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MEDICATION

The following (printed below in Italic font) are extracts from Ofsted’s rules and guidance:

‘Giving medication to children in registered childcare’:

  • When we use the word ‘prescribe’ we mean medicine that is recommended. When we use the word ‘prescription’ we mean written instructions from a doctor or dentist. Most pharmacists cannot write prescriptions and can only prepare the medicine as instructed by a doctor or dentist. However, they can recommend (prescribe) over-the-counter medicines such as teething gels, when children are teething, or painkillers, when children have a temperature.
  • Recent changes in the law mean that qualified nurse independent prescribers, and pharmacist independent prescribers, can prescribe any licensed medicine for any medical condition they have been trained to specialise in. For nurses, this includes some controlled drugs.
  • So, you can give medication that is recommended by a pharmacist or nurse without a written prescription, as well as any medication prescribed by a doctor, dentist or an appropriately qualified pharmacist or nurse.

Over-the-counter medication

  • Medicines should not usually be administered unless they have been prescribed for that child by a doctor, dentist, nurse or pharmacist. Non-prescription medication e.g. pain and fever relief or teething gel may be administered, but only with the prior written consent of the parent and only when there is a health reason to do so
  • The legal guidance allows you to give over-the-counter medication such as pain and fever relief or teething gel. However, you must get written permission beforehand from parents. And, you must follow the same recording procedures as those for prescribed medication.
  • You must only give medication when asked to do so by a parent and if there is an accepted health reason to do so.
  • A child under 16 should never be given medicines containing aspirin unless it has been prescribed for that child by a doctor

Acre Wood Day Nursery (Arlesey) Ltd policy and procedure is as follows:

Prescription Medication:
Parents / Carers must sign a medication form giving details of the medicine, dosage and times to be administered.

The greatest care will be taken to see that these are administered according to the instructions and a signed record of all medication administered shall be made on the medication forms and witnessed by another member of staff. Only staff qualified to a minimum of Level 3 in Childcare and Early Years Development (or any other equivalent level 3 nursery nurse qualification) is allowed to give the medication. The witness does not have to hold a qualification but they must actually see the medication and the dosage that is administered. Parents must sign the medication form upon collection of their child to confirm they are aware of exactly how much medicine has been given and at what time(s) of the day.

If the administration of prescription medication requires extraordinary Medical knowledge, individual training will be provided to the relevant member of staff by a health professional. In such an event Ofsted and our insurers will be informed.

Any child needing ongoing medication will have an individual health plan which will detail what to do in case of emergency.

Unwanted or unused medicines or out of date medication will be returned to the parent/Carer for disposal or on-going use.

All drugs / medicines must be stored strictly in accordance with product instructions as shown on the original container label. All medicines must be in their original container.

Medication that needs to be refrigerated must be clearly labeled and stored in the fridge.

Maple room and Oak each have a key lockable medicine cabinet in which all non-refrigerated medicine must be stored. Staffs working in Maple room should use the medicine cabinet in Maple room. The cabinet door must be kept locked and the Key removed.

Over the Counter Medicine (both prescribed and non-prescribed)
The nursery does not normally administer over the counter medicine, we prefer prescription medicine. However we are aware sometimes at the parent’s request it may be in the best interest of the child to administer over the counter medicine. In such event, providing the parent has supplied the over the counter medication and have provided written instructions to the nursery authorizing its usage (written instructions must include times to be given, dosage to be given, be signed and dated); the nursery will administer it, if it believes it reasonable to do so. Prior to administering the over the counter medication the nursery will endeavor to phone the parent to confirm the instructions but only if it believes it is necessary to do so. If a phone call is made the nursery will ask the parent if possible to send a facsimile or e-mail of further written instructions to proceed. If the parent is non-contactable the nursery will use its professional judgment based on the written instructions already given when deciding if it is appropriate to administer the over the counter medication. Phone calls to parents will not be made for medication such as Sudo Cream or sun protection lotion or other medication of this nature.

Only the on duty manager is allowed to administer over the counter medication and this must be witnessed by another member of staff. As with prescription medication the name of the medication (e.g. Calpol), dosage given, time administered, duty managers name and signature, witness name and signature must all be documented. The parent must sign they have been made aware of this upon collection of their child.

Manufactures instructions must be followed by parents and staff at all times. It is imperative to make certain children are not given too much medication or within too short a time period.
Staffs members must read the instructions carefully and adhere to them at all times. It should be noted Calpol is a Paracetamol product and can be life threatening if a child receives too much of it or within to close a time period.

Warning to staffs: Always read the manufactures guidance on administering their product. If using Calpol or any similar paracetamol product do not administer it if you are in any doubt or you do not know for certain that there has been a four hour gap since the child last received the medicine. Staffs must also be certain the child has not received more than the manufactures guidance on the amount that can be administered within a 24 hour period. Staffs must be certain the child has not been receiving Calpol or a similar paracetamol product for a continuous period of time that exceeds the manufactures instructions. If there is any doubt or uncertainty staff must not give the medication. If a parent / care is unavailable to give confirmation and the child’s wellbeing is of concern staffs are instructed to telephone the emergency services (dial 999) and request an ambulance. It is illegal to administer any medication without the written consent of the parent / carer.

This nursery will not accept a blanket consent letter which is intended to cover all over the counter medicine. A consent letter authorizing the nursery to use a named over the counter medicine will be accepted if it is specific in naming the actual medicine. The written instructions must state the type of situation the when the nursery should administer the medicine: example, when the child is in pain and has a high temperature. The written instructions must include the dosage to be administered.

Unwanted or unused medicines or out of date medication will be returned to the Parent / carer for disposal or on-going use.

All drugs / medicines must be stored strictly in accordance with product instructions as shown on the original container label. The medicine must be in its original container.

Medication that needs to be refrigerated must be clearly labeled and stored in the fridge.

Maple room and Oak each have a key lockable medicine cabinet in which all non-refrigerated medicine must be stored. Staffs working in Maple room should use the medicine cabinet in Maple room. The cabinet door must be kept locked and the Key removed.

For the purposes of this policy and procedure Acre Wood Day Nursery does not count Sudo Cream (this includes other brands of nappy rash creams etc.) or Sun Protection Lotion, as medicine requiring the duty manager to administer or to be witnessed by another member of staff. Providing the parent / carer have given the nursery written consent to administer these items any member of staff may administer them in the normal course of their duties when caring for a child.

Warning: Calpol and other medicines of similar nature purchased over the counter must only ever be administered by the duty manager.

We obtain any medical information on a child through their entry records, regular update information forms or health care plan. These forms will state the child’s medical information, any medicine they may have to take and what the nursery should do in an emergency.