QIP Nudges

Administration of Medication

By September 26, 2024 September 30th, 2024 No Comments

Welcome to our weekly quality improvement support series for 2024.

“It’s our polite nudge in the ribs to help you and your team stay organised and on task.”

This week’s subject is Administration of medication

Element 2.1.2: Effective illness and injury management and hygiene practices are promoted and implemented.

Does your Service maintain stringent procedures during staff induction and ongoing professional learning and training to ensure that medical conditions and the administration of medication is at all times managed, ensuring that educators understand and adhere to their obligations and duty of care to meet the individual health care needs of every child?

It is crucial that all educators and service staff follow strict procedures for obtaining authorisations, administrating medication and managing children’s individual health care needs and medical conditions. Service management have an obligation to ensure that all staff are familiar with the medical conditions policy and administration of medication policy and procedure by including all information in the staff induction pack/procedure and ensure that educators are aware of any children’s medical conditions and the location of their medical management plans.

Educators and service staff must understand the specific policies and procedures governing medication administration, including how to obtain proper authorisation and the appropriate procedures to follow. Use staff meetings to periodically review the administration of medication policy/procedure and medical management plans for individual children (including risk minimisation and communication plans) and ensure this is documented in the meeting minutes. 

When administering medication to children, educators must ensure that:

    • A parent or person nominated for medication authority on the child’s enrolment record has adequately completed the medication authorisation form. Ensure that this is checked immediately/when the authorisation is completed to ensure it has been completed sufficiently 
    • The medication to be administered has been prescribed by a registered medical practitioner 
    • The medication is in the original container with the original label that details; the name of the child and instructions for administration of the medication
    • The medication label has a use by/expiry date and the medication is being administered prior to the use by/expiry date
    • The medication is administered in line with the instructions detailed in the label or written/verbal instructions provided by a medical practitioner 
    • A witness has checked that the correct dosage is being administered and to the correct child (excluding Family Day Care/ single staffed services).
    • When administering paracetamol, the parent has given written authorisation on the child’s enrolment record and the parent or person nominated for medication authority on the child’s enrolment record has been contacted to provide verbal authorisation prior to administering paracetamol 
    • When a child is required to have more than one medication, a separate authorisation form has been completed for each medication

Education and care services providing care to children over preschool age may allow children to self-administer their medication provided that:

    • The service has a policy/procedure in place for self-administration of medication or the service’s policy and procedure for administration of medication includes provisions for self-administration of medication for children over preschool age
    • A parent or person nominated for medication authority on the child’s enrolment record has adequately completed the medication record (r 92) which includes authorisation for the child to self-administer the medication
    • Documentation for self-administration of medication must be completed by a staff member and witnessed.

Resources:

Guide to the NQF: Element 2.1.2: Health practices and procedures

Guide to the NQF: Operational requirements: Quality Area 2

Dealing with Medical Conditions-Policy guidelines

Staying Healthy in Childcare 6th edition

Managing Children’s Medical Conditions in Early Childhood Services

Within System7 go to Quality Area 2/ Modules 91012 to submit self-assessment notes and if required, open a QIP issue if you identify any areas of improvement.

The Childcare Centre Desktop has a range of resources to assist services with medical conditions and administration of medication. These include Medical Conditions Policy, Administration of Medication Policy and Procedure, Administration of Medication Record, Medication Audit, Asthma Medication Expiry Form, Administration of Paracetamol Record, Diabetes Management Policy, Asthma Management Policy and much more.

Resources, NQS Element, Regulation and System7 links:

Childcare Centre Desktop – Childcare Centre Desktop

National Quality Standard – QA 2/ 2.1.2- Health practices and procedures

National Regulations – 9092939495, 96

System7 Module – QA2/ Modules 91012

If you have any questions send us a note via the Contact page here!