Online Training and Automated Documentation for Administering Meds in Schools

描述（由申请人提供）：学校护士的主要目标是确保她/他所监督的学校学生的健康和安全。这包括确保正确给学童用药。新的数据表明，约35%的学校护士每天负责5,000多名学生。大约2 000万在公立学校上学的儿童患有慢性疾病，需要在校期间服药。通常，学校护士必须将给学生用药的责任委托给无执照的辅助人员（UAPs）。当uap分配药物时，药物管理错误的可能性是护士执行这一职责时的3.1倍。在这个项目中，我们的长期目标是通过减少用药错误的发生率，为在校期间接受药物治疗的儿童提供安全和健康。我们的假设是，一个有重点的、全面的、标准化的培训工具，以及一个综合的文件系统，将通过帮助学校护士履行他们的监督职责，并通过减少被委派给药物管理任务的uap的用药错误率来满足社区的需求。我们的计划，完成它！/做对了！在一期研究中被发现是可行的。在第二阶段，我们计划完成学校护士和uap培训项目的开发，并开发一个记录药物管理的自动化文档系统。由于几乎100%的美国学校现在都有高速互联网连接，我们的两个项目都将以互联网为基础。文档将使用PDA技术完成。在计划的测试阶段，将向学校提供一台电脑、一台电子相机和多达三台个人数码助理电脑。我们将把我们的文件计划与西澳州立公立学校使用的商业学生健康计划进行比较。《Getting It Right!》的开发和后续营销/完成它！将允许公共卫生和学校护士研究人员跟踪影响学生的情况以及使用该项目的学校给予的药物类型。

DESCRIPTION (provided by applicant): The primary goal of the school nurse is to assure the health and safety of the students in the school(s) she/he oversees. This includes assuring that medications are administered to schoolchildren correctly. New data indicate that about 35% of school nurses are responsible daily for over 5,000 students. Approximately 20 million children attending public schools have chronic health conditions requiring the administration of medications during the school day. Frequently the school nurse must delegate the responsibility of administering medications to schoolchildren to unlicensed assistive personnel (UAPs). Errors in medication administration are 3.1 times more likely when UAPs dispense medications than when nurses carry out this responsibility. Our long-term goal in this project is to provide for the safety and well being of children who receive medications during the school day by reducing the incidence of medication errors. Our hypothesis is that a focused, comprehensive, standardized training tool, with an integrated documentation system, will fill a community need by assisting school nurses in performing their supervisory responsibilities and by reducing the medication error rate by the UAPs who are delegated the task of medication administration. Our project, GETTING IT DONE! / GETTING IT RIGHT! was found to be feasible in Phase I research. In Phase II, we plan to complete the development of the training programs for school nurses and UAPs and to develop an automated documentation system for recording the administration of medications. Since nearly 100% of U.S. schools now have access to high speed Internet connections, both of our programs will be Internet-based. Documentation will be accomplished using PDA technology. A computer, an electronic camera, and up to three PDAs will be provided to the schools during the testing phase of the project. We will compare our documentation program to a commercially available student health program used in the WA state public schools. Development and subsequent marketing of Getting It Right!/Getting It Done! will allow public health and school nurse researchers to track conditions affecting school children and the types of medications being given in schools using the programs.