Safety Precautions
- Keep in a secure area
- Medications must be kept in a restricted location that is not accessible to children
- Store medications properly
- Some medications require special handling (e.g., refrigeration). It’s important to understand any special requirements meet them
- Label all medications
- Labels should include the name of the medication, the name of the patient, dosage information and the name and contact information of the doctor who prescribed the medication
If a child brings prescribed medication, but does not have the proper documentation:
- Remove the medication and place it in a secure location
- Contact the parents/guardians to obtain proper documentation
- Faxed or emailed authorization is acceptable
- If parents/guardians cannot be reached, try to contact the treating physician and ask for instructions about the immediacy of need and potential complications or risks associated with not administering medication
- Take the child to a licensed medical facility (e.g., campus health center) to dispense medication if:
- The prescribed medication does not have a label or cannot be identified
- The physician feels medication is necessary, but parental consent cannot be obtained
Costs for medical treatment are the responsibility of the parent/guardian
Self-Administration of Medications
Subject to program safety review
- The decision about whether or not to allow self-administration of medications is up to each individual program.
Consider:
- Age of children involved
- Type of medication (over-the-counter vs. controlled substance)
- Nature of program activities (physical intensity, temperature extremes, etc.)
- Immediacy of need for self-administration (EpiPens, inhalers, insulin, etc.)
Dispensing Medication
- Proper storage and distribution of medication is vitally important to the safety of the children in the program
- Medication must be given in compliance with the prescribing physician’s instructions as outlined in the emergency care plan
- Parents, guardians or treating physician must be contacted if additional instruction is needed
- Keep a log of medication distribution including dates, times, name of medication, dosage administered and name of staff person administering the medication
- Retain records for a minimum of three years
Administering Over-the-Counter (OTC) Medications
- OTC medications may be administered with written permission from parents/guardians
- Medications must be given in accordance with dosage instructions as indicated on label
- Without written permission, no OTC medications may be administered or provided to children
Administering Prescription Medication
- Program staff may only give medications to children with written authorization from parents/guardians
- Provides clear guidance and instructions for dosages
- Important to have on hand in case of emergency
- Program staff members are required to demonstrate they can properly plan to meet the needs of each child
- State law requires a written emergency care plan prepared by a licensed physician for any child requiring prescription medication. A plan must be:
- Signed by a licensed physician
- Updated at three-month intervals, each time dosage changes, or as necessary for other circumstances
- A new form must be completed for each program attended by the child