Administration of Medicine Policy
Tullamore E.T.N.S. Administration of Medicines Policy

Introduction
Due to an increasing number of children with health issues in the school an Administration of Medication policy has been recently drafted through a collaborative school process.

Rationale
The policy as outlined was put in place to —

• Clarify areas of responsibility
• To give clear guidance about situations where it is not appropriate to administer medicines
• To indicate the limitations to any requirements which may be notified to teachers and school staff
• To outline procedures to deal with a pupil with a nut allergy in our school
• Safeguard school staff that are willing to administer medication
• Protect against possible litigation.

Relationship to School Ethos
The school also values the importance of career development and education. As part of this commitment, it provides access to valuable ptcb info and resources for students interested in pursuing pharmacy technician careers. This aligns with the school’s broader aim of preparing students for various professional pathways and enhancing their understanding of the pharmaceutical field.

Aims of this Policy
The aims and objectives of the policy can be summarised as follows —

• Minimise health risks to children and staff on the school premises
• Fulfil the duty of the BOM in relation to Health and Safety requirements
• Provide a framework within which medicines may be administered in cases of emergency or in instances where regularised administration has been agreed with parents/guardians
  

In-School Procedures
Parents are required to complete a Health/Medication form when enrolling their child/ren in the school. No teacher is obliged to administer medicine or drugs to a pupil and any teacher willing to do so works under the controlled guidelines outlined below.

• Prescribed medicines will only be administered after parents of the pupil concerned have written to the BOM requesting the Board to authorise a member of the teaching staff to do so. Under no circumstance will non-prescribed medicines be either stored or administered in the school. The Board will seek indemnity from parents in respect of any liability arising from the administration of medicines
• The school generally advocates the self administration (e.g. inhalers) of medicine under the supervision of a responsible adult, exercising the standard of care of a prudent parent. No medicines are stored on the school premises. A small quantity of prescription drugs will be stored in the Administration Office if a child requires self-administering on a daily basis and parents have requested storage facilities. Parents are responsible for the provision of medication and notification of change of dosage
• Teachers have a professional duty to safeguard the health and safety of pupils, both when they are authorised to be on the school premises and when they are engaged in authorised school activities elsewhere
• The Board of Management requests parents to ensure that teachers be made aware in writing of any medical condition suffered by any child in their class
• This does not imply a duty upon teachers personally to undertake the administration of medicines or drugs.

Long Term Health Problems
Where there are children with long-term health problems in school, proper and clearly understood arrangements for the administration of medicines must be made with the Board of Management. This is the responsibility of the parents/guardians. It would include measures such as self administration, administration under parental supervision or administration by school staff.

Life Threatening Condition
Where children are suffering from life threatening conditions, parents/guardians must clearly outline, in writing, what should be done in a particular emergency situation, with particular reference to what may be a risk to the child (Appendix 3). If emergency medication is necessary, arrangements must be made with the Board of Management. A letter of indemnity must be signed by the parents in respect of any liability that may arise regarding the administration of medication.

Procedures for parents who require the administration of medicines for their children

1. The parents of the pupil with special medical needs must inform the Board of Management in writing of the condition, giving all the necessary details of the condition. The request must also contain written instruction of the procedure to be followed in administering the medication. (Appendix 1, 2 or 3)
2. Parents must write requesting the Board of Management to authorise the administration of the medication in school
3. Where specific authorisation has been given by the Board of Management for the administration of medicine, the medicines must be brought to school by the parent/guardian/designated adult
4. A written record of the date and time of administration must be kept by the person administering it (Appendix 4)
5. Parents/Guardians are responsible for ensuring that emergency medication is supplied to the school and replenished when necessary
6. Emergency medication must have exact details of how it is to be administered
7. The BOM must inform the school’s insurers accordingly
8. Parents are further required to indemnify the Board of Management and members of the staff in respect of any liability that may arise regarding the administration of prescribed medicines in school
9. All correspondence related to the above are kept in the school.
   

