500-515 Student Medication
HIBBING PUBLIC SCHOOLS
INDEPENDENT SCHOOL DISTRICT 701
BOARD POLICY 515
SERIES: 500 Students
SUBJECT: 515 Student Medication
ADOPTED:
REVISED:
I. PURPOSE
The purpose of this policy is to set forth the provisions that must be followed when administering non emergency prescription medication to students at school.
II. GENERAL STATEMENT OF POLICY
The school district acknowledges that some students may require prescribed drugs or medication during the school day. The school district’s licensed school nurse, or other trained designated persons will administer prescribed medications in accordance with law and school district procedures.
III. REQUIREMENTS
A. The administration of prescription medication or drugs at school requires a completed signed request from the student’s parent. An oral request must be reduced to writing within two school days, provided that the school district may rely on an oral request until a written request is received.
B. A “Authorization for Administration of Medication” form must be completed annually (once per school year) and/or when a change in the prescription or requirements for administration occurs.
C. Prescription medication must come to school in the original container labeled for the student by a pharmacist in accordance with law, and must be administered in a manner consistent with the instructions on the label.
D. The school nurse may request to receive further information about the prescription, if needed, prior to administration of the substance.
E. Prescription medications are not to be carried by the student, but will be left with the appropriate school district personnel. Exceptions to this requirement are: prescription asthma medications, self-administered with an inhaler (See Part J.5. below), Epipens, and medications administered as noted in a written agreement between the school district and the parent or as specified in an IEP (individualized education program), Section 504 plan, or IHP (individual health plan).
F. The school must be notified immediately by the parent or student 18 years old or older in writing of any change in the student’s prescription medication administration. A new medication authorization or container label with new pharmacy instructions shall be required immediately as well.
G. For drugs or medicine used by children with a disability, administration may be as provided in the IEP, Section 504 plan or IHP.
H. The school nurse, or other designated person, shall be responsible for the filing of the Medication Authorization form in the health records section of the student file. The school nurse, or other designated person, shall be responsible for providing a copy of such form to other personnel designated to administer the medication.
I. Procedures for administration of drugs and medicine at school and school activities shall be developed in consultation with a school nurse, a licensed school nurse, or a public or private health organization or other appropriate party (if appropriately contracted by the school district under Minn. Stat. 121A.21). The school district administration shall submit these procedures and any additional guidelines and procedures necessary to implement this policy to the school board for approval. Upon approval by the school board, such guidelines and procedures shall be an addendum to this policy.
See Attachment A
J. Specific Exceptions:
1. Special health treatments and health functions such as catheterization, tracheotomy suctioning, and gastrostomy feedings do not constitute administration of drugs and medicine;
2. Emergency health procedures, including emergency administration of drugs and medicine are not subject to this policy;
3. Drugs or medicine provided or administered by a public health agency to prevent or control an illness or a disease outbreak are not governed by this policy;
4. Drugs or medicines used at school in connection with services for which a minor may give effective consent are not governed by this policy;
5. Drugs or medicines that are prescription asthma or reactive airway disease medication can be self-administered by a student with an asthma inhaler if:
a. the school district as received a written authorization from the pupil’s parent permitting the student to self-administer the medication;
b. the inhaler is properly labeled for that student; and
c. the parent has not requested school personnel to administer the medication to the student.
The parent must submit written authorization for the student to self-administer the medication each school year. In a school that does not have a school nurse or school nursing services, the student’s parent or guardian must submit written verification from the prescribing professional which documents that an assessment of the student’s knowledge and skills to safely possess and use an asthma inhaler in a school setting has been completed.
If the school district employs a school nurse or provides school nursing services under another arrangement, the school nurse or other appropriate party must assess the student’s knowledge and skills to safely possess and use an asthma inhaler in a school setting and enter into the student’s school health record a plan to implement safe possession and use of asthma inhalers;
6. Medications:
a. that are used off school grounds;
b. that are used in connection with athletics or extracurricular activities;
or
c. that are used in connection with activities that occur before or after the regular school day are not governed by this policy.
7. Nonprescription Medication. A secondary student may possess and use nonprescription pain relief in a manner consistent with the labeling. The parent or guardian must submit written authorization for the student to self-administer the medication. The school district may revoke a student’s privilege to possess and use nonprescription pain relievers if the school district determines that the student is abusing the privilege. This provision does not apply to the possession or use of any drug or product containing ephedrine or pseudoephedine as its sole active ingredient or as one of its active ingredients. Except as state in this paragraph, only prescription medications are governed by this policy.
