HEALTH AND MEDICATION
HEALTH AND MEDICATION PROCEDURESSCHOOL CLINIC:The school clinic is staffed by trained medical personnel to address situations that occur atschool, not at home. We cannot operate as a health clinic. Diagnosis cannot take place withinthe clinic. The clinic is used for first aid, required medication distribution, and as acommunication point between the school and parent when a child becomes injured or ill atschool. Student medical information forms must be completed annually. Parents are responsiblefor notifying the school clinic of any changes to the student’s health during the school year.ILLNESS POLICY:We strive to maintain a healthy environment for students to learn in. If a child is ill, he shouldremain at home. A physician note may be required to return to class. The following are guidelinesfor re-entry to school for many common illnesses. Questions or pertinent information regardinga child’s illness should be directed to the school clinic. More specific guidelines are listed on pages5 – 8. Fever Policy – to be followed in conjunction with illness symptoms or diagnosis aslisted below: Oral temperature must remain below 100.0 for at least 24 hours withouttaking fever reducing medicine such as acetaminophen (Tylenol), or ibuprofen (Motrin,Advil).Suspected or Diagnosed COVID-19: Parents should contact the school clinic if a student 1.)develops symptoms of COVID-19, 2.) is diagnosed with a positive lab test, 3.) has close contactwith an individual who tests positive for COVID – this includes household members who testpositive. Each student re-admission will be reviewed and a safe return date assigned based oncurrent CDC and DOH recommendations.Influenza: Students who test positive for influenza may return under recommendations ofphysician. All symptoms must be resolved for 24 hours or more before returning to school.Temperature must be normal for 24 hours minimum.Viral Sore Throats, Colds: *When COVID-19 has been ruled out and clearance is given byschool staff. Child must be able to participate in all school activities and should not be tiredor listless. Severe coughs must be under control. Temperature must be normal for 24 hours.Diarrhea, Vomiting (two or more episodes): Child to be symptom free for at least 24 hoursand able to keep food down. Temperature must be normal for 24 hours.Streptococcal Sore Throats/Scarlet Fever: Child must be on an antibiotic for at least 24hours. Temperature must be normal for 24 hours.6/21/2021
Infectious Rashes, Ringworm, Staphylococcus/Streptococcus (Impetigo), and Scabies:Child must be under effective treatment (medication) for 24 hours. Exposed ringworm mustbe covered while at school.Eye Infections/Conjunctivitis/PinkEye: Child must be under prescription treatment for atleast 24 hours. Eyes must not be draining.Chickenpox, Shingles: Notify the school clinic if you suspect your child has chickenpox orshingles. Child may return to school when every pustule is dry and scabbed over.Head Lice: We maintain a “nit free” policy. Re-entry to class must be approved by schoolpersonnel. Please notify the clinic if your child has head lice.ILLNESS AT SCHOOL:A student will be sent home if he/she has any of the above, untreated symptoms and/orat the discretion school personnel. Pick up should be within one hour of notification.COVID-19 IMPLICATIONS FOR 2021 – 2021:Trinity Christian Academy continues to review recommendations from the Centers for DiseaseControl and Prevention (CDC) and will adhere to best practices as applicable to our schoolcommunity. Guidelines and recommendations are subject to change throughout the schoolyear. Students at school who show signs and symptoms of fever, cough, shortness of breath willbe isolated and the parent will be contacted. Face coverings/masks are not required. Dailyscreenings will not take place at school. Parents should contact the school clinic prior tosending a symptomatic student to school.WHEN TO CONTACT THE SCHOOL CLINIC FOR REVIEW FOR COVID-19: Student with symptoms of COVID-19 or positive lab test Student Exposure – students identified as a close contact to a positiveindividual Positive case of household family memberINJURY AT SCHOOL:Minor injuries occur daily. Students who are injured at school will be assessed and appropriatecare given. Injuries more significant than a minor abrasion will result in parent contact. Thiscontact may include but is not limited to: written contact and/or verbal contact by phone. If aninjury is deemed severe or possibly life-threatening Emergency Medical Services (911) will benotified. For more specific guidelines on injury treatment, parents should contact the schoolclinic or a building principal.STUDENTS WITH ASTHMA:Florida State Statute (FS1006.062) mandates that a physician must authorize a student to carryand self-administer an asthma inhaler at school. There are specific forms available for thephysician to complete. Forms must be maintained annually. Students, third grade and higher, whoare authorized to carry an asthma inhaler must keep the inhaler in the pharmacy labeled2
