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Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 [email protected] v

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Page 1: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Changes in Medication Laws

Rachel Gallagher, RN, CPNP, NCSNWisconsin Department of Public InstructionSchool Nursing Consultant(608) [email protected]

Page 2: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Act 160 Effective Dates

School Nurse Definition - Adm. RuleDecember 30, 2010

Administration of Drugs to Pupils – March 1, 2011

Page 3: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Medication Law – Chapter 118.29

Definition of Drugs

Packaging of Drugs

Training

Documentation

Page 4: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Definitions

Drug” means any substance recognized as a drug in the official U.S. pharmacopoeia and national formulary or official homeopathic pharmacopoeia of the United States or any supplement to either of them.

“Drug product” means a specific drug or drugs in a specific dosage form and strength from a known source of manufacturer.

Page 5: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Packaging of Drugs

Prescription drugs must come in legible pharmacy labeled containers.

Non-prescription drugs must come to school in the original manufacturer’s packaging with ingredients and recommended therapeutic dose.

Supplied by parent.

Page 6: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Training

DPI Approved TrainingKnowledge Skill component for

non-oral medicationsDetermined in

frequency and content – Adm. Rule

Civil Liability Exemption for school administrators and personnel contingent on training occurring

Page 7: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Documentation

Each dose medication

administered

Medication errors

Page 8: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Resources

Q and A regarding DPI Approved TrainingEnd of School Year (available after rule passes)

DPI Medication training website: http://dpi.wi.gov/sspw/medtraining.html

Page 9: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Wisconsin Department of Public Instruction Presents the

Wisconsin School Meds On-Line Training Course

Page 10: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

What is the School Meds On-Line Training Course?

Purpose – SAFETY

Program relationship with the school nurse

Medication administration resources

Page 11: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

How is the medication on-line training course organized?

Course 1

Course 2

Course 3

Page 12: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Course 1Unit 1 – Wisconsin Law

and RegulationUnit 2 – ConfidentialityUnit 3 – Authorized RoleUnit 4 – Classification of

MedicationUnit 5 – HandwashingUnit 6 – The Five RightsUnit 7 – DocumentationUnit 8 – Giving Tablets,

Capsules and SprinklesUnit 9 – Oral Liquid

MedicationUnit 10 – Medication

Errors

Page 13: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Course 2Unit 1 – Topical Skin

AdministrationUnit 2 - Eye Medication

AdministrationUnit 3 – Ear Medication

AdministrationUnit 4 – InhalersUnit 5 – Self-

Administration of Medication

Unit 6 – Gastrostomy Tube

Unit 7 - Nebulizers

Page 14: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Course 3

Unit 1 - Epinephrine

Unit 2 - Glucagon

Unit 3 - Diastat

Page 15: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Individual access to units in course 2 & 3

Certificates for successful completion

Wisconsin SchoolMeds:

http://www.wisconsinschoolmeds.com/

Page 16: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Training Administrator

• One per district• Resource section• Registration• Same registration

password for the course

• Reports who trained in school district time and person

Page 17: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Webcasts/Test

• Save a Life with – EpiPen®– Twinject®

• Save a Life with Glucagon®

• Save a Life with Diastat Acudial®

• Rescue Inhaler – Help Student Breathe Better

Page 18: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

CompetencyChecklist

• Oral• Topical • Eye • Ear• Inhaler• G Tube – Low profile and

tube• Nebulizers• Epinephrine• Rectal Diazepam• Glucagon

Page 19: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

Access to DPI Webpage

http://dpi.wi.gov/home.html

• Search Box–Medication

Training–School nursing

program

Page 20: Changes in Medication Laws Rachel Gallagher, RN, CPNP, NCSN Wisconsin Department of Public Instruction School Nursing Consultant (608) 266-8857 Rachel.gallagher@dpi.wi.gov

• Questions

Rachel Gallagher, RN, CPNP, NCSN

DPI School Nurse Consultant

[email protected](608) 266-8857