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JennyM
18-08-2011, 01:54 PM
I am meeting with a Mum tonight for her to fill in contracts etc for her daughter who is starting with me in September.

I will need to store piriton and epi-pens here for her daughter and use when needed.

Where in the Accident, Incident and Medication folder should I put the details for this medication? I won't be giving it daily but only when necessary or in an emergency for the Epi-pen.

Thank you!

blue bear
18-08-2011, 02:36 PM
Wouldn't it be under regular medication but rather than times just put as and when required. I would also have a separate permission form signed detailing what is expected of you in an emergency and written permission to do so. Hope you never have to use it x.

karensmart4
18-08-2011, 02:41 PM
I can see why you are confused, my medication permission forms are for short course cover....

Where it says 'Name or description of treatment' I would fill in that and the dose required in that section, the date permission given and parent signature, then you sign.

I think I would also get parent to write a note detailing medication and dosage etc and staple it to the page.

Don't forget to keep medication securely out of reach but with easy access, clearly labled with child's name and reg check use by dates (you know this already, don't know why I'm stating the obvious) :)

I will watch this post to see if there is anything else suggested.

Karen :)

AgentTink
18-08-2011, 02:52 PM
On a document i have it states a that child with a allergy

"must have a long term health care plan completed with the parent. If a Epipen is used, childminder must request training from a specialist nurse. "

It goes on to say that all of this done must be done before you can start to look after the child.

I printed off a fact sheet from this sites useful forms the other day that discusses what a health care plan needs to have on it. On there it said that you should get a form from the early years team. So i would suggest speaking to your early years team to find out more information.

It goes on to say that you would also need to inform your insurers that you have a plan in place.

AgentTink
18-08-2011, 02:56 PM
http://childmindinghelp.co.uk/freeresources/healthcareplans.html

here is the link to the free resource on this site

JennyM
18-08-2011, 06:50 PM
Thank you all so much for your help, I don't know what I would do without this place!

I have had a look at those links stacey but for some reason I can't open them. I will have a proper look later as I have to meet the Mum in a minute. She said that she had a care plan in place so I will go through that with her and then if there is anything else I need her to fill in, I can arrange to meet her another time.

I won't be minding the child until 5th September so I have some time.

I am going to ring my GP surgery to try and arrange Epi-pen training and if they won't help I was thinking of asking at my daughter's nursery if I can tag along if/when they are doing any.

Thanks again, I do want to be more involved in this site and not just asking for help all the time but I am trying to get my head around it all still!

lulubelle
18-08-2011, 07:02 PM
good luck with all that!!! i have been trying to find someone to give me individual epi pen training for about 2 months now! i have spoken to early yrs team who gave me numbers for nurse who all refused, called the childs gp and they said they dont do it! apparently mum was shown by pharmasist! i eventually went back to ofsted and this is what i got told



You must ensure you adhere to the requirements of the Early Years Foundation Stage (EYFS) and the Childcare Register where appropriate. It is a specific legal requirement of the EYFS that providers must obtain prior written permission for each and every medicine from parents before any medication is given.



You should also pay regard to the EYFS statutory guidance. Whilst it is not a specific legal requirement to adhere to the statutory guidance you will be expected demonstrate how you continue to meet all the specific legal requirements if you choose not to. The EYFS statutory guidance states:



"Providers should ask parents about the medicines that their child needs to take and provide details of any changes to the prescription or the support required. If the administration of prescription medicines requires technical/medical knowledge then individual training should be provided for staff from a qualified health professional. Training should be specific to the individual child concerned."



For the purpose of clarity Ofsted understands 'prescription medicines' as referring to any medicines recommended by a nurse or pharmacist, or an ordered use of medication by prescription made by a doctor or dentist. Under this definition use of an Epi-pen or insulin would be considered prescription medication.



Our interpretation of this guidance is that childcare providers should be trained by a qualified health professional to administer medication such as epi-pens, insulin etc. It is for providers to decide what level of training is required they possess sufficient knowledge and skills to ensure the welfare of children. Training may be achieved through a standard first aid course or you may need to seek additional guidance by consulting a medical professional. Technical and medical guidance on general administration should come from health professionals rather than the child's parents.



The reference to training being specific to the individual child concerned we interpret to mean that you need to be aware of the medication needs of the individual child, such as dosage, when to administer, circumstances that may cause an allergic reaction etc. This does not mean that the child's own doctor or nurse has to provide the training on how to administer such medication. You should communicate with the parents to ensure that you follow similar procedures to the parents e.g. if giving an insulin injection how is the child prepared, soothed and comforted by parents as well as where the injection is given and how much.



If you feel you have sufficient understanding of how to administer the epi-pen/insulin from first aid training it may be sufficient to ask parents for training and advise specific to their child.