E5 - EYFS Administering Medicines Policy
EYFS Administering Medicines Policy
Person responsible: SB
Review Date: November 2019
Next Review Due: Autumn Term 2020
Related documents: Policy on Substance Abuse
While it is not our policy to care for sick children, who should be at home until they are well enough to return to the setting, we will agree to administer medication as part of maintaining their health and well-being or when they are recovering from an illness.
In many cases, it is possible for children’s GP’s to prescribe medicine that can be taken at home in the morning and evening. As far as possible, administering medicines will only be done where it would be detrimental to the child’s health if not given in the setting.
If a child has not had a medication before it is advised that the parent keeps the child at home for the first 48 hours to ensure no adverse effect as well as to give time for the medication to take effect.
These procedures are written in line with current guidance in Managing Medicines in Schools and Early Years Settings; the Head of Pre-prep Department is responsible for ensuring all staff understand and follow these procedures.
The class teacher, in partnership with the class TA, is responsible for the correct administration of medication to children for whom they are the key person. This includes ensuring that the medication book has been completed, that medicines are stored correctly and that records are kept according to procedures. In the unlikely absence of the class teacher, the Head of Pre-prep Department is responsible for the overseeing of administering medication.
Children taking prescribed medication must be well enough to attend school.
Only prescribed medication is administered by a qualified first aider. It must be in-date and prescribed for the current condition. Non-prescribed medication must be administered by the School Nurse.
Children's prescribed medicines are stored in their original containers, are clearly labelled and are inaccessible to the children.
Parents give prior written permission for the administration of medication. The staff receiving the medication must ask the parent to sign the medication book. No medication may be given without the book being fully completed.
It is the responsibility of the child’s class teacher and/or TA to receive the medicine and ensure the medication book has been completed.
The administration is recorded accurately in black pen each time it is given and is signed by staff. Parents sign the record book to acknowledge the administration of a medicine.
Small medical notes are entered into the Pre-prep day book in black pen.
Larger accidents are referred to the school nurse who records them in the official accident book, which is located in a locked cupboard in the school surgery.
Storage of medicines
All medication is stored in accordance with product instructions. Medicines are placed in a secure cupboard or refrigerated in the school surgery. Where the cupboard or refrigerator is not used solely for storing medicines, they are kept in a marked plastic box.
The child’s class teacher are responsible for ensuring medicine is handed back at the end of the day to the parent.
For some conditions, medication may be kept in the setting. Key persons check that any medication held is in date and return any out-of-date medication back to the parent or, if more appropriate, a pharmacy.
Emergency medicine such as asthma inhalers or Epi-pens will be stored in a personal medical hip bag in a place that is easily accessible and known to all staff. Children may be required to carry their medicine with them at some times during the school day. This will be decided in discussion between the school, parents and, if applicable, the child’s doctor. Secondary Epi-pens will be stored in the medicine cupboard of the school surgery.
If the administration of prescribed medication requires medical knowledge, individual training is provided for the relevant member of staff by a health professional.
If rectal diazepam is given another member of staff must be present.
No child may self-administer. Where children are capable of understanding when they need medication, for example with asthma, they should be encouraged to tell their key person what they need. However, this does not replace staff vigilance in knowing and responding when a child requires medication.
Children who have long term medical conditions and who may require on ongoing medication
A risk assessment is carried out for each child with long term medical conditions that require ongoing medication. This is the responsibility of the Head of Pre-prep Department alongside the key person. Other medical or social care personnel may need to be involved in the risk assessment.
Parents will also contribute to a risk assessment. They should understand the routines and activities and point out anything which they think may be a risk factor for their child. If appropriate they may also be shown around the setting.
For some medical conditions key staff will need to have training in a basic understanding of the condition as well as how the medication is to be administered correctly. Staff training needs forms part of the risk assessment.
The risk assessment includes vigorous activities and any other school activities that may give cause for concern regarding an individual child’s health needs.
A separate risk assessment is written if taking medicines on outings outside of the school grounds and the child’s GP’s advice or the school nurse is sought if necessary where there are concerns.
A health care plan for the child is drawn up based upon information from the parent and advice from the child’s doctor. A copy of this information is given to the Head of Pre Prep and the school nurse.
The health care plan should include the measures to be taken in an emergency.
The health care plan is reviewed annually or more if necessary. This includes reviewing the medication, e.g. changes to the medication or the dosage, any side effects noted etc. Any changes to the health care plan are discussed with parents.
A list of children needing Epi-pens are displayed in the Staff Room and in Surgery.
Managing medicines on trips and outings
- If children are going on outings, staff accompanying the children must include the class teacher for the child with a risk assessment, or the class TA who should be fully informed about the child’s needs and/or medication.
- Medication for a child is taken in a sealed plastic box clearly labelled with the child’s name, name of the medication, Inside the box is a copy of the medication book entry, with the details as given above.
- On returning to the setting the class teacher signs the medication record book.
- If a child on medication has to be taken to hospital, the child’s medication is taken in a sealed plastic box clearly labelled with the child’s name and the name of the medication.
- Inside the box is a copy of the medication book entry signed by the parent.
- As a precaution, children should not eat when travelling in vehicles.
- This procedure is to be read alongside the outings procedure.
- A member of staff trained in Paediatric First Aid accompanies EYFS children on any trips outside of school.
Medicines Act (1968) EYFS Statutory Framework (2017)
1.4 Health and well-being 2.2 Parents as partners 2.4 Key person 3.2 Supporting every child
S Baker /L Rogerson