The board is committed to the inclusion of all students in the education program and recognizes that some students may need prescription and nonprescription medication to participate in their educational program.
Medication shall be administered when the student's parent or guardian (hereafter "parent") provides a signed and dated written statement requesting medication administration and the medication is in the original, labeled container, either as dispensed or in the manufacturer's container.
When administration of the medication requires ongoing professional health judgment, an individual health plan shall be developed by an authorized practitioner with the student and the student's parent. Students who have demonstrated competence in administering their own medications may self-administer their medication. A written statement by the student's parent shall be on file requesting co-administration of medication, when competence has been demonstrated. By law, students with asthma or other airway constricting diseases or students at risk of anaphylaxis who use epinephrine auto-injectors may self-administer their medication upon the written approval of the student’s parents and prescribing licensed health care professional regardless of competency.
Persons administering medication shall include authorized practitioners, such as licensed registered nurses and physician, and persons to whom authorized practitioners have delegated the administration of medication (who have successfully completed a medication administration course). A medication administration course and periodic update shall be conducted by a registered nurse or licensed pharmacist, and a record of course completion shall be maintained by the school.
A written medication administration record shall be on file including:
Medication shall be stored in a secured area unless an alternate provision is documented. Emergency protocols for medication-related reactions shall be posted. Medication information shall be confidential information as provided by law
Disposal of unused, discontinued/recalled, or expired medication shall be in compliance with federal and state law. Prior to disposal school personnel shall make a reasonable attempt to return medication by providing written notification that expired, discontinued, or unused medications needs to be picked up. If medication is not picked up by the date specified, disposal shall be in accordance with the disposal procedures for the specific category of medication.
Legal Reference:
Disposing on Behalf of Ultimate Users, 79 Fed. Reg. 53520, 53546 (Sept. 9, 2014).
Iowa Code §§124.101(1); 147.107; 152.1; 155A.4(2); 280.16; 280.23.
655 IAC §6.2(152).
Cross Reference:
506 Student Records
507 Student Health and Well-Being
603.3 Special Education
607.2 Student Health Services
Approved March 12, 2007
Reviewed March 14, 2022
Revised March 14, 2022
RECORD OF THE ADMINISTRATION OF MEDICATION
Forms are available in all school offices.
Name of Student:
Parents' Phone Number:
Grade:
Medication:
Date to Begin:
Date to End:
Dosage:
Method:
Time:
Prescriber or person authorizing administration:
Phone #1:
Phone #2:
Possible Adverse Reaction:
Person(s) Authorized to Administer Medication:.
*********************
Date Given
Time
Dosage Given
Signature of Employee Administering Medication and Title/Position
Comments
Approved: March 12, 2007
Reviewed: March 14, 2022
Revised:
PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE
ADMINISTRATION OF MEDICATION TO STUDENTS
The undersigned are the parent(s), guardian(s), or person(s) in charge of
(student's full legal name)
, in
the grade at the
building in
the
Community School District.
It is necessary that (student's full legal name)
receive (name of medication)
, beginning
on (date) and continuing through (date)
I hereby request the Chariton Community School District, or its authorized representative, to administer the above-named medication to my child named above and agree to:
1. Submit this request to the principal or school nurse;
2. Personally ensure that the medication is received by the principal or school nurse administering it in the container in which it was dispensed by the prescribing physician or licensed pharmacist or is in the manufacturer's container;
3. Personally ensure that the container in which the medication is dispensed is marked with the medication name, dosage, interval dosage, and date after which no administration should be given.
OR
I hereby authorize my child to self-administer his/her medication as he/she has shown the competency to do so. I hereby agree to:
1. Submit this request to the principal or school nurse;
2. Personally ensure that
a. the medication is received by the principal or school nurse administering it in the container in which it was dispensed by the prescribing physician or licensed pharmacist or is in the manufacturer's container; or
b. the medication will be kept in the student's possession but only with prior written permission from the parent and principal.
3. Personally ensure that the container in which the medication is dispensed is marked with the medication name, dosage, interval dosage, and date after which no administration should be given.
Dated this day of , 20 .
Name of Student _____________________________________________________________________
Parent/Guardian
Home Phone Number
Alternate Phone No.