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  #1  
Old 01-10-2014, 04:51 PM
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Default Does Anyone Here NOT Administer Medications?

Just thinking about things and was wondering how many of you do not administer medications of any kind during daycare hours.

how many of you allow for parents to come administer them?
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Old 01-10-2014, 05:06 PM
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I do NOT administer meds. I do NOT keep any meds on site.

I DO allow parents to give their child OTC meds for ear aches etc IF they disclose upon drop off that they did so. I have a form they need to fill out stating reason why meds were given, how much, why and who dispensed.

If they lie about why they gave meds, it is usually obvious after 4-6 hours so I make it VERY clear that if they medicate to cover up something, it is grounds for immediate termination.

I don't however, allow parents to come and re-dose during the day.

HTH
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Old 01-10-2014, 05:11 PM
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So they only can give prescribed meds to their child during daycare hours.
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Old 01-10-2014, 05:23 PM
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I won't do prescription meds at all.

That scares me. I've seen two cases personally in the last 3 years of prescriptions being written wrong or filled incorrectly by the pharmacy.

I'm just too freaked out so I prefer not to give a kid prescription meds at all.

If they HAVE to have 3 doses, I advise the parent to time it before daycare, immediately after and again at bed time. I just don't want the liability or the risk. kwim?

I know my adversion to giving meds is extreme but I think we all do what makes us comfortable and figure out a way around the stuff that makes us uneasy.
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Old 01-10-2014, 05:30 PM
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I created my medication policy based on Blackcat's.

No child can be here if they need pain/fever reducer at all. I know that's extreme, but IMO if they are in so much pain they need meds to get through the day then they should be at home.

I don't give prescription meds unless they are for a chronic condition like asthma or an allergy that requires an epi pen to be here.


I just don't want the liability. Based on my meds policy I should almost never have to worry about a parent accusing me of administering them incorrectly, kwim?
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Old 01-10-2014, 05:48 PM
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Quote:
Originally Posted by Blackcat31 View Post
I won't do prescription meds at all.

That scares me. I've seen two cases personally in the last 3 years of prescriptions being written wrong or filled incorrectly by the pharmacy.

I'm just too freaked out so I prefer not to give a kid prescription meds at all.

If they HAVE to have 3 doses, I advise the parent to time it before daycare, immediately after and again at bed time. I just don't want the liability or the risk. kwim?

I know my adversion to giving meds is extreme but I think we all do what makes us comfortable and figure out a way around the stuff that makes us uneasy.
I just wrote a letter for the new PHB, you mind taking a peak at it.
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Old 01-10-2014, 06:11 PM
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I do NOT administer meds.


HTH
Me neither!!!
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Old 01-10-2014, 07:38 PM
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I only do medications that are necessary for day to day wellness: EpiPens and/or Benadryl for allergies to food, latex, bees, etc., Tylenol or Motrin for fever reducing for infants or kids with a history of febrile seizures, and asthma inhalators and/or nebulizers. I would do Insulin if I ever had a child who needed it but my state would require additional training for that. I do not do over the counter meds, antibiotics, ear drops, or anything else because there is no reason these can't be given at home.
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Old 01-10-2014, 07:45 PM
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EntropyControlSpecialist - can't log in (don't remember password, lol)

I never, ever, ever do.

I just tell the parents to administer before, right after, and before bed like a previous poster stated. No biggie. I only had one family have issue with this but in all honesty they had issues with everything and had to go.
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Old 01-10-2014, 07:47 PM
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No I am a RN and I don't give meds. I have emergency benadryl and kiddie advil in case a kid goes into fever seizure zone but other than that I do not do meds. It would have to be a medical emergency.

I quit doing nebs in 08 and made one exception. It was a NIGHTMARE and I would NEVER do it again. The same problems I had that caused me to stop in 08 came right back up and I realized that no matter how many rules I set up to avoid them, it wouldn't help.

Never again. If I were forced to do nebs again I would quit child care.
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Old 01-10-2014, 08:08 PM
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EntropyControlSpecialist - can't log in (don't remember password, lol)

I never, ever, ever do.

I just tell the parents to administer before, right after, and before bed like a previous poster stated. No biggie. I only had one family have issue with this but in all honesty they had issues with everything and had to go.
It is funny to tell parents to give meds at home because they will then tell me that they can't get the child to take their meds but know I can make the child do so. I tell them sorry, but that is their problem, not mine.
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Old 01-10-2014, 09:30 PM
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Quote:
Originally Posted by nannyde View Post
No I am a RN and I don't give meds. I have emergency benadryl and kiddie advil in case a kid goes into fever seizure zone but other than that I do not do meds. It would have to be a medical emergency.

I quit doing nebs in 08 and made one exception. It was a NIGHTMARE and I would NEVER do it again. The same problems I had that caused me to stop in 08 came right back up and I realized that no matter how many rules I set up to avoid them, it wouldn't help.

Never again. If I were forced to do nebs again I would quit child care.
What was the nightmare with a nebulizer? Just curious, I haven't had any issues with them but it would be nice to know for the future!

