Transcript Medication Administration The Five Rights Adapted from a presentation by Division for Perinatal, Early Childhood, and Special Health Needs Massachusetts Department of Public Health.

Medication Administration
The Five Rights
Adapted from a presentation by
Division for Perinatal, Early Childhood, and
Special Health Needs
Massachusetts Department of Public Health
2009
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606 CMR 7.11(1 – 3)
EEC Standards Regarding Medication

Please review the regulations before
completing this training

The regulations can be downloaded at
http://www.eec.state.ma.us/kr_regulations_main.aspx
Rationale for Training

Benefits of Medicines:
 Cure infection
 Prevent chronic disease
 Ease pain and suffering

Risks from Medicines:
 Injury
 Illness
 More than 700,000 emergency
department visits annually
Young Children At Risk

Children <5 years old =
98,000 emergency visits per
year

Children find and eat or drink
medicines

Correct dosing is critical
Get Ready
Prepare the environment
 Take your time
 Be cautious
 Eliminate distractions
 THINK FIRST

Wash Your Hands!

Wash your hands before and after
administering medication to an
individual child.
EEC Regulations
Medication administration requires:
 Plan/policy for administration
 Written physician’s instructions*
 Written parental consent
 Documentation
 Proper/safe storage and disposal
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EEC Regulations
 Medication
must
be administered
in accordance
with physician’s
orders.
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Medication Plan Initial
Steps
Before giving any medication:
Obtain written order (Rx) from
health care practitioner*
 Obtain written consent from parent
 Verify that child has taken this
medication before

*Note: Written order from health care practitioner is not required for
non-prescription (over-the-counter) medications in family child care
homes.
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New Training Regulations

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Every person who
administers medication
must be trained, and
must demonstrate
competence.
Training Requirements

5 “Rights” of
medication
administration
• Recognizing side
effects/adverse
reactions
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The “5 Rights” of Medication
Administration
Right
 Right
 Right
 Right
 Right

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Medication
Child
Time
Dose
Route
Right Child ?

Compare the label
to the parent
permission form

Check ID with
another educator
• Verify with a picture
• Ask the child (if appropriate)
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Right Medication?
•labeled original bottle
•Check the label three
times
•When removing
•When pouring
•When returning
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Right Dose?
Give the exact
amount ordered.
•Do not guess!
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•Use a
standardized
measuring device.
Right Time?
• Check with parent
• Check the medication log
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Right Route?
•Check the pharmacy
label
• chewed or
•
•
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•
•
swallowed (mouth)
inhaled (nose or
mouth)
dropped (ears or
eyes)
applied/topical (skin)
Documentation
Sample Medication Log
(To be completed on each medication)
I Attach picture of child I


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Permission form
Medication log
 For each child
 For each medication
 Signature or initials of
person administering
each dose
 Spills or refusals
 reactions or side effects
Child's Name: ______________________________________Sex: _________________
Date of Birth: ______________________________________Allergies: ____________
______________________
Complete signature and initials of each person administering medication should be included below.
Documentation
Sample Medication Log
(To be completed on each medication)
I Attach picture of child I
Child's Name: ______________________________________Sex: _________________
Date of Birth: ______________________________________Allergies: ____________
______________________
Omissions
Errors
Complete signature and initials of each person administering medication should be included below.
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Common Adverse
Reactions
Difficulty Breathing
 Rash
 Drowsiness and/or confusion
 Nausea and/or vomiting
 Headache
 Muscle Weakness
 Severe stomach cramps
and diarrhea

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Medication Storage
Maintain a secure area
inaccessible to children.
 Store medication
separately from food and
toxic materials.
 “Controlled substances”
must be locked.
 Rescue Meds must be
immediately available!

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Refrigerated Storage
Read label for instructions.
 Refrigerate when necessary.
 Keep a separate refrigerator,
or a separate (inaccessible)
container within refrigerator.

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Disposal of Unused
Medication
 Return
directly to parent
 Discard
as recommended
by the DPH Drug Control
Program (617-753-8100 )
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Thank you for your attention to this
training. To check your
understanding of the information
presented, please answer the
questions that follow.
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1. According to EEC regulations,
who must be trained to give
medication to children?
a.
b.
c.
d.
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Parents
Program Administrator
All educators
Any educator who will give medication.
2. What are the “Five Rights” of
medication administration?
a.
b.
c.
d.
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Right hand, right child, right staff, right
medication, right route
Right child, right staff, right medication,
right color, right time
Right staff, right medication, right
route, right time, right dose
Right child, right medication, right
dose, right time, right route
3. When should you check the label
on the medication?
a.
b.
c.
d.
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When you take the medication out of
the cabinet
When you pour the medication out of
the bottle
When you put the medication back in
the cabinet
All of the above
4. Who needs to know about possible side
effects /adverse reactions of
medication?
Parents
b. Educators who give medications
c. The Licensee
d. The children
e. All educators in a child care program
a.
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5. Which of the following are signs
of adverse reaction to medication?
Difficulty Breathing
b. Rash
c. Drowsiness
d. Nausea or vomiting
e. Headache
f. All of the above
a.
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6. When must medication
administration be documented?
a.
b.
c.
d.
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Immediately after each dose is given
Once a day
When the medication is finished
All of the above
7. Which of the following
circumstances must be
documented?
Whenever a medication is given
b. Whenever a medication is forgotten
c. Whenever the wrong dose is given
d. Whenever a medication is spilled
e. Whenever a child refuses to take
his/her medication
f. All of the above
a.
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8. What should you do with unused
medication?
a.
b.
c.
d.
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Flush it down the toilet
Return it to the parent
Throw it in the trash
Save it for another child who might
need it
9. How do you know you are giving
the right amount of medication?
a.
b.
c.
d.
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Check the label and use a standard
measuring device
Check the label and use a kitchen spoon
to measure
Determine the child’s height and weight
and estimate
Mix it up in applesauce and hope the
child eats it all
10. What should you do if you make
a medication error?
a.
b.
c.
d.
e.
f.
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Document the error in the child’s
medication log.
Monitor and observe the child. Do not
leave the child alone.
Complete an incident report.
Notify the parent.
Notify EEC, if hospitalization results or
the wrong medication is given.
All of the above.