Medication Management in Residential Living

1. Medication Management in Residential Living Meeting the Students’ Needs

2. Goals • Provide students’ medications safely • Teach students to be independent • Remember: Job Corps is a training facility, not treatment oriented

3. Personal Authorizations Questions

4. Personal Authorizations • All center staff have personal authorizations signed by the center physician. They are called: Personal Authorization for Non-Health Staff Functionsin Absence of Health Staff Member

5. Personal Authorizations Some of the functions are: • Monitor students’ use of prescription medications • Offer over-the-counter medications and devices (e.g., Tylenol, Maalox, condoms) • Obtain and record vital signs including: • Temperature • Pulse • Respiration • Blood pressure • Implement symptomatic management guidelines (SMG) • Give first aid for minor problems not addressed in the SMGs

6. Personal Authorizations • Give basic first aid for major problems including: • Cardio-pulmonary resuscitation • Treatment of shock • Control of bleeding • Splinting or stabilizing of fractures • Conduct alcohol testing based on suspicious behavior • Call HWM or Officer of Day, who will contact RN or MD • Call the RN or MD directly • Send the student to the ER

7. The Residential Advisor’s Role Question

8. Dorm Life • In the absence of licensed health personnel on center (i.e., weekends) students can either be given their weekend medications in advance on Friday, OR • If diversion is a concern, these weekend medication doses can be secured in a lock box in the dorm, in which case the RA is simply making the medications available to the student, not “dispensing.” This is similar to a home medicine cabinet if the student was at home, where there would be no “medical supervision.”

9. Teaching Independence • May provide individual supply of medication to student based on several factors: • Reliability of student • Type of medication

10. Medication Sign-Out Sheets

11. Medication Sign-Out Sheet Should include: • Student’s name at top • Place for student to sign • Place for staff signature • Date

12. Over-the-Counter (OTC) Sign Out Sheet Should include: 1)Slot for name of OTC medication 2)Place for student signature 3)Place for staff signature 4)Date and time

13. Kits

14. Dorm Kits • Band-Aids • Condoms • Ibuprofen • Acetaminophen • Cough drops or throat lozenges • Triple antibiotic cream/ointment • Gloves

15. Classroom Kits • Band-Aids • Ibuprofen • Acetaminophen • Cough drops or throat lozenges • Triple antibiotic cream/ointment • Gloves

16. First Aid Kits • Acetaminophen and/or Ibuprofen • Tweezers • Alcohol wipes • Antiseptic hand cleaner • Medical adhesive tape • Sterile gauze (four inch squares are best) • Elastic bandages • Several sizes of adhesive bandages • Insect bite swabs • Triple-antibiotic ointment • Hydrogen peroxide • Bandage scissors • Triangular bandages • Instant cold packs • Exam gloves • Barrier device for CPR • Important contact numbers- nurse on call, duty officer, emergency numbers, 911

17. Grab-and-Go Kits • Airways • Ambu bag • Automated External Defibrillator (AED) • Ammonia inhalant ampules • Albuterol HFA inhaler • Bandages, dressings, eye patches • Eye irrigation bottle • Gloves • Injectable epinephrine (EpiPen and/or injectable adrenaline) • Injectablediphenhydramine (Benadryl) • Injectable glucagon • Needles/syringes • Tape • Tourniquet • Tweezers

18. Automated External Defibrillator (AED) • Centers should have a minimum of at least one AED • Should be kept in safety for quick availability for emergencies • Recommended for all centers

19. Questions