MuirtownPrimarySchool

MuirtownPrimarySchool

Administration of MedicationsPolicy

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ContentsPage Details

3 Introduction Letter with Policy Web Links

4 Parents’/Legal Guardians’ Responsibilities

7 Staff Procedures on Receiving Medications

8 Staff Procedures on Recording Medications

9 Staff Procedures on Administering Medications

10 Staff Procedures Concerning Controlled Medications

11 Staff Procedures when Returning Medications

12 List of Forms to be Completed

13 Forms

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MuirtownPrimarySchool

MuirtownPrimarySchool

Dear Parents, Guardians and Carers,

On the following pages you will find our Administration of Medications in School policy. This includes procedures which must be strictly followed by Parents/Guardians, Carers and Staff in order to safeguard the health and safety of your child.

We really appreciate your time and support in this matter.

These procedures allow Muirtown Primary school staff to meet the standards set out by the Highland Council in their ‘Administration of Medicines in School’ and the Scottish Executive’s ‘The Administrations of medicines in schools’ policy. Please follow the links below if you wish to access these two documents.

http://www.gov.scot/Publications/2001/09/10006/File-1

http://www.nhshighland.scot.nhs.uk/Services/Documents/Medicines%20in%20Schools/Administration%20of%20Medicines%20in%20Schools%20Policy%20and%20guidance%20-%20Highland%20Council%20and%20NHS%20Highland%20Jan%202012.pdf

Please do not hesitate to contact the school if you have any questions.

Forms which need completed can be downloaded from the school website or obtained from the school office.

Yours faithfully with thanks,

Mrs Meldrum

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MuirtownPrimarySchool

MuirtownPrimarySchool

Parents’/Legal Guardians’ Responsibilities

Medicine Administration in Schools in accordance with The Highland Council and NHS Best Practice Guidelines

To enable the safe administration of medication at school, Muirtown Primary School would kindly ask all parents/guardians to read and adhere to the following policy.

Where possible medications should be given at home; when this is not possible and pupils require medicines to be given at school the following steps should be followed:

All medications must be prescribed by an appropriate health care professional, e.g. GP/Pharmacist (this includes any medication which can be bought over the counter).

Parents/guardians should ask the GP for a separate supply of medication for home and school

School staff must follow the directions on the medicine label from the GP; medicines which are prescribed as ‘as required’ medication cannot be given at regular time intervals on parents’/guardians’ instructions. If a child is requiring a medicine at regular intervals the child must be reviewed by their GP

All medications must be handed in by the parent/guardian/carer and not by the pupil (in case a pupil drops it or another pupil finds it and takes it)

Medications must be given in the original packaging and the label must be from GP/Pharmacy

The label must be on the actual bottle of medication or the box of an inhaler The label must be clear and cannot be accepted if altered by parent/guardian/carer in

any way The patient information leaflet must be handed in with all medications The medication must be handed in, in the original box/packaging The first dose of any new medication must be given at home at least 24 hours before

the school can administer it (exceptions are emergency medications such as epipens) The parent/legal guardian must sign the administration of medication document

stating, date, time, dose of medication given and say if a reaction occurred or not (if a reaction occurs the parent should contact the GP)

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MuirtownPrimarySchool

MuirtownPrimarySchool

Parents’/Legal Guardians’ Responsibilities – continued

The parent/legal guardian must complete and sign the relevant forms before any medications can be administered at school

Form A – PARENTS’/GUARIANS’ DECLARATION

AndForm B – Part One and Two Request for Muirtown Primary School to Administer Short Term Medication. ORForm C – Part One, Two and Three Health Care Plan for a Pupil with Medical Needs

AndForm D if your child is in Primary 1 to Primary 7ORForm E if your child is in Nursery Optional - Form F - For parents/carers to complete if they wish their child to carry his/her own medication (e.g. Asthma Inhalers)

If the child is in Nursery, the staff will ask the parent/guardian to sign the record book at the end of any day on which medication has been given in school.

