Parents wishing to provide permission for their student to carry and self-administer emergency medication should read the policy below and complete the permission request form.
The Board shall permit students in district schools to possess asthma inhalers and epinephrine auto-injectors and to self-administer the prescribed medication in compliance with state law and Board policy.W
Asthma inhaler shall mean a prescribed device used for self-administration of short-acting, metered doses of prescribed medication to treat an acute asthma attack.
Epinephrine auto-injector shall mean a prescribed disposable drug delivery system designed for the self-administration of epinephrine to provide rapid first aid for persons suffering the effects of anaphylaxis.
Self-administration shall mean a student's use of medication in accordance with a prescription or written instructions from a licensed physician, certified registered nurse practitioner or physician assistant.
Before a student may possess or use an asthma inhaler or epinephrine auto-injector in the school setting, the Board shall require the following:
- A written request from the parent/guardian that the school complies with the order of the licensed physician, certified registered nurse practitioner or physician assistant.
- A written statement from the parent/guardian acknowledging that the school is not responsible for ensuring the medication is taken and relieving the district and and its employees of responsibility for the benefits or consequences of the prescribed medication.
- A written statement from the physician! certified registered nurse practitioner or physician that states:
a. Name of the drug.
b. Prescribed dosage.
c. Times medication is to be taken
d. Length of time medication is prescribed.
e. Diagnosis or reason medication is to be taken.
f. Potential serious reaction or side effects of medication
g. Emergency response.
h. if child is qualified and able to self administer.
The student shall notify the school nurse immediately following each use of an asthma inhaler or epinephrine auto-injector.ill
The district reserves the right to require a statement from the licensed physician, certified registered nurse practitioner or physician assistant for the continued use of a medication beyond the specified time period.
A written request for student use of an asthma inhaler and/or epinephrine auto-injector shall be submitted annually, along with required written statements from the parent/guardian and an updated prescription.
Student health records shall be confidential and maintained in accordance with state and federal laws and regulations. L2.1
A student whose parent/guardian completes the written requirements for the student to possess an asthma inhaler or epinephrine auto-injector and to self-administer the prescribed medication in the school setting shall demonstrate to the school nurse the competency for self-administration and responsible behavior in use of the medication. Determination of competency for self-administration shall be based on the student's age, cognitive function, maturity and demonstration of responsible behavior.
Students shall be prohibited from sharing, giving, selling, and using an asthma inhaler or epinephrine auto-injector in any manner other than which it is prescribed during school hours 1 at any time while on school property, at any school-sponsored activity, and during the time spent traveling to and from school and school-sponsored activities. Violations of this policy shall result in loss of privilege to self-carry the asthma inhaler or epinephrine auto-injector and disciplinary action in accordance with Board policy.
If the district denies a student's request to self-carry and asthma inhaler or auto-injector or the student has lost the privilege of self-carrying an asthma inhaler or auto-injector, the student' prescribed medication shall be appropriately stored at a location in close proximity to the student. The student's classroom teachers shall be informed where the medication is stored and a means to access the medication.
The district shall annually distribute to students and parents/guardians this policy along with the Code of Student Conduct.
The district shall post this policy on district website.
ALL parents/guardians who wish to provide permission for medication administration during school hours or wish to provide permission for self-administration of emergency medication should read the
SDHT Medication Administration Policy 210
The Board shall not be responsible for the diagnosis and of student illness. The administration of prescribed medication to a student during school hours in accordance with the direction of a parent/guardian and licensed prescriber will be permitted only when failure to take such medicine would jeopardize the health of the student or the student would not be able to attend school if the medicine were not available during school hours.
For purposes of this policy, medication shall include all medicines prescribed by a licensed prescriber and any over-the-counter medicines.
For purposes of this policy, licensed prescribers shall include licensed physicians (M.D. and D.O.), podiatrists, dentists, optometrists, certified registered nurse practitioners and physicians assistants, consistent with state law.
The Board directs all district employees to comply with the Pennsylvania Department of Health's Guidelines for Pennsylvania Schools for the Administration of Medications and Emergency Care.
Before any medication may be administered to or by any student during school hours, the Board shall require the written request of the parent/guardian, giving permission for such administration.
Delegation of Responsibility
The Superintendent or designee, in conjunction with the Certified School Nurse (CSN), shall develop administrative regulations for the administration and self-administration of students' medications.
All medications shall be administered by the Certified School Nurse, or in the absence of the Certified School Nurse by other licensed school health staff (RN, LPN), except as otherwise noted in this policy.
