Earthplace Preschool Policies and Procedures
Medications prescribed by a physician will be administered to children by staff trained in medication and Epi-Pen procedures. These may include Benadryl, EpiPens, antibiotics, and asthma drugs such as a bronchodilator via an inhaler or nebulizer.
Medications will only be administered if and when all forms and medications have been received in compliance with the State of Connecticut, Department of Public Health Regulations for Daycares.
Allergy/Food Intolerance Care Plan
For children with food allergies or food intolerances this form must be signed by the health care provider and the parent. It outlines the signs and symptoms of the allergy or intolerance and the provisions that must be followed at snack and lunch, in the Animal Hall, and outdoors. The form also asks permission from the parent to post information about the child’s allergies and/or food intolerances where those preparing snacks and supervising lunch can view the information.
Asthma Action Plan
For children with asthma, this form must be filled out by the health care provider to alert the staff to the child’s triggers to help us better plan activities to lessen any asthma attacks.
Authorization for the Administration of Medication Form
The parent/guardian is responsible for having their health care provider complete the Authorization for Administration of Medication form. The health care provider who fills out this form should be the same person as the prescriber on the medication’s pharmacy label. The parent authorization (on the same form) must also be completed in its entirety.
Emergency Health Care Plan
For children with allergies this form must be completed by the health care provider to indicate the procedure to follow when a child is exposed to an allergen, including the order in which to give the prescribed medications, such as Benadryl and an Epi-Pen. The parent/ guardian must also sign and date this form.
Other emergency care plans
Children with medical or developmental problems or other conditions that might require special care in an emergency (other than the above allergy, asthma, or food intolerance), such as seizures, orthopedic or sensory problems, and other chronic conditions or conditions that require regular medication or technology support, will have an individual plan designed and written by the health care consultant. The plan needs to be signed by the parent or guardian.
The parent/guardian must be sure that the medical form states the reason for the medication. If it is for an allergic reaction, then the known allergen must be clearly stated.
The parent/guardian must provide all medications as well as the forms.
- Must comply with all State of Connecticut regulations;
- Must be in the original child-resistant safety container;
- Label must contain the following: Child’s name, the name of the medication, the dosage, directions for the administration of the medication, the prescription number, whether or not it is a controlled drug, the date of the prescription, the expiration date, the prescriber’s name, the pharmacy, the pharmacy’s address and phone number;
- If a medication is soon to expire, the parent is responsible for providing the school with a new medication before the expiration date;
- Parent must provide all equipment necessary for the dispensing of the medication, including spacers, nebulizers, and calibrated dispensing utensil.
- Must be in the original packaging, unopened, with the safety seal intact;
- Must be labeled with the child’s name.
The staff is responsible for maintaining certification for the administration of medication for oral, topical, and inhalant medications every three years and for the administration of injectable medications every year.
The training must be received from a physician, physician’s assistant, advanced practice registered nurse, or a registered nurse who follows the guidelines set forth by the State of Connecticut Health Department’s regulations.
The trained staff must receive written approval from the trainer that indicates that she/he has successfully completed the training program to administer medications.
A staff member trained in medication administration must be on site whenever a child who might need medication is in attendance.
When the medicine is received, the medication certified staff must
- Fill out the Medication Administration Record;
- Check that all forms are filled out correctly and completely by the health care provider and the parent;
- Verify that the medication matches what is ordered on the authorization, that the medication has not expired, and that the orders for the administration are clearly understood. If there are any questions, the parent should be asked before leaving. If still unclear, the health care provider or the pharmacist should be contacted for clarification. No medication should be administered until all forms are completed correctly and until the medication trained staff clearly understands the orders.
Proper storage of medication: Medication must be stored in the original child-resistant container with the label requirements, as described above, attached. Medications will be kept in a locked cabinet inaccessible to the children. EpiPens must be stored in a dark place where the temperature will not go below 56°F or above 86°F.
Procedure for administration of medicine and record keeping:
- Any time an EpiPen is administered 911 will be called.
- Only staff trained in the administration of medications will be allowed to administer the medication and fill out the MAR (Medication Administration Record) after giving the medication.
- All staff may fill out Injury-Illness Forms explaining what happened. This is also signed by the person picking up the child.