Lesa Cotton RN, BSN Health Services Coordinator Calhoun County Schools

Alabama School Health

Lesa Cotton RN, BSNHealth Services Coordinator

Calhoun County Schools

Medication Assistant TrainingTips & Helpful Hints


OBJECTIVES:

I. Review ABN Administrative Code Re: Delegation

II. Implementation In the School Setting

III. Organization: Meds, Forms, Training etc.


“

”ABN ADMINISTRATIVE CODE

610-X-7-02 DELEGATION BY SCHOOL NURSES

• WWW.ABN.ALABAMA.GOV NURSING PRACTICE-SCHOOL NURSE TAB

• TAB #2-ALSDE RESOURCE MANUAL

(1) The School Nurse is accountable and responsible for the nursing care delivered to students under the nurses jurisdiction.

http://www.abn.alabama.gov/


SUMMARY OF DELEGATION BY SCHOOL NURSES:1. The registered nurse is accountable for determining the

tasks that may be safely performed by the unlicensed assistive personnel following appropriate training and demonstration of competency.

2. The specific delegated tasks shall not require the exercise of independent nursing judgment or intervention.

3. The task of providing prescribed oral, topical, ear, eye, nasal and inhalation medications to a student through twelfth grade may be delegated to unlicensed assistive personnel by the school nurse.

4. The school nurse delegating the task may, at any time, suspend or withdraw the delegation of specific tasks to unlicensed assistive personnel.

5. The School Nurse Consultant or School nurse Administrator shall submit a report(s) to the Alabama Board of Nursing in a format specified by the Board upon request.


DELEGATION BY SCHOOL NURSES:

The task of providing prescribed oral, topical, ear, eye, nasal and inhalation medications to a student through twelfth grade may be delegated to unlicensed assistive personnel by the school nurse only when the following conditions are met:

*The school Nurse shall provide periodic and regular evaluation and monitoring of the individual performing the delegated tasks.

• The school nurse shall routinely and periodically conduct quality monitoring of the tasks performed by the unlicensed assistive personnel, including, but not limited to:

1) Training

2) Competency

3) Documentation

4) Error reporting

5) Methods of identification of the right student, the right task, the right method and the right quantity at the right time.


IMPLEMENTATION:

1. Collaborate with administrator

2. Select intelligent, willing participants

3. Schedule classes preferably before school starts.

4. Offer flex days for participation if allowed by your administration

5. Plan your monitoring

6. Organize your documentation


GENELL LEE MSN, RN,JDEXECUTIVE DIRECTOR ABN

It is the school nurse’s responsibility to document training of unlicensed school personnel who are assisting with medications!

No documentation: didn’t do it.

Documented but didn’t do it: false documentation.

Mega Presentation 2013


ORGANIZE YOUR DOCUMENTATION

Delegation Form Make folders!


INDIVIDUAL FILES FOR MEDICAL ASSISTANT DOCUMENTATION

• Test answer sheet

• Medication Assistant Skill Observation sheet

• May include any needed documentation or follow up for this individual


UNUSUAL OCCURRENCE REPORTS

• Establish reporting guidelines with Med assistants

• Document in a timely manner & report to administration

• Complete and accurate description of event

• Document contacts made (referrals etc.)

• Document follow up

• Remember to include your notes in I-NOW


ORGANIZE YOUR MEDICATION

• Locked cabinet

• RX meds

• OTC meds

• First aid supplies


• Organize Medication Forms• Keep forms with Medications• Red Dot


QUESTIONS?????

Lesa Cotton RN, BSN Health Services Coordinator Calhoun County Schools

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