507.2 - Administration of Medication to Students

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.  Administration of medication may also occur consistent with board policy 804.05 – Stock Prescription Medication Supply.

When administration of the medication requires ongoing professional health judgment, an individual health plan shall be developed by licensed health personnel working under the auspice of the school with collaboration from the parent or guardian, individual’s health care provider or education team pursuant to 281.14.2(256).  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, airway constricting diseases, respiratory distress 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 physicians, and persons to whom authorized practitioners have delegated the administration of medication (who have successfully completed a medication administration course conducted by a registered nurse or pharmacist that is provided by the department of education).  The medication administration course  is completed every five years with an annual procedural skills check completed with a registered nurse or a pharmacist. 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.  The development of emergency protocols for medication-related reactions  is required.  Medication information shall be confidential information as provided by law.

Disposal of unused, discontinued/recalled, or expired abandoned 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.

     This is a mandatory policy.      

NOTE: Iowa law requires school districts to allow students with asthma, airway constricting disease or respiratory disease to carry and self-administer their medication as long as the parents and prescribing physician report and approve in writing.  Students do not have to prove competency to the school district. The consent form, see 507.2E1, is all that is required.  School districts that determine students are abusing their self-administration may either withdraw the self-administration if medically advisable or discipline the student, or both. 

NOTE: School districts may stock over-the-counter, nonprescription medications that are not for life- threatening incidents.  The policy for medication administration covers prescription and nonprescription medication.

NOTE: Disposal procedures reflect the Iowa Department of Education School      Hazardous Waste and Medication Management Guidance, issued 2021-2022: https://www.iowadnr.gov/Portals/idnr/uploads/waste/swfact_schoolhazardo…

 

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).

                                    281 IAC §14.1, .2

Cross Reference:             506                                                                          Student Records

                                      507                                                                          Student Health and Well-Being

                                      603.3                                                                        Special Education

                                      607.2                                                                        Student Health Services

Approved  June 20, 2022                       Reviewed                                              Revised: September 18, 2023

 

Jen@iowaschool… Sat, 06/25/2022 - 18:05

507.2E1 - Authorization - Asthma or Other Airway Constricting Disease Medication or Epinephrine Auto-Injector Self-Administration Consent

507.2E1 - Authorization - Asthma or Other Airway Constricting Disease Medication or Epinephrine Auto-Injector Self-Administration Consent

 

 

AUTHORIZATION- ASTHMA, AIRWAY CONSTRICTING, OR RESPIRATORY DISTRESS MEDICATION SELF-ADMINISTRATION CONSENT FORM

 

_____________________________       ___/___/___     _________________     ___/___/___

Student's Name (Last), (First)  (Middle)     Birthday                    School                    Date

 

In accordance with applicable laws, students with asthma, airway constricting diseases, respiratory distress 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. The following must occur for a student to self-administer asthma medication, bronchodilator canisters or spacers,      other airway constricting disease medication or      to self-administer an epinephrine auto-injector:

 

  • Parent/guardian provides signed, dated authorization for student medication self-administration.
  • Parent/guardian provides a written statement from the student’s licensed health care professional (A person licensed under chapter 148 to practice medicine and surgery or osteopathic medicine and surgery, an advanced registered nurse practitioner licensed under chapter 152 or 152E and registered with the board of nursing, or a physician assistant licensed to practice under the supervision of a physician as authorized in chapters 147 and 148C) containing the following:
    • Name and purpose of the medication,
    • Prescribed dosage, and
    • Times or special circumstances under which the prescribed medication      is to be administered.
  • The medication is in the original, labeled container as dispensed or the manufacturer's labeled container containing the student name, name of the medication, directions for use, and date.
  • Authorization shall be renewed annually.  In addition, if any changes occur in the medication, dosage or time of administration, the parent is to notify school officials immediately. The authorization shall be reviewed as soon as practical.

 

Provided the above requirements are fulfilled, the school shall permit the self-administration of the prescribed medication by a student      while in school, at school-sponsored activities, under the supervision of school personnel, and before or after normal school activities, such as while in before-school or after-school care on school-operated property. If the student abuses the self-administration policy, the ability to self-administer may be withdrawn by the school or discipline may be imposed, after notification is provided to the student’s parent.

