- If medications are given, they shall be administered to children only by a provider trained in the administration of medications as specified in this rule.
- All over-the-counter medications provided by parents and all prescription medications shall:
- be labeled with the child’s full name;
- be kept in the original or pharmacy container;
- have the original label; and,
- have child-safety caps.
- All non-refrigerated medications shall be inaccessible to children and stored in a container or area that is locked, such as a locked room, cupboard, drawer, or a lockbox. The provider shall store all refrigerated medications in a leakproof container.
- The provider shall have a written medication permission form completed and signed by the parent prior to administering any over-the-counter or prescription medication to a child. The permission form must include:
- the name of the child;
- the name of the medication;
- written instructions for administration; including:
- the dosage;
- the method of administration;
- the times and dates to be administered; and
- the disease or condition being treated; and
- the parent signature and the date signed.
- If the provider keeps over-the-counter medication at the center that is not brought in by a parent for their child’s use, the medication shall not be administered to any child without prior parental consent for each instance it is given. The consent must be either:
- prior written consent; or
- oral consent for which a provider documents in writing the date and time of the consent, and which the parent or person picking up the child signs upon picking up the child.
- If the provider chooses not to administer medication as instructed by the parent, the provider shall notify the parent of their refusal to administer the medication prior to the time the medication needs to be given.
- When administering medication, the provider administering the medication shall:
- wash their hands;
- check the medication label to confirm the child’s name;
- compare the instructions on the parent release form with the directions on the prescription label or product package to ensure that a child is not given a dosage larger than that recommended by the health care provider or the manufacturer;
- administer the medication; and
- immediately record the following information:
- the date, time, and dosage of the medication given;
- the signature or initials of the provider who administered the medication; and,
- any errors in administration or adverse reactions.
- The provider shall report any adverse reaction to a medication or error in administration to the parent immediately upon recognizing the error or reaction, or after notifying emergency personnel if the reaction is life threatening.