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Healthy Futures: Medication Administration in Early Education and Child Care Settings – Oklahoma Project. Peggy Byerly, M.S. Early Childhood Coordinator Child and Adolescent Health Maternal and Child Health Service Oklahoma State Department of Health.

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Healthy Futures: Medication Administration in Early Education and Child Care Settings – Oklahoma Project

Peggy Byerly, M.S.

Early Childhood Coordinator

Child and Adolescent Health

Maternal and Child Health Service

Oklahoma State Department of Health

healthy futures medication administration in early education and child care settings
January 2010 – Oklahoma applied for funding made available by the American Academy of Pediatrics (AAP) Early Education and Child Care Initiatives

Collaborative effort of health care, early education and child care professionals from:

AAP

Child Care Bureau State Administrators

Early Childhood Comprehensive Systems

Family Voices

National Association of Child Care Resource and Referral Agencies

Healthy Futures: Medication Administration in Early Education and Child Care Settings
healthy futures medication administration in early education and child care settings3
Collaborative effort (continued):

National Association for the Education of Young Children

National Association of Pediatric Nurse Practitioners

National Child Care Information and Technical Assistance Center

National Resource Center for Health and Safety in Child Care and Early Education

National Training Institute for Child Care Health Consultants

Office of Head Start

Healthy Futures: Medication Administration in Early Education and Child Care Settings
healthy futures medication administration in early education and child care settings4
In March 2010 seven states received the “Healthy Futures: Medication Administration in Early Education and Child Care Settings” funding:

Arizona

Arkansas

Kansas

Massachusetts

Oklahoma

Pennsylvania

Washington

Healthy Futures: Medication Administration in Early Education and Child Care Settings
healthy futures medication administration in early education and child care settings5
March 2010 – Funding awarded to Oklahoma Chapter AAP

State Level Collaboration:

Chapter Child Care Contact (CCCC) of Oklahoma Chapter, AAP

Maternal and Child Health Service (MCH) including the ECCS Coordinator, Oklahoma State Department of Health

Oklahoma Child Care Resource & Referral Association (OCCRRA)

Healthy Futures: Medication Administration in Early Education and Child Care Settings
healthy futures medication administration in early education and child care settings6
Oklahoma’s Initial Planning Meeting:

CCCC invited Nurse Child Care Health Consultants affiliated with the child care resource and referral agency and the Child Care Warmline, as well as MCH Staff

Two Train-the-Trainer Sessions planned:

- Oklahoma City - April 30, 2010

- Tulsa – May 7, 2010

- Workshops targeted medical professionals, e.g., Physicians, Nurse Practitioners, Nurses

Sessions to be Co-Trained

CCCC and Nurse Child Care Health Consultants

Healthy Futures: Medication Administration in Early Education and Child Care Settings
healthy futures medication administration in early education and child care settings implementation
Maximum Participation per Workshop

15 Medical Professionals

Target Population from:

County Health Departments

Head Start / Early Head Start Agencies

Indian Health Services

Child Care Resource & Referral Agencies

Tribal Child Care Network

Healthy Futures: Medication Administration in Early Education and Child Care SettingsImplementation
healthy futures medication administration in early education and child care settings implementation8
Requirements after attending training:

Offer a minimum of one class in local community

Teach class by December 2010

Notify Oklahoma CCCC of your class and mail copy of sign-in sheet and evaluations

Administer the AAP pre-test and post-test and mail to AAP

Healthy Futures: Medication Administration in Early Education and Child Care SettingsImplementation
healthy futures medication administration in early education and child care settings9
Train-the-Trainer course in Oklahoma City

April 30, 2010

Attended by nine medical professionals from six counties representing:

Head Start & Early Head Start

Public Health (county health departments)

Child Care Resource and Referral Agencies

OU Health Sciences Center (Clinic/Hospital)

Healthy Futures: Medication Administration in Early Education and Child Care Settings
healthy futures medication administration in early education and child care settings10
Train-the-Trainer course in Tulsa

May 7, 2010

Attended by ten medical professionals from four counties representing:

Indian Health Services

Public Health (county health departments)

Head Start & Early Head Start

Tribal Child Care

Healthy Futures: Medication Administration in Early Education and Child Care Settings
healthy futures medication administration in early education and child care settings11
Medication Administration in Early Education

and Child Care Settings Curriculum takes approximately five hours to teach and includes the following modules:

Background

Preparation

How to Administer Medication

Documentation

Problem Solving

Healthy Futures: Medication Administration in Early Education and Child Care Settings
healthy futures medication administration in early education and child care settings12
Supplemental Materials Oklahoma Provided:

Summary of Medication Administration in OKDHS Licensing Requirements

How to Dispose of Unused Medicines (from FDA Consumer Health Information)

Good Health Handbook for Child Care Providers

Additional Sample Forms

Healthy Futures: Medication Administration in Early Education and Child Care Settings
healthy futures medication administration in early education and child care settings13
What is NOT Covered:

