Section Four - Drug and Medication Authority Policy

SECTION FOUR - DRUG AND MEDICATION AUTHORITY POLICY

Administering Drugs and Medication

1)The child care cook/alternate is the chosen designate to administer all children’s medication.

2)The child will be escorted by the child care cook/alternateto a quiet area.

3)The child care cook/alternate will administer the medication to the child.

4)The child care cook/alternate will complete the medical authorization form.

5)The child care cook/alternate will escort the child back to his/her designated room.

Administration of Drugs and Medication Policy: Prescription and Non-prescription Drugs & Medication

Purpose - To ensure that drugs and medication is administered correctly according to Ontario Regulation 137/15 of the Child Care & Early Years Act.

Policy - Child Care Centreswill administer drugs and medication to children, in accordance with the regulations set out in 137/15 Section 41/42

Procedures – Drug and Medication Administration

The Cook/designate is in charge of all drugs and medications and all drugs and medications are dealt with by that person or a person designated by that person. The administration of all drugs and medication.

A parent will hand deliver the medication in the original container and give the written instructions to the cook.

Medication is stored in accordance with the instructions for storage on label. Medications are stored in a locked box. Medications/drugs requiring refrigeration must be kept in a locked box in the refrigerator. These medications/drugs must not be accessible to children.

The medication is administered in accordance with the instructions on the label and the authorization received from the parent.

A drug or medication is administered to a child only when a parent of the child completes a medication form or gives written authorization for the administration of the drug/medication that include times to be administered and the amounts to be administered.

Every effort will be made to administer the medication at the time the parent specifies.

Any drug or medication must be in the original container as supplied by a pharmacist or the original package and needs to be clearly labeled with the child’s name, the name of the drug/medication, the dosage, the date of purchase and instructions for storage and administration. (Prescription or non-prescription) This will allow staff to confirm that the

medication is not out of date.

Any accidental administration of medication (i.e., medication to the wrong child or dose error) is to be recorded and reported to the person in charge who will then notify a parent of the child.

Surplus of medication will be returned in the original container to a parent of the child or discarded with parental permission.

The dosage, date and time must be recorded and signed by one (1) staff member.

When medication is complete, the completed forms are placed into the child’s file.

*Best Practice-Supervisor review and sign off the medication authorization form before

it is placed in the child’s file.

Special Instructions

Children’s Asthma Medication or Emergency Allergy Medications do not need to be locked up but will be kept out of reach and readily available for children who require it. This is the only type of medication that may be kept in the classroom. Staff are required to know where it is at all times. Staff members should also carry a child’s Asthma/Allergy Medication on all field trips and excursions away from the child care centre. Asthma medications (e.g. puffers) need to have specific symptoms to describe the “need” for the medication and when to administer it.

If medication is to be administered on an “as needed” basis, the written instructions must clearly indicate the situations under which the medication should be given. This could include the physical symptoms that must be present, the behaviour child must be exhibiting. Simply indicating “as needed” or “as required” is not sufficient.

2. Narcotic Controlled Medications (C.R.C, C1041)

Any narcotic medication received must be stored in the original container or package and is clearly labeled with child’s name, the name of the narcotic, the dosage, date of purchase and instructions for storage and administration.

All narcotic medication must be received in the dosage that it is going to be administered. All medication is to be accounted for at all times.

*Best practice is to note the amount of the medication given by the parent and keep a running record of the amount after each time it is administered.

Records must include the kind, date and quantity of the narcotic on hand as well as the name and address of the person from whom the narcotic was received. Records must also include the reason for this narcotic. All records must be placed into the child’s file when forms are completed and must be kept for 2 years.

Vitamins are considered as drugs, and therefore require a schedule of administration and the recording of such.

Due to the frequency and their longer term daily usage, sunscreen, bug spray, diaper creams and hand sanitizers can have a blanket statement on the enrolment form of products that are supplied by the licensee and can be administered without a medication form as long as they are non-prescription and/or they are not for acute (symptomatic) treatment, whether they have a drug administration number (DIN) or not. All non-medicated products supplied by the parent will require a non-medicated administration form that will outline when the product is to be administered.

If there is a short-term medicated product (whether prescribed by a physician or not) that is administered to respond to or treat certain symptoms over a specific period of time (such as severe diaper rash), a written medication authorization with schedule, a record of administration and storage in a locked medication box are required.

If sunscreens or lotions can be reached by children aged preschool or younger, non-compliance can be cited.

A best practice recommendation is for staff to store all labelled sunscreens together and out of the reach of children.

In the case of seizures in children, the form should indicate the temperature of the child at which medication is to be administered.

Best Practices

It is preferable to remove a child from the activity area to administer medication in a quiet environment with the least possible interruption. Medication should be dispensed in a well-lit area.

Whenever possible, all children receiving medication should receive it at the same hour.

For each child receiving medication, an entry should be made on a form or in a drug book. Staff giving the medication should list each dose administered and the time. If a dose is omitted or late, reasons must be listed.

Any accidental administration of medication (i.e., medication to the wrong child or dose error) should be recorded and reported to the supervisor, who should then notify a parent of the child and report the medication error as a Serious Occurrence in the CCLS.

Whenever possible, parents should be encouraged to give any drugs or medications to their children at home, if this can be done without affecting the treatment schedule.

Date: ______Approved by: ______

Revised Septmeber 2016

Drug and Medication Authorization

I authorize the administration of______

(medication)

to ______by ______

(child’s name) (name of child care)

Start Date: ______End Date: ______

Dosage: ______Time(s) of Administration______

Storage: ______Side Effects: ______

Stop medication if the following reaction (s) is observed: ______

______Signs and Symptoms for administration for “as needed” usage. IE Benadryl administered when rash appears; 2 puffs of Inhaler when child becomes short of breath or wheezes; Eczema cream applied when child starts to scratch.

AS NEEDED:______

______

Date: ______Parent Signature: ______

Administration Record

Date / Time Given / Amount Given / Staff Signature / Supervisor or Designate / Comments/Observations

*Please place in child’s file upon completion of medication.

Drug and Medication Authorization – Narcotic Drugs

I authorize the administration of ______

(medication)

to ______by ______

(child’s name) (name of child care)

Start Date: ______End Date:______

Dosage: ______Time(s) of Administration ______

Storage: ______Side Effects: ______

Stop medication if the following reaction (s) is observed: ______

______

Date: ______Parent Signature: ______

Administration Record

Date & Time / Type of Drug / Amount Given / Administered by (print ) / Balance of Drug / Staff Signature / Supervisor or Designate

Medication Returned To Parent/ Date______Signature______Amount ____

*Please place in child’s file upon completion of form.

Administration Record - Child’s Name ______(2nd page if required)

Date & Time / Type of Drug / Amount Given / Administered by (print ) / Balance of Drug / Staff Signature / Supervisor or Designate

Medication Returned To Parent/ Date ______Signature ______Amount______

*Please place in child’s file upon completion of form. Revised July 2010

Administration of Non-Medicated Products

Consent Form

Child’s Name:______Date:______

Type of Non-Medication Product: ______

Start Date:______End Date:______

Storage: ______

Required for: ______

______

Application:______

______

I hereby give permission for the staff of ______to administer the above non- medicated product to my child as required.

______

Parent’s Signature Date

Revised August 2016