UPR003526-15 Manual 2942.0 SHSM Vol I DRAFT master

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DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
The school nurse, depending upon his/her state Nurse Practice Act, may train a
UAP to give medications when the school nurse is unavailable. The principal and school
nurse collaborate to determine which UAP will be designated. Designated UAPs must
demonstrate competency in administering prescriptive drugs before assisting students
with medication. Training of the designated UAP shall include instruction in the safe
administration of medication (see Safe Administration of Medications
Guidelines ights of Medication Administration, and SHSM Form H: H-3-10,
Medication In-service).
Medications given at school must be documented either in the DoDEA-approved
SIS or on an individual medication log when the school nurse, substitute nurse or UAP
administering the medication does not have access to the SIS. When documentation in
the SIS cannot be accomplished, an individual medication log for each medication
and/or each dosage time is to be used (see SHSM Form H-3-2-1, Individual Medication
Log). Documentation via an individual medication log must include time the medication
was given, dose given, route of administration, and signature of the individual
administering the medication.
F-3-2 Safe Administration of Medications
Medication errors are the most common mistakes made when providing health
care. When the school nurse is administering medications, total attention must be
given to the task at hand. Each nurse must establish a plan for medication
administration that follows safe medication administration:
• Is this the right student? Ask the student his/her name –– whole name.
Check the medication container for the student’s name.
• Is this the right medicine? Check the medication container against the order
sheet, medication administration log and/or computer screen to assure that
the container has the correct medication to be administered.
• Is this the right dose? Check the medication container against the order
sheet, medication administration log and/or computer screen to assure that
the correct dose is to be administered.
• Is this the right route? Check the medication container against the order
sheet, medication administration log and/or computer screen to assure that
the route is correct.
• Is this the right t ime? Check the medication container against the order
sheet, medication administration log or computer screen to assure that the
time corresponds to the time ordered.
• Is this the right documentat ion? Document afterthe medication is
administered using either the approved DoDEA SIS or SHSM: H-3-2-1
(Individual Medication Log). If using the paper log, the time and initials of
the person administering the medication mustbe entered in the date block,