scouts-l Mail Archive for June of 2000: Prescription meds
Fri Jun 23 2000 - 08:59:31 CDT
I am curious about how your Units handle dispensing prescription drugs?
During BSA Summer Camps we literally check in the prescriptions with the
appropriate parties and they dispense them. That's the rule - yet I have
never wondered until now if they (the Camps) are not accepting a huge
risk? Furthermore, I am now going to have to explore the way our Unit
should handle this matter - specifically if BSA National has guidelines
on this matter?
<putting on my nurse cap now> (
The persons handing out meds at camp are generally nurses, and they are
well-trained and experienced in giving meds per an MD order, which is why the
meds have to come in the original pharmacy bottle with the rx on its label.
Nurses are used to keeping med records and documenting doses given or missed.
There is no "huge risk" other than the assumption that the bottles provided
have, in fact, the med in them that they are labeled for, and that would be
beyond the scope of our practice to evaluate.
In terms of how to handle meds on a non-camp setting, well, I have seen it
done a lot of different ways. (I am assuming that we are NOT talking about
the epi-pens and inhalers that are routinely carried by the Scout himself, as
they should be).
One way is that all meds are given in their original containers to the SM or
other adult designate with very specific written directions on when and how
much to give.
Another is that the parents give the adult one of those dose packs you get at
the pharmacy-- you know, the ones with one little box each for morning, noon,
eve, bedtime, properly filled BY THE PARENT. Of course, the names and doses
of the meds the kid is taking are on the health form, which you have with you
anyway (you DO carry everyone's health forms even on a day hike, right?).
Another is that the pills (00) are scotch-taped to a piece of paper by the
parent, with written labels : 0 Sat 8am 000 Sat at lunch
00 Sat dinner and the paper is given to the adult.
Whatever method you use, I think it's very important to have some sort of
record to show that the pills were actually given-- that's why I recommend
the tape-it-to-paper method for non-nurse adults, because you can actually
see that the pills are gone & the paper has the kid's name on it.
Oh yeah--- if you are responsible for seeing that a kid takes meds, make sure
you actually SEE him SWALLOW them. Sometimes a kid will keep it in his mouth
and spit it out later, so engage him in conversation a few minutes... <G>
As a side note, let's not get too exorcised about "powerful psychotropic
drugs." Of course they're psychotropic. They're *supposed to be*
psychotropic. I am sure that Pam Glidden will chime in here on meds for ADD,
but the fact is that if a doc has rx'd meds for a kid and his parents send
them to camp for him, he gets them. And believe me, a kid who becomes more
functional on meds for school is NOT one who should be taking a "medication
holiday" and be off his meds for camp.
SA T47 Sandwich MA
Cape Cod & Islands Council
Abake MiSaNaKi Lodge #393
NSJ 1997 Nat'l Health & Safety and going in 01!
I useta be an Eagle...