 

Pursuant to state law, the school district or and its employees are to incur no liability, except for gross negligence, as a result of any injury arising from self-administration of medication or use of an epinephrine auto-injector by the student. The parent or guardian of the student shall sign a statement acknowledging that the school district is to incur no liability, except for gross negligence, as a result of self-administration of medication or an epinephrine  auto-injector by the student as provided by law.

 

AUTHORIZATION-ASTHMA, AIRWAY CONSTRICTING, OR RESPIRATORY DISTRESS MEDICATIONSELF-ADMINISTRATION CONSENT FORM

 

                                                                                                                                               

Medication                   Dosage             Route                                                   Time

 

                                                                                                                                               

Purpose of Medication & Administration /Instructions

 

                                                                                                            /           /          

Special Circumstances                                                               Discontinue/Re-Evaluate/

Follow-up Date

                                                                                                            /     /      

Prescriber’s Signature                                                                Date

 

                                                                                                                                               

Prescriber’s Address                                                                  Emergency Phone

 

  • I request the above-named student possess and self-administer asthma medication, bronchodilators canisters or spacers, or other airway constricting disease medication(s) and/or an epinephrine auto-injector at school and in school activities according to the authorization and instructions.
  • I understand the school district and its employees acting reasonably and in good faith shall incur no liability for any improper use of medication or an epinephrine auto-injector or for supervising, monitoring, or interfering with a student's self-administration of medication or use of an epinephrine auto-injector. I acknowledge that the school district is to incur no liability, except for gross negligence, as a result of self-administration of medication or use of an epinephrine auto-injector by the student.
  • I agree to coordinate and work with school personnel and notify them when questions arise or relevant conditions change.
  • I agree to provide safe delivery of medication and equipment to and from school and to pick up remaining medication and equipment.
  • I agree the information is shared with school personnel in accordance with the Family Educational Rights and Privacy Act (FERPA) and any other applicable laws.
  • I agree to provide the school with back-up medication approved in this form.
  • (Student maintains self-administration record.) (Note: This bullet is recommended but not required.)

 

                                                                                                            /           /          

Parent/Guardian Signature                                                         Date

(agreed to above statement)                              

 

                                                                                                                                               

Parent/Guardian Address                                                           Home Phone

 

                                                                                                                                               

                                                                                                Business Phone

 

                                                                                                                                               

 

                                                                                                                                               

  

Jen@iowaschool… Sat, 06/25/2022 - 18:06
File Attachments

507.2E2 - Parental Authorization and Release Form for the Administration of Prescription Medication to Students

507.2E2 - Parental Authorization and Release Form for the Administration of Prescription Medication to Students

PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION

OF MEDICATION TO STUDENTS

 

See attached.

 

Jen@iowaschool… Sat, 06/25/2022 - 18:13
File Attachments

507.2E3 PARENTAL AUTHORIZATION AND RELEASE FORM FOR INDEPENDENT SELF CARRY AND ADMINISTRATION OF PRESCRIBED MEDICATION OR INDEPENDENT DELIVERY OF HEALTH SERVICES BY THE STUDENT

507.2E3 PARENTAL AUTHORIZATION AND RELEASE FORM FOR INDEPENDENT SELF CARRY AND ADMINISTRATION OF PRESCRIBED MEDICATION OR INDEPENDENT DELIVERY OF HEALTH SERVICES BY THE STUDENT

See Attached

bgreene@cresto… Thu, 10/05/2023 - 08:14
File Attachments

507.2E4 PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION OF VOLUNTARY SCHOOL STOCK OF OVER-THE-COUNTER MEDICATION TO STUDENTS

507.2E4 PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION OF VOLUNTARY SCHOOL STOCK OF OVER-THE-COUNTER MEDICATION TO STUDENTS

See Attached

bgreene@cresto… Thu, 10/05/2023 - 08:15
File Attachments