container. Trinity Christian Academy reserves the right to rescind physician authorization if inhalerguidelines are not adhered to.Inhalers kept in the clinic do not require physician authorization but must be in pharmacy labeledcontainer and the parent must complete information and authorization forms. Any studentnursery through second grade must have their medication stored in the clinic according to schoolguidelines and be supervised in administration.Information forms must be completed annually for all asthmatic students. Please contact theclinic.STUDENTS WITH SEVERE ALLERGIES/ANAPHYLAXIS:Students diagnosed with a severe allergy who have been prescribed an EpiPen must have aFood Allergy & Anaphylaxis Emergency Care Plan on file. This plan must be updated annuallyand when a change in medication/health status occurs. Students grade five and up may carrythe EpiPen on their person with written physician approval. The pen must be kept in thepharmacy labeled container. It is recommended a second EpiPen be stored and maintained inthe school clinic. Any student nursery through fourth grade must have their medication storedin the clinic according to school guidelines and be supervised in administration. Please contactthe school clinic for specific forms.MEDICATION IN SCHOOL:Students are not permitted to carry or self-administer medication, excluding life-sustainingmedication for asthma, anaphylaxis or diabetes. Written authorization is required for ALLmedication. Verbal permission is not recognized. Only in person or faxed requests will beaccepted.SCHOOL STOCKED MEDICATION: The school clinic stocks acetaminophen (Tylenol), ibuprofen(Motrin/Advil). These medications are available for students with minor pain who do not need togo home. Students who are going home ill will be given school stocked medication only uponparent request.The following guidelines are followed before administering medication.1. A designated form is completed and signed by the parent during registration whichauthorizes medication administration. (This form includes a medical profile.)2. The duration of the pain is greater than one hour.3. The quality of pain requires medication.4. The student has eaten a meal prior to taking the medication.5. The student has not taken pain medication in the last four hours.6. The administration is documented and a form is sent home alerting the parent.7. Doses are based on weight and manufacturer recommendations. Any deviation to theprescribed amount must be in writing from a physician.3
8. Clinic and/or administrative staff reserve the right to refuse to dispense schoolstocked medication at any time. A parent will be contacted to address the specificneed of the situation.9. The clinic maintains communication with the parent for recurring or regular clinicvisits.10. Regular use of an over the counter medication, or any change in level of dosing ofmedication requires written consent from the student’s physician.11. Medications are not administered outside of school hours.MEDICATION BROUGHT FROM HOME: Students are not permitted to carry and/or selfadminister any medication, prescription or over the counter.The only exception to this applies to students who require life-sustaining medication such asan emergency asthma inhaler, an Epi-pen, or diabetic medication. A physician note must beon file annually.Medication must be turned in to the clinic upon arrival at school with a written parentauthorization. See the following:1. All OTC medicine must be in its original labeled container - medication received inbaggies will not be dispensed and will be disposed of.2. All prescription medicine must be brought in the original pharmacy labeled container.This pharmacy label represents physician authorization.3. Medication must be in date. Expired medications will not be stored or administered.4. Medication will be dispensed according to manufacturers or pharmacy labeling only.Any changes must be in writing from the physician.5. Medications given 3 or less times a day should be given at home.6. Written request must be on a school form, or from the parent listing the medicationname, the reason for the medication, the time and route to give the medication, andthe last time the medication was given. Form is available on page 9, and in buildingoffices.7. Students found carrying and/or self-administering medication at school will receivedisciplinary action.8. Long term use - more than three days of continuous use, or regular use - of an overthe counter medication requires written physician request.9. Clinic and/or administrative staff reserve the right to refuse to dispense medicationbrought from home at any time. A parent will be contacted to address the specificneed of the situation.Homeopathic medication: It is the policy of Trinity Christian Academy that all homeopathicand/or herbal remedies will not be recognized as treatment for illness. Additionally, nohomeopathic or herbal medication will be administered at school or by school personnel. Aphysician prescribed antibiotic is required for the treatment of bacterial infections which mayinclude but are not limited to: conjunctivitis (pink eye), streptococcal, staphylococcal, andpneumococcal infections.4
MEDICATION OUTSIDE OF SCHOOL HOURS:School Faculty and staff are not permitted to administer any medications, excluding lifesustaining medication, outside of school hours to include: After School care, after school sportsand off campus activities. OTC or non-emergency medication required outside of regular schoolhours must be administered by the parent or guardian.CHRONIC CONDITIONS:Students who are classified as having a chronic condition such as, but not limited to: lifethreatening allergies to foods or insects, students with asthma, diabetic students, students withseizure disorders, and students with cardiac illness, must have annual documentation on filewithin the school clinic. It is the parent’s responsibility to notify the school clinic of chronicconditions, and/or any change to a student’s health or medication.5
