507.2 Administration Of Medication To Students

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:

  • date;
  • student’s name;
  • prescriber or person authorizing administration;
  • medication;
  • medication dosage;
  • administration time;
  • administration method;
  • signature and title of the person administering medication; and
  • any unusual circumstances, actions, or omissions.

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); 147.107152.1155A.4(2); 280.16280.23.

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
 

507.2E1 Record Of The Administration Of Medication

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:  

507.2E2 Parental Authorization And Release From For The Administration Of Medication To Students

 

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.