Current through Register Vol. 63, No. 9, September 1, 2024
(1) Before a school-age center gives a child
any prescription or non-prescription medication, including, but not limited to,
pain relievers, cough syrup, and nose drops, the center must:
(a) Have a signed, dated, written
authorization by the parent(s) on file (also see OAR 414-310-0210, Parental
Permissions);
(A) For chronic medical
conditions, a school-age center may obtain permission for 12 months or less
with specific instructions including when administration is needed, such as
inhalers.
(B) Parental
authorization over the phone is permitted for single dose administration of
non-prescription medication. The date and time of the consent must be
documented and signed by the parent upon picking up their child.
(b) Ensure that the original
container is labeled with the name of the medication, dosage, and directions
for administration and storage.
(A) For
prescription medication, the label must include the child's name, the date the
prescription was filled, the prescribing physician's name, and length of time
to give the medication.
(B) If
parent instructions differ from the container instructions, a school-age center
must have a licensed physician's written instructions for that
medication.
(C) Medication must not
be administered after the expiration date.
(D) Any medication provided by the parents
must be labeled with the child's name.
(c) Ensure that cleaned and sanitized
medication measuring devices are used when providing medication to a child care
child, if applicable.
(2) A school-age center must immediately
document any medication administered, listing the name of the child, type of
medication, date, time, and dosage given, any side effects exhibited by the
child, and the signature of the person administering the medication.
(3) A school-age center must inform parent(s)
daily of all medications administered to their child.
(4) If medication is provided by the parent,
a school-age center must administer medication only to the child for whom it is
intended, and follow the directions on the label.
(5) A school-age center must ensure that all
medications are stored in a manner that prevents use or access by children.
When available, child-resistant caps must be used. Medications must be stored
away from food.
(a) Emergency medicine may be
placed in an unlocked container that is kept out of reach of children while
inside the facility.
(b) Emergency
medicine may not be stored in the child's personal belongings while inside the
facility unless the center obtains written parental consent to permit children
who have asthma to carry their own inhalers or children who are at risk of
anaphylaxis to carry their own epinephrine, and use them as directed.
(6) A school-age center must keep
medications requiring refrigeration in a separate tightly-covered, leakproof
container clearly marked "medication" and inaccessible to children.
(7) If using nonmedical items including, but
not limited to sunscreen, a school-age center does not need to document
application but must:
(a) Have annual written
parental authorization;
(b) Use
only as needed and according to manufacturer's instructions;
(c) Inform parents of the type of sunscreen
used if provided by the center;
(d)
Label the item with the child's name if provided by the parent, and use only
for that child;
(e) Not use aerosol
sunscreen products; and
(f) Allow
children to apply sunscreen to themselves with direct staff supervision and
written parental approval.
Statutory/Other Authority: ORS 329A.280
Statutes/Other Implemented: ORS
329A.280
