Changes in Medication Laws

1. Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

2. Act 160 Effective Dates • School Nurse Definition - Adm. Rule December 30, 2010 • Administration of Drugs to Pupils – March 1, 2011

3. Medication Law – Chapter 118.29 • Definition of Drugs • Packaging of Drugs • Training • Documentation

4. Definitions • Drug” means any substance recognized as a drug in the official U.S. pharmacopoeia and national formulary or official homeopathic pharmacopoeia of the United States or any supplement to either of them. • “Drug product” means a specific drug or drugs in a specific dosage form and strength from a known source of manufacturer.

5. Packaging of Drugs • Prescription drugs must come in legible pharmacy labeled containers. • Non-prescription drugs must come to school in the original manufacturer’s packaging with ingredients and recommended therapeutic dose. • Supplied by parent.

6. Training • DPI Approved Training • Knowledge • Skill component for non-oral medications • Determined in frequency and content – Adm. Rule • Civil Liability Exemption for school administrators and personnel contingent on training occurring

7. Documentation • Each dose medication administered • Medication errors

8. Resources • Q and A regarding DPI Approved Training End of School Year (available after rule passes) • DPI Medication training website: http://dpi.wi.gov/sspw/medtraining.html

9. Wisconsin Department of Public Instruction Presents theWisconsin School Meds On-Line Training Course

10. Purpose – SAFETY • Program relationship with the school nurse • Medication administration resources What is the School Meds On-Line Training Course?

11. Course 1 • Course 2 • Course 3 How is the medication on-line training course organized?

12. Unit 1 – Wisconsin Law and Regulation • Unit 2 – Confidentiality • Unit 3 – Authorized Role • Unit 4 – Classification of Medication • Unit 5 – Handwashing • Unit 6 – The Five Rights • Unit 7 – Documentation • Unit 8 – Giving Tablets, Capsules and Sprinkles • Unit 9 – Oral Liquid Medication • Unit 10 – Medication Errors Course 1

13. Unit 1 – Topical Skin Administration • Unit 2 - Eye Medication Administration • Unit 3 – Ear Medication Administration • Unit 4 – Inhalers • Unit 5 – Self-Administration of Medication • Unit 6 – Gastrostomy Tube • Unit 7 - Nebulizers Course 2

14. Unit 1 - Epinephrine • Unit 2 - Glucagon • Unit 3 - Diastat Course 3

15. Individual access to units in course 2 & 3 Certificates for successful completion Wisconsin SchoolMeds: http://www.wisconsinschoolmeds.com/

16. Training Administrator • One per district • Resource section • Registration • Same registration password for the course • Reports who trained in school district time and person

17. Webcasts/Test • Save a Life with • EpiPen® • Twinject® • Save a Life with Glucagon® • Save a Life with DiastatAcudial® • Rescue Inhaler – Help Student Breathe Better

18. Competency Checklist • Oral • Topical • Eye • Ear • Inhaler • G Tube – Low profile and tube • Nebulizers • Epinephrine • Rectal Diazepam • Glucagon

19. Access to DPI Webpage http://dpi.wi.gov/home.html • Search Box • Medication Training • School nursing program

20. Questions Rachel Gallagher, RN, CPNP, NCSN DPI School Nurse Consultant Rachel.gallagher@dpi.wi.gov (608) 266-8857