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TRIP
FIELD TRIPS
MEDICATION ADMINISTRATION
-For Principals Designee
Overnight Trips
On extended trips medication may be
administered by a principals designee
(certified district employee). The parent must
complete the Overnight Travel Emergency &
Medication Form (HEA 2108).
The parent must give the medication directly
to the principals designee (certified district
employee) in charge of the trip and perform
any necessary teaching in regards to giving
the medication and/or specific healthcare
needs.
The medication must be kept in possession of
or under control of the principals designee
(certified district employee).
Exceptions:
Emergency medications allowed to be carried by
the student per state law.
Birth Control and over-the-counter medication
may be carried by the student with a note from
the parent directing the use and possession of
the medication (middle & high school).
5 RIGHTS OF MEDICATION
ADMINISTRATION
Right Person:
If the name on the container is not the name the student gives you when
asked What is your name?, DO NOT GIVE THE MEDICATION Notify the nurse.
Right Medication:
Read the Rx label after you pull the medication from your secure
storage. It should match the medication listed on the field trip form.
Right Dose:
Read the Rx label carefully. You may need to give one pill, two pills, half a pill,
etc
Right Time:
Right Route:
Read the Rx label carefully. Common errors are eye drops in ears or ear drops in
eyes. Some students may have special instructions that are not on the prescription label. For
example, crush pill and mix with applesauce. The nurse or parent will inform you of any
special instructions.
ALSO:
Documented in the right place:
Right to refuse:
Right Person
Disp:
9/10/14
Jane Doe
Amphetamine Salts
Take one tablet by
10mg
mouth at 12pm
daily
3/10/15
Discard after
9/10/15
Right
Medication
Right Dose
Right Time
Right Route
MEDICATION ABSOLUTES
Store medication in secure place. Do not
let students carry their own medication
Exceptions:
Emergency medications allowed by law
Birth control and over-the-counter medications allowed on overnight trips
with parent note (middle school & high school only)
Have the field trip medication log(s) with you when you give the medication.
Ask the student to state his/her full name.
Obtain the medication from secure storage, read the name on the labeled
container and compare with the medication log(s).
Repeat the students name out loud.
Compare the 5 rights.
Gently shake dose into a medication cup.
If the student takes two medications use two medication cups.
Set the medication cup on a counter or other available stable surface.
Have the student drink water with the medication and observe the student
while swallowing the medication. Dont assume the medication was taken
because you gave it. You must observe the student swallow the medication.
Record exact time the medication was given on the field trip medication log.
Place medication container back into secure storage.
Return the empty container or the container with extra doses to the health office when you
return from a day trip.
Return the empty container or the container with extra doses to the parent when you return from
an overnight trip.
DAY TRIPS
Jane Smith
John Doe
John Doe
1210
Jane Smith
A signature is required
OVERNIGHT TRIPS
Amoxicillin
250mg Oral
Infection
3/3/15
3/5/15
John Doe
No known allergies
250 mg
Amoxicillin
By mouth
3/3/15
10 pills
3/5/15
2 pills
1/1/xxxx
10
1 pill
Jane
Parent
Parent
Smith
Jane
Doe
Doe
Smith Jane Smith
Jane Smith
JS
3/3/15
3/4/15
3/5/15
n/a
2pm
/JS
2229/JS
Jane Smith
Jane Smith
Jane Smith
MEDICATION ERRORS
Incident reports will be filled out for any
medication errors:
If any of the five Rights are not followed
Wrong student, wrong medication, wrong dose, wrong time, or
wrong route
Notify parent
OTHER
If you have any questions dont
hesitate to ask your school nurse
before the trip.
Have fun!