SAN (M) 1 Administration of Medication
DfES Managing Medicines in Early Years Settings
Staff do not routinely administer medicines. Parents are asked to administer medicine to their own child and may attend at any time convenient to them. There may be exceptions e.g essential medication for lifelong conditions such as diabetes or where a child is well enough to attend school but needs to finish a course of antibiotics.
This type of medication is usually prescribed but is, in the main, necessary to ensure that a child can function normally. In the event of an emergency, it will almost certainly need to be administered by academy staff. Should the medication be withheld, serious illness or even death could result. Such medication includes:
Ventolin etc. (asthma)
Diazepam, Vallium etc. (epilepsy)
Adrenaline (anaphylaxis) – See Safety Advice Note SAN(M)2
Where functional medication has to be given, academy staff will be given training in the correct procedures of administration.
No pupil at Seaton Academy should be given medication without the completion of APPENDIX A FOR PARENTS FOR THE ADMINISTRATION OF MEDICATION
We believe that it is good practice to encourage pupils with medical needs to participate in academy trips, wherever safety permits.
In some cases it will be appropriate for the parent/guardian to accompany that particular pupil.
Medication, which under normal circumstances, the parents would administer at home, such as preventative medication required for Asthma, can be given on completion of APPENDIX A FOR PARENTS FOR THE ADMINISTRATION OF MEDICATION
Academy staff should not routinely store medication. However, this is not always possible.
Parents should complete APPENDIX A FOR THE ADMINISTRATION OF MEDICATION at the main office and arrange for the storage and administration of medication with office staff. Parents are required to authorise administration at the beginning of each day and to collect medication at the end of each day.
A few medicines, such as asthma inhalers, must be readily available to pupils and must not be locked away. Pupils should be responsible for their own inhalers but this will depend on the age and aptitude of the pupil concerned. Other medicines should be kept in a secure place e.g. a locked cupboard or high shelf, and not accessible to pupils.
Storage of Ritalin
Ritalin is a Class A drug. Doses of Ritalin must be kept locked away in a cupboard when not being used. A cash box or similar may be used. It is important that a photograph of the pupil accompanies the details of the dose required to prevent misadministration.
Disposal of Medicines
Academy staff should not dispose of medicines. Parents should collect medicines held at academy at the end of each term. Parents are responsible for disposal of date-expired medicines.
Where pupils require medication which is supplied with a syringe or where blood needs to be tested (e.g. in the case of diabetics), parents are required to come into academy and administer the treatment and take sharps/needles away for disposal.
In the event of an emergency the head or assistant head should be informed immediately. Emergency services can be contacted through the academy office. The pupil’s parents should also be contacted as soon as possible, contact details are available from the register or the academy database.
Fabricated or Induced Illness
Fabricated or Induced Illness is a form of child abuse where the carer either reports symptoms later found to have been fabricated or causes direct harm to a child through inducing symptoms and in the most extreme cases death. The child may also be genuinely ill and the symptoms exaggerated or further induced by the parent/carer.
A template has been devised to assist staff who may have concerns about Fabricated or Induced Illness (FII). A training programme for Designated Teachers and Unit Managers on FII and the use of the template will follow. In the meantime staff should be aware of the general guidelines below and appropriate action to be taken.
Communicate concerns about Fabricated or Induced Illness (FII)
At any stage where any individual considers FII is a possibility, this must be communicated to medical and other professionals in Social Services to safeguard the welfare of the child.
Concerns about Fabricated or Induced Illness should only be disclosed to the carers after discussion with Social Services and only then if it is decided that sharing information will not place the child at increased risk of harm.
The critical task is to assess the likely risk of harm to the child through an objective and systematic consideration of the known facts. Views based on or including personal judgements about the parents are highly likely to severely interfere with that process. It is extremely difficult for staff to think that a seemingly caring parent struggling to care for an apparently seriously ill child may be the cause of the child’s suffering. All professionals need to concentrate on is dispassionately reporting the facts rather than trying to understand the parent’s motivation in cases of FII.
If concerns about FII are expressed and not subsequently pursued then the reasons for not doing so should be identified and recorded.
Use of language
It is vital that concerns are communicated clearly and ambiguous circumlocutions must be avoided. When recording or reporting their concerns or observations it is crucial that staff use their own words and not terminology they may have heard used to by others. In plain terms, they should say what they see, and only that.
Speak and listen to children
We should actively seek the views of children, listen to them and involve them in decisions about their education. If a child says something that contradicts or conflicts with their parent/carer’s account of their health or welfare, then we all have a clear ‘duty of care’ to ensure that any discrepancies are properly investigated and explained.
Report of dying child
If a child is reported as having a terminal condition confirmation should be sought from medical personnel qualified to make this prognosis.
As part of the academy’s Administration of Medication Policy it should be explicit that:
- A clear diagnosis exists and the implications of any condition on the pupil’s education are clearly stated.
- Suitably qualified medical personnel must sign health care plans.
- Administration of drugs must be in accordance with the prescription. Any variation in prescriptions must be confirmed with medical personnel and not implemented solely on parental advice.
- Drugs should be given to office staff in the original, labelled container.
- Any concerns about drug administration should be communicated directly to medical personnel, not via the parent.
- All administration of medication should be recorded.
- Where pupils have a statement of special educational needs, the administration of medication should be reviewed at least annually.
- Where pupils have a statement of special educational needs, there should be a protocol for the respective roles of teachers and non-teaching assistants and outside agencies.
- Guidelines must be especially rigorously applied where the drug is uncommon, may carry side effects, where the application of the drug is invasive or intrusive, or where withholding the treatment could result in serious illness or death.
Health Protection Agency
If a child is absent through illness, it is the responsibility of the parents to inform the academy of the reasons for absence. If no contact is made by 9.30am, the academy will contact the parents. If doubt is expressed regarding the child’s health during academy hours, parents are contacted and requested to take the child home. If the condition of a child’s health gives cause for concern, seeking medical advice may be suggested and a request that information be relayed to the academy as soon as possible. Parents should seek professional medical advice regarding the date a child can return to academy without fear of infecting other pupils. If necessary, parents may be notified by letter, of any serious threats to the health of pupils. Further advice about the Control of infectious Diseases can be obtained from the Health Protection Agency Poster displayed in academy.
FORM FOR PARENTS TO COMPLETE IF THEY WISH THE ACADEMY TO ADMINISTER PRESCRIBED MEDICATION.
Academy staff cannot give your child medicine unless you complete and sign this form and the Head has agreed that staff who volunteer to do so can administer the medication.
DETAILS OF PUPIL:
Condition or illness:
MEDICATION & DIRECTIONS FOR USE:
Name of Presrcibed Medication (as described on the container):
Form (e.g. tablets, syrup, cream):
How long will your child take this medication?
Date dispensed by pharmacist/doctor:
Dosage to be given: Time to be given:
Name: Daytime Telephone No:
Relationship to Pupil:
I understand that I must deliver the medicine to and collect it from ACADEMY STAFF AT THE MAIN OFFICE each day, and accept that this service is provided on a voluntary basis. I agree to inform Academy staff of any changes to this information by completing a new form at the earliest opportunity.
Relationship to pupil:
END OF DAY COLLECTION:
MEDICATION ADMINISTERED BY
AGREED BY (PARENT/CARER)