prescriber and
    written consent of parent/guardian

6
How medication works
  • Our body is made up as systems such as digestive,
    nervous, and respiratory. These systems are made
    up of organs which are made up of tissues and
    these tissues are made of cells.
  • Each one of the bodys cells are continuously
    active with constant chemical reactions. Some of
    this activity happens with the cell and some by
    communicating with other cells. This
    communication between cells is called
    neurosynaptic transmission.
  • Medication changes the activity of the cells to
    produce a therapeutic effect.
  • In order to produce a therapeutic effect, there
    must be enough medication surrounding the
    cell(s), this is called the level of critical
    concentration.

7
Effects of medication
  • See medication administration plan and school
    nurse for expected and possible side effects
  • Desired effect
  • The therapeutic effect means the medication is
    having the effect intended by the licensed
    prescriber

8
Side effects
  • Effects caused by the medication that are not the
    desired effect
  • May occur with the desired effect
  • Many side effects are expected and predictable
  • Such as drowsiness with phenobarbital when the
    desired effect is seizure control
  • Some side effects are unexpected and
    unpredictable, they are called adverse effects
  • For example, severe vomiting and diarrhea when
    the level of and antipsychotic has risen too high
  • A side effect may be potentially fatal(although
    rare)
  • For example, an allergic reaction to an
    antibiotic
  • Many side effects are difficult to detect or to
    determine as caused by the medication

9
No effect
  • The medication didnt work
  • For example- a student has been taking dilantin
    for a week and is still having seizures occurring
    at the same rate and are just as severe as before
    the medication was started.
  • Any changes that you see (either physical or
    behavioral) or that are described to you by a
    student may be caused by a medication
  • Report ALL changes to your school nurse

10
Drug interactions
  • Some students receive more than one medication at
    a time
  • Some are medications taken on a regular basis and
    some on a temporary basis
  • Whenever a student takes 2 or more different
    medications, a drug interaction may occur
  • A drug interaction occurs when one drug alters
    (decreases, increases, or changes) the effect or
    action of another

11
5 rights of medication administration
  • Right student
  • Dont guess, you must identify the student
  • A photo should be attached to the medication plan
  • Right medication
  • Compare the medication plan with the pharmacy
    label
  • Double check making sure they match
  • Check expiration date on medication label
  • Do NOT give if beyond expiration date
  • Notify school nurse
  • Right dosage
  • Compare the medication administration plan with
    the pharmacy label
  • Double check, making sure they match
  • Carefully count the correct dose and compare
    again with medication plan
  • Right time
  • Give the medication at the time(s) stated in the
    medication administration plan
  • Right route
  • Medication prescribed to be given in
  • Oral route
  • Tablets, capsules, liquids that are swallowed

12
Steps in medication administration
  • Identify student
  • Read medication administration plan
  • Wash hands
  • Select and read label of medication
  • Prepare medication and read label again
  • Read label again and then administer medication
  • If any questions notify School Nurse

13
Dos and donts other safeguards to follow
  • Dont
  • Give medication from a container which has a
    label that cant be read
  • Give medication from another students container
  • Leave medication unattended
  • Try to hide a medication error
  • Increase or decrease or change in any way the
    dose of medication without specific instructions
    from the school nurse
  • Do
  • give your full attention to the task
  • Remain with the student until medication has been
    taken making sure student swallowed medication
  • Prepare the medication for only one student at a
    time

14
Assisting student with self-administration
  • Identify the student
  • Select correct medication
  • Read medication administration plan
  • Read label
  • Observe student prepare and take medication as
    per medication plan

15
  • Thank you for taking the time to complete this
    training.
  • Now there is a written test to be taken and a
    competency skill checklist that needs to be
    completed with your school nurse
  • This is a yearly training for all teachers
    administering medications to students on field
    trips.
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