Office of Health Services

Baltimore County Public Schools

• The Medication Back-Up is an employee assigned to administer prescribed medications to students in the absence of the school nurse.

• This employee must be trained in medication administration procedures by the school nurse.

• The Medication Back-Up should only be utilized in infrequent and non-routine circumstances.

• Location of Medication Keys

• Location of Medications

• Medication Book

• OHS contact x6368

• Pharmacy Labeled Bottle

• Healthcare Provider’s Order

• Oral medications

• Inhalers

(that don’t require a nursing assessment)

• Auto-Injector Epinephrine

(if trained)

• Discretionary Medications

• Medication via Nebulizer or Injection

• Any other medications that do not have:

- Pharmacy Labeled Bottle

- Valid Healthcare Provider’s Order

• Oxygen by nasal cannula or mask

• Oral medication requiring dose calculation, pill to be crushed or cut

• Rectal Diastat

• Insulin, Glucagon

1. Right Student

2. Right Medication

3. Right Route

4. Right Dose

5. Right Time

6. Right Documentation

• Medication Administration Records

- Standard MAR

- Asthma MAR

• Documentation

- Employee Signature & Initials

• Confidentiality

• Give full attention to the task of medication administration

• Wash hands prior to and after medication administration

• Contact OHS x6368, if any questions arise during medication administration