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An Audit of Medication Administration: A Glimpse Into School Health OfficesDaryl L. Canham, RN, EdD, BC, is an associate professor and head of the School Nurse Credential Program, San Jose State University, School of Nursing, San Jose, CA
Laurie Bauer, RN, MSPH, is a postgraduate student at San Jose State University, San Jose, CA, and is a district nurse at Ravenswood City School District, East Palo Alto, CA
Michelle Concepcion, RN, BSN, is a graduate student at San Jose State University, San Jose, CA, and is a district nurse at Newark Unified School District, Newark, CA
June Luong, RN, BSN, is a graduate student at San Jose State University, San Jose, CA, and is a school nurse at Santa Clara County Office of Education, San Jose, CA
Jill Peters, RN, BSN, is a graduate student at San Jose State University, San Jose, CA, and is a district nurse at Campbell Union School District, Campbell, CA
Claudia Wilde, RN, BSN, is a graduate student at San Jose State University, San Jose, CA, and is a district nurse at Moreland School District, San Jose, CA Many students require prescription and nonprescription medication to be administered during the school day for chronic and acute illnesses. School office staff members are typically delegated this task, yet these individuals are unlicensed assistive personnel without medical training. Five school nurses developed and participated in a medication audit providing a glimpse into the administration and management of medications in school health offices. The audit included 154 medications. Results of the audit showed a wide range of errors and discrepancies, including problems with transcription, physician orders or lack thereof, timing, documentation, and storage. Audit results highlight the importance of training in medication administration and management at schools. It also directs attention to view training not as a once-a-year event, but as a process. A process is needed to ensure and sustain the safe and accurate administration of medication. Towards this end, school nurses need to periodically evaluate school office staff, audit school medication records and documents, and conduct refresher classes throughout the school year.
Key Words: medication audit • medication administration • medication management • medication documentation • supervision • training • unlicensed assistive personnel
The Journal of School Nursing, Vol. 23, No. 1,
21-27 (2007) This article has been cited by other articles:
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