Procedure for Storage and Administration of Medications
1)Staff must wash their hands with soap and running water before and after giving medications.
2)Only medication prescribed by a doctor or person legally authorized to prescribe medications will be given. Over the counter medications will not be given unless prescribed by a doctor or person legally authorized to prescribe medication. Prescriptions for medications should include the dose, frequency, and route of administration and should be in writing by a signed note or prescription label.
Prescription Medications- Parents must bring in the prescribedmedication
in the container it was put in by their pharmacy. Prescribed medication must
be labeled by a pharmacist,with the child’s first and last names, the name
of the medication,the date the prescription was filled, the nameof the health
care provider who wrote the prescription, themedication’s expiration date,
and administration, storage,and disposal instructions.
Over the Counter Medications-Parents must bring in over the counter medication in
the original container it was purchased in. Parents should provide instructions
andinformation on alabel, including: the child’s firstand last names; specific,legible
instructions for administration and storage supplied by themanufacturer orhealth care
provider; and the name of thehealth care provider who prescribed the medication forthe child.
As needed Mediations- Medications administered“as needed” (“PRN” medications)
must have directionsfor administration, includingminimum time between doses,
maximum number of doses, and criteria for administration.Medication required for use
by staff and volunteers isclearly labeled with their firstand last names.
3)All Medications need to be stored under lock and key including medications that require refrigeration.
Container-Prescribed medication must be provided in theoriginal, child-resistant
container labeled by a pharmacist. Over the counter medication must be in
the original container it was purchased in.
Storage and inaccessibility to children-Medication of any kind needs to be
kept away from food and stored insturdy, child-resistant, closed containers that
are bothinaccessible to children and prevent spillage. If medicationrequires refrigeration,
a small lock box designated forstoring medication may be kept in the refrigerator.
Expiration dates-Medication should not be used beyondthe date of expiration on
the container or beyond theexpiration of the instructions provided by the physician or
other person legally permitted to prescribe medication. Instructions that state the
medication may be used “whenever needed” should be reviewed by the physician at
least annually.
Transportation-Efforts should be made to minimize thetransportation of medication.
If, however, medication doesneed to be transported, staff ensures that there are
measures to keep it temperature-controlled, if necessary.
4)Staff is trained to handle, store and give medications – by the Health Coordinator or the Health Specialist. Staff giving medication at the Delegate level can request training from the Health Coordinator or the Health Specialist. It is the Delegate Director’s responsibility to provide and obtain training for medication administration procedures. If children are to receive medication on a long term basis a Nursing Care Plan will be written by the onsite nurse at the Delegate level or by the Health Coordinator or Health Specialist.
5)Parent/Guardian permission will be obtained in writing before medication is given using the “KDHE Authorization for Dispensing Medications to Children or Youth Long-Term Medications” or the “KDHE Authorization for Dispensing Medications to Children or Youth Short-Term Medications”
6)Staff will use the““KDHE Authorization for Dispensing Medications to Children or Youth Long-Term Medications” or the “KDHE Authorization for Dispensing Medications to Children or Youth Short-Term Medications” each time medication is dispensed during program hours. The amount of medication given, the time and date of administering eachdose is recorded on the child’s “KDHE Authorization for Dispensing Medications to Children or Youth Long-Term Medications” or the “KDHE Authorization for Dispensing Medications to Children or Youth Short-Term Medications” form. Special circumstances, such as spills, responses, reactions, and refusals to take medication are documented on the forms. This information is then reported to and reviewed by the parent and the individual whoprescribed the medication. If there are consistent administration problems, staff needs to notify the Health Coordinator or Health Specialist.
7)Staff will immediately notify child’s parent/guardian of any adverse reactions. The parents, in turn, will contact the physician, who determines whether or not to continue the child’s medication or alter the dosage. Staff will document any adverse reactions on the “KDHE Authorization for Dispensing Medications to Children or Youth Long-Term Medications” or the “KDHE Authorization for Dispensing Medications to Children or Youth Short-Term Medications”
and will notify the Health Coordinator or the Health Specialist.
8)In the home based option parents administer medication to their children. If staff feels that the parent/guardian needs further assistance, training and/ or information about medication administration, they will consult with the Health Coordinator or the Health Specialist.
9)Center based – staff should look behind the Stop A Child is Receiving Medication in the Classroom sign to see which children are on medications.
10)Following the completion or discontinuation of medication place the “KDHE Authorization for Dispensing Medications to Children or Youth Long-Term Medications” or the “KDHE Authorization for Dispensing Medications to Children or Youth Short-Term Medications” form in the individual child’s file in the health section. Any unused medication will be given to the parent or guardian immediately when the medication is discontinued, is out of date or the child is leaving the program.
1304.22 (c) (1)
1304.22 (c) (2)
1304.22 (c) (3)
1304.22 (c) (4)
1304.22 (c) (5)
1304.22 (c) (6)
1304.52 (k) (3)
Revised - 11-17-06 LSC
Revised - 10-1-09 LSC
Revised –3-12-10 LSC
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