The purpose of this policy is to give clear guidelines for the administering of medication. If parents feel their child is unwell and needs one to one attention they should not be attending their session. As they cannot strive and enjoy their time in a group environment.The purpose of this policy is to give clear guidelines for the administering of medication. If parents feel their child is unwell and needs one to one attention they should not be attending their session. As they cannot strive and enjoy their time in a group environment.
The nursery will only administer prescribed medication when it is essential to do so that is where it would be detrimental to a child’s health if the child’s health if the medicine were not administered. We would ensure that we have sufficient information about the medical condition of any child with long term medical needs. A fully qualified member of staff shall administer the medication with prior consent & medicine completed by the parent/carer. The child must have been administered the first dose at least 48 hours before returning to nursery, in case of reaction. All prescribed medication must be kept out of reach in the office, except where storage in the fridge is required medication that requires cool storage will be kept in the fridge in the office. Daily medicine requirements are recorded on the whiteboard in the office. All medication administered must be witnessed by a senior member of staff.
Short Term Medication
The nursery is able to administer prescribed medication such as antibiotics in order to finish the course or apply a lotion. A medicine request form giving written permission for staff to administer medication each day until the course is finished should be completed by the parent/carer.
Long Term Medication
Where a child is prescribed medication for a medical need such as eczema, baby reflux or mild asthma but is not severe and a health care plan is not needed the key person will develop a long term medication record with the parent. The parent will agree with the staff how to recognise when the condition is getting worse and when to administer medication. The parent must complete the parental agreement section on this form so that staff can administer the medication and are fully aware of the dosage. If the condition gets worse the manager may feel the need for a health care plan (please refer to health care plan section)
Non Prescribed Medication
The nursery only accepts medication that is prescribed by a doctor, dentist, nurse or pharmacist or from care of the chemist.
If a child needs paracetamol it must have been obtained on care of the chemist and have a label that states the child’s name. It cannot remain on nursery premises. Parents must discuss on arrival if they feel their child needs paracetamol and explain to staff why. A medicine form MUST be completed of the parents requests. Staff can only administer paracetamol for 3 consecutive days.
When administering any medication the nursery staff must ensure they receive the following information:
- A medicine request form prior written permission for staff to administer medication completed by the parent who has parental responsibility, stating the name of medication, when the last dose was given, the time and dosage that the staff will be required to give medication. Unless the child has a health care plan in place, it may be necessary for the parent to complete a long term medicine request form each day.
- Where applicable if the administration of medicines requires technical/medical knowledge then individual training will be required for staff from a qualified health professional. Training specific to the child concerned.
- The nursery will not accept medicines that are not in their original container. All medicines must be clearly labelled with the child’s name. All short term medicine should be returned to the parent at the end of the child’s session.
- Parents of children that are collected from school must inform nursery staff of any medication the child is on before 10am each day. A letter explaining when and how the medicine is to be given and stored is to be handed to school and then passed onto nursery.
Written records must be held by the nursery
All medication forms will be completed by the member of staff administering or applying the medication. Members of staff administering medication are required to complete medication forms with the date, time and dosage and their signature when medication has been given.
The manager or senior member of staff are required to witness the administering of any medication to any child and are required to countersign once the medication has been given.
A second countersignature must be completed by the manager or deputy before records are filed away.
All children on medication whether it be long term or short term must be reported to the manager on arrival. This information with then be displayed in the office to ensure the manager, or in her absence the deputies, can incorporate this into the daily checks at 10am and 2pm.
Nappy Rash or teething gels and powders
Nappy rash creams/teething gels and powders can be applied by nursery staff provided the parent specifies when it is to be used and how much is to be applied. The nappy rash cream/teething gel and powder supplied must be a recognised nappy cream that can be purchased at a chemist. These must be recorded on the creams and lotion forms.
Teething (Children under 2 years only)
At the discretion of the manager or in her absence the deputy, paracetamol may be given to children that are teething alongside other medications such as teething gels or powders. Consent must be sort from parents before medication is administered. Pain relief must be prescribed by the child’s doctor. (see above paracetamol guidelines)
Health Care Plans
When the child has a long term medical condition such as diabetes, epilepsy or anaphylaxis a Health Care Plan must be in place with the parent, Nursery manager and relevant Health Care professionals. The parent must also complete the Parental Agreement section of the long term medication form so that the staff can administer medication. Advice from the relevant Health Care professional will be sought to determine whether the administration of medication requires training.
Health Care Plans must be developed prior to the child starting at the nursery. If the condition develops when the child already attends the nursery then a Health Care Plan must be developed immediately with the input from the parents/carer and appropriate Health Care Professionals. In some cases it may be necessary for childcare to stop until the Health Care Plan and appropriate training has been put into place. This will be determined by the Nursery Manager after consultation with relevant Health Care professionals. This is to ensure that the nursery remains a safe place for the child and ensures the Nursery staff can meet the needs of the child appropriately and provide the level of support that is required.If a child needs medication for a long term purpose a long term medication form will be put into place for that child and parents will give us consent on this form and sign each day when staff have administered the medication at the time stated by parents/carers. Parents and carers must make staff aware of any changes to medication, dosage and times for administering the medication at the first instance and if a health care plan is in place this will be edited in conjunction with the parents.
The nursery will make every endeavour to follow the parent/carers instructions, but reserve the right to refuse a request to administer medicines whilst a child is in our care.