If a pupil receives any medication which is to be given at home and at school on a ‘as required’ basis, a written and signed record must be handed in each day showing the times and dose given at home. The school will also complete the record showing any dose given at school. This includes Calpol/paracetamol. This is to ensure that pupils are receiving the correct amount of medication at the correct time intervals.

Parents/guardians should not ask the school to act on verbal instructions as the school can only act on written instructions from the GP/Pharmacy. Where necessary parents should ask the GP/Pharmacy for a new label to be issued

When pupils no longer need their medication parents/guardian need to collect the medication and take it to a pharmacy to be destroyed. The parent/guardian will be asked to sign a record book stating that the medication has been returned to them

The Care Commission state that pupils requiring Calpol/paracetamol for a raised temperature/fever should not be in school

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MuirtownPrimarySchool

MuirtownPrimarySchool

The Following Pages Contain Procedures Which Staff Follow in Muirtown Primary School.

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Receiving Medications Check the parent/legal guardian has completed and signed all

appropriate documentation: Form A – PARENT’S/GUARIANS’ DECLARATION Form B – Part One and Two Request for Muirtown Primary School to Administer Short Term

Medication. Form C – Part One, Two & Three Health Care Plan for a Pupil with Medical Needs Form D if your child is in Primary 1 to Primary 7 OR Form E if your child is in Nursery Optional - Form F - For parents/carers to complete if they wish their child to carry his/her own

medication (e.g. Asthma Inhalers)

1Check the medication 1. Clear Label on medicine bottle itself/cream/eye drops or inhaler box.... Label must be printed from GP/Pharmacy Label must not be changed in any way Label must state child's name, dose and how frequently it can be given/maximum dose Check expiry date Check how it is to be stored (room temperature/fridge) 2. Check that original packaging has been given along with the patient information leaflet 3. Check that the medication and label match the details completed by the parent/carer on all forms 4. Place the medication and the medication administration form in an individual pupil's zip sealed pouch. 4b. In Nursery the medication is normally kept in an individually labelled tub/container with secure lid 5. Complete MAR (see 'Recording Medications') 6. Complete triplicate receipt book (top copy to parent/guardian, middle copy to Head Teacher and lower copy to stay in book as a record 7. Securely lock away the medication in cupboard/fridge as appropriate

Check the parent/legal guardian has read and understood 'The Parents’/Carers’ Responsibilities and seek verbal agreement to help the school administer medication(s) in line with Highland Council Policy.

Make the Head Teacher aware of the details, e.g. pupil, medication and any other significant facts on the day the medication is handed in.

Make the class teacher aware of the details and times when the pupil may need to leave class or take medication with them

If a controlled drug/medication is handed in, make the Head Teacher aware immediately and follow the controlled drugs protocol/procedures.

Forms can be given out and explained by office staff. When medications are handed in the designated, trained member of staff (who is going to be administrating the

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MuirtownPrimarySchool

MuirtownPrimarySchool

medication) needs to check all forms and medication carefully.

Recording Medications

Record and sign for any medication handed in once the appropriate checks have been made (see 'Receiving Medications')

Make sure the amount of medication is recorded, e.g. number of tablets/ml of liquid/size of topical cream tube/ml in eye drops... (topical – applied to the skin)

Any time a medication is given the Individual Administration of Medication Record must be filled in. This includes date, dose, time, expiry date, your signature, stock balance and any notes

Any time a medication is given a record must go home (you can use an individual jotter)

When a medication is no longer required the parent/guardian must collect the medication. Both the designated member of staff and the parent/guardian must sign to say it has been returned (the number of tables/ml... being returned should be specified)

When an individual record of administration is completed or a course of medication is completed the record of administration should be kept in pupil's individual school file for 5 years. It is also advisable to keep all forms completed in the school file for 5 years.

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MuirtownPrimarySchool

MuirtownPrimarySchool

Administering Medications

Before giving any medication check carefully:

Only ever take one pupil at a time – two is never acceptable at any time Only take out one pupil’s medication zip bag at a time

Right pupil/child (name, age, date of birth and sometimes a photo).This must be done every time no matter how well you know the child.

