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/他监督的学校学生的健康和安全。这包括确保正确地向学童提供药物。新的数据表明，大约35%的学校护士每天负责5,000多名学生。大约有2 000万在公立学校上学的儿童患有慢性疾病，需要在上学期间服用药物。学校护士经常必须将给学童用药的责任委托给无执照的辅助人员（UAP）。当UAP分发药物时，药物管理错误的可能性是护士执行此职责时的3.1倍。我们在这个项目中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福祉。我们的假设是，一个集中的，全面的，标准化的培训工具，一个综合的文件系统，将填补社区的需要，协助学校护士在履行其监督责任，并通过减少药物错误率由UAP谁被委派的药物管理的任务。我们的项目，让它完成！/正确！在第一阶段的研究中发现是可行的。在第二阶段，我们计划完成为学校护士和UAP制定的培训计划，并开发一个自动化文件系统，用于记录药物管理。由于近100%的美国学校现在都可以接入高速互联网连接，我们的两个项目都将基于互联网。文件将使用PDA技术完成。在试验阶段，教育署会向学校提供一部电脑、一部电子相机及最多三部个人数码助理。我们将比较我们的文件程序，以商业上可用的学生健康计划在华盛顿州公立学校使用。开发和后续营销的正确！/快去做吧！将允许公共卫生和学校护士研究人员跟踪影响学童的情况以及使用该计划的学校提供的药物类型。

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.