Trinity Christian AcademyCOMMUNICABLE DISEASE DESCRIPTIONS AND PROCEDURESAdapted from Duval County Public School nursing guidelinesIt is recommended that the procedures as outlined below be followed when a communicabledisease is suspected or reported.I.When the signs and symptoms of a communicable disease are observed, as outlined inthe Communicable/Non-Communicable Disease Chart prepared in conjunction with theDuval County Health Department.A. NO EXCLUSION from School (see chart)If the symptoms indicate a communicable disease with does not require exclusion theparent must be notified and proper treatment taken for the student to remain in school.B. EXCLUSION from School (see chart)If it appears that the student may have a communicable disease which requiresexclusion, contact the parent or guardian and take the following action:1. Segregate the student from other students until such time as the parent orguardian can pick up the student.2. Inform the parent of the child’s symptoms.3. Inform the parent that the student may not return to the classroom untilsymptoms are relieved and with physician authorization.II.When one of the communicable diseases listed below is reported to the school:Notify the Supervisor of School Health Services at 388-7173. The supervisor of SchoolHealth Services will notify the County Health Department. (However, principals and schoolhealth officials should feel free to communicate directly with the County HealthDepartment at 630-3240 if additional information is needed.)DiphtheriaGiardiasisHepatitis (All Types)Measles-Rubeolo (Regular)Measles-Rubella (German Measles)MeningitisMeningococcal DiseaseMumpsPolioSalmonellosisShigellosisWhooping Cough (Pertussis)6
IllnessBoils / AbscessesCommon ColdChicken Pox(Varicella)Fifth DiseaseGastroenteritis, viral“Stomach Flu”GiardiasisHead Lice*Nit FreePolicyHepatitis AHepatitis BHerpes Virus I(Cold Sores)Impetigo(Staph or Strepinfection of the skin)Signs and SymptomsPeriod CommunicableReportableDisease*NoInfection of skin or underlying softtissue. Area is red, swollen and tender.There may be drainage of thick, yellowpus.Runny nose, watery eyes, coughingand sneezing.While lesion is draining.1-3 days when symptoms begin.NoSmall raised blisters containing clearfluid. Eruption usually starts aroundthe head and neck areas and spread tothe rest of the body. Often followsfever and headache.Mild viral illness. May be preceded bylow-grade fever. Lacey rash, flush“slapped” cheeks, achy joints, fatigue.Nausea, vomiting, diarrhea. Fever doesnot usually occur.Gradual onset of nausea, bloating anddiarrhea. May recur several times overa period of weeks.Scratching and itching of the scalp.Eggs may be attached to the base of thehair follicle.From 5 days before the firstappearances of blisters to 6 daysafter the first appearance.NoFrom 1-2 days before the rashappears to about 5 days after therash appears.Variable. Often with contact ofsputum or emesis.5-25 days or longer, usually 7-10days.NoGradual onset, fever, loss of appetite,nausea, abdominal pain, jaundice,(whites of eyes and skin becomeyellow). Dark colored urine.Gradual onset, fever, loss of appetite,nausea, abdominal pain, jaundice,(whites of eyes and skin becomeyellow). Dark colored urine.Fever blisters on face, mostly aroundlips.Red raised sores on skin. May drainyellow fluid. Usually starts on facearound nose and mouth.ExclusionNoNo, unlessfever ispresentYesReadmission Criteria& Important FactsLesions must be covered with a cleandressing and draining. Must havecompleted 24 hours of antibiotics ifapplicable.May remain present as long as fever is notpresent. May be excluded if severecoughing is present.When all blisters have scabbed over.NoNo, unlessfever ispresentYesYesYesAs long as lice remain alive on theinfested person or in the clothing;and until the eggs in hair andclothing have been destroyed.NoYesFrom approximately 14 days beforeonset of illness to a few days afteronset. Most cases are not infectiousone week after onset.From several weeks before onsetuntil recovery, a period of manyweeks. Illness is only transmittedby contact with infected blood orbody fluids.2 weeks but may be as long as 7weeks.As long as the sores are draining.YesYesYesYesNoNoSores should be covered when possible.NoYes24 hours after first dose of antibiotics.Sores must be covered and not draining.No participation in contact sports.7Limit activities.After diarrhea subsides.*Teach importance of handwashing.After treatment has begun and diarrhea hassubsided.*Teach importance of handwashing.After ALL lice and their eggs have beenremoved. Treatment should take placeupon advice of a physician. The studentmust be cleared by a school official beforere-entry to class.After diagnosis must have physiciannote to return to class. Good personalhygiene and washing of hands after usingthe bathroom and before eating.After diagnosis must have physiciannote to return to class. Good personalhygiene and washing of hands after usingthe bathroom and before eating.