In the event of an emergency, a district employee may administer medication when s/he believes, in good faith, that a student needs emergency care.W
The Certified School Nurse shall collaborate with parents/guardians, district administration, faculty and staff to develop an individualized healthcare plan to best meet the needs of individual students.
The policy and administrative regulations for administration of medications shall be reviewed at least every two (2) years and revised as necessary.
The district shall inform all parents/guardians, students and staff about the policy and administrative regulations governing the administration of medications.
All standing medication orders and parental consents shall be renewed at the beginning of each school year.
Student health records shall be confidential and maintained in accordance with state and federal laws and regulations and the Department of Health Guidelines.I.§..l
Students may possess and use asthma inhalers and epinephrine auto-injectors when permitted in accordance with state law and Board policy.[§J. PLEASE SEE POLICY 210.1
Delivery and Storage of Medications
All medication shall be brought to the nurse's office,or the main office if the nurse is in another building,by the parent/ guardian or by another adult designated by the parent/ guardian. All medication shall be stored in the original pharmacy-labeled container and kept in a locked cabinet designated for storage of medication. Medications that require refrigeration shall be stored and locked in a refrigerator designated only for medications. The district shall not store more than a thirty-day supply of an individual student's medication.
Medication should be recorded and logged in with the date,name of student,name of medication, amount of medication,and signatures of the parent/guardian or designated adult delivering the medication and the school health personnel receiving the medication.
Nonprescription medication must be delivered in its original packaging and labeled with the student's name.
Prescription medication shall be delivered in its original packaging and labeled with:
- Name,address,telephone and federal DEA (Drug Enforcement Agency) number of the pharmacy.
- Student•s name.
- Directions for use (dosage,frequency and time of administration,route,special instructions).
- Name and registration number of the licensed prescriber.
- Prescription serial number.
- Date originally filled.
- Name of medication and amount dispensed.
- Controlled substance statement,if applicable.
All medication shall be accompanied by a completed Medication Administration Consent and Licensed Prescriber's Medication Order Form,or other written communication from the licensed prescriber.
Disposal of Medications
Procedures shall be developed for the disposal of medications consistent with the
Department of Health Guidelines,which shall include:
- Guidelines for disposal of contaminated needles or other contaminated sharp materials immediately in an appropriately labeled,puncture resistant container.
- Processes for immediately returning to parents/guardians all discontinued and outdated medications,as well as all unused medications at the end of the school year.
- Proper documentation of an medications returned to parents/guardians and for all medications disposed of by the Certified School Nurse or other licensed school health staff. Documentation shall include,but not be limited to,date, time,amount of medication and appropriate signatures.
Student Self-Administration of Emergency Medications
Prior to allowing a student to self-administer emergency medication,the district shall require the following:
- An order from the licensed prescriber for the medication,including a statement that it is necessary for the student to carry the medication and that the student is capable of self-administration.
- Written parent/guardian consent.
- An Individual Health Plan including an Emergency Care Plan.
- The nurse shall conduct a baseline assessment of the student's health status.
- The student shall demonstrate administration skills to the nurse and responsible behavior.
The nurse shall provide periodic and ongoing assessments of the student's self-management skills.
The student shall notify the school nurse immediately following each occurrence of self-administration of medication.
Students shall demonstrate a cooperative attitude in all aspects of
self-administration of medication. Privileges for self-administration of medication will be revoked if school policies regarding self-administration are violated.
Administration of Medication During Field Trips and Other School-Sponsored
The Board directs planning for field trips and other school-sponsored activities to start early in the school year and to include collaboration between administrators, teachers, nurses, appropriate parents/ guardians and other designated health officials.[lO]
Considerations when planning for administration of medication during field trips and other school-sponsored programs and activities shall be based on the student's individual needs and may include the following:
- Assigning school health staff to be available.
- Utilizing a licensed person from the school district's substitute list.
- Contracting with a credible agency which provides temporary nursing services.
- Utilizing licensed volunteers via formal agreement that delineates responsibilities of both the school and the individual.
- Addressing with parent/guardian the possibility of obtaining from the licensed prescriber a temporary order to change the time of the dose.
- Asking parent/guardian to accompany the child on the field trip, with proper clearances.
- Arranging for medications to be provided in an original labeled container with only the amount of medication needed.
Security procedures shall be established for the handling of medication during field trips and other school-sponsored activities.