Bear Necessities places the child’s well-being at the centre of its ‘educare’ ethos. We work closely in partnership with parents to ensure their children’s health and well-being needs are met. As part of this, we recognise that the need for medication can be a regular and vital part of many young children’s everyday lives. Therefore we recognise and ensure we are fully inclusive to children who receive regular medication and/or have ongoing treatment. Also, information sharing in this area is vital so that practitioners are aware of, and respect, cultural, ethical or religious reasons which may relate directly to the administration of medicine.
Medication can be administered at Bear Necessities if prescribed by a doctor, dentist, nurse or pharmacist with prior written consent of the parent/carer. Non-prescription medicine, e.g. calpol or teething gel, may also be administered but only with prior written consent of the parent and only when there is a health reason to do so. In the event of a child being well, when a parent had/has signed for medication, staff will use their professional judgement as to whether to administer or not, avoiding administering unnecessary medication. Also the parent will be informed that this decision had/has been made.
When we use the word ‘prescribe’ we mean medicine that is recommended.
When we use the word ‘prescription’ we mean written instructions from a doctor or dentist.
Effective management procedures are strictly in place when it comes to supporting individual children with medical needs and responding to children who are ill or infectious at Bear Necessities Nursery. All staff understand they have a legal duty with administering medication and all procedures strictly comply with Ofsted’s advice.
Practitioners will enquire about each child’s well-being at the start of each session. Parents/carers are responsible for informing the practitioner if their child has been unwell over the past 48 hours, if any medication has been administered to their child earlier that day and if they may require any medication during their day at nursery. It is also the parents/carers responsibility to inform practitioners of any information they may have about any side effects or adverse effects of medications that their child may be taking, whether administered at home or at nursery. If medication is/may be needed during the day the parent/carer will be asked to complete a Medication Consent form and the administering medication procedure will be followed.
Children prescribed antibiotics will be required to be on the medicine for 24 hours before being allowed to return to nursery. This is due to possible allergies to the medication.
Procedure for Administering Medication:
- Parents/carers are responsible for giving us written permission when wanting us to give their child medicine. The staff will ensure and support the parent in fully completing and signing the parent’s section on the medication form (in advance), giving details of the medicine, dosage amount , how often it is to be given and time for the medication to be administered, as well as the start and end date of the medication and any previous dosages. If the instructions given are from a doctor exceed the dose recommended on the packaging, then the parent is to confirm in writing their agreement of us administering/abiding by this. Staff will check this on every occasion before administering any medication.
- If a child requires medicine over a period of days, parents/carers can specify the end date of the medication on the consent form. It is then the parents/carers responsibility to ensure they inform practitioners daily of the last time the medication was administered. This will then be noted on the consent form. Regardless of the specified medication end date, no medication consent form will remain valid after a weekend.
- Management or a senior practitioner are to be made aware of any medication in the building and will complete the practitioner section on the consent form, designating a first aid qualified practitioner to administer the medication. Management or a senior practitioner will also detail on the consent form any information regarding the medication, such as storage or administering advice.
- Parents/carers are to provide any medication that is required other than infant suspension paracetamol (Calpol) which is kept on the premises. Only medicines in date, named and prescribed for individual children with the original pharmacy label and packaging will be administered.Medicines containing aspirin will not be administered unless prescribed by a doctor.
- All medication must be administered by a first aid qualified practitioner and witnessed by a first aid qualified senior practitioner. Both practitioners will ensure the medication is in date, check the details on the consent form and check the administering advice on the medication that all coincides correctly. The first aid qualified practitioner will then administer the medication and will be witnessed by the senior practitioner. Both practitioners will then record the medication dose on the child’s medical log form.
- At the end of the day/session parents/carers will be informed of the dosage and times that any medication was administered to their child whilst at nursery and will be asked to sign the child’s medical log form. The child’s medication will be returned to the parents/carers.
- All children who may be unwell, will be appropriately cared for through much attention, affection and support by the key person and room staff. The child’s welfare will be given priority until the adult arrives and necessary arrangements will be made such as setting up a calm and comfortable area for the child to allow them to rest.
- All children are continuously monitored throughout the day, to note any changes/deterioration in behaviour or reactions to the medicine
The greatest care will be taken to ensure medicine is administered according to the instructions given by the parents and on the medication packaging. If these do not correspond, the senior practitioner will seek professional medical advice from NHS direct and the parent/carer will be informed.
