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Adoption Date: 9/23/2008, Revised: 3/12/2012; 01/11/2016
7000 - Students

STUDENT WELFARE
7513 ADMINISTRATION OF MEDICATION

The school's registered professional nurse or principal/designee (under certain conditions and at any school function that goes beyond the normal school day hours) may administer medication  to a student during school hours. For the purpose of this policy "medication" includes prescription and non-prescription. The school must receive the following before medication will be administered to a student:

 

a)      The original written order from the student's physician stating the name of the medication, precise dosage, frequency and time of administration;

 

b)      Written, signed consent from the student's parent or person in parental relation requesting the administration of the medication, as prescribed by the physician, to the student in school; and

 

c)      The medication, properly labeled in its original container.  It must be delivered to the School Health Office by the student's parent or person in parental relation. The term "properly labeled" in the context of this policy means that the container must include the following information: the student's name, name of medication, dosage, frequency and prescribing physician. A student is not permitted to carry any medication on his or her person in school, or on the school bus, or keep any medication in his or her school locker(s). Exceptions may apply, however, for  student's with asthma, diabetes or allergies who may carry and self-administer medication under certain conditions, which are defined and approved by administration or their designee.

All medication orders must be reviewed annually by school health office personnel or whenever there is a change in dosage.

 

 

Emergency Medication

 

The administration of emergency medication (injectable, including "epi-pens," and/or oral) to a student for extreme hypersensitivity may be performed by a school staff member responding to an emergency situation when such use has been prescribed by a licensed prescriber. However, a registered professional nurse/nurse practitioner/physician/physician's assistant must have trained the staff member to administer the emergency medication for that particular emergency situation (e.g., "epi-pen") and given him/her approval to assist the student in the event of an emergency anaphylactic reaction. Such a response would fall under the Good Samaritan exemption for rendering emergency care during a life threatening situation.

 

Students with Asthma or Other Respiratory Illnesses

 

         The District will make a nebulizer available on-site in school buildings where full- or part-time nursing services are provided. Only students with a patient-specific order may have access to the nebulizer. School nursing personnel will clean and maintain the District nebulizer as appropriate.

 

Self-Administration of Medication

Generally

         Each student who is permitted to self-administer medication should have an emergency care plan on file with the District. Further, the school will maintain a record of all written parental consents in the student's cumulative health record.

         Students who self-administer medication without proper authorization will be referred for counseling by school nursing personnel, as appropriate. Additionally, school administration and parents will be notified of such unauthorized use of medication by the student, and school administration may determine the proper resolution of this behavior.

Students with Asthma or another Respiratory Disease

         A student may carry and self-administer his or her prescribed inhaled rescue medication during the school day, on school property, and at any school function if the school health office has the following on file:

a)      Written order/permission and an attestation from a duly authorized health care provider stating that the student has a diagnosis of asthma or other respiratory disease for which inhaled rescue medications are prescribed to alleviate respiratory symptoms or to prevent the onset of exercise induced asthma; the student has demonstrated that he or she can self-administer the prescribed medication effectively; and the expiration date of the order, the name of the prescribed medication, the dose the student is to self-administer, times when the medication is to be self-administered, and the circumstances which may warrant use of the medication; and

         b)      Written consent from the student's parent or person in parental relation.

         Upon written request of the student's parent or person in parental relation, the school will allow the student to maintain an extra inhaled rescue medication in the care and custody of the school's registered professional nurse, nurse practitioner, physician assistant, or school physician.

Students with Allergies

         A student may carry and self-administer his or her prescribed EpiPen during the school day, on school property, and at any school function if the school health office has the following on file:

 

a)      Written order/permission and an attestation from a duly authorized health care provider stating that the student has a diagnosis of an allergy for which an EpiPen is needed for the emergency treatment of allergic reactions; the student has demonstrated that he or she can self-administer the EpiPen effectively; and the expiration date of the order, the name of the medicine, the dose the student is to self-administer, and the circumstances which may warrant use of the medication; and

b)      Written consent from the student's parent or person in parental relation.

         Upon written request of the student's parent or person in parental relation, the school will allow the student to maintain an extra EpiPen in the care and custody of a licensed nurse, nurse practitioner, physician assistant, or school physician.

Students with Diabetes

         A student may carry and self-administer his or her prescribed insulin through an appropriate medication delivery device, carry glucagon, and carry and use equipment and supplies necessary to check blood glucose and/or ketone levels during the school day, on school property, and at any school function if the school health office has the following on file:

a)      Written order/permission and an attestation from a duly authorized healthcare provider stating that the student has a diagnosis of diabetes for which insulin and glucagon through appropriate medication delivery devices, and the use of equipment and supplies to check blood glucose and/or ketone levels are necessary; the student has demonstrated that he or she can self-administer effectively, can self-check glucose or ketone levels independently, and can independently follow prescribed treatment orders; and the expiration date of the order, the name of the prescribed insulin or glucagon, the type of insulin delivery system, the dose of insulin and/or glucagon the student is to self-administer, times when the insulin and/or glucagon is to be self-administered, and the circumstances which may warrant administration by the student. The written permission must also identify the prescribed blood glucose and/or ketone test, the times testing is to be done, and any circumstances which warrant checking a blood glucose and/or ketone level.

b)      Written consent from the student's parent or person in parental relation.

         Upon written request of the student's parent or person in parental relation, the school will allow the student to maintain extra insulin, insulin delivery system, glucagon, blood glucose meter, and related supplies to treat the student's diabetes in the care and custody of a licensed nurse, nurse practitioner, physician assistant, or school physician.

 

         Students with diabetes may also carry food, oral glucose, or other similar substances necessary to treat hypoglycemia in accordance with District policy.

 

 

Alcohol-Based Hand Sanitizers

The New York State Education Department (NYSED) permits the use of alcohol-based hand sanitizers.  The School Medical Director may approve and permit the use of alcohol-based hand sanitizers in the District's schools without a physician's order. Parents may provide written notification to the school in the event that they do not wish to have their child use these products.

 

Sunscreen

Students may carry and use FDA-approved sunscreen products for over-the-counter use. Primary/Elementary student's parent or person in parental relation must provide written permission for the student to carry and use sunscreen.  At the primary/elementary level, sunscreen will be maintained by the school. A student who is unable to physically apply sunscreen may be assisted by unlicensed health personnel when directed to do so by the student, if permitted by a parent or person in parental relation, and authorized by the school.  Other special circumstances will be evaluated on a case by case basis.

 

 

Storage and Disposal

 

Procedures governing the School District's receipt, storage and disposal of medications, as well as those pertaining to the administration of medications to a student after school hours and/or off school grounds during a school-sponsored activity will be in accordance with NYSED and Department of Environmental Conservation (DEC) guidelines.

 

 

Individuals with Disabilities Education Improvement Act of 2004 [Public Law 108-446 Section 614(a)]

Individuals with Disabilities Education Act (IDEA), 20 United States Code (USC) Sections 1400 et seq.

Section 504 of the Rehabilitation Act of 1973, 29 United States Code (USC) Section 794 et seq.

Education Law Sections 902(b), 916, 6527(4)(a) and 6908(1)(a)(iv)

Public Health Law Section 3000-a


Policy References:
Refer Also to Policy 7521 Students with life threatening allergies

Policy Cross References:
 » 7521 - STUDENTS WITH LIFE THREATENING ALLERGIES