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School office staff and medication

(39 Posts)
Effective Sat 07-Sep-13 13:48:08

I am here a lot, but namechanged as my other posts may make this child identifiable - have changed some details to try and avoid that.

I work in a school office. The school's policy is that we will administer prescription medications in line with the prescription and with a form signed by the parent. Generally speaking I am fine with this - it is usually Ibroprofen, allergy meds or antibiotics to be taken either as and when needed to a max of x doses a day, or at a certain time each day for a defined period. The instructions are recorded, the children usually remember to come and get them at the allotted time (junior school) and if they don't I go and find them. Once they've taken them I sign the book, so everyone who needs to know knows they've had them.

If (hasn't happened yet) I forget one, as a one off, it wouldn't be the end of the world in these circs.

However, we have a seriously ill girl at school from this term and she has to take a huge amount of vital meds. GOSH sent someone to explain it all to us. I need to make sure she has them 3 times a day, the correct distance from her meals and it really does matter if it's wrong.

I am feeling the weight of this responsibility somewhat and whilst I obviously will do my utmost to get it right, does anyone know what my position would be if I got it wrong? e.g a dose was missed, or insufficient/too much time between doses.

Effective Sat 07-Sep-13 15:12:42

But that's what worries me dingle, the one occasion I don't follow the policy to the letter, perhaps because three people were asking for something at the same time and I missed the time slot.

Cerisier Sat 07-Sep-13 15:27:38

You need to discuss with the Head and they must make it clear to everyone that the meds are your number one priority and everything else must wait.

Uverguv Sat 07-Sep-13 17:59:19

I work in a school office where we have a similar system of administering medication to the one you describe. Parents fill a card with instructions for when the medicine is to be taken, how much etc. We fill in the card and initial each time the medicine is given. However, our medicine policy very clearly states that staff are not obliged to give medicine to children and do so on a voluntary basis, there is no compulsion to do so. It also states that we will make every effort to give medicines but that if parents want to be certain that the children are given their medicine at the correct time, they should come into school to administer it themselves. I appreciate that this may be difficult for some parents, but I think that it's really unfair to put the onus onto you - there are so many things going on at any one time in a school, that it would be easy to forget a dose. Like other posters, if you are unhappy with this situation, I think you would do well to seek advice from your local authority, or your union.

daftdame Sat 07-Sep-13 18:04:32

Uverguv Very difficult. These children do have a right to an education, the school does have a Duty of Care. Expecting a parent to take up the shortfall is discriminatory. It is up to the school / LA to ensure the staff are adequately qualified to carry out a Care Plan.

Uverguv Sat 07-Sep-13 20:29:10

Point taken, daft, and I guess that we usually deal with children who are taking something like a short course of antibiotics rather than those who are on a permanent drug regime. Nonetheless I do feel that it's not right that the OP should feel that she carries the whole burden of responsibility for this child's medication while they are in school and that she has not been adequately informed about what her position would be if things went wrong. Her employer has a duty of care to her as well.

daftdame Sat 07-Sep-13 20:36:53

Absolutely Uverguv. That's why I said schools and LAs have a responsibility for ensuring adequately qualified staff.

clam Sat 07-Sep-13 20:54:28

I'm afraid the cynic in me predicts that not one of these official people who are smiley and confident that everything's "all in order" will be seen for dust if anything does go wrong. And you will cop for the blame, know that.

Not to mention a lifetime of (unjustified but not unreasonable) guilt for "letting her down." (Not blaming you AT ALL, but predicting that's how you might feel).

I would be taking advice at the highest level on this one.

CoconutSponge Sat 07-Sep-13 21:00:51

OP I can understand your reservations about all of this, for reasons such as those given by clam.

What is the medication?

DorisIsAPinkDragon Sat 07-Sep-13 21:18:13

I have a dd who may well in a few years be in a similar situation to the child in the OP.

As it is she already takes meds in school (with all food ) and has additional snacks. In her case because it is mealtimes and snack times she has her own bags of meds kept in her classroom and the TA or lunchtime assistant help her.