Teething gels may be administered to babies if required. Parents/carers are asked to complete a teething gel consent form stating whether they give their consent for teething gel to be administered, and whether they agree that the teething gels kept on the premises can be used. This consent form is only applicable to the 0-2s room and should be completed as part of the entry forms to that room.
Telephone Consent for Medication
In the event of a child becoming unwell during the day, in all cases (high temperature or suspected infectious disease), the child’s parents/carers will be informed (via telephone) and the child’s symptoms will be discussed to determine the appropriate treatment, with reference to the setting’s exclusion policy for illness. If it is decided that the child is able to remain at nursery but may require infant suspension paracetamol (Calpol) to help reduce the child’s symptoms (e.g. reducing a temperature or relieving pain) then the child’s parents/carers are able to give consent over the telephone. The practitioner involved in the telephone call will complete a ‘telephone consent’ form as a substitute to the medication consent form and will document the phone call details in the Office ‘call out log book’. A member of staff, preferably a member of the management team will witness the call out and sign also. All other procedures for administering medicine remain the same. Parents/carers will be expected to sign the telephone consent form and medical log form when picking up their child.
Emergency Medication (Calpol) Consent
In the event that a child has a high temperature and their parents/carers are unable to be contacted by practitioners within an appropriate time frame relevant to the child’s temperature, practitioners will check the child’s health care plan for emergency medication consent.
If the child’s parents/carers have given their consent for emergency medication then practitioners will administer the recommended dosage amount of infant suspension paracetamol (Calpol) to the child. Practitioners will complete a telephone consent form and ‘call out log book’, detailing their attempts at contacting the parents/carers and any messages left. All other procedures for administering medicine remain the same. Practitioners will continue to try and contact the child’s parents/carers to inform them that medication has been administered as part of the emergency medication consent. Parents/carers will be expected to sign the telephone consent form and medical log form when picking up their child.
Long Term Medications
If a child has long term, on-going medical needs it is the parents/carers responsibility to inform the nursery in writing about their child’s health needs at the point of registration to the nursery and again as soon as there are any changes to these needs. Where a child requires long term medical treatment for ongoing medical needs a meeting will be arranged with the parents/carers and practitioners to discuss the needs of the child prior to them starting at Bear Necessities (this could be discussed in the child’s settling in sessions). All staff will be informed of any special actions or requirements that may need to be taken in regards to the child’s medical needs.
For some medical conditions practitioners may have training in a basic/specialist understanding of the condition as well as how some medications are to be administered. However, it is the child’s parents/carers responsibility to ensure that practitioners are fully aware and confident in administering any medication their child may require. Where appropriate practitioners will be trained to meet the individual needs of the specific child and if technical/medical knowledge is required in administering medication then training should be provided for practitioners by a qualified health professional in conjunction with the child’s parents/carers. Please note that consent from the parents will be needed before additional medical advice is sought from the child’s GP or Health Visitor.
Risk assessments will be carried out by management for each child with a long term condition requiring ongoing medication. Insurance checks will also be checked to ensure all first aid qualified staff are covered to administer certain medication to the specific child. (See Risk Assessment Policy for further details).
Emergency Treatment Medications
If a child has a medical condition that may require medication to be administered as part of emergency treatment (e.g. inhalers, allergy medications) it is the parents/carers responsibility to inform the nursery in writing about the child’s treatment plan and of any subsequent changes to this plan. This plan is to include; Instructions on the medication, what to do, when to administer, how much to administer etc. You may also want to include a demonstration to the staff. Asthma inhalers are not regarded as medication that needs specialist knowledge to administer.
Emergency treatment plans will be reviewed every 6 months and the medication will be checked regularly and routinely every 3 months to ensure it is still usable and in date. Emergency boxes for specific medications will be provided and kept with all relevant information, ready to be used in the event of an emergency. In the event of an emergency, the ambulance service and parents/carers will be contacted and a senior member of staff will accompany the child at all times but is unable to consent for any treatment.
To ensure the safety of children within our care at all times, children will not be allowed to enter the nursery without their correct AND in-date emergency medication in their possession.
For our current full policy please see attached Medication Policy
For further information please speak to the nursery manager