POLICY STATEMENT Policy OFSTED Standard No School Department Date Written Written by Approved by Date of Approval Next major review date Location and disseminations The context of the policy and its relationship to other policies Boarders who are unwell - PROTOCOL FOR THE SAFE STORAGE AND ADMINISTRATION OF MEDICINES NMS 3, Appendix 1. BHS 21st April 2017 K. Davies (RN), E. Daniels (RN, RSCN), S. Hoad (RNChild) Giles Sutton 4th May 2017 01 September 2017 A copy of the policy can be found, in the school admin office and on the school website. This policy should be considered in conjunction with other written policies on behaviour, health and safety, medicines, school visits, child protection and safeguarding. Aim: 1. To ensure the safe and appropriate administration of medicines. 2. To ensure all medication is safely and securely stored and not accessible to any one other than the scholar for whom it is intended. Protocol: 1. Only staff trained in the safe administration of Medication, can administer to scholars. 2. Medication for use under the Homely Remedies protocol will be obtained from Buckswood Health Service (BHS) at Buckswood School. The nurses there order it through one of the following: Selles Medical Laycocks Pharmacy, Old London Rd, Ore. Tel: 01424 436778 We have an account with them and they are usually very helpful. Other suppliers e.g. Sainsbury’s, Williams Medical. 3. Only medication that is included in the homely remedies protocol should be given to scholars except for any prescribed by a medical practitioner, (or a trained nurse purchases a non POM medicine for a specific scholar). See Homely Remedy Protocols. 4. All medication purchased should be added to the relevant stock sheet. 5. Any medication given must be recorded on an individual Medical Administration Record Chart (MAR). The scholar’s name, the date and time given and the reason it has been given must be included. This record must then be signed by the person giving the medication. 6. All stock medication must be kept in a locked cupboard. The room must be locked when unattended so that the medicines are in a locked cupboard within a locked room. 7. Scholars should always take the medicine in front of the member of staff who has dispensed it and never be allowed to ‘take it later’. 8. If scholars wish to keep their own prescribed medication and are assessed as competent to do so, they must sign that they are responsible for keeping it safely. 9. Any medicines brought to school by scholars, that have not been prescribed, will be confiscated. Scholars can then collect them on their next day of departure home. 10. Any unused prescribed medicines should be returned to BHS to return to pharmacy within a month of the last dose being given and a signature obtained from the receiving pharmacist. 11. BHS will dispose of any unused or confiscated medication via Laycock’s pharmacy through their Disposal of Unused Medicines Procedure (DUMP). Protocol for the administration of Homely medicines at Buckswood Health Service The following medicines may be given by BHS staff trained in the safe administration and storage of medicines. Symptom Headache Raised temperature Between 37 – 38 degrees C (over this seek advice). Drug Either: a) Paracetamol 500mgs Instructions Under 6 - 12yrs a) 1 tabs 4-6 hourly (max 4 in 24 hrs) or 12yrs or over 1-2 tabs 4-6 hourly (max 8 in 24 hours) Limb/joint pain Sore Throat b) Ibuprofen Period Pain Simple abdominal pain with no other symptoms Nasal Congestion Vicks Rub Cold/flu symptoms with nasal congestion and/or blocked ears. Sudafed Liquid or Tablets. Sore Throat/dry cough If mild: Throat Sweets If more painful: Strepsils Antiseptic gargle. 12yrs or over b) 200 - 400 mg 4 - 6 hourly – No more than 3 in 24 hours Place on tissue and breathe vapour. 12yrs or over 10mls or 1 tablet 4-6 hourly. Maximum of 4 doses in 24hours. Suck one every 2 – 3 hours, as needed. Suck one every 2 – 3 hours, as needed. Gargle as needed every 1 ½ - 3hours. Not to be given a) Patients with problems Comments liver a) Ensure Paracetamol has not already been given in form of other cold remedies ( Do Not Take With Alcohol b) Asthmatics, those allergic to aspirin or with stomach upsets b) Should always be taken with or after food – may irritate the stomach lining. Always increase fluids too. Under 12 years Diabetics May also be dissolved in hot water & used as an inhalation. May be given with paracetamol. Always increase fluids too. Always encourage lots of fluid. Symptom Drug Instructions Not to be given Comments Non-productive cough Linctus cough medicine Take 5 mls up to 4 times day Diabetics Seek medical advice if productive cough or raised temperature. Indigestion/heartburn Gaviscon liquid 10 -20mls mls 4-6 hly Not to be given with some stomach tablets e.g. Ranitidine. Take 20-30 minutes after meals if possible. Seek medical advice if pain is severe or lasts more than 48 hours. Travel sickness or nausea NOS Stugeron 12 years or over 1-2 tablets every 8 hours. Previous allergic reaction For travel, take 2 hours before journey. . Diarrhoea Loperamide Capsules Hay Fever symptoms/ Simple allergic rash with no other signs or symptoms. Cetirizine 10mgs Under 12years 1 tablet every 8 hours. Take 2 capsules initially, followed by 1 capsule after each loose stool. Max. 8 in 24 hours 12 yrs or over: 1 tablet daily. Suck, chew or swallow whole with water. Under 12 years Under 6 yrs Take as soon as symptoms start. 6 – 12yrs: ½ tablet twice a day. The above is a guide only and the data sheet or instructions for each medicine should always be followed. If there are any concerns about the pupil then advice should be sought from trained staff or other advice/emergency services. Dr Till 01424 720878; NHS advice number: 111 Hastings Walk in centre: 01424 884410; Emergency 999 Protocol for the administration of medicines within Boarding Houses. The following medicines may be given by staff trained in the safe administration and storage of medicines within a boarding school or a registered nurse. Symptom Headache Drug Paracetamol 500mgs tablets Cold/flu symptoms Instructions Under 12yrs Not to be given to Patients with liver problems. Comments Ensure Paracetamol has not already been given in form of other cold remedies (e.g. Flu relief) Patients who have an allergy to Paracetamol. If needed for more than 48 hours seek medical advice 1 tabs 4-6 hourly (max 4 in 24 hrs) Raised temperature Between up to 38 degrees C (over this seek medical advice). 12yrs or over 1-2 tabs 4-6 hourly (max 8 in 24 hours) Do Not Take With Alcohol Limb/joint pain Swallow with water. Sore Throat Always increase fluids too. Period Pain Simple abdominal pain with no other symptoms Nasal Congestion Vicks Rub Place on tissue and breathe vapour Sore Throat/dry cough Throat Sweets Suck one every 2 – 3 hours, as needed. Diabetics Always encourage lots of fluid. Hay Fever symptoms/ Simple allergic rash with no other signs or symptoms. Cetirizine 10mgs 12 yrs or over: 1 tablet daily. Under 6 yrs Take as soon as symptoms start. May be dissolved in some hot water and the vapour breathed in. Do not ingest. 6 – 12yrs: ½ tablet twice a day. The above is a guide only and the data sheet or instructions for each medicine should always be followed. If there are any concerns about the pupil then advice should be sought from trained staff or other advice/emergency services. Dr Till 01424 720878; NHS advice number: 111 Hastings Walk in centre: 01424 884410; Emergency 999
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