We strive to ensure compliance with the relevant legislation and guidance in Health Guidance for Schools with regard to procedures for supporting children with medical requirements, including managing medicines. Responsibility for all administration of medicines at is held by the headteacher but delegated to our Office Coordinator.
All medical information is treated confidentially by the responsible manager and staff. All administration of medicines is arranged and managed in accordance with the Health Guidance for Schools document. All staff have a duty of care to follow and co-operate with the requirements of this policy.
Aims and Objectives
Our administration of medicine requirements are achieved by establishing principles for safe practice in the management and administration of:
- prescribed medicines
- non-prescribed medicines
- maintenance drugs
- emergency medicine
- provide clear guidance to all staff on the administration of medicines
- ensure that there are sufficient numbers of appropriately trained staff to manage and administer medicines
- ensure that there are suitable and sufficient facilities and equipment available to aid the safe management and administration of medicines
- ensure the above provisions are clear and shared with all who may require them
- ensure that this policy is reviewed periodically or following any significant change which may affect the management or administration of medicines
Administration of Medicines
The administration of medicines is the overall responsibility of parents/carers. The headteacher is responsible for ensuring children are supported with their medical needs whilst on site, and this may include managing medicines where appropriate and agreed with parents/carers.
It is our policy to manage prescribed medicines (eg. antibiotics, inhalers) where appropriate following consultation and agreement with, and written consent from, the parents/carers.
Non-prescribed medicines will only be administered in exceptional circumstances at the discretion of the headteacher, or the headteacher in his absence.
It is our policy to manage the administration of maintenance drugs (eg. Insulin) as appropriate following consultation and agreement with, and written consent from parents/carers. On such occasions, a health care plan is in place for the child concerned
Non-Routine Administration (Emergency medicine)
We manage the administration of emergency medicines such as:
- injections of adrenaline for acute allergic reactions
- rectal diazepam for major fits
- injections of Glucagan for diabetic hypoglycaemia
In all cases, professional training and guidance from an appropriate source will be received before commitment to such administration is accepted
Procedure for Administration
When deciding upon the administration of medicine needs for children we discuss this with the parents/carers concerned and make reasonable decisions about the level of care required. Any child required to have medicines will have an ‘administration of medicines/treatment’ consent form completed by the parent/carer and kept on file.
Individual health care plans are completed for children where required and reviewed periodically in discussion with the parents/carers to ensure their continuous suitability.
All administration of medicines is recorded. If a child refuses to take medication, parents/carers are informed at the earliest available opportunity.
Schedule Two Drugs
These drugs, which include Ritalin, are governed by the Misuse of Drugs Act and are kept in a locked cupboard which conforms to the legislation. It is kept locked at all times except when being accessed for storage or administration of medicine. Keys are kept to a minimum and are held only by our Office Coordinator.
A register of controlled (schedule two) drugs is kept which records:
- medication provided
- medication administered
- the name of the person for whom they were supplied.
- the name and quantity of the drug/medication supplied
- the amount administered each time and the amount left each time.
- the type of medication i.e. tablet/liquid and expiry date.
- two signatures for each dose of medicine given.
- two signatures for each time the medications are counted and checked. This is done once a week. The second signature is a witness.
Register entries are made in ink and in chronological order.
This register is kept for at least two years from the last entry made.
All pupils with ongoing medical needs have a care plan. This includes pupils with diabetes, Epipen, heart problems, epilepsy and very severe asthma.
Contacting the Emergency Services
When a medical condition causes the child to become ill and/or requires emergency administration of medicines, then an ambulance will be summoned at the earliest opportunity and parents/carers informed to accompany the pupil to the hospital if at all possible.
Where staff are required to carry out non-routine, more specialised administration of medicines or emergency treatment to children, appropriate professional training and guidance from a competent source is sought before commitment to such administration is accepted.
The storage of medicines is the overall responsibility of the headteacher who ensures that arrangements are in place to store medicines safely. Secure storage is situated in our main school office.
The storage of medicines is undertaken in accordance with product instructions and in the original container in which the medicine was dispensed.
It is the responsibility of all staff to ensure that the received medicine container is clearly labelled with the name of the child, the name and dose of the medicine and the frequency of administration.
It is the responsibility of the parents/carers to provide medicine that is in date. This should be agreed with the parents/carers at the time of acceptance of on-site administration responsibilities.
Disposal of Medicines
It is the responsibility of the parents/carers to ensure that all medicines no longer required, including those which have date-expired, are returned to a pharmacy for safe disposal.
‘Sharps boxes’ are always be used for the disposal of needles. Collection and disposal of the boxes is arranged as appropriate.