PRN Medications

I have an electronic record for routine OTC's; ibuprofen and acetaminophen etc. If there are any other PRN meds ie Ibuprofen 800 or Maxaalt for migraines, I use the same sheet I would use for daily med administration. The name, DOB, YOG as well as the drug name, route, dose etc.

There is a place for those who administer to sign and inititial (in the event of a sub) as well as place for date and dose change. If it is a narcotic, I have an area to note the number of pills that are delivered to school. If Epi is given, it is an automatic transfer to hospital so that is indicated on the incident report.

I use electronic record (SNAP) for my daily prescription meds, OTC meds, and PRN meds. I have a paper record for subs to document since they do not have access to SNAP.

If Epi is given, it is documented in SNAP, but since 911 is called and transfer to ED made, I also fill out an incident report. And in my state (MA), I also have to fill out paper to report to the state that I gave Epi (they track Epi-Pen use).

I also use electronic charting, but since a sub wouldn't use my electronic charting should i call out sick (ha ha , like THAT ever happens!) i set up a med book making 2 sided copies with the med orders on one side and a prn/ sub sheet on the other side. I use the same sheet for both the prns and the routine meds because as I said, it's very rare that I'm out - usually one personal day and an occasional professional day.

I set a separate section in the same book for my diabetics using a similar looking form, but customized for blood glucose, carbs and units. I tend not to copy the diabetics orders and put it in the binder since it's usually a big packet - maybe just their ratios if their on a pen, but most of mine are on a pump anyhow...

I don't know a lot about electronic charting in the schools. JenElizabethRN stated that she uses SNAP, what do you all use? Also how expensive is it to use these programs?

We use MMS Modular Management System. It has biographical, attendance, Health, grades etc. Password protected ie I can see attendance, but only 3 people have access to health in my school. Me, the guidance secretary who can grab immunization info if I am not avail and the IT administrator.

I have electronic charting for input medical notes, but for medication we use paper charting. For PRN medication I just have a grid with the date, time, reason given, dose, and comment section. For the regular once/twice a day meds I have a grid calendar with the dates and it's initialed when the med is given or there is a little code entered if it isn't. (i.e. A=absent; F=field trip).

Our school district has an old electronic program for demographics, immunizations and daily logs. We use a paper chart for each student with a doctor’s order that I keep in a binder along with the parent consent and doctors’ orders. Our PRN meds need a physician’s order and I place the PRN sheets for each student with an order in the same notebook, but in a separate section labeled PRN. Our electronic program has no way of documenting medications. At the end of the year, the med sheet, doctors’ order and parent consent goes into the student’s paper medical folder (record). Our med sheets are typical. I make them up each school year. The entire year is on the front sheet, with squares to initial under the day of the month; at the bottom there is a section for nurse’s initials, signature and a box with codes, such as A-Absent, E-early release, etc.

We have electronic charting (E-school). Parents will sign a consent form then I enter the necessary info into E-school. There is a "day Sheet" tab in the program that will have all scheduled meds and then there is another area I can access for PRN meds.