Right medication Right dosage Right route (oral/topical/inhaled...) Right time (you may have to check when the dose was last

given at home – written signed for) Does it need to be given with food/before food..?

Right frequency Right documentation Check the medication is in date Check it has been stored correctly (room temperature/fridge) Read the patient information leaflet and make sure you are aware of all possible

reactions and side effects Check the child is willing to actually take the medication, if the child refuses phone

the parent/guardian Check the first dose was given and signed for by the parent at least 24 hours before

you give the second dose and that no reaction was stated by the parent/legal guardian (except for emergency medications)

Be aware that reactions can also occur after the second and subsequent doses are given

Prepare to give medication: Wash hands Use no-touch method Wash all equipment thoroughly and store in a clean environment Equipment should be labelled with the child's name and only used by them e.g.

spacers, syringes, medicine spoons...(a normal teaspoon is never to be used)Giving Medication:

Give the medication when you are happy all the checks have been thoroughly completed

If the child has a reaction get help (preferably by shouting so you can stay with the child) and phone 999

If you have any concerns do not give the medication – in this instance you must phone the parent/guardian straight away and contact the school nurse

Make sure the Head Teacher is aware of why you did not give the medication Complete the appropriate paperwork (Check 'Recording Medications')

and give the child a record to take home. Controlled Medications

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MuirtownPrimarySchool

MuirtownPrimarySchool

MuirtownPrimarySchool

MuirtownPrimarySchool

Consult with the Head Teacher

Separate MAR (Medication Administration Record book with space for two signatures)

Two designated and trained staff to check all forms (be together but check independently of each other)

Two staff to sign in medications and amount of medication

Two staff to complete all checks and sign all documentation

Two staff to administer medication

Two staff to check stock balance

Designated and locked cupboard for any controlled medication – check with the Head Teacher

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Returning Medications

When a course of medication is no longer required or it has expired the parent/carer needs to collect the medication (Staff are not permitted to take medication to be destroyed at a pharmacy)

Office staff can phone and agree a time for medication to be collected

The parent/guardian needs to print and sign their name for the medication at the bottom of the Individual Pupil's Administration Chart (MAR)

The parent/guardian should be advised to take this medicine to their local pharmacy so it can be safely destroyed

The designated person must then complete the MAR (Medication Administration Record) and sign to say it has been returned along with amount returned to the parent

The designated person must then complete the school record book, sign to say the medication has been returned and how much has been returned – this should accurately tally with the MAR

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MuirtownPrimarySchool

MuirtownPrimarySchool

Forms These can be downloaded or obtained from the school office

Forms to be completed before any medication can be received at Muirtown Primary: (please note these forms must be completed by the parent/legal guardian of the pupil)

All Parents/Guardians

Form A – PARENTS’/GUARDIANS’ DECLARATIONAnd Form B – Part One and Two Request for Muirtown Primary School to Administer Short Term Medication. ORForm C – Part One, Two and Three Health Care Plan for a Pupil with Medical NeedsANDForm D if your child is in Primary 1 to Primary 7ORForm E if your child is in Nursery

Optional

Form F - For parents/carers to complete if they wish their child to carry his/her

own medication (e.g. Asthma Inhalers)

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Form APARENTS’/GUARDIANS’ DECLARATION

I have read and understood the administration of medications policy.

I understand that it is my responsibility to make sure Muirtown Primary School has all the necessary information and materials to meet my child’s medical needs and the Highland Council and NHS standards.

I understand that it is my responsibility to keep the school supplied with medication which is in date and that I must sign for and remove any expired or discontinued medication.