In your situation I think I would ask for a review of your role given the impact it IS going to have, and look at how you can minimise that impact.

Maybe you need to write out a rota for the week for times (allowing for adjusted mealtimes) and put them into a phone or similar device provided by the school so it will go off even if you are sick! (voice of experience there!)). The management team will need to understand that if you take on this additional duty you may not be able to work as before.

On a positive note dd's school were very apprehensive about how they were going to manage, not negative, but more a fear of the unknown. Tbh they have been fab they have been occasional hitches but it happens we talk and learn from that.

It think you will cope OP but the management need to be onside about how big a chunk this may bite into your time.

clam Sat 07-Sep-13 21:27:55

I don't think that the impact on the OP's time is the issue here. She has already said that issuing common or garden meds is part of her role and that she is willing to do that. This one, however, is different, because of the implications of what happens if they are missed. She will be held responsible, no matter what the LEA or GOSH say at the moment.
I don't think that's fair on her.

daftdame Sat 07-Sep-13 22:19:21

The difficulty is that is issues such as this are not resolved in schools, inclusion becomes very difficult.

I really feel for OP but the SMT and LA should really be more supportive.

ChinaCupsandSaucers Sat 07-Sep-13 22:36:53

I haven't agreed to anything. I have been told that my role requires me to take on this responsibility. If I am unable/unwilling to do so, I am unable to fulfil my role (and the poor child does need her meds, someone has to do it)

From a purely employment/HR perspective, you can ask for your role to be reviewed. Your grading will be based on the level of responsibility you have. in this case, it is not the task itself, but the implications of successfully completing the task which have changed, therefore your grading will change.

Compare it to a more administrative function to highlight the issue from an HR perspective.. You may currently have responsibility for returning LEA data returns accurately and on time.
Imagine if overnight, the consequence of getting that wrong was that the school instantly went into special measures. Your level of responsibility would have increased and they would either reallocate the task or regrade your role to reflect the level of responsibility. They would also ensure you were competent and not rely on you if you expressed doubt in your own capability to successfully achieve the task.
Your situation is the same - but there's a DCs life at stake.

It sounds callous, but to cover yourself, please ensure that you have expressed your concerns, in writing, to your immediate line manager and the Head.

Tabby1963 Sat 07-Sep-13 22:49:24

I work in a primary school. I am a Support for Learning Assistant and hold a first aid certificate valid for three years. Several other SLAs also hold certificates. No member of staff who does not have first aid training is permitted to administer any medication or deal with injuries.

All medication has to be prescribed by a doctor, not purchased over the counter. Medication is given as per the instructions on the bottle, not as per the instructions of the parent.

Additionally, our HT has stated that if we are not happy to administer certain medications i.e. invasive diabetes tests and insulin injections, we do not have to. If no member of staff was comfortable carrying out a particular medical procedure, the parent would be expected to come to school and do it.

Further, all staff who do agree to carry out any invasive medical treatment are required to be properly trained by a medical professional before hand.

Finally, two qualified members of staff have to be present when invasive medical treatment is carried out, both signing the sheet with date, time, dosage, medicine details etc.

Effective I am interested in you school's policy in relation to this pupil with complex medical needs. Have you been asked whether you are comfortable with doing this task? If you are happy to do it, have you yet had the opportunity to be properly trained by a medical professional (not the parent) in the correct procedure? Additionally, I am concerned that you are being left alone to deal with administering this pupil's medication. You should have a second member of staff with you at all times, also properly trained. Finally, if you are not happy about administering this medication, you must speak up and inform your HT. It is a massive responsibility and you may be liable (as well as the school) should something go wrong. Please protect yourself and the pupil.

Your local council's Education Department and your school should have a written policy about medication administration. You should have access to it at school (all our policies are kept in the staff room on a shelf and the medical one in our medical room).

I hope you are able to sort this out next week. Good luck.

daftdame Sat 07-Sep-13 22:54:44

Parents should not have to come in. If the child has a Medical Statement the school has a Duty of Care.

The OP still has employment rights though, sufficient training and insurances etc. She needs to be confident this is in place.

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