210.  USE OF MEDICATIONS - Pg.

210.  MEDICATIONS

1.        Purpose

The Board shall not be responsible for the diagnosis and treatment 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.

2.        Definitions

3.   Authority

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 (MD and DO), podiatrists, dentists, optometrists, certified registered nurse practitioners and physicians assistants.

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.

      SC 510

        Title 22

        Sec. 12.41

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.

4.        Delegation of         Responsibility

The Superintendent or designee, in conjunction with Certified School Nurse (CSN), shall develop administrative regulations for the administration and self-administration of students' medications.

     

42 Pa. C.S.A.

      Sec. 8337.1

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.

      Pol. 103.1, 113

5.  Guidelines

      SC 1409

      Pol. 216

      SC 1414.1

      Pol. 210.1

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 the individual students.

The policy and administrative regulations for administration of medications shall be reviewed, at least every two (2) years, by a committee consisting of the Certified School Nurse, school physician, school dentist and designated administrators, and revised accordingly.

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.

Students may possess and use asthma inhalers and epinephrine auto-injectors when permitted in accordance with state law and Board policy.

Delivery And Storage Of Medication

All medications 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:

  1. Name, address, telephone and federal DEA (Drug Enforcement Agency)

   number of the pharmacy.

  1. Student’s name.
  2. Directions for use (dosage, frequency and time of administration, route,

               special instructions).

  1. Name and registration number of the licensed prescriber.

  1. Prescription serial number

  1. Date originally filled.

     

  Pol. 210.1

  1. Name of medication and amount dispensed.

  1. 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:

  1. Guidelines for disposal of contaminated needles or other contaminated

   sharp materials immediately in an appropriately, labeled, puncture resistant

   container.

  1. 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.

  1. Methods for safe and environmentally friendly disposal of medications.

  1. Proper documentation of all 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:

  1. 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.

      Pol. 121

  1. Written parent/guardian consent.

  1. An Individual Health Plan including an Emergency Care Plan.

  1. The nurse shall conduct a baseline assessment of the student’s health status.

  1. The student shall demonstrate administration skills and responsible

               Behavior to the nurse.

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 Activities

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.

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:

  1. Assigning school health staff to be available.

  1. Utilizing a licensed person from the school district’s substitute list.

  1. Contracting with a credible agency which provides temporary nursing

               services.

  1. Utilizing licensed volunteers via formal agreement that delineates

               responsibilities of both the school and the individual.

  1. Addressing with parents/guardians the possibility of obtaining from the

    licensed prescriber a temporary order to change the time of the dose.

  1. Asking parents/guardians to accompany the child on the field trip, with

               proper clearances.

  1. Arranging for medications to be provided in an original labeled container

               with only the amount of the medication needed.

Security procedures shall be established for the handling of medication during field trips and other school-sponsored activities.

References:

School Code – 24 P.S. Sec. 510, 1401, 1402, 1409, 1414.1

State Board of Education Regulations – 22 PA Code Sec. 12.41

Civil Immunity of School Officers or Employees Relating to Emergency Care, First Aid or Rescue – 42 Pa. C.S.A. Sec. 8337.1

Pennsylvania Department of Health “Guidelines for Pennsylvania Schools for the Administration of Medications and Emergency Care” March 2010

Board Policy – 000, 103.1, 113, 121, 210.1, 216

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