5330.01 - SELF-ADMINISTERED MEDICATION

The School Board of Polk County

Bylaws & Policies

Unless a specific policy has been amended and the date the policy was revised is noted at the bottom of that policy, the bylaws and policies of The School Board of Polk County were adopted on November 12, 2013 and were in effect beginning November 12, 2013.

5330.01 - SELF-ADMINISTERED MEDICATION

A student may carry and self-administer a metered dose inhaler, epinephrine auto-injector, prescribed pancreatic enzyme supplement and/or may carry diabetic supplies and equipment to manage and care for their diabetes provided the student’s parent or guardian provides the following:

For self-administration of a metered dose inhaler, the parent or guardian must provide the District with a written authorization that is signed and dated by both the parent or guardian and physician. The written approval by the physician must include the following:

		1.	name of the medication in the metered dose inhaler;
		2.	the prescribed dosage;
		3.	the times or the special circumstances under which the medication is to be administered; and
		4.	any other special related information regarding the administration of the metered dose inhaler.

For self-administration of an epinephrine auto-injector, the parent or guardian must provide the District with a written authorization that is signed and dated by both the parent or guardian and the physician. The written approval by the physician must include:

		1.	the times or the special circumstances under which the medication is to be administered; and
		2.	any other special related information regarding the administration of the epinephrine auto-injector.

For self-administration of prescribed pancreatic enzyme supplements, the parent or guardian must provide the District with a written authorization that is signed and dated and provide the prescription label containing the following:

		1.	name of the medication;
		2.	the prescribed dosage;
		3.	the times or the special circumstances under which the medication is to be administered; and
		4.	any other special related information regarding the administration of the medication.

For the use of a diabetic supplies and equipment, the parent or guardian must submit written authorization from the student’s physician, containing the following:

		1.	an identification of the diabetic supplies and equipment the student is authorized to carry;
		2.	a description of which activities the child is capable of performing without assistance;
		3.	the times or the special circumstances under which the medication is to be administered;
		4.	any other special related information regarding the administration of the medication.

The School District and its employees are not liable for damages as a result of any injury arising from a student’s self-administration of prescribed meted dose inhaler, epinephrine auto-injector, pancreatic enzyme supplements and/or for the use of diabetic supplies and equipment.

F.S. 985.04, 1002.20, 1002.221