Anapen Adrenaline Injectors Recall

All nursery managers should immediately carry out an audit of their children’s medicines today after the Medicines and Healthcare products Regulatory Agency (MHRA) issued an alert regarding Anapen adrenaline injectors.  These medicines are used to treat severe allergic reactions.

They are advising people who suffer from severe allergic reactions to see their GP or clinic as soon as possible to discuss alternative products after Anapen was precautionary recalled by the licence holder Lincoln Medical Limited.  Therefore, if you have any children prescribed with any of these products, you must alert their parents as soon as possible to replace them.

If you use our Medilert software, simply search for ‘Anapen’ from the dashboard and it will return a list of all your children with this medicine.

You can read more about the alert on the MHRA website and the Anaphylaxis Campaign website.

Medilert Wins NMT Award

Accepting the award from Dick and Dom


We are celebrating at Medilert after winning the Nursery Supplier/Innovator category in the prestigious Nursery Management Today (NMT) Awards. The awards celebrate excellence within this sector, with this category being awarded to the nursery supply company that has in the view of the judges, brought to the nursery industry the most exciting, important and new product innovation over the past two years.

I had to attend an interview in front of a judging panel (less like Dragon’s Den than I thought!) and wait until the fantastic Gala night at the Hilton Metropole Hotel in London to find out the result.

The judges had the following comments:

Inspired by his personal experience he has identified a genuine problem and has created an innovative win-win solution that will bring benefits for parents, nurseries and the sector as a whole.

[Read more...]

Revised dosing instructions introduced for children’s paracetamol

The Medicines and Healthcare products Regulatory Agency (MHRA) have introduced revised dosing instructions for children’s paracetamol to ensure children get the most effective amount.

Why has the MHRA revised them?

When a hospital needs to administer paracetamol to a child, the dosage is calculated according to the child’s weight.  To do this calculation in a home environment was not seen to be practical.  Therefore, dosage was defined for a set of age ranges.  Before now, the age ranges for infant paracetamol (120mg/5ml) have been 3-12 months and 1-6 years.  Recently the MHRA reviewed these age ranges and found that they were too wide which could result in children at the younger end of the age range receiving a dose of paracetamol that was higher than necessary.

How have the paracetamol dosage instructions changed?

The MHRA have now defined narrower age ranges, for example, 3-6 months, 6-24 months, 2-4 years and 4-6 years.  This allows the dosing to be more effective for that age range of children.  Please take a look at the guidelines on the MHRA website which gives details of the recommended dosages.

What Key Workers Ought To Know About Asthma

Boy With Asthma Inhaler

I have just come across some excellent pre-school guidelines on the Asthma UK website.  If you are a key worker for a child who has asthma, or even if you just work in the same setting as a child with asthma, being aware of these responsibilities should make you better prepared for both day-to-day and emergency situations.

  • Have the knowledge, ability and confidence to care for children with asthma.
  • Liaise with parents/carers of children about planning for and controlling their
    children’s asthma.
  • Know what triggers a particular child’s asthma.
  • Know where the child’s asthma records are kept.
  • Know where young children’s asthma medicines are kept and how they should
    be administered.
  • Know how to recognise if a child’s asthma symptoms are getting worse and what to do
    if a child has an asthma attack or in the event of an emergency.
  • Involve children who have asthma in sport and other activities.
  • Involve all children in learning more about asthma and what to do in an emergency.

These responsibilities are listed in the Asthma UK’s Pre-School Guidelines, please take a look as it is an excellent source of information.

Check Your Adrenaline Injections – MHRA Drug Alert

If your nursery stores an adrenaline pen/injection on site for a child with Anaphylaxis please note the following drug alert.

The MHRA (Medicines and Healthcare products Regulatory Agency) have released an alert today for anyone with a certain brand of Adrenaline Injection to check their supplies.  A case has been reported where another drug ‘Atropine Sulphate’ has been packaged mistakenly in a plastic box labelled ‘Adrenaline (Epinephrine) Injection BP 1:1000 For Anaphylaxis’.  The concern is that someone with Anaphylaxis could be in possession of the wrong drug to treat an allergic reaction.

If you have any Adrenaline pens/injections stored at your setting, please take a look at this alert on the MHRA website.

Nut Allergies In Nurseries – Difficult Decisions

I have just been reading a letter in The Anaphylaxis Campaign’s Outlook magazine (Autumn 2011) from a private day nursery.  The setting’s manager had been asked by a parent of a nut-allergic child to chop down a hazelnut bush which overhangs the play area.  I think this highlights the many difficult decisions that have to be made where allergies are concerned. [Read more...]

Medilert Changes – Returning Medicines To Parents

Based on customer feedback, marking a medicine as ‘Disposed’ was found to be unsuitable terminology.  Although we intended ‘Dispose’ to mean the return of medicine to a child’s parent it is probably not clear enough.  Therefore, we have carried out changes to the interface to make it obvious how to mark a medicine as returned to the parent. [Read more...]

Medilert Changes – Enhancement of forms

Based on some customer feedback (thank you to Janice at the New World Nursery) we have introduced a new procedure form and made a change to our existing “Log of Medicines Administered”. [Read more...]

Ofsted’s 4 features of outstanding safeguarding

On 2 September 2011, Ofsted published a report ‘Safeguarding in schools: best practice‘. The report examines the features of best practice in safeguarding, based on inspection evidence of schools. Although the report does not use inspection evidence from nurseries, I believe this sector can still draw some value from the report. I am going to examine what 4 key features of medicine management are evident in an outstanding setting. [Read more...]

Ofsted’s 3 legal requirements for giving medication to children

An Ofsted factsheet “Giving medication to children in registered childcare” (July 2010) and the Early Years Foundation Stage (EYFS) Statutory Framework (May 2008) identifies 3 legal requirements for giving medication to children:

  • have, and put into practice, an effective policy on giving medicines to children in your setting, which must include effective systems to support children with medical needs
  • keep written records of all medicines you give to children, and tell parents about these records; and
  • get written permission from parents for every medicine before you give any medication

I am going to talk about the last requirement, getting written permission from parents. [Read more...]