Cka5-e: Dispensing Medication In Child care
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- 1.The administration of medications at the child care program should be limited to:
- A.
Prescribed medications ordered by a health care provider for a specific child and a specific illness
- B.
Nonprescription medications recommended by a health care provider for a specific child, with written permission of the parent or legal guardian
- C.
Neither a or b
- D.
Both a and b
- 2.Medications which responsible staff have been trained to administer including oral, topical, nasal, ear and eye and medications which bear their original prescription label or a manufacturer’s label and which are provided in safety lock containers, transported safely with regard to temperature, light and other physical storage requirements is appropriat to have in your center.
- A.
True
- B.
False
- 3.Medications must be in the original container and labeled with child’s name, name of medication, directions for medication’s administration, and date of the prescription. All unused medication will be destroyed if not picked up within one week following the termination of the authorized prescriber’s order.
- A.
True
- B.
False
- 4.Make sure that any prescribed medication parents may give you meets the following criteria:
- A.
The first and last name of the child are on the container
- B.
The medication has been prescribed by a licensed health professional. Check to see that the name and phone number of the health professional who ordered the medication are on the container
- C.
The medication is in the original package or container and is childproof
- D.
All listed
- 5.Medication should be given at home whenever possible, but there will be times when it must be given while the child is in child care.
- A.
True
- B.
False
- 6.Nonprescription medications do not require approval of the child’s health care provider if administered according to the product label and if parental approval and instructions are provided in writing from the parent. The instructions from the parent cannot conflict with the product label and must be filed with the child’s records.
- A.
True
- B.
False
- 7.Make sure that any prescribed medication parents may give you meets the following criteria:
- A.
The medication is for the current episode of illness
- B.
The container has specific instructions for administering, storing and disposing of the medication
- C.
The container has an expiration date
- D.
Both listed
- 8.Medications should always be stored in their original container in a secure place out of the reach of children. Refrigerated medication should be stored in a plastic or zip-lock bag in the food section of the fridge. Storing medication in clear plastic containers where it can be seen will help providers remember to give it. Do not freeze medication. If the medication is left unrefrigerated for a long period of time, check with a pharmacist to see if it is still effective.
- A.
True
- B.
False
- 9.It is ok to freeze medication.
- A.
True
- B.
False
- 10.Topical medications – used to treat skin conditions such as diaper rash, infections.
- A.
True
- B.
False
- 11.Oral medication can be solid such as tablets or capsules or can be liquid such as elixirs or suspensions. All oral medications should be followed by two to four ounces of water unless otherwise indicated.
- A.
True
- B.
False
- 12.Common ways to give medicine include:
- A.
Oral medication
- B.
Eye drops
- C.
Topical medications
- D.
Inhaled medication
- E.
All listed
- 13.Who should be the person that dispenses medication to children?
- A.
Has designated time for administering medications
- B.
Has been trained to administer the type of medication as required by protocol of the local health consultant
- C.
Will assure safe storage and disposal of medication
- D.
All listed
- 14.According to the American Academy of Pediatrics and American Public Health Association, all staff who work with children should have training on these practices . All staff should be trained on proper medication safety in child care upon employment and once every two years thereafter. Documentation of the individual trainings will provide proof that all staff members know how to administer medications.
- A.
True
- B.
False
- 15.Child care facility should have a written policy for the use of prescription and nonprescription medication. Your medication policy should cover use of any commonly used nonprescription medication. Your health consultant could be helpful in preparing such a policy as it relates to acetaminophen, sunscreen, syrup of ipecac, etc.
- A.
True
- B.
False
- 16.Child care providers need to be aware of what medication the child is receiving, who prescribed the medicine and when, and what the known reactions or side effect may be if a child has negative reaction to the medicine.
- A.
True
- B.
False
- 17.It is ok to give a child medication anytime during the day as long as they get it sometime during the day.
- A.
True
- B.
False
- 18.What should be included with each prescription?
- A.
First and last name of child
- B.
Name of medication
- C.
Reason for medication
- D.
All listed
- 19.For infants - Assemble all supplies within reach—medication, tissues, measuring devices—and wash your hands. Measure the correct amount of medication. If you are not able to hold the infant and give the medication at the same time, ask for help. Talk to the infant and gently touch his or her mouth with the dropper or medication syringe. If his or her mouth doesn’t open, gently pull down the chin. Make smacking sounds with your mouth to model what you want. When the infant’s mouth is open, place the dropper or syringe on the middle of the tongue and slowly drop the medication a little at a time. If the infant does not cooperate, gently slide the dropper or syringe between the inside of cheek and gums and slowly drop in medication. Or, try dropping pre-measured amount of medication into a bottle nipple and let the infant suck it up.
- A.
True
- B.
False
- 20.For Toddlers and Preschoolers Follow the same preparation as for infants, but try to prepare toddlers by letting them know you are going to be giving medication and you will need their help. Pre-measured medication may be placed in a spoon or in a small cup. If they are cooperative they may not need your help and will do it themselves; if not, you may have to firmly hold them while you use a dropper or medication syringe to place medication in the mouth between cheek and gums. Allow time for the medication to be slowly swallowed. Always praise children for their cooperation.
- A.
True
- B.
False
- 21.Children may react to the medications you administer. Typical reactions include :
- A.
Rashes
- B.
Vomiting
- C.
Swelling
- D.
All listed
- 22.If you have any concerns about a reaction, notify the parent and seek advice from the health care provider or pharmacist.
- A.
True
- B.
False
- 23.A number of situations may arise related to administering medication in child care:
- A.
Parents may ask you to give their child herbal remedies. Because many remedies are not standardized, it’s best not to give them unless they are properly labeled and prescribed by a licensed health care provider. Suggest that parents administer these at home instead.
- B.
Parents may not want to reveal what condition their child has. You must respect their desire for confidentiality, but you still need to know if there are any medication reactions to watch for. Remember that a child’s medication or health condition cannot be discussed with anyone without the parent’s permission.
- C.
Neither
- D.
Both
- 24.Parents should sign a permission slip to allow child care providers to apply over the counter diaper rash medication.
- A.
True
- B.
False
- 25.The 5 Rights when dispensing medication to children include?
- A.
The Right Child
- B.
The Right Medication
- C.
The Right Dose
- D.
The Right Route
- E.
The Right Time
- F.
All listed
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