Sub Folder - med list

Wave Watcher · Jan 5, 2015

An Excel spreadsheet would probably work nicely for you. I only have one diabetic so I used Microsoft Word and made a "Daily Sheet" of her times for BS, CHO's and Insulin given. I file it away each day. We also use SNAP. I use my own daily sheet as back up if I ever needed to double check anything. I also make my notes during the day on that sheet.

RNlove17 · Jan 5, 2015

Thank you. This is my 2nd year here (and last year I was out for almost 3 months on maternity leave!) so I'm still learning things. I don't have much interaction with other school nurses so I like to see how others "do it."

NutmeggeRN, BSN · Jan 5, 2015

That works as long as you keep it current......I update as often as possible, but in my folder, I direct them to my med book which will have an order, signature sheet for dispensing, recording of doses received etc. THAT is the most current.

kidzcare · Jan 5, 2015

When I have a sub, they can access my computer system. I also leave a list of daily medications and PRN medications in my sub folder for quick reference.

The daily list has names, but no specific details about the med. It's just so the sub can make sure each student who is supposed to come in daily doesn't forget. I also have DOB listed on it in case the students forget their ID that day so the sub can ask that as a means of identifying students that they don't work with every day.

Kind of looks like:

Lucy Jones (DOB: 11/1/2002) 1100 one tablet

Janey Smith (DOB: 1/1/2004) 1200 one tablet

Johnny Student (DOB: 10/12/07) 1300 1.5 tablets

OldDude · Jan 5, 2015

I include a photo of the student for my sub to use as confirmation...as I learned from experience. On the elementary level it is common for the kids to not know their birthday so all that's left is name and teacher for identifying information. My sub asked the child if his name was 'XYZ" instead of asking him what his name was....he said yes, his name was "XYZ," popped the pill in his mouth and swallowed it with no objection or comment. It was only discovered when the real "XYZ" came in later for his medicine.

JenTheSchoolRN, BSN, RN · Jan 6, 2015

I include a photo of the student for my sub to use as confirmation...as I learned from experience. On the elementary level it is common for the kids to not know their birthday so all that's left is name and teacher for identifying information. My sub asked the child if his name was 'XYZ" instead of asking him what his name was....he said yes, his name was "XYZ," popped the pill in his mouth and swallowed it with no objection or comment. It was only discovered when the real "XYZ" came in later for his medicine.

Very smart idea!

I do an excel spreadsheet with three pages: one for scheduled meds, one for my diabetics, and one for my PRN prescription medications. I have name, DOB listed for subs, along with another broader identifier like grade, advisory name.

Subs do have access to the computer if they'd like; I have some subs that use it, and some that don't (I have physical paperwork for students as well on health cards they turn in at the beginning of the year). I started in school nursing as a sub without computer access and it was tough when I got bombarded with students, so I can't imagine why you'd won't use it, but to each their own...

Flare, ASN, BSN · Jan 6, 2015

i'm in a similar situation. im in a bit of a transition - as i feel like i'm doing a lot of work for nothing so here's where i'll be taking my sub med book - the daily meds get the original med order photo copied with the other side being the prn/ sub nurse log (they are the same form for me) that goes in one section. the diabetics get logs in a separate section and the prn orders get filed into the prn section alphabetically with a stack of prn logs at the front. Should a student need a prn while i'm out a sub can start a log (if a student has multiple meds and a nurse starts a log then i may add the other meds to the log page. just to keep things tidy. In addition to make life easy for the sub nurse, i'll make a print out of all active meds on a regular basis and add it to the book so that the sub can tell from a glance who has what meds. i'll see how this works out.

Windchaser22 · Jan 23, 2015

In the elementary school where I sub a lot the nurse has a list set up by time, which is extremely helpful in her super busy office. This way any sub knows that the five kids with diabetes all come in at 8:40 for BG check, at 9:30 Jane doe gets 5 mg XYZ med, at 12:00 John Doe diabetic glucose, lunch cho count and insulin, 12:15 diabetic 2 etc. etc. it's 3 pages long but any nurse knows exactly who should be coming in, when they are coming and what we are giving. There is also a med book with orders and a current pic. Electronic charting has pic as well for Id. I know all the kids fairly well but I make them tell me their name anyway and verify the name and dose and time before giving it.

Massmagic · Jan 25, 2015

I do very similar to FLARE and I also keep a written list of daily med takers times, grade, teacher and med as a fast cheat sheet. But I make a log sheet for all medications, even the PRNs I place the students with Daily Meds in a binder in the very front and I clip the LOG Sheet with a student picture, Doctor Order and Parent Consent together. The PRNs are then placed in the notebook similar way but in Alphabetical order for easy access.

I do make a cheat sheet and I use a cheat sheet for myself daily. I always have. I guess it is what people get used to. I find that it is easier for me to keep the sheets under my desk blotter and cross meds off as I give them and then log them on the log sheets. I know that when I used to sub I love that paper cheat sheet - the only problem is that it has to be kept up to date.

In my sub folder, I place emergency plans or Care Plans on students with emergency meds in the opposite front pocket of the sub folder so that they are sure to see it.