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Discussion

Medications

How do you organize medications in your clinic? What system do you have in place to prevent errors?

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Zillions of ways to organize medication; but...a trick I learned from another school nurse is after I give a scheduled medication for the day, I turn the bottle upside down so I will know what has and has not been given just by looking in the cabinet.

I have a cabinet that I keep locked when I am not in the room, I sort the meds alphabetically by last name. To prevent error I look at the name on the bottle look at my order and ask the child there name I give that child there med and the right dose when it is needed then I document the time what med and the child's name for my records. follow the 6 rights for medication Right med, right patient, right dose, right route, right time, right documentation

They each get their own little 3x10 basket (2 per pkg at dollar store) and as well as always checking the label I label the basket as well and keep them in alphabetical order. That said, I don't have all that many meds.

We have brown envelopes (tiny ones or the full size) with the student's name and picture on the outside and the medication bottle/container on the inside. They are organized on the shelf by what time they come in (usually 1st or 2nd lunch). My diabetics must bring a lunch container or other large box to put their supplies in. Emergency medications are kept on it's own shelf. If medication needs to be in the fridge I have a locked tackle box.

Scheduled daily meds are locked in a cabinet - bottles are just lined up in the order I give them thru the day. OTC meds are labeled with student name on container and placed in a basket inside a cabinet on one shelf, next shelf down is all of my inhalers - in baggies labeled with student name, next shelf down is neb stuff, and bottom shelf is EpiPens.

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