IllnessInfluenza:Including All Types:A, & B, and erman leosisMumpsOtitis(Ear Infection)Pin WormsPink Eye(Acute bacterial or viralconjunctivitis)Ringworm(Scalp, body, groin,nails, feet)Signs and SymptomsPeriod CommunicableReportableDisease*NoExclusionFever, chills, headache, sore throat,cough and aching muscles.From the first to the fifth day of thedisease and when fever is present.Oral temperature of 100.0 degrees orgreater.Fever, cold-like symptoms eyes wateryand sensitive to light, cough, red rashthat begins on the face and behind theears.Generalized red, blotchy rash withlow-grade fever and/or cold symptoms.Glands behind ears often swell.Depends on specific illness.NoYesFrom one week before onset of rashto 4 days after the onset of rash.YesYesOne week before and 4 days afterthe onset of rash.YesYes4 days after onset of rash and withphysician approval.Infectious disease of the centralnervous system. The disease is spreadthrough direct contact includingdischarges from the nose and throat ofinfected persons.Severe type of bacterial meningitis.Fever, headache, vomiting, stiff neckand rash.Fever, sore throat, swollen neckglands.Variable, depending on causativeorganism.YesYesWith physician approval.From onset of symptoms untilinitiation of antibiotic therapy.YesYesWith physician approval.Prolonged: communicability maypersist for moths up to a year afterthe infection.From 6 days before to 9 days afterthe swelling begins.NoYesWith physician approval. Should be feverfree without medication for 24 hours.YesYes9 days after onset of swelling or earlier ifswelling has subsided and with physicianapproval.Not a risk for communicability.NoAfter fever subsides. Antibiotics are oftengiven.Until pinworms are eradicated.NoNo, unlessfever ispresentNo3 to 14 days. Allergicconjunctivitis is not contagious.NoYesAs long as lesions are present.NoYesAt least 24 hours after first dose ofprescribed drops. Eyes must be clear of alldrainage.After note from parents or physicianestablishing that the patient is undertreatment. Lesions must remain coveredtill healed.Fever, swelling of the salivary glands,usually in the gland in from of the earat the angle of the jaw: sucking on alemon or a pickle causes pain.Fever, ear pain. May follow thecommon cold.Itching during the night around the analarea.Red, sore, watery eyes. Swelling ofeyelids, this yellow or white drainagefrom eyes.Round, scaly patches of temporarybaldness, flat, round, spreading red,ring shaped lesions.8YesReadmission Criteria& Important FactsWhen symptoms have been resolvedwithout medication for at least 24 hours orupon recommendation of a physician.When fever free without medication for 24hours.7 days after the appearance of the rash andwith physician approval.Treatment by a physician.
IllnessSalmonellosisScabiesScarlet FeverShigellosisShingles(Herpes Zoster)Sinus InfectionStrep ThroatTuberculosis(Diagnosed as active)Whooping Cough(Pertussis)Signs and SymptomsPeriod CommunicableSudden onset of fever, abdominal pain,diarrhea, and sometimes vomiting.Tunnel-like lesions that itch intensely.Caused by a mite that burrows underthe skin, eggs are deposited in thelesions. Often, itching will occurbefore lesions.Fever,headache,sorethroat,“strawberry tongue”. Rough, red rashwith later peeling of the skin from thefingers/toes.Sudden onset of fever, vomiting anddiarrhea which may be bloody.1-3 days while diarrhea is on Criteria& Important FactsAfter diarrhea and fever subside.*Teach importance of handwashingAfter note from parents or physicianestablishing that the patient is undertreatment.Until mites and eggs are destroyedby treatment usually requiring twocourses of treatment, one weekapart.NoYesWith adequate antibiotic therapy,communicability is reduced within24-48 hours.NoYes24 hours after antibiotic therapy has beeninitiated and no fever is present. Note fromphysician is required.1-7 days while diarrhea is present.YesYesOnset of severe non-traumatic pain onone side of the body, often preceded byfever or flu like symptoms. Clusters ofsmall fluid filled blisters will appear atsite of pain.Fever, headache, greenish to yellowishmucous for more than one week,associated with the common cold.Sore throat, headache, nausea, usuallyfever (often high)When blister are present. Does notspread shingles, but can spreadChicken Pox by direct contact withfluid.NoYesAfter diarrhea and fever subside. Canspread quickly in child-care facilities.*Teach importance of handwashingWhen all blisters have crusted over.Not a risk for communicabilityNoNoUntil 24 hours after antibiotics havebegun.NoYesMost children show no initialsymptoms other than signs of chronicinfection, fatigue and irritability. Inadvanced disease, there is weakness,weight loss, fever, nights sweats, andsevere cough.Low grade fever, racking cough thatprogresses to severe cough and“whoop” like sound when a child takesa breath in.Until sputum is cleared of bacteria,usually 2-4 weeks.YesYesFrom 7 days after exposure to 3 to4 weeks after onset of the“whooping” stage.YesYesAfter fever subsides. Antibiotics are oftengiven. Note that antibiotics taken three orless times a day should be taken at home.24 hours after antibiotic therapy has beeninitiated and fever free for 24 hourswithout medication.Upon recommendation of a physician orHealth Department.7 days after appropriate antibiotic therapyhas begun. Note from physician or Healthdepartment is required. Please note: The importance of handwashing is mentioned several times. Implementing proper handwashing among students, teachers, andstaff is the only way to reduce the spread of communicable disease.9