8. At the start of each school year or at the time a student enrolls in school, whichever is first, a student’s parent, school staff, including those responsible for student health care, and the prescribing medical professional must develop and implement an individualized written health plan for a student who is prescribed nonsyringe injectors of epinephrine that enables the student to:
a. possess nonsyringe injectors of epinephrine; or
b. if the parent and prescribing medical professional determine the student is unable to possess the epinerphrine, have immediate access to nonsyringe injectors of epinephrine in close proximity to the student at all time during the instructional day.
The plan must designate the school staff responsible for implementing the student’s health plan, including recognizing anaphylaxis and administering nonsyringe injectors of epinephrine when required, consistent with state law. This health plan may be included in a student’s 504 plan.
K. “Parent” for students 18 years old or older is the student.
Legal References: M.S. 13.32 (Student Health Data)
M.S. 121A.21 (Hiring of Health Personnel)
M.S. 121A.22 (Administration of Drugs and Medicine)
M.S. 121A.221 (Possession and Use of Asthma Inhalers by Asthmatic Students)
M.S. 121A.222 (Possession and Use of Nonprescription Pain Relievers by Secondary Students)
M.S. 121A.2205 (Possession and Use of Nonsyringe Injectors of Epinephrine; Model Policy)
M.S. 151.212 (Label of Prescription Drug Containers)
20 U.S.C. 1400 et seq. (Individuals with Disabilities Education Improvement Act of 2004)
29 U.S.C. 794 et seq. (Rehabilitation Act of 1973, 504)
Cross References: MSBA/MASA Model Policy 418 (Drug-Free Workplace/Drug-Free School)
MEDICATION ADMINISTRATION PROCEDURE
ISD # 701-HIBBING PUBLIC SCHOOLS
ATTACHMENT A
The administration of all student medication shall be done by licensed nursing personnel. The licensed school nurse may delegate the administration of oral medications, and drops, to trained school personnel, (personnel will have competency review annually), in the absence of nursing personnel. Students should be encouraged to have medications given at home whenever possible. If medication must be given during school hours, the follow procedure will be followed:
Prescription Medications: Prescription medications must have written parent/guardian medication authorization on file.
The medication authorization form shall include: name of the medication; dosage of the medication; time of administration at school; reason the medication is being prescribed; and parent/guardian signature and the date. (Physician prescription will be verified by the licensed nursing personnel)
All prescribed medication must be brought to school in the original pharmacy container, labeled with the following pertinent medical information:
Student’s Name
Physician’s Name
Name & Dosage of Prescribed Medication
Directions for Administration
All medication authorization forms must be completed annually and be on file with the school district before the medication can be given. Verbal authorization may be obtained from the parent/guardian for two days, prior to receiving written authorization. In the absence of licensed nursing personnel, copies of the medication authorization form will be available to assigned staff to administer the medications.
Exception to Prescription Medication Procedure: Students in grades 3-12 will be allowed to self-carry inhalers with proper documentation on file with the school district. Parent/Guardian must complete the self-carry form allowing the student to carry the inhaler and accept liability for self-administration.
Non-Prescription (Over-the-Counter) Medication: Students in grades 7-12 will be allowed to carry non-prescription medications, and self administer these medications during school hours. Students in grades K-6 must have non-prescription medications administered by licensed nursing personnel or designated trained school personnel.
All over-the-counter medications must be brought to school in a labeled container with the following information:
Student’s Name
Name & Dosage of Medication
Directions for Administration
The parent/guardian is liable for the administration of these medications. The school district may revoke this privilege if the district determines that the student is abusing the privilege.
Medication Receiving & Storage:
Medications may be received by licensed nursing personnel or designated school personnel in the absence of nursing staff.
When a medication is received in to the nurse’s office:
Medication Count Sheet shall be completed for prescription medication.
Medication Documentation Sheet is completed
The medication shall be stored in a safe, appropriate place in the health service office with access restricted to designated school personnel.
-On occasion, medications will be stored outside of the nurse’s office for availability purposes. This may only occur with approval from the licensed school nurse.