Special medications (such as injectable or rectal)

Clinical explanation of conditions being treated (such as asthma)

Training on use of the EpiPen

Insulin, glucagon and diabetes management

Healthy Futures: Medication Administration in Early Education and Child Care Settings
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Trainers receive:

Instructor’s Manual

Box of a minimum of 15 Participant Manuals

Flip chart activities

AAP pre-tests, post-tests and envelopes

Flash drive with all written materials, sample forms and videos

Toolbox (Oklahoma specific)

Reimbursement for cost of food /refreshments for 1st training event

Healthy Futures: Medication Administration in Early Education and Child Care SettingsMaterials and Resources
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Knowledge: Each participant will be able to:

Identify 3 reasons why medication is given in child care settings

Identify common types of medication

Describe ADA law and define liability

Identify the members of the Responsibility Triangle

Describe child care provider roles for giving medication in child care

Healthy Futures: Medication Administration in Early Education and Child Care SettingsObjectives Example from Module 1
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Attitude: Each participant will be able to:

State reasons that motivate child care providers to give medication

State barriers that prevent child care providers from giving medication

Express a desire to safely incorporate medication administration into local child care settings

Healthy Futures: Medication Administration in Early Education and Child Care SettingsObjectives Example from Module 1
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Behavior: Each participant will:

Take pre-test

Participate in a brainstorm activity (Why Give Medication in Child Care?)

Healthy Futures: Medication Administration in Early Education and Child Care SettingsObjectives Example from Module 1
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Supplies:

Name Tags (pack of 20)

Sharpie Fine Point Marker (for name tags)

At least 1 Flip Chart Marker

10 ink pens

20 Cards of sticky dots

1 zip closed quart plastic bag

Healthy Futures: Medication Administration in Early Education and Child Care Settings Toolkit Contents Inventory
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Antibiotic Suspension Prop:

5 Ezy-dose medicine droppers

5 Amber plastic bottles, 4 oz.

(labeled Amoxicillin Susp Prop)

1 zip close quart plastic bag

Antibiotic Tablet Prop:

1 Roll of Smarties candy tablets (labeled Amoxicillin tablet prop)

1 zip close quart plastic bag

Healthy Futures: Medication Administration in Early Education and Child Care Settings Toolkit Contents Inventory
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OTC Topical Hydrocortisone Cream Prop:

5 Hand Lotion 2.5 oz. (labeled Aveeno Cream prop)

1 zip close quart plastic bag

Measuring Devices Demo:

1 Ezy-dose measuring spoon

1 Medicine cup, plastic

1 3cc syringe

1 zip close quart plastic bag

Healthy Futures: Medication Administration in Early Education and Child Care Settings Toolkit Contents Inventory
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One 16 inch Stanley Toolbox

One USB Kingston Flash Drive 2 gb

Flip Chart Pad

Sign-in Sheet

Course Evaluations

Healthy Futures: Medication Administration in Early Education and Child Care Settings Additional Inventory
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Strong Partnerships already exist with:

Maternal and Child Health Service

Oklahoma Department of Human Services Child Care Licensing

Oklahoma Child Care Resource and Referral Association

Oklahoma Tribal State Child Care Network

Smart Start Oklahoma

Healthy Futures: Medication Administration in Early Education and Child Care SettingsExisting Resources
healthy futures medication administration in early education and child care settings sustainability
Oklahoma plan offers excellent opportunity to reach large number of people

Each TOT participant is required to offer a minimum of one training within their local community or region

Trainers can and are encouraged to continue to offer the training as desired

Child care requirements are in the revision process and there is interest in required Medication Administration training

Healthy Futures: Medication Administration in Early Education and Child Care SettingsSustainability
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Minimum of one training per participant required

A copy of sign-in sheets & evaluations to be submitted to CCCC

Pre-tests and post-tests submitted to AAP

Healthy Futures: Medication Administration in Early Education and Child Care SettingsSuccessful Measurement
healthy futures medication administration in early education and child care settings current status
Training offered on April 30th and May 7th

A total of 19 Instructors trained

Audience consisted of Nurses, Pediatric Nurse Practitioners and Pediatricians

Discussions regarding follow up with those who received the training

Tier II template application available for trainers

Trainers in the process of scheduling their training dates across the state

Healthy Futures: Medication Administration in Early Education and Child Care SettingsCurrent Status
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Peggy Byerly, M.S.

Early Childhood Coordinator

Oklahoma State Department of Health

peggycb@health.ok.gov

(405) 271-4471

Healthy Futures: Medication Administration in Early Education and Child Care SettingsContact Information
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Acknowledgement

Support of this presentation is provided by the Maternal and Child Health Service Title V Block Grant.

Healthy Futures: Medication Administration in Early Education and Child Care Settings