Administration of Authorised Medication Policy


Aim
To administer medication in a way that ensures children’s safety and complies with the National Law and Regulations. We recognise it is essential to follow strict procedures for the administration of medication to ensure the health, safety and wellbeing of each child at the service.

Implementation

Educator Responsibilities

Educators will administer medication to a child if:

  • it is authorised in writing by parents/guardians or another person they’ve authorised on the enrolment form or
  • in an emergency, it is authorised verbally by medical professionals including doctors, paramedics, other relevant emergency personnel or parents/guardians. No authorisation is required to administer emergency asthma or anaphylaxis medication (eg asthma inhaler, Epipen) to a child in an emergency.

Educators will store medication securely, making sure it’s inaccessible to children, in line with the Medication Storage Procedure. This includes ensuring auto injection devices (eg Epipens) and asthma puffers are stored up high in rooms so they are inaccessible to children but readily available to educators.

Medication includes prescription, over-the-counter, complementary and therapeutic goods under the Therapeutic Goods Act 1989  like Panadol. sunscreen, nappy cream and insect repellent (all listed on the Australian Register of Therapeutic Goods) which:

  • prevent, diagnose, cure or alleviate a disease, ailment, defect or injury
  • influence, inhibit or modify a physiological process.

In relation to insect repellent, educators will read the label to ensure that it is safe for children in the relevant age range to use, and if it contains DEET, the concentration of DEET is no more than 30%.

Over-the-Counter Pain Relief Medication eg Panadol

The following section must be consistent with your Acceptance and Refusal of Authorisations Policy and service practices in relation to whether or not you administer Over-the-Counter pain relief medication like Panadol. DELETE THIS SENTENCE AND IRRELEVANT PARAGRAPHS

We do not accept written or verbal authorisations to administer Over-the-Counter pain relief medication like Panadol, Nurofen, Ibuprofen and paracetamol unless it has been prescribed by a medical practitioner, or authorised verbally in an emergency as outlined above.  Pain relief medication may mask the symptoms of serious illnesses and our educators are not qualified medical professionals. 

OR

Unless the child has a medical emergency (see above), we only accept written authorisations to administer Over-the-Counter pain relief medication, including medication like Panadol, Nurofen, Ibuprofen and paracetamol. Where parents (or person they’ve authorised on the enrolment form) have not already authorised administration in writing the same day, we may agree to administer the pain relief medication after speaking with a parent (or person they’ve authorised on the enrolment form), but we must first receive written authorisation, for example via email, consistent with that below.  

I, <insert name of parent or other authorised person> authorise the administration of <insert name of medication eg Panadol> to <insert child’s name> in line with the dosage and instructions accompanying the medication. I understand that pain relief medication may mask the symptoms of serious illnesses and that I’m advised to take my child to see a medical professional as soon as possible. If required by the Service, I, or another authorised person, will collect <insert child’s name> within <insert agreed timeframe>.

Educators will administer medication in a clean and quiet area in line with the Administration of Medication Procedure, or where relevant the Insect Repellent Application Procedure or the Sunscreen Application Procedure.

Where children remain at the Service after administration of pain relief medication, and the medication does not relieve a child’s symptoms, educators will ask parents/guardians to collect the child within one hour or to make alternative arrangements for their child’s care. Educators will implement the Medical Emergency Procedure and Fever Procedure if required.

Family Responsibilities

Anyone delivering a child to the service must not leave medication in the child’s bag or locker. Medication must be given directly to an educator on arrival for appropriate storage.

Nominated Supervisor Responsibilities

The Nominated Supervisor will:

  • ensure a copy of this policy is provided to parents/guardians when they enrol their child
  • educators follow the Medication Storage Procedure when receiving medication from parents/guardians
  • arrange training for educators as required including in the administration of emergency medication like EpiPens and asthma inhalers, and where there are special requirements for administering medication eg nebulisers. Educators will not administer medication from any device they are not familiar with or trained to use
  • diarise to regularly audit children’s medication to ensure it has not expired, and is in the original container with legible labels. Expired medication or medication no longer required will be safely returned to parents/guardians for disposal or the Director may choose to safely dispose of the medication ensuring it cannot be accessed by children.

The Nominated Supervisor will record when medication disposed of (and how) or returned to families on the Medication Record.

Medication Record

Educators will complete a Medication Administration Check and a Medication Record with the name of the child each time medication is administered to a child which:

  • contains the authorisation to administer medication as detailed in the following point
  • details the name of the medication, the dose to be administered and how it will be administered, the time and date it was last administered, and the time and date or circumstances when it should be administered next
  • if medication is administered (including during an emergency), details the dosage administered and how administered, the time and date administered, the name and signature of the person that administered it, and the name and signature of the person who first checked the child’s identity and dosage, and then witnessed the administration.

For practical reasons, educators may adapt the record keeping for sunscreen, insect repellent or nappy cream, as long as there is a current authorisation from parents/guardians or another authorised person to administer the product. For example, use of nappy cream may be noted in nappy change information. However, educators must treat pain relief medication like any other prescribed medication, completing appropriate checks before administering the medication and recording the administration on a Medication Record.

Medication Records will be stored securely so children’s privacy is maintained.

Educators will immediately notify the Nominated Supervisor if medication is incorrectly administered to a child. The Nominated Supervisor will immediately contact the child’s parents/guardians, document following the Incident/ Injury/Trauma/Illness Procedure and if required implement the Medical Emergency Procedure.

Related Policies

Acceptance and Refusal of Authorisations Policy
Emergency Service Contact Policy
Enrolment Policy
Incident, Injury, Trauma and Illness Policy
Infectious Diseases Policy
Medical Conditions Policy

Tools

Authorisation – Nappy Cream

Authorisation – Sunscreen

Checklist – Medication

Medical – Medication Administration Check

Medical – Medication Record ACECQA

Procedure – Administration of Asthma Medication

Procedure – Administration of Medication

Procedure – Administration of Medication in Emergency

Procedure – Anaphylaxis Emergency

Procedure – Asthma Emergency

Procedure – Epipen Administration

Procedure – Fever

Procedure – Incident/ Injury/Trauma/Illness

Procedure – Insect Repellent Application

Procedure – Medical Emergency

Procedure – Medication Storage

Procedure – Panadol

Procedure – Sunscreen Application

Sources
National Quality Standard

2.1.2 Health practices and procedures – Effective illness and injury management and hygiene practices are promoted and implemented.

2.2.1 Supervision – At all times, reasonable precautions and adequate supervision ensure children are protected from harm and hazard.

Education and Care Services National Law

167 Offence relating to protection of children from harm and hazards

Education and Care Services National Regulations

90 Medical Conditions Policy

91 Medical conditions policy to be provided to parents

92 Medication record

93 Administration of medication

94 Exception to authorisation requirement – anaphylaxis or asthma emergency

95 Procedure for administration of medication

Early Years Learning Framework

Learning Outcome 3

Children take increasing responsibility for their own health and physical wellbeing.

Educators promote continuity of children’s personal health and hygiene by sharing ownership of routines and schedules with children, families and the community.

Review

The policy will be reviewed annually by the Approved Provider, Supervisors, Employees, Families and any committee members.

Reviewed : 10-20-2021
Date for next review : 10-20-2022