Medication Administration for Resource Parents

1. Medication Administration for Resource Parents

2. Medication Administration Guiding Principles Caregivers of children will inevitably give them medication at some point. It is crucial caregivers are informed of the guiding principles for medication administration.

3. Responsibilities in Administering Medications It is important thatResource Parentsare fully informed of theirresponsibilities in administering medications.

4. Legal Issues Legal issues in medication administration include children’s rights, refusal of medication, and confidentiality.

5. Obtaining Information about Medications • Resource Parents must be fully informed about any medication they give a child. • When medication is obtained, use the reference sheet from the pharmacy. • Other sources of information include the doctor, pharmacist, nurse, current drug reference book, Internet or DCS Health Advocacy Nurse.

6. To be familiar with common medications given to the child To learn about new medications prescribed for the child To understand why the medication is prescribed and learn of side effects To be able to observe and report if there is a beneficial change To be able to observe and report side effects causing harm or discomfort The Importance of Having Information about Medications

7. Purpose of Prescribing Medications • Maintain Health • Treat Disease • Relieve Symptoms • Prevent Disease • Alter Body Processes • Diagnose Disease

8. Actions and Effects of Medication

9. Drug Overdose A drug overdose is the accidental or intentional use of a drug or medicine in an amount that is higher than is normally used. The amount of a drug needed to cause an overdose varies with the type of drug and the person taking it.

10. Tennessee Poison Control Center 1-800-222-1222

11. Five Rights of Medication Administration • Right Person • Right Drug • Right Dose • Right Time • Right Route

12. What do you do? Angela is 16 ½ years old and has been prescribed Celexa for depression. The medication was started two weeks ago at her appointment with a nurse practitioner at the community mental health center. This morning when you get Angela’s Celexa ready, she informs you that she does not want to take it anymore.

13. Oral Tablets & Capsules Oral Liquid Medication Topical Medication Nasal Medications Eye Drops/Ointments Ear Drops Inhalant Medications Rectal Medications Vaginal Medications Auto-Injectors for Allergic Emergencies Subcutaneous Administration of Medication (Insulin) Proper Procedures for Administering Medications

14. Documentation Resource Parents must keep a record for each child on prescription medications.

15. Must be single locked at minimum at all times Must be stored in containers with original labels If requires refrigeration must be kept cold Cannot be left out for child to take later Must be stored to avoid access by child Safe Storage and Control of Medication

16. Disposal of Medication • Medication that is stopped, expired, unidentifiable or missing or unreadable label must be destroyed • Medication that is refused or contaminated must be destroyed • Problems with medication must be reported to prescribing provider or pharmacy

17. Disposal of Medication • Do not flush medication down the toilet due to the risk of contamination of area streams and water sources. • Ask your pharmacist if the pharmacy will accept old medicines back from patients. • Check to see whether your area has a community household hazardous waste collection program.

18. Disposal of Medication When disposing of medication in the garbage: • Keep the medication in the original container. Scratch out your name for security purposes. • Add a small amount of water to pills, or an absorbent material like flour or cat litter to liquid medications, to discourage their use. • Put the medication container in a paper bag or some other type of container to conceal, then toss as close to your trash pickup time as possible.

19. Medication Errors • Wrong Person • Wrong Medication • Wrong Dosage • Wrong Time • Wrong Route

20. When a Medication Error Occurs • Notify the prescribing provider and the DCS Case Manager • Follow all instructions given by the prescribing provider and write down any problems you see • If the child is in acute distress, call 911 or your emergency response number

21. Components of Informed Consent • Diagnosis • Nature of Medication • Name of Medication • Dosage and Frequency of Medication • Expected Benefits • Possible Risks and Side Effects • Available Alternatives • Expected Outcome

22. Informed Consent for Psychotropic Medications • Youth Age 16 Years and Older • Biological Parent or Guardian • DCS Health Advocacy Nurse

23. What do you do? Jamie is 8 years old and was placed in your home last evening. The DCS Case Manager left a prescription bottle of Ritalin when he dropped Jamie off and instructed you to give Jamie one pill every morning. This morning you are preparing to give Jamie his medicine and you realize there are only two pills left in the bottle. You also remember from your medication administration training that you are supposed to have a signed Informed Consent for Psychotropic Medication and the Case Manager did not give you one.

24. THANK YOU FOR YOUR PARTICIPATION! Medication Administration for Resource Parents