TRINITY CHRISTIAN ACADEMYAuthorization for Medication Administration by School PersonnelMedication Information: Must be in the Original Labeled Container.Student’s Name:Grade:DOB:Teacher’s Name (Homeroom):Diagnosis for Medication:Name of Medication:Dose as directed on label: Time to give:Start Date: End Date:Special Instructions:All medication will be stored and dispensed from the school clinic during school hours only. Students arenot permitted to carry and/or self-administer medication excluding life-sustaining medications.Rescue Inhalers for Asthma: Choose all that apply An inhaler will be kept in the clinic.The student will carry the inhaler. Grades 3 – 12 only. Requires written physician authorization.*EpiPen for Anaphylaxis: Choose all that apply An EpiPen will be kept in the clinic.The student will carry the EpiPen. Grades 5 – 12 only. Requires written physician authorization.**Written Physician Authorization must be on file. The medication must display the pharmacy label. EmergencyAction Plan must be completed. The school reserves the right to rescind this order at any time.Parent Authorization:I authorize permission for the staff of the school clinic to administer my child his/her medication as indicatedabove. I understand that I am responsible to bring this medication to school and maintain the supply as needed.Parent Signature: Date:Primary Contact: Relationship:Primary Contact Number:Email Address (for medication updates)Secondary Contact: Relationship:Secondary Contact Number:10
Homeopathic medication: It is the policy of Trinity Christian Academy that all homeopathic and/or herbal remedies will not be recognized as treatment for illness. Additionally, no homeopathic or herbal medication
B.Known causes of medication errors include: confusing labeling and nomenclature, human and environmental factors and medication shortages C.Medication safety measures include barcoding, smart pumps, medication reconciliation and pharmacists D.Medication errors are the most common sentinel event reported. E.None of the above LEARNINGOBJECTIVES
a. Read medication administration plan b. Read label 4. Observe student prepare and take medication as per medication plan 5. Document as required or stated in plan a. By unlicensed school staff member b. By student RECORDING MEDICATION ADMINISTRATION 1. Use Medication Administration Daily Log (paper or computer) 2. Record in ink only if using .
antidepressant medication and remained on the medication for at least six months HEDIS is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service, including medication adherence. Medication is often a key component of depression treatment.
The NPSA have identified seven key actions to improve medication safety. These actions include: t Increased reporting and learning from medication incidents. t Implementation by NPSA of safer medication practice recommendations. t Improved staff skills and competence. t Minimization of d
solution. (The U.S. Food & Drug Administration) Medication Defined as a substance used in treating disease or relieving pain. (Merriam-Webster) Medication Dosage Refers to the determination and regulation of the size, frequency, and number of doses of a medication. Medication Container Refers to a vessel that contains a medication or
school personnel receiving or returning the medication, and the number recorded on the medication administration log along with the names of those who counted the medication. Coordination and Oversight of Volunteer Employees - Responsibility of Nursing In Utah, school nurses can oversee medication administration of volunteer employees as
a chapter on ‘Medication Administration from Medication Reminder Boxes.’ This chapter will be taught as part of the initial Medication Administration Course. The training for paid staff or providers that will be filling medication reminder boxes is a separate packet and may
!Additionally, ME were categorized according to „Good practice guide on recording, coding, reporting and assessment of medication errors”: !!medication errors associated with adverse reaction(s), !!medication errors without harm, !!intercepted medication
