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EHE Special Education Nurse

Ginger LeBlanc

Medication Administration

It is the policy of the Terrebonne Parish School Board that the administration of medication to students at school shall meet the following conditions and limitations. As used in this policy, the term medication shall include all prescription and nonprescription drugs. (TPSD Policy H-3.6c, full policy)

 

1. WRITTEN ORDERS, APPROPRIATE CONTAINERS, LABELS, AND INFORMATION

A. Medication shall not be administered to any student without a completed Medication Order from a physician or dentist licensed to practice medicine in Louisiana or an adjacent state, or any other authorized prescriber authorized in the State of Louisiana to prescribe medication or devices, and a letter of request and authorization from the student's parent or guardian. The following information shall be included:

1) the student's name

2) the name and signature of the physician/dentist/other authorized prescriber

3) physician's/dentist's/other authorized prescriber's business address, office phone number, and emergency phone numbers

4) relevant diagnosis

5) name, amount of each school dose, time of school administration, route of medication, and reason for use of medication

6) a written statement of the desired effects and the child specific potential adverse effects

 

B. Medication shall be provided to the school by the parent/legal guardian in the container that meets acceptable pharmaceutical standards and shall include the following information:

1) name of pharmacy

2) address and telephone number of pharmacy

3) prescription number

4) date dispensed

5) name of student

6) clear directions for use, including the route, frequency, and other as indicated

7) drug name and strength

8) last name and initial of pharmacist

9) cautionary auxiliary labels, if applicable

10) physician's/dentist's/other authorized prescriber's name

 

Labels of prepackaged medications, when dispensed, shall contain the following information in addition to the regular pharmacy label:

1) drug name

2) dosage form

3) strength

4) quantity

5) name of manufacturer and/or distributor

6) manufacturer's lot or batch number

 

2. ADMINISTRATION OF MEDICATION: GENERAL PROVISIONS

A. Once trained, the school employee who administers medication may not decline to perform such service at the time indicated, unless exempted, in writing, by the MD or RN.

B. During the period when the medication is administered the person administering medication must be relieved of all other duties. This requirement does not include the observation period required in 2.-F below.

C. Except in the case of a trained unlicensed diabetes care assistant administering diabetes medications (if applicable) or in life-threatening situations, trained unlicensed school personnel may not administer injectable medications.

D. All medications must be stored in a secured locked area or locked drawer, with limited access, except by authorized trained school personnel.

E. Only oral, inhalant, topical ointment for diaper rash, and emergency medications may be administered at school by unlicensed, but trained, school personnel. Under special circumstances, other medications not mentioned above may be administered, as necessary, as approved by the school nurse.

F. Each student must be observed by a school employee for a period of 45 minutes following the administration of medication. This observation may occur during instruction time.

G. School medication orders shall be limited to medication which cannot be administered before or after school hours.

 

6. PARENT/LEGAL GUARDIAN

A. The parent/legal guardian who wishes medication administered to his/her child shall provide the following:

1) A letter of request and authorization that contains the following information:

a. the student's name

b. clear instructions for school administration

c. prescription number, if any

d. current date

e. relevant diagnosis

f. name, amount of each school dose, time of school administration, route of medication, and reason for use of medication

g. physician's/dentist's/other authorized prescriber's name

h. the parent's/legal guardian's printed name and signature

i. parent's/legal guardian's emergency phone number j. statement granting or withholding release of medical information

2) A written order for each medication to be given at school, including annual renewals at the beginning of the school year. The new orders dated before July of that school year shall not be accepted. No corrections shall be accepted on the physician's Medication Order form. Alteration of this form in any way or falsification of the signature is grounds for prosecution. Orders for multiple medications on the same form, an incomplete form, or a form with a physician's/dentist's/other authorized prescriber's stamp shall not be accepted. Faxed orders may be accepted; original orders must be received within five (5) business days.

3) A prescription for all medications to be administered at school, including medications that might ordinarily be

available over-the counter. Only the physician/ dentist/other authorized prescriber or his/her staff may write on the Medication Order form. This form must be signed by the physician/dentist/other authorized prescriber.

4) A list of all medications that the student is currently receiving at home and school, if that listing is not a violation of confidentiality or contrary to the request of the parent/legal guardian or student.

5) A list of names and telephone numbers of persons to be notified in case of medication emergency in addition to the parent/legal guardian and licensed physician/dentist/other authorized prescriber.

6) Arrangements for the safe delivery of the medication to and from school in the properly labeled container as dispensed by the pharmacist; the medication must be delivered by a responsible adult. The parent/legal guardian will need to get two (2) containers for each prescription from the pharmacist in order that the parent/legal guardian, as well as the school, will have a properly labeled container. If the medication is not properly labeled and does not match the physician's order exactly, it will not be given.

 

B. All aerosol medications shall be delivered to the school in pre-measured dosage.

C. Provide no more than a thirty-five (35) school day supply of medication in a properly labeled container to be kept at school.

D. The initial dose of a medication shall be administered by the student's parent/legal guardian outside the school jurisdiction with sufficient time for observation for adverse reactions.

E. The parent/legal guardian shall work with those personnel designated to administer medication as follows:

1) Cooperate in counting the medication with the designated school personnel who receives it and sign the Drug Receipt form.

2) Cooperate with school staff to provide for safe, appropriate administration of medications to students, such as positioning, and suggestions for liquids or foods to be given with the medication.

3) Assist in the development of the emergency plan for each student.

4) Comply with written and verbal communication regarding school policies.

5) Grant permission for school nurse/physician/dentist/other authorized prescriber consultation.

6) Remove or give permission to destroy unused, contaminated, discontinued, or out-of-date medications according to the school guidelines.

 

ACCEPTABLE SCHOOL MEDICATIONS

School medication orders shall be limited to medications which cannot be administered before or after school hours. Parents may come to school and administer medication to their children at any time during the school day following submission of proper physician’s authorization for medications and arrangements with the school principal.

 

Medications which may be considered as acceptable under this policy:

A. Medication to modify behavior (e.g., Ritalin, when the sustained action form of this medication is not effective.)

B. Severe allergic reactions - must have specific written instructions from a physician.

C. Anticonvulsive medication.

D. Medication for asthma or diabetes

E. Medication given in extenuating circumstances.

F. Non-prescription (over-the-counter) drugs will only be given if medical certification of extenuating circumstances and prescription is obtained.

G. Antibiotics and other short-term medications will not be given at school, unless so ordered by a physician, dentist, or authorized prescriber.

H. The school nurse or trained school employee shall have the authority to administer auto-injectable epinephrine, as defined elsewhere in this policy, to a student who the school nurse or trained school employee believes is having an anaphylactic reaction, whether or not the student has a prescription for epinephrine. At least one employee at each school shall receive training from a registered nurse or licensed medical physician in the administration of epinephrine.

I. Other specific illnesses that require medication.