I have completed in full all forms required:

Form A – PARENTS’/GUARDIANS’ DECLARATIONAnd

Form B – Part One and Two Request for Muirtown Primary School to Administer Short Term Medication. ORForm C – Part One, Two and Three Health Care Plan for a Pupil with Medical Needs

AndForm D if your child is in Primary 1 to Primary 7ORForm E if your child is in Nursery

Optional Form F - For parents/carers to complete if they wish their child to carry his/her

own medication (e.g. Asthma Inhalers)

Name of Pupil: Class:

Relationship to Pupil:

Print Name:

Signature:

Date

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MuirtownPrimarySchool

MuirtownPrimarySchool

Form B – part one

Request for Muirtown Primary School to Administer Short Term Medication (for example, a course of antibiotics or medication not required to be given for longer than two weeks). Head Teacher: Mrs McDaid

This form must be completed by parents/legal guardians if they wish the school to administer medicines. The school will not give your child medicine unless you complete and sign this form and school staff agree to administer the medication. Details of PupilSurname: Forename(s)

Address:

Date of Birth:

Gender:

Class:Condition or Illness:

Parents must ensure that medication supplied is in date and is properly labelled with a Pharmacy or Dispensed label. For full details please read page 4 and 5 with care which stipulates in detail what is required before the school can accept any medications. Name/type of medication:

How long will your child take this medication?Quantity:Full directions for use:

Note dosage and method. E.g. oral, injection, topical, other

Timing when medication should be given:

Special precautions:

Side effects:

‘As directed’ cannot be accepted by the schoolSelf-administration: Yes No

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MuirtownPrimarySchool

MuirtownPrimarySchool

Form B – part two

Request for Muirtown Primary School to Administer Short Term Medication. PROCEDURES TO FOLLOW IN AN EMERGENCY

Emergency Contact 1

Name:

Emergency phone number(s):Relationship to pupil:

Emergency Contact 2

Name:

Emergency phone number(s):Relationship to pupil:

I understand that I must deliver the medicine personally (to an agreed member of staff) and accept that this is a service which the school is not obliged to undertake.

I undertake to inform the agreed member of staff immediately of any changes in the medication and provide an appropriately labelled supply.

Please Note: Verbal information will not be acted upon.

Medicines will be replaced/replenished by me as required and I understand and agree that the school are not responsible for ensuring supply of the medication. Name (capitals):

Signature:

Relationship to pupil:Date:

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MuirtownPrimarySchool

MuirtownPrimarySchool

Form C – Part 1 Health Care Plan for a Pupil with Medical Needs (all parents/legal guardians to complete, Nursery and Primary 1 to Primary 7)

Date when completing this form:____________________________Name of Pupil _____________________________________________________________Pupil’s Date of Birth:___________________________________________Name of Medical Condition:_____________________________________________________________________________________________________________________________________________Pupil’s Stage/Class:___________________________ Contact Information Family Contact 1Name (Capitals)

Home Phone Number

Work Phone Number

Mobile Phone Number

Relationship to Pupil

Family Contact 2Name (Capitals)

Home Phone Number

Work Phone Number

Mobile Phone Number

Relationship to Pupil

GP/Doctor Name:____________________________________________Phone Number of GP’s Surgery:_____________________________________________Clinic/Hospital ContactName:_____________________________________Phone Number:________________________________________

Name of Person Completing this Form (Capitals):________________________________Designation (Parent/Guardian/School/Health Care professional):___________________________________________________________________________

Distribution of Information (Tick as appropriate):School Record___________________ School Nurse/Health Visitor______________________Lead Medical Practitioner (GP/Consultant/Community Paediatrician)____________________

Parent_________________ Other (please specify)_____________________________________

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MuirtownPrimarySchool

MuirtownPrimarySchool

Form C – Part 2

Health Care Plan for a Pupil with Medical Needs (all parents/legal guardians to complete, Nursery and Primary 1 to Primary 7)

Please describe and give details of pupil’s individual symptoms/signsCondition Name:________________________________________________________________Signs/Symptoms of an Emergency Situation:________________________________________________________________________________________________________________________________________________________________________________________________________

What should be done in an emergency?__________________________________________________________________________________________________________________________________________________________________________________________________________

What causes this to happen? ______________________________________________________________________________________________________________________________________________________________________________________________________________________

When should treatment/medication be given? ________________________________________________________________________________________________________________________

What Dose of medication should be given?___________________________________________How should the medication be given? (oral, injection…other please state)_________________________________________________________________________________________________

