Current through Register Vol. 63, No. 3, March 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.257
Statutes/Other Implemented: ORS
329A.257
