470 IAC 3-4.7-88 Medication

Sec. 88. (a) Each child care center may have one (1) pain or fever reducing medication, one (1) cough medication, and one (1) antihistamine decongestant on the premises as follows: (1) The child care center's health consultant shall specify these medications by name in the child care center's written approved health program renewed every two (2) years, and renew written instructions every two (2) years. (2) Caregivers shall administer the specified medication as directed on the label of the medication or as specified by the consulting physician. (3) Parent permission forms for administering this medication shall be on file for each child to whom the medication is given. (b) The giving or application of all other medication and carrying out medical procedures shall be done only on written order or prescription from a physician or other health care professional authorized to write prescriptions, which must be kept with the medication. (c) All individual nonprescription medicine orders must be renewed annually for children under two (2) years of age and every two (2) years for children two (2) years of age and older. (d) Caregivers shall obtain the reason for administration of the medication and written parental permission prior to the administering of medication. (e) All pharmacy-labeled prescription medication must be renewed annually and kept in currently labeled containers. (f) The written order or the pharmacy label must show the following: (1) The name of the child. (2) The name of the specific medication. (3) The dosage of medication to be administered. (4) Why it is to be given (for nonprescription medication). (5) The frequency/interval to be given. (6) The physician's name. (7) The date the prescription was filled or the order was written. (g) Medication shall be kept in the original container. (h) When no longer needed, medication shall be returned to the parents or destroyed. (i) Medication not requiring refrigeration shall be kept locked in a cabinet or container that is in a well-lit area, fifty (50) foot-candles, and shall not be stored in the kitchen or in a bathroom. (j) Medication labeled "refrigerate" shall be stored in tightly lidded, washable containers marked "medication" in a refrigerator. (k) The center shall not store medication beyond the: (1) expired date on the label; (2) expired written physician order; and (3) prescription label older than one (1) year. (l) With parent's written approval, centers may use preventive products, such as sunscreens, insect repellents, nonmedicated powder, petroleum jelly, and A & D ointment, without a physician's order.