At what times should the medication be given?_________________________________________________________________________________________________________________________

Daily Care Requirements (e.g before sport, before or after food, dietary, therapy, nursing needs)____________________________________________________________________________________________________________________________________________________________________

What follow up care is required after an incident?___________________________________________________________________________________________________________________________

Members of staff (more than 1 in each school) trained to administer medication for this child. ______________________________________AND______________________________________________________________________________________________________________________________

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MuirtownPrimarySchool

MuirtownPrimarySchool

Additional Information:

Form C – Part 3

I agree that I will ensure that medication is supplied; in date and properly labelled with a Pharmacy or Dispensed label. For full details please read page 4 and 5 with care which stipulates in detail what is required before the school can accept any medications.

I understand that I must deliver the medicine personally (to an agreed member of staff) and accept that this is a service which the school is not obliged to undertake.

I undertake to inform the agreed member of staff immediately of any changes in the medication and provide an appropriately labelled supply.

Please Note: Verbal information will not and can not be acted upon.

I undertake to replace/replenish medicine(s) and make sure the school has an adequate and in date supply. I understand and agree that the school is not responsible for ensuring supply of medication(s).

I agree that the medicine above may be administered to my child in accordance with this plan. I agree to provide the school with all medicines required in appropriately labelled containers, following the parents’/Guardians’ guidelines. I agree that the medical information contained in this form may be shared with individuals involved in the care and education of:

Pupil’s Name:________________________________________________________

Permission for pupils to carry own medication YES NO

Parent or Guardian’s name (Capital letters):___________________________________________

Parent or Guardian’s signature:____________________________________________Date:_________

Name, Signature & Designation (school personnel):__________________________________________

_____________________________________________________________________Date:___________

Name, Signature & Designation of Health Care Professional (if required)________________________

_____________________________________________________________________Date:

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MuirtownPrimarySchool

MuirtownPrimarySchool

Form D RECORD OF DETAILS OF MEDICATION/ADMINISTERED TO INDIVIDUAL PUPILS IN MUIRTOWN PRIMARY SCHOOL

Pupil’s Name Name of Medication

Pupil’s D.O.B StrengthPupil’s Address Method/route of

administrationN.B. Check date of dispensing is within three months and medication has not expired. If in doubt please contact dispensing source for further advice (see label).

Date Time Dose Check date of dispensing/expiry is valid – Please tick

Comments e.g. medication refused/dropped etc. Condition e.g. Seizure, any reaction…

Signature of member of staff

Stock Balance

Reason for returning to parent/guardianBalance returned by Print name: Signature: Date:Balance received by Print name: Signature: Date:N.B. This record to be retained for a minimum of five years after leaving school in pupil file.

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Form E RECORD OF DETAILS OF MEDICATION/ADMINISTERED TO INDIVIDUAL PUPILS IN MUIRTOWN NURSERY SCHOOL

Pupil’s Name Name of Medication

Pupil’s D.O.B StrengthPupil’s Address Method/route of

administrationN.B. Check date of dispensing is within three months and medication has not expired. If in doubt please contact dispensing source for further advice (see label).

Date Time Dose Check date of dispensing/expiry is valid – Please tick

Comments e.g. medication refused/dropped etc. Condition e.g. Seizure, any reaction…

Signature of member of staff

Signature of parent/carer when they collect pupil

Stock Balance

Reason for returning to parent/guardianBalance returned by Print name: Signature: Date:Balance received by Print name: Signature: Date:N.B. This record to be retained for a minimum of five years after leaving school in pupil file.

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Form F

Form for parents/guardians to complete if they wish their child to carry his/her own medication

This form must be completed by parents/legal guardians

Pupil’s Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Class: _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _

Condition or illness: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Name of Medication: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Procedures to be taken in an emergency: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Contact Information

Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Daytime telephone number(s): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

I would like my son/daughter to keep his/her medication on him/her for use/self-administer as necessary

Signed: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date: / /

Relationship to child: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

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MuirtownPrimarySchool

MuirtownPrimarySchool

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