5330 - USE OF MEDICATIONS

New Albany - Plain Local School District

Administrative Guidelines

5330 - USE OF MEDICATIONS

The medications and/or treatments which may be administered are defined in Policy 5330 - Use of Medications. In those circumstances where a student must take prescribed medication during the school day, the following guidelines are to be observed:

A.	Parents should determine with their physician's counsel whether the medication schedule can be adjusted to avoid administering medication during school hours.

B.	Before the student will be permitted to take medication during school hours, use an inhaler to self-administer asthma medication, or use an epinephrine autoinjector (epi-pen), Form 5340 F2, Physician's /Parent's Request for the Administration of Medication by School Personnel, Form 5330 F3, Self-Medication for Asthma-Inhalers Authorization Form, or Form 5330 F4, Authorization for the Possession and Use of Epinephrine Autoinjector (epi-pen) must be filed annually and as necessary for any change in medication order with the school principal and, with the School Nurse if one is assigned to the student’s building.

	1.	Form 5340 F2 - Physician's/Parent's Request for the Administration of Medication by School Personnel, shall include the following:

		a.	student's name and address;

		b.	name of the medication/drug and dosage to be administered and/or procedure required to be followed;

		c.	the time or intervals at which each dosage of the medication/drug is to be administered;

		d.	special instructions for administration of the medication/drug, including sterile conditions and storage;

		e.	the date administration of the prescribed medication/drug is to begin;

		f.	the date administration of the prescribed medication/drug is to cease;

	g.	authorization for school personnel to administer the prescribed medication;

	h.	agreement/satisfactory arrangement to deliver the medication/drug to/from school (i.e., the medication/drug must be received by the person authorized to administer it to the student for whom it is prescribed in the container in which it was dispensed by the prescriber or a licensed pharmacist);

	i.	agreement to re-submit Form 5340 F2, Physician's/Parent's Request for the Administration of Medication by School Personnel, if the medication, dosage, schedule, procedure or any other information contained on the licensed prescriber’s statement is changed or eliminated;

	j.	the prescriber’s name, address, and telephone number;

	k.	probable side affects.

2.	Form 5330 F3 - Self-Medication for Asthma-Inhalers Authorization Form, shall include the following:

	a.	the student’s name and address;

	b.	the name and dose of the medication contained in the inhaler;

	c.	the date the administration of the medication is to begin;

	d.	the date, if known, that the administration of the medication is to cease;

	e.	written instructions that outline procedures school personnel should follow in the event that the asthma medication does not produce the expected relief from the student’s asthma attack;

	f.	any severe adverse reactions that may occur to the child using the inhaler and that should be reported to the prescriber;


	g.	at least one (1) emergency telephone number at which the prescriber may be contacted in an emergency;

	h.	at least one (1) emergency telephone number for contacting the parent, guardian, or other person having care or charge of the student in an emergency;

	i.	any other special instructions from the prescriber.

3.	Form 5330 F4 - Authorization for the Possession and Use of Epinephrine Autoinjector (Epi-Pen), shall include the following:

	a.	student's name and address;

	b.	name of the medication/drug contained in the autoinjector and dosage to be administered;

	c.	the date administration of the prescribed medication/drug is to begin;

	d.	the date administration of the prescribed medication/drug is to cease (if known);

	e.	acknowledgement that the prescriber has determined that the student is capable of possessing and using the autoinjector appropriately and has provided the student with training in the proper use of the autoinjector;

	f.	circumstances in which the autoinjector should be used;

	g.	written instructions that outline procedures school personnel should follow in the event that the anaphylaxis medication does not produce the expected relief from the student's anaphylaxis;

	h.	at least one (1) emergency telephone number at which the prescriber may be contacted in an emergency;

	i.	at least one (1) emergency telephone number for contacting the parent, guardian or other person having care or charge of the student in an emergency;

	j.	any other special instructions from the prescriber.

4.	A student may possess and use a metered dose inhaler or a dry powder inhaler either before exercise to prevent the onset of asthmatic symptoms or to treat the symptoms once they occur at school, or at any activity, event, or program sponsored by the student’s school or in which the school participates. Additionally, a student may possess and use an epinephrine autoinjector to treat anaphylaxis once it occurs at school, or at any activity, event, or program sponsored by the student's school or in which the school participates. The principal or designee or school nurse, if one is assigned to the student's building shall also be provided with a backup dose of the anaphylaxis medication by the parent/guardian, or student (if s/he is eighteen (18) or older).

5.	Students authorized to possess and use a metered dose or dry powder inhaler or an epinephrine autoinjector under the Board policy may not transfer possession of any inhaler, epinephrine autoinjector or other medication to any student or permit any other student to use the inhaler medication or anaphylaxis medication.