Procedures to be followed by the Board of Management

1. The BOM may authorise a staff member(s) to administer medication to a pupil or to monitor the self-administration by a pupil.
2. The BOM will ensure that the authorised person is properly instructed in how to administer the medicine.
3. The BOM shall seek an indemnity from parents in respect of liability that may arise regarding the administration of the medication.
4. The BOM shall make arrangements for the safe storage of medication and procedures for the administration of medication in the event of the authorised staff member’s absence.
5. The BOM must inform the school insurer’s accordingly.
   

Responsibilities of Staff Members

• Non-prescribed medicines will neither be stored nor administered to pupils in school
• Teachers/SNAs in the school will only administer prescribed medication when arrangements have been put in place as outlined above
• Arrangements for the storage of certain emergency medicines, which must be readily accessible at all times, must be made with the Principa
• A teacher/SNA must not administer any medication without the specific authorisation of the Board of Management
• The prescribed medicine must be self-administered if possible, under the supervision of an authorised Teacher/SNA if not the parent
• No teacher/SNA can be required to administer medicine or drugs to a pupil
• In an emergency situation, qualified medical assistance will be secured at the earliest opportunity and the parents contacted
• It is not recommended that children keep medication in bags, coats, etc.
• Where possible, the parents should arrange for the administration of prescribed medicines outside of school hours.

The following guidelines are in place with regard to pupils with a Nut Allergy

1. Staff dealing with the pupil do not eat nuts of any item with nut trace
   
2. Advise children not to offer or exchange foods, sweets, lunches etc.
3. If going off-site, medication must be carried.

Emergencies
In the event of an emergency, teachers should do no more than is necessary and appropriate to relieve extreme distress or prevent further and otherwise irreparable harm. Qualified medical treatment should be secured in emergencies at the earliest opportunity.

Where no qualified medical treatment is available, and circumstances warrant immediate medical attention, designated staff members may take a child into Accident and Emergency without delay. Parents will be contacted simultaneously.

In addition, parents must ensure that teachers are made aware in writing of any medical condition which their child is suffering from. For example children who are epileptics, diabetics etc. may have a seizure at any time and teachers must be made aware of symptoms in order to ensure that treatment may be given by appropriate persons.

Written details are required from the parents/guardians outlining the child’s personal details, name of medication, prescribed dosage, whether the child is capable of self-administration and the circumstances under which the medication is to be given. Parents should also outline clearly proper procedures for children who require medication for life threatening conditions.

The school maintains an up to date register of contact details of all parents/guardians including emergency numbers. This is updated in September of each new school year.

First Aid Boxes

• A full medical kit is taken when children are engaged in out of school activities such as tours, football/hurling games and athletic activities.
• A first aid box is kept in the staffroom containing anti-septic wipes, anti-septic bandages, sprays, steri-strips, cotton wool, scissors etc.

General Recommendations
We recommend that any child who shows signs of illness should be kept at home; requests from parents to keep their children in at lunch break are not encouraged. A child too sick to play with peers should not be in school.

Roles and Responsibilities
The BOM has overall responsibility for the implementation and monitoring of the school policy on Administration of Medication. The Principal is the day to day manager of routines contained in the policy with the assistance of all staff members. Laura Cobbe is the Safety Officer and has responsibility for replenishing the First Aid kit for the current school year.

The class teacher, the support teacher, a neighbouring teacher and the Principal shall be made aware of any medical needs of a particular class. Photographs of the relevant children will be posted in the staffroom.

This policy is formulated in accordance with guidelines issued by the Primary School’s Managerial Bodies, the Irish National Teachers’ Organisation and with reference to the source pack Managing Chronic Health Conditions at School ( Asthma Society of Ireland, Diabetes Federation of Ireland, Brainwave, The Irish Epilepsy Association and Anaphylaxis Ireland), published 2013.

Success Criteria
The effectiveness of the school policy in its present form is measured by the following criteria —

• Compliance with Health and Safety legislation
• Maintaining a safe and caring environment for children
• Positive feedback from parents/teachers
• Ensuring the primary responsibility for administering remains with parents/guardians
  

Ratification and Review
This policy was ratified by the BOM on June 17th 2014. It will be reviewed in the event of incidents or on the enrolment of child/children with significant medical conditions but no later than June 2015

Implementation
This policy will be implemented from September 2014