Policy - JLCD

POLICY: JLCD

EFFECTIVE DATE: 11/7/01

CANCELS SHEET DATED: 10/4/89 (JHCD)

REVIEWED BY POLICY COMMITTEE: 10/14/03

 

 

MEDICAL

 

MEDICINES/ADMINISTERING MEDICINES TO STUDENTS

 

It is the general policy of MSAD #74 to discourage the dispensing of medications on school premises. With few exceptions, school employees are not trained medical or nursing personnel and are not authorized to dispense medication on a regular basis. Whenever possible, the schedule of drug administration should be altered to allow a student to receive all prescribed doses at home. Where medication during the day is necessary, it may be administered in accordance with this policy.

 

Parents/ Guardians are encouraged to come to school to administer medication to their child.

Medications will be given at school only when it is absolutely necessary and meets one of the following:

 

1.) Medication is part of a Doctor established plan of care.

2.) It has been determined that there is no other way to give medication.

3.) The need is based on an acute or long-term health problem.

4.) The medication must be taken on a schedule that cannot be adjusted to outside school hours

(i.e., three times a day medications can be given before school, after school and at bedtime).

 

Every prescription medication must have Permission to Administer Medication in School Form completed by the parent and the prescribing Physician. If it is an ongoing health problem, this form must be updated every fall and every time a dosage is changed. The parent will assume responsibility for informing the school in writing of any change in the child’s health or change in medication.

A prescription medication should always be in a properly labeled bottle to include student’s name, name of the drug and dosage as well as the route of administration. No medications will be accepted in any other container than the original bottle.

Non-licensed personnel responsible for giving medications shall participate in in-service education by the registered school nurse and have access to continued consultation.

The school will provide no medication.

At no time will a student have medication in his/her possession in school unless the physician states in writing that an inhaler, insulin or Epipen needs to be with a student at all times.

Over the counter drugs are discouraged but if they are necessary, for a short-term acute condition (usually 5 days or less), a permission slip by the parent must be filled out before any administration can occur.

The amount of medication to be kept at school is not to exceed one school day’s dosage except in special circumstances, and then only five day’s dosage at the most is allowed and must be transported by parent.

A trained adult under the direct supervision of the school nurse will administer all medication, and the guidelines below will be followed:

Give medication to the right child (i.e., ask the child’s name or check a record of their picture).

Give the right dose by checking the label, Permission to Administer Medication Sheet and Documentation Sheet. Data for each child’s medication must be kept separately in a manila envelope or a plastic baggy.

Give the medication via the right route (i.e., via the mouth, the skin, the eye, or the ear).

Pay attention to medication instructions such as, take with food or store in refrigerator. It is also possible for medication to be labeled; taken before, after, or during meals.

Do not allow yourself to be distracted when obtaining and preparing medication for children.

Know the reason that the medication is being given and it’s side effects. Ask school nurse if any questions arise. If any untoward effects arise after the medication is given, notify the school nurse and the parent.

If a child refuses medication or does not get medication within one hour, please call the parent.

Every medication must be documented after its administration. This documentation must include medication given, date, time, dosage, child’s name, and the adult who supervised its administration.

All medications must be stored in a supervised area of the school and locked up when there is no one in attendance.

OMISSION OF MEDICATION

 

There are several reasons for not giving medications or for omitting them and calling the parent:

 

1.) The medication is not in the original bottle.

2.) The medication permission slip is missing.

3.) The pharmacy label is missing or not legible.

4.) The child is exhibiting a marked change in status that may be life threatening.

5.) There is some doubt about the dosage, time, or route of administration prescribed.

6.) The child refuses to take the medication. Wait a half an hour and try again. If the student still refuses, do not force the issue -- Call the parent.

 

Please note: The Board disclaims any and all responsibility for the diagnosis, prescription of treatment and administration of medicines for any student. For purposes of this policy, “medication” shall include all medicines prescribed by a physician/ medical practitioner/dentist for a particular student.

 

Legal Reference: 34 CFR part 104 and Part 300

28 CFR part 35

20-A MRSA 254 and 4009(4)- School Nurse Manual