6.	School personnel are not authorized to assist a student in self-administering asthma medication or anaphylaxis medication unless the policy and procedures regulating administration of medication by school personnel have been met. In the event the epinephrine is administered by the student or school personnel at school, or at any activity, event, or program sponsored by the student's school or in which the school participates, a school employee shall immediately request assistance from an emergency medical provider (i.e., 911).

	7.	Annually, the school nurse or other designated personnel shall contact the parent(s) of any student whose school records indicate that s/he has asthma and advise them of the option to have said student carry and self-administer approved inhalers in school. A copy of Form 5330 F3, Authorization for the Possession and Use of Asthma Inhaler/Other Emergency Medication(s), is to be enclosed with this communication.

	8.	Additionally, the school nurse or other designated personnel shall contact the parent(s)/guardian(s) of any student whose records indicate that s/he has anaphylaxis and advise them of the option to have the student carry and self-administer an epinephrine autoinjector to treat the anaphylaxis. A copy of Form 5330 F4, Authorization for the Possession and Use of Epinephrine Autoinjector (Epi-pen), is to be enclosed with such communication.

C.	Upon receipt, a copy of Form 5330 F1 - Physician's/Parent's Request for the Administration of Medication by School Personnel, a copy of Form 5330 F3 - Self Medication for Asthma - Inhalers Authorization Form, and/or a copy of Form 5330 F4 - Authorization for the Possession and Use of Epinephrine Autoinjector (Epi-pen), shall be filed in the student's permanent record as well as in the binder with the student medication log sheet.

D.	Medication that is brought to the office will be properly secured. Medication may be conveyed to school directly by the parent/guardian or other responsible adult at parental request. This should be arranged in advance. Two to four (2-4) weeks supply of medication is recommended. Medication MAY NOT be sent to school in the student's lunch box, pocket, or other means on or about his/her person. An exception to this would be prescriptions for emergency medications, for allergies and/or reactions, including an epinephrine autoinjector to treat anaphylaxis, or asthma inhalers.


E.	For each prescribed medication, the container shall have a pharmacist's label with the following information:

	1.	student's name;

	2.	prescriber’s name;

	3.	date issued and expiration date;

	4.	pharmacy name and telephone;

	5.	name of medication;

	6.	prescribed dosage and frequency;

	7.	special handling and storage directions.

	8.	route.

F.	All medication will be kept locked in the building clinic.

G.	A log for each prescribed medication shall be maintained that will note the personnel giving the medication, the date, and the time of day. This log will be maintained along with the prescriber’s written request and the parent's written release.

H.	Any unused medication unclaimed by the parent will be destroyed by clinic staff when a prescription is no longer to be administered or at the end of a school year.

I.	The staff member administering the medication shall make reasonable efforts to assist the student in taking the medication properly.

J.	If a student does not take the medication at the proper time, the staff member responsible for administering the medication shall attempt to locate the student and administer the medication and then to notify the parents of the importance of the child reporting on time for his/her medication.

K.	All medications are to be administered in such a way as not to embarrass the student unduly.

L.	Written documentation of the training provided for each person authorized to administer a prescribed medication or treatment will show:

	1.	what training was given;

	2.	the trainer's name and professional status;

	3.	when the training was given;

	4.	the duration of the training.

M.	In order to minimize health and safety risks to student-athletes and maintain ethical standards, school personnel, coaches, athletic trainers, and lay coaches should never dispense, supply, recommend, or permit the use of any drug, medication, or food supplement for performance-enhancing purposes.

N.	Only employees who are licensed health professionals or who have completed the specified drug administration training program conducted by a licensed health professional and are designated by the Board may administer a prescribed medication to a student.

O.	Dispensing of nonauthorized, over-the-counter (OTC) medication by Board employees to students served by the District is prohibited. Where investigation confirms such allegations, prompt corrective action shall be taken up to and including dismissal.

The following guidelines will be used by all staff in the administration of medication. This procedure is to be used every time a medication is to be given.

The 5Rs for medication administration:

	A.	Right Patient

		In this step, the medication giver checks the name on the medication vial and verifies that the child about to receive the medication is in fact the right one. Many errors have occurred when only the first name is checked. Children will often answer to the wrong name. Having a photo of the child on the medication administration record (MAR) if possible is a good safety check.

	B.	Right Medication

		In this step, the medication giver triple checks the medication name on the bottle versus the medication scheduled to be given on the MAR. Many students have multiple medications to be given and the wrong one could be given if not carefully checked.

	C.	Right Dose

		In this step, care is given to check that the correct dose (strength) is given. Specifically, the directions are compared with the strength of the medication as listed on the container.

	D.	Right Time

		In this step, the directions are compared to the present time to see if now is the correct time to give the medication.

	E.	Right Route

		In this step, the proper route of administration is followed, e.g., oral, nasal.

Adopted 9/97
Reviewed 10/98
Revised 8/00
Revised 10/02
Revised 07/07
Revised 2/27/12