Medications that are taken on a long-term basis and are brought to the health service’s office throughout the school year will be received and stored in the same manner. Medications for students K-6 must be brought to the office by a parent or guardian; medications for students 7-12, may be brought to the office by the parent or guardian, or with written parental permission may be brought by the student.
Medication Administration
Whenever a medication is given at school, it must be recorded on the medication documentation sheet.
Information recorded must include:
Date
Dosage Given
Time Given
Signature of personnel administering the medication
Students will be encouraged, when feasible, to assume the responsibility of coming to the nurses office at the appropriate time to take their medication.
Medication that is needed on field trips, or in emergency situations may be given by the principal, teacher or other trained designated personnel. Medication for field trips will be labeled and given to the teacher on the day of the outing.
Returning/Destroying of Medications
All medications will be returned to the parent, or the student, with written permission of the parent, at the end of the school year, or when the medication is discontinued. All medications that are not picked up by the last day of the school will be destroyed.
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INDEPENDENT SCHOOL DISTRICT #701
HIBBING, MINNESOTA
AUTHORIZATION FOR ADMINISTRATION OF MEDICATION
School District policies require written parent/guardian authorization for school personnel to administer medications to students. Medications must be delivered in the original labeled containers.
Please complete the following information:
STUDENT: ______________________________ DOB: ______________________________
PHYSICIAN: _____________________________ GRADE: ___________________________
DIAGNOSIS: _________________________________________________________________
I request and authorize school personnel to give my child the following medication(s).
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MEDICATION DOSAGE/TIME/FREQUENCY DATES SIDE EFFECTS
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1.____________________________________________________________________________
2.____________________________________________________________________________
3.____________________________________________________________________________
** PLEASE REPORT ANY SIDE EFFECTS/REACTIONS YOU MAY OBSERVE **
____________________________________
Parent/Guardian Signature
____________________________________
Home Phone/Work Phone
____________________________________
Date
PLEASE RETURN TO SCHOOL NURSE: DeeAnn Lindholm, RN, LSN
Greenhaven: 263-8322 High School: 262-0428 Lincoln: 262-1089 Washington: 263-8398
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For Office use only: VERIFICATION OF PRESCRIPTION MEDICATION(S)
NAME: ____________________________________ VERIFICATION RECEIVED FROM:
DATE: ____________________________________ ___________________________________________
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INDEPENDENT SCHOOL DISTRICT #701
2008-2009 SCHOOL YEAR
GRADE ____________
Student’s Name _________________________________________________________ Sex ______ Birthdate _______________
Last First Middle
Address:___________________________________________________________ School Last Attended _____________________
Father/Guardian’s Name ___________________________________ Home Phone ________________ Cell_______________
Mother/Guardian’s Name __________________________________________ Home Phone ________________ Cell_______________
Place of Employment _______________________________________________ __________________________________________
Father’s Work Number Mother’s Work Number
Emergency Contacts __________________________ ________________________ _______________________
(Names & Numbers)
Physician/Health Care Provider ______________________________________ Dentist _____________________________
(Name & Number) (Name & Number)
Does your child have any problems that may affect his/her learning in school, cause you any concern and/or are important for the school staff to know? The nurse will share health concerns that may affect a student in the classroom, with the teacher, unless otherwise requested in writing. Please check yes or no for each of the following items:
CONCERN YES NO PLEASE SPECIFY
Health Concerns (ex: ADHD, Asthma, Vision, Hearing, Diabetes, Allergies, Headaches, Seizures, Etc.)
Daily Medications at Home
(Please List)
Daily Medications at School
(Please List)
Health Precautions/Restrictions
Has your child had any serious illnesses, surgery, accidents or hospitalizations this past year?
Your child is allowed to self-carry and self-administer non-prescription medications (circle) yes no
Parent signature _______________________ Date ___________________
Other/Comments
If your child received any immunizations this past year, please list below with month, day, and year:
MMR ____________________ DtaP _____________ TD _____________ IPV/OPV ________________
Hepatitis B doses ______________________________ Varicella __________ Other ____________________
X_____________________________________________ X ____________________________________
Signature of Parent /Guardian Date
PLEASE RETURN THIS SURVEY AS SOON AS POSSIBLE TO THE HHS HEALTH DEPT., RM 107. IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT DEEANN LINDHOLM, RN, LSN, SCHOOL NURSE AT 262-0428.