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Medication Use in Schools. By Our August Student Pharmacist, Ann Kuttothara, Who Very Happily is Almost Done With School.

As you and your children gear up to go back to school, there are many things to do: buy school supplies, shop for new clothes, get haircuts, and try out new lunch recipes.

Don’t forget, however, to add one more important task to your to-do list: get your child’s medication ready for school.

Many children have food allergies which require an EpiPen to be kept with them not only at home, but at school, as well. Some students use asthma inhalers and others carry insulin.

Your child’s important medical information should be shared with the school.

Discuss with your child’s doctor about using medications in school and whether prescriptions are needed for school use. For example, if a child needs an extra EpiPen at school, ask your doctor for an additional prescription for the second EpiPen. Also ask your child’s doctor about carrying medical information with the child when they are at school.

Along with the many forms you fill out for back to school, ensure that medical information and emergency contact information is completed accurately. Provide detailed information about your child’s allergies, medical conditions, and symptoms. Schedule a meeting with school staff, including your child’s teacher and the school nurse, to discuss the use of medications and any special instructions. You may be able to talk with the official in charge of food services, as well, for those children with food allergies. Work with your child’s doctor and school to develop an emergency action plan for steps to follow in case medication administration is necessary.

So how does your pharmacist fit in? Ask your pharmacist to show you how to use all medications, including the EpiPen. Your pharmacist will use the EpiPen training device to help you practice, so you will be comfortable using the actual EpiPen when the time comes. If your child uses medications that need to be taken at school, ask your pharmacist to provide two bottles to separate the medicine for home use and for school use–that way appropriate labels with instructions will be available in both places. Your pharmacist is a great resource, so discuss any questions or concerns with them.

Quick Tips for the EpiPen:

Keep the EpiPen at room temperature and not in cars where the temperatures can become very hot.

Check to make sure the solution is NOT cloudy and make sure it is NOT expired.

Give the injection in the outer thigh. The injection can be given through clothing.

Do not re-use the EpiPen after it is used.

How To Use the EpiPen (follow the picture instructions):

1. Flip open the yellow cap of your EpiPen or the green cap of your EpiPen Jr. Slide the auto-injector out of the carrier tube. Grasp the EpiPen in your fist with the orange tip pointing downward. Remove the blue safety release by pulling straight up–do not bend or twist the release.

2. Push the orange tip against the outer thigh. You can do this through clothing.

3. Push down until a “click” is heard or felt and hold for 10 seconds.

4. Remove the EpiPen and massage the injection site for 10 seconds.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REFERENCES:

Management of Food Allergy in the School Setting. Available from: http://pediatrics.aappublications.org/content/126/6/1232.full

http://www.epipen.com/Professionals/Pharmacists/Administer.aspx

EpiPen Use: Kids Health at The Children’s Hospital at Westmead: http://kidshealth.schn.health.nsw.gov.au/fact-sheets/epipen-use

 

 

 

 

 

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