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 an authorized practitioner with the student and the student's parent.  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 physician, and persons to whom authorized practitioners have delegated the administration of medication (who have successfully completed a medication administration course).  A medication administration course and periodic update shall be conducted by a registered nurse or licensed pharmacist, and 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.  Emergency protocols for medication-related reactions shall be posted.  Medication information shall be confidential information as provided by law

Disposal of unused, discontinued/recalled, or expired 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. 

 

 

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). 

Cross References:  603.3     Special Education
                                         607.2     Student Health Services

                                         804.5     Stock Prescription Medication Supply

Approved    4/11/05                        
Reviewed  11/15/21 10/11/22                                                                      
Revised     10/11/22         

 

dawn.gibson.cm… Mon, 12/11/2023 - 09:27

507.2E1 - Authorization - Asthma or Airway Constricting Medication Self-Administration Consent Form

507.2E1 - Authorization - Asthma or Airway Constricting Medication Self-Administration Consent Form

_____________________________       ___/___/___            _________________     ___/___/___
Student's Name (Last), (First)  (Middle)      Birthday                    School                                  Date

 

In order for a student to self-administer medication for asthma or any airway constricting disease:

  • Parent/guardian provides signed, dated authorization for student medication self-administration.
  • Physician (person licensed under chapter 148, 150, or 150A, physician, physician's assistant, advanced registered nurse practitioner, or other person licensed or registered to distribute or dispense a prescription drug or device in the course of professional practice in Iowa in accordance with section 147.107, or a person licensed by another state in a health field in which, under Iowa law, licensees in this state may legally prescribe drugs) provides written authorization containing:
    • purpose of the medication,
    • prescribed dosage,
    • times or;
    • special circumstances under which the 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 is renewed annually.  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, a student with asthma or other airway constricting disease may possess and use the student's medication 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.

Pursuant to state law, the school district or accredited nonpublic school and its employees are to incur no liability, except for gross negligence, as a result of any injury arising from self-administration of medication by the student. The parent or guardian of the student shall sign a statement acknowledging that the school district or nonpublic school is to incur no liability, except for gross negligence, as a result of self-administration of medication by the student as established by Iowa Code § 280.16.

 

 

                                                                                                                                                    
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 or other airway constricting disease medication(s) 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 for supervising, monitoring, or interfering with a student's self-administration of medication
  • 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 Education Rights and Privacy Act (FERPA).
  • I agree to provide the school with back-up medication approved in this form.
  • (Student maintains self-administration record.)

 

                                                                                                            /            /          
Parent/Guardian Signature                                                         Date
(agreed to above statement)                              

                                                                                                                                               
Parent/Guardian Address                                                           Home Phone

 

                                                                                                                                               
                                                                                                Business Phone

 

                                                                                                                                               

 

                                                                                                                                               

 

                                                                                                                                               

Self-Administration Authorization Additional Information                                                  

 

 

Approved    4/11/05                        
Reviewed  11/15/21                                                                       
Revised                   

 

dawn.gibson.cm… Mon, 12/11/2023 - 09:31

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

_____________________________       ___/___/___            _________________     ___/___/___
Student's Name (Last), (First),  (Middle)     Birthday                    School                                    Date

School medications and health services are administered following these guidelines:

  • Parent has provided a signed, dated authorization to administer medication and/or provide the health service.
  • The medication is in the original, labeled container as dispensed or the manufacturer's labeled container.
  • The medication label contains the student’s name, name of the medication, directions for use, and date.
  • Authorization is renewed annually and immediately when the parent notifies the school that changes are necessary.

 

                                                                                                                                                                          
Medication/Health Care                         Dosage                         Route                           Time at School

 

                                                                                                                                               

                                                                                                                                               
Administration instructions

                                                                                                                                               

                                                                                                                                               
Special Directives, Signs to Observe and Side Effects

 

            /           /          
Discontinue/Re-Evaluate/Follow-up Date

 

                                                                                                /           /           
Prescriber’s Signature                                                    Date

 

                                                                                                                                   
Prescriber's Address                                                      Emergency Phone

I request the above named student carry medication at school and school activities, according to the prescription, instructions, and a written record kept. Special considerations are noted above. The information is confidential except as provided to the Family Education Rights and Privacy Act (FERPA).  I agree to coordinate and work with school personnel and prescriber when questions arise. I agree to provide safe delivery of medication and equipment to and from school and to pick up remaining medication and equipment.

 

                                                                                                            /            /          
Parent's Signature                                                                      Date

 

                                                                                                                                   
Parent's Address                                                                        Home Phone

 

                                                                                                                                   
                                                                                                    Business Phone

Additional Information                                                             

                                                                                                                                               

                                                                                                                                                

                                                                                                                                               

Authorization Form

 

 

Approved 4/10/06                    
Reviewed 11/15/21_______                  
Revised______________

 

dawn.gibson.cm… Mon, 12/11/2023 - 09:34