The following are guidelines for the administration of medication to students.
|
1. |
|
General Administration |
|
|
a. |
All prescribed and non-prescribed medications must be administered by the school nurse, unless a student is authorized by a physician to carry and self-administer his/her own medication. |
|
|
b. |
All prescribed and non-prescribed medications, except as otherwise authorized, shall be securely stored in the nurse’s office and kept in its original labeled container, which specifies the student’s name and date of birth, the type of medication, the amount to be given, times of administration, and a list of possible side effects. |
|
|
c. |
The school nurse shall maintain a record of the name of the student to whom medication may be administered, the prescribing physician, the dosage and time of medication and a notation of each instance of administration. |
|
|
d. |
All medication shall be brought to school in the original container by the parent or guardian and shall be picked up by the parent or guardian at the end of the school year or the end of the period of medication, whichever is earlier. If not picked up within five days of the period of medication, the medication shall be discarded. |
|
2. |
|
Field Trips and After-school Activities |
|
|
|
|
|
|
|
Medication on field trips and at after-school activities is permitted if a student is self-directed in administering his/her own medication. On field trips or at after-school activities, teachers or other school staff may carry the medication so that the self-directed student can take it at the proper time. |
|
|
|
When a student who is not self-directed (i.e., fully aware and capable of understanding the need and assuming responsibility for taking medicine) is on a field trip then the district will: |
|
|
a. |
Permit the parent or guardian to attend the activity and administer the medication. |
|
|
b. |
Permit the parent or guardian to personally authorize another adult who is not employed by the school to voluntarily administer the medication on the field trip or activity and inform the school district in writing of such authorization. |
|
|
c. |
Allow the student’s health care provider to be consulted and, if he/she permits, order the medication time to be adjusted or the dose eliminated. |
|
|
d. |
Permit the school nurse to attend the activity and administer the medication. |
|
|
|
|
|
|
|
If none of these options can be arranged, then the student is precluded from participating in the activity. |
|
3. |
|
Emergencies/Stocking of Albuterol |
|
|
|
A school nurse, who is a registered nurse, may carry and administer an agent used in non-patient specific emergency treatment of anaphylaxis. For example, a school nurse responding to an emergency in which an individual has an anaphylactic reaction to a wasp sting or the ingestion of peanut butter can administer treatment such as an epi-pen. |
|
|
|
|
|
|
|
A registered school nurse may train a school staff member to administer a prescribed epi-pen in an emergency situation to a student with a known severe allergy needing treatment for anaphylaxis. |
The district will stock Albuterol that will be obtained by script through the school physician. Albuterol will be stocked in each of the nurse’s office as well as any medical kit to taken on field trip activities.
Any school tubing and or spacers used in the emergency administration of albuterol will be discarded after each use. The district will keep an available stock of tubing and spacers for emergency situations.
In the event of an emergency administration of albuterol and or epi-pen, the parents/ guardian of the child will be informed immediately by phone of the administration of medication to their child. Correspondence will follow reiterating the use of school stock medication in a particular emergency.