Parents have the prime responsibility for their child’s health and should provide the setting with all information about a child’s medical condition, along with details from the child’s GP or paediatrician.
Medicines should only be brought into the setting when essential, that is where it would be detrimental to a child’s health if the medicine were not administered during the setting ‘day’. I will only accept medicines that have been prescribed by a doctor, dentist, nurse or pharmacist. Medicines should always be provided in the original container as dispensed by a pharmacist and include the issuers instructions for administration.
I will never accept medicines that have been taken out of the container as originally dispensed nor make changes to dosages on parental instructions.
It is helpful, where clinically appropriate, if medicines are prescribed in dose frequencies which enable it to be taken outside the setting ‘day’. Parents could you ask the issuer about this. It is noted that medicines that need to be taken three times a day, may be able to be taken in the morning, after setting and at bedtime.
The Medicines Standard of the National Service Framework (NSF) for children recommends that a range of options are explored including:
Issuers consider the use of medicines which need to be administered only once or twice a day (where appropriate) for children so they can be taken at home.
Issuers consider providing two prescriptions, where appropriate and practicable, for a child’s medicine: one for home and one for use in the setting, avoiding the need for repackaging or relabelling of medicines by parents. This also over comes the problem of what to do if the medicine has been forgotten either end of the day.
The supply, possession and administration of some medicines are controlled by the Misuse of Drugs Act and its associated regulations. Some may be prescribed for use by children e.g. Methamphetamine. I will administer a controlled drug to the child for whom it has been prescribed, in accordance with the issuer's instructions. All controlled drugs will be kept in a locked non-portable container. A record will be kept for audit and safety purposes.
Disposal of Medicines
I will not dispose of medicines.
Parents are responsible for ensuring that date expired medicines are returned to a pharmacy for safe disposal. They should also collect all medicines held if taking a break.
Changes to Prescription
A parent is responsible for providing details of changes to prescription or support required for their child.
If your child needs an inhaler could you ask your GP to prescribe an extra one to be held in the setting?
Points to note:
I hold a current paediatric first aid certificate.
Parents, as defined in section 576 of the Education Act 1996, include any person who is not a parent of a child, but has parental responsibility for or care of a child.
If a child refuses to take medicines, they will not be forced to do so, but it will be noted in the records and I will follow procedures a parent has requested. Parents will be informed the same day of the refusal. It will be discussed and records made in the individual child’s health care plan.
Illness and Medicines Procedure
As a childcare provider, I will ensure that I implement an effective procedure to meet the individual needs of a child when administering medicines. In order to achieve this, I will do the following:
I will keep a written record of a child’s need for medication and ask parents to update it regularly.
I will keep written records of all medicines administered to children in my care.
I will inform parents when a medicine has been administered including the time and dosage.
I will store all medicines safely and strictly in accordance with the product instructions and in the original container in which it was dispensed. When storing medicines, they will be clearly marked with the name of the child, dose and frequency of dose. All medicines are stored at the correct temperature. Medicines that need to be stored in the fridge will be stored in an airtight container.
I will obtain prior written permission from parents for each and every medicine to be administered before any medication is given.
I will work in partnership with parents to ensure the correct medication, dosage etc. is given.
If the administration of prescription medicine requires technical/medical knowledge then I will attend training from a qualified health professional. The training will be specific to the child in question.
I will only administer non-prescription medication such as pain and fever relief with parents’ previous written consent and only when there is a health reason to do so.
I will never administer medicines containing aspirin to a child under the age of 16 unless they have been prescribed by a doctor.
In an emergency, if I do not administer the medicine whilst the child is in my care I will inform parents of who will be responsible for the administration of medicines to their child.
If I have a child in my care with long-term medical needs then I will ensure that I and any co-workers have sufficient information about the child’s medical condition and will work in partnership with parents and any other health professionals to assist the administration of any prescribed medication and the management of any other health needs such as a gastronomy tube.