OAR 414-320-1030: Medications

(1) Before a certified ONB program gives a child any prescription or non-prescription medication, including, but not limited to, pain relievers, cough syrup, and nose drops, the certified ONB program must: (a) Have a signed, dated, written authorization by the parent(s) on file (also see OAR 414-320-0230, Parental Permissions); (b) For chronic medical conditions, a certified ONB program may obtain permission for 12 months or less with specific instructions including when administration is needed, such as inhalers. (c) Parental authorization over the phone is permitted for single dose administration of non-prescription medication. The date and time of the consent must be documented and signed by the parent upon picking up their child. (d) Ensure that the original container is labeled with the name of the medication, dosage, and directions for administration and storage. (e) For prescription medication, the label must include the child’s name, the date the prescription was filled, the prescribing physician's name, and length of time to give the medication. (f) If parent instructions differ from the container instructions, a certified ONB program must have a licensed physician's written instructions for that medication. (g) Medication must not be administered after the expiration date. (h) Any medication provided by the parents must be labeled with the child’s name. (i) Ensure that cleaned and sanitized medication measuring devices are used when providing medication to a child care child, if applicable. (2) A certified ONB program must immediately document any medication administered, listing the name of the child, type of medication, date, time, and dosage given, any side effects exhibited by the child, and the signature of the person administering the medication. (3) A certified ONB program must inform parent(s) daily of all medications administered to their child. (4) If medication is provided by the parent, a certified ONB program must administer medication only to the child for whom it is intended, and follow the directions on the label. (5) A certified ONB program must ensure that all medications are inaccessible to children, with child-resistant caps when available, and stored away from food. (a) If only stored per OAR 414-320-0100 (26)(d), the medication bottle or package must be stored in a container with a tight-fitting lid. (b) Emergency medication may be kept with a staff member. Emergency medication may not be left unattended at any time. (6) A certified ONB program must keep medications requiring refrigeration in a separate tightly-covered, leakproof container clearly marked "medication" and inaccessible to children. A certified ONB programs may use coolers and reusable water-activated cooling packs for medication storage if the medication's manufacturer directions require the medication to be stored at a temperature below the indoor or outdoor temperature. Coolers must contain an accurate thermometer, as outlined in OAR 414-320-1100 (8). (7) The application of sunscreen and diaper cream does not need to be documented, but a certified ONB program must: (a) Have annual written parental authorization; (b) Use only as needed and according to manufacturer’s instructions; (c) Inform parents of the type of sunscreen used if provided by the program; (d) Label the item with the child’s name if provided by the parent, and use only for that child; and (e) Allow children to apply sunscreen to themselves with direct staff supervision and written parental approval.