5101:2-12-31 Administration of medication in licensed child care centers.

(A) The center shall set its own policy regarding whether or not the center will administer medication. If a center chooses to administer medication, food supplements, or modified diets, the center shall meet the following requirements:

(1) Prescription medication, food supplements and modified diets: the center shall secure and follow the written instructions of a licensed physician, an advanced practice nurse certified to prescribe medication, or a licensed dentist on the JFS 01217 "Request for Administration of Medication" (rev. 9/2005). All instructions on this form shall be followed. The center shall also secure written instructions from the parent or guardian on the form. A prescription label also serves as written instructions for medications and food supplements as long as the following are met:

(a) The label contains the child's full name, a current date (within the last twelve months), the exact dosage to be given and the means of administration;

(b) The prescription label is attached to the original container.

(2) Only nonprescription fever/pain reducing medications that do not contain aspirin or cough or cold medications that do not contain codeine may be administered by the center, without written instructions from a licensed physician, if the following are met:

(a) The center secures and follows written instructions from the parent or guardian on the prescribed form provided by the department. These instructions do not exceed manufacturers' recommended dosages;

(b) Medication is in the original container with the original label attached.

The label must specify appropriate dosages based on the child's age or weight;

(c) The full name of the child, who is to receive the medication, is printed on the container;

(d) The center administers the medication for no more than three consecutive days within a fourteen day period, unless under written instructions from a physician.

(3) Centers may apply nonprescription topical products or lotions if the following are met: (a) The center shall secure written instructions from the parent or guardian on the JFS 01217. The form shall be valid for no longer than twelve months.

(b) The center shall follow manufacturers' guidelines regarding application.

(c) When used for skin irritations, such as diaper rash, the topical product shall be applied by the center for no longer than fourteen consecutive days at any one period ofuse.

(B) When administering medication, food supplements, modified diets, the center shall:

(1) Assure that the medication, food supplement, or modified diet is not administered for any period of time beyond the date indicated by the physician, advanced practice nurse certified to prescribe medication, or licensed dentist, or for twelve months whichever comes first.

(2) Designate individuals who will administer prescription and nonprescription medication. Any staff member may apply nonprescription topical products or lotions used as a preventative measure.

(3) Verify each administration or application of medication by documenting it on the JFS 01217. Application of nonprescription topical products and lotions used only as a preventative measure does not need to be documented.

(4) Assure that dosages administered by the center do not exceed prescribed dosages or manufacturers' recommended dosages.

(5) Assure that a separate form is used for each medication to be administered.

(6) Assure that completed forms be kept on file at the center for review by the department for at least one year following the administration of the medication, food supplement, or modified diet.

(C) When storing medications the center shall:

(1) Assure that all medication and food supplements are given directly to center personnel for immediate safe storage, except that an inhaler or medication may be available to a school child with a special health condition in an emergency in accordance with the center's policy as required in rule 5101:2-12-30 of the Administrative Code.

(2) Assure that all center personnel are made aware of all school children who have immediate access to personal inhalers and that a JFS 01217 is completed for all school children who have immediate access to personal inhalers.

(3) Refrigerate medication as needed immediately upon arrival at the center and store in a separate container to prevent contamination with foods.

(4) Keep medications out of the reach of children.

(5) Remove all medications from the center when no longer needed or if the label indicates that the medication has expired.

R.C. 119.032 review dates: 02/03/2010 and 02/01/2015
Promulgated Under: 119.03
Statutory Authority: 5104.011
Rule Amplifies: 5104.011
Prior Effective Dates: 3/1/81, 9/1/86, 1/2/92 (Emer.), 4/1/92, 4/1/03, 9/1/05