I updated my medicine policy with this contract. I have read about some of your stories on here and changed it. No over the counter medications. I only give prescription medication if absolutely necessary. I require a doctors note with the correct dosage and medicine needs to be in original container. I haven't had a big problem except once a mom wanted me to give her less than 1 year old cough and cold tablets. I told her no and never had an issue again.
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Old 01-10-2014, 09:39 PM
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I don't do meds- the way my state has it set up I see it as a liability nightmare. I will allow parents to come and dose if its a three day dose or pain reliever for teething or ear infection.
I will do emergency meds- because ... It's an emergency! .
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Old 01-10-2014, 09:42 PM
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I don't do any meds. I have a sheet they fill out if they gave something before care. I also tell them, I have the right to not take the child into care depending on med and reason (giving a 2 year old cold medicine-they don't make cold medicine for that age, so what did you give them).
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Old 01-11-2014, 03:55 AM
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I don't do meds, either. I won't accept children who have been given OTC meds, whatever it is. I will (and have) termed immediately for this. I have stopped interviews with families who want me to give their kids tylenol, etc for (insert whatever) here.
I am of the opinion that if a child needs meds, then they need to be home. I won't do prescription meds, either. I guess similar thoughts to a few others here

I will administer an epi pen or inhaler if need be. I don't have children enrolled with health issues so would cross that bridge when I came to it.
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Old 01-11-2014, 08:16 AM
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I don't do any meds for kids. Everything must be given at home, including breathing treatments.
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Old 01-11-2014, 09:12 AM
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Quote:
Originally Posted by nannyde View Post
No I am a RN and I don't give meds. I have emergency benadryl and kiddie advil in case a kid goes into fever seizure zone but other than that I do not do meds. It would have to be a medical emergency.

I quit doing nebs in 08 and made one exception. It was a NIGHTMARE and I would NEVER do it again. The same problems I had that caused me to stop in 08 came right back up and I realized that no matter how many rules I set up to avoid them, it wouldn't help.

Never again. If I were forced to do nebs again I would quit child care.
I am interested in this too- I have always given neb treatments and maybe I am missing something? (I also let my oldest swing-sleep I know better now )
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Old 01-11-2014, 12:47 PM
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Originally Posted by JoseyJo View Post
I am interested in this too- I have always given neb treatments and maybe I am missing something? (I also let my oldest swing-sleep I know better now )
http://daycare.com/forum/showthread....ight=nebulizer
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Old 01-11-2014, 12:52 PM
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Quote:
Originally Posted by Blackcat31 View Post
I do NOT administer meds. I do NOT keep any meds on site.

I DO allow parents to give their child OTC meds for ear aches etc IF they disclose upon drop off that they did so. I have a form they need to fill out stating reason why meds were given, how much, why and who dispensed.

If they lie about why they gave meds, it is usually obvious after 4-6 hours so I make it VERY clear that if they medicate to cover up something, it is grounds for immediate termination.

I don't however, allow parents to come and re-dose during the day.

HTH
All of this, exactly. If a child requires a med that needs to be given during dc hours, they need to stay home.

I have one child enrolled currently who needs a per diem nebulizer. When he needs a neb treatment, Mom comes, brings it with her, and administers it, and takes it all with her, and then I have her document and sign a form for it. In our state, someone within the third degree of consanguinity can do so, and I have NEVER had a parent question this.

It's a hassle in our state, and quite frankly the liability for error is way too high. Pharmacy error, parents putting wrong meds in bottles, dosage error, possibility of side effects. No way.
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Old 01-11-2014, 10:33 PM
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Quote:
Originally Posted by nannyde View Post
No I am a RN and I don't give meds. I have emergency benadryl and kiddie advil in case a kid goes into fever seizure zone but other than that I do not do meds. It would have to be a medical emergency.

I quit doing nebs in 08 and made one exception. It was a NIGHTMARE and I would NEVER do it again. The same problems I had that caused me to stop in 08 came right back up and I realized that no matter how many rules I set up to avoid them, it wouldn't help.

Never again. If I were forced to do nebs again I would quit child care.
Quote:
Originally Posted by JoseyJo View Post
I am interested in this too- I have always given neb treatments and maybe I am missing something? (I also let my oldest swing-sleep I know better now )


One thing I have found with the nebulizers is that the pediatricians often write the forms out as an "as needed" or PRN med. and prescribe them only to be given when certain symptoms are present (wheezing, shortness of breath, coughing, etc.) BUT the parents will request that I give the med. at a certain time. I explain that I cannot give the med. at a prescribed time but must be watchful for the symptoms and only give the med if it is necessary. This has proved to be a difficult thing for some parents to understand.
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Old 01-12-2014, 07:33 AM
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Thank you! This is a different situation by far than the one DCB I gave neb treatments to. If I had a family not willing to do their part I would for sure not want to deal with it (like about everything having to do w/ care of THEIR child!)
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Old 01-12-2014, 02:03 PM
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Quote:
Originally Posted by Blackcat31 View Post
I won't do prescription meds at all.

That scares me. I've seen two cases personally in the last 3 years of prescriptions being written wrong or filled incorrectly by the pharmacy.

I'm just too freaked out so I prefer not to give a kid prescription meds at all.

If they HAVE to have 3 doses, I advise the parent to time it before daycare, immediately after and again at bed time. I just don't want the liability or the risk. kwim?

I know my adversion to giving meds is extreme but I think we all do what makes us comfortable and figure out a way around the stuff that makes us uneasy.
This is my policy as well. I had a child with a severe case of asthma and all sorts of allergies. Twice I had to call his mom over who rushed him to the doctor. He was having problems breathing and I was about two minutes from calling an ambulance. Then his mom rushed in the door... I just won't do it any more. Makes me too nervous.
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