inhaler with a spaceror valved holding chamber. things to consider. attempt to provide the studentwith as much privacy as possible, given the urgencyof the situation. procedure for medication administration. gather needed suppliesand place on a clean surface. position student providingas much privacy as possible. wash hands. if student will be administeringmedication, have student wash hands.
check for authorization forms or record. review the medicationadministration form, the medical provider form, andthe parent or guardian consent form. check for the five rights --right student, correct time, the medicine containermatches authorization forms and medicationadministration record, the dose on medication containermatches authorization form and records, the medication is in the correct routeas identified on medication container, authorization forms,and medication record.
ensure that the medicationhas not expired. make sure the inhaler and spacerare free of foreign objects. shake the inhaler for 5 secondsto mix the medicine. remove the capfrom the mouthpiece. prime the inhaler,if indicated. when the mdi is brand-newor has not been used for a while, the medication may separatefrom the other ingredients in the canisterand the metering chamber. shaking the mdi will mix theingredients in the drug reservoir
but may not produceenough turbulence to re-blend the ingredientsin the metering chamber. priming, or releasingone or more sprays into the air, ensures your next dose will containthe labeled amount of medication. place the inhaler mouthpieceonto the end of the spacer. hold the inhaler betweenyour index finger and thumb. have the student stand up andtake a deep breath in and breathe out. place the spacer maskover the studentâ€™s mouth and nose. for older students, spacerswithout a mask may be used.
follow the individualspacer instructions. press down on thetop of the inhaler once. hold the mask over the childâ€™s nose and mouth for 10 to 15 seconds. this should allow the child to take 3-6 slow deep breaths; if a second puff is ordered, there is no need to wait between puffs. the procedure is slightly different for the child using a mouthpiece and spacer, or if the child is not using a spacer at all. check with your school nurse for specific instructions.
have student rinse out their mouthwith water, and spit as needed. document medication administration instudentâ€™s medication administration log. follow up as needed with parentsor guardian and healthcare provider. procedure forcleaning the spacer. it is recommended toclean the spacer every one to two weeks,or more often if needed. remove the mouthpiece and therubber piece that holds the inhaler. soak the mouthpiece, rubber piece,and plastic chamber in warm water and a small amountof dish soap.
rinse with clean water. shake off excess waterand dry on a clean surface in a vertical positionwith the mouthpiece side up. do not dry witha cloth or paper towel. once dry, store in aclean container or bag. procedure forcleaning the inhaler. remove the canisterfrom the actuator. run warm water through the topand bottom of the plastic actuator. do not boil or placethe actuator in the dishwasher.
shake off the excess water. allow the actuatorto air dry on a clean surface prior to puttingthe canister back in.