Self-Administration. Medications shall not be kept on students or in their personal belongings unless advance approval is given by a District nurse. Students shall not self-administer medications at school, unless they have demonstrated competency in administration and unless approved in advance by a District nurse with written consent of the parent or guardian. By law, students with asthma or other airway constricting diseases may self-administer their medication upon approval of their parents and prescribing physician without having to first demonstrate competency in self-administration. The sharing of medication between students is prohibited.
Administration of Medications. The following conditions shall apply to administration of medications by District personnel to students:
a) Written consent of the parent or guardian which is signed and dated, must be on file in the school clinic for the District to administer any medication (prescription or over-the-counter). The prescriber must also given written authorization for prescription medications to be administered to students with proof of diagnosis and ICD-10 code.
b) Only District nurses or employees who have evidence of completion of an approved course in medication administration shall administer the medication. All requests for administration of new prescription medications should be reviewed by a District nurse for the current usage and dosage before being administered.
c) All medication shall be administered in the school clinic when practicable. All medications must be consumed in the presence of the designated school personnel.
d) Medications shall be stored in the school clinic or other designated location in a secure place in the original containers with detailed labels or authorization forms. For prescription medications, the labels or forms shall clearly show the student’s name, the date prescribed, the name of the medication, directions for use, the expiration date, the prescribing physician, the name and address of the pharmacy, if any, any special storage or administration procedures, and a description of any anticipated reactions. The District nurse may contact the student’s physician if he or she has any questions regarding the student’s health or administration of the medication.
e) A written confidential record shall be maintained showing all medications administered, the dosage, the name, position and signature of the person administering the medication, the name of the student, the date, time, and method of the administration, the prescriber, and any reactions or unusual circumstances, actions, or omissions.
f) Acute cases, such as asthma, diabetes, and severe allergic reactions will be handled individually.
g) The District nurses shall develop protocols for emergency situations involving medication-related reactions.
h) District nurses may exercise their professional discretion in determining not to administer a medication or not to administer a medication in the dosage requested. The parent or guardian shall be notified in such cases and a record signed by the nurse showing reasons for non-administration shall be made.
i) When administration of the medication requires ongoing professional health judgment, an individual health plan will be developed.
Confidentiality. Medication administration consents and records shall be kept confidential. The school district complies with the state medical policies and copies of all required diagnosis, authorizations, and provided services may be maintained and processed as applicable via the Medicaid Coordinator’s office
- First Adoption:
- 1993-07-01
- Revision Adoption:
- February 13, 2000/ April 9, 2007/ July 12, 2015
- Reviewed Dates:
- July 17, 2016/ November 14, 2021
- Legal Reference:
-
124.101(1), 147.107, 152.1, 155A.4, 279.8, 280.14,
280.16, 280.23, Code of Iowa; 281 I.A.C. 12.3(7),
41.12(6), 41.12(7), 41.12(11), 41.86(2), 41.96; 655
I.A.C. 6.2, 657 I.A.C. 8.32