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Recommendation for Distribution of Medication to Students: Including Asthma

Medication should be given at home when possible. If school personnel are giving medications, they shall receive formal training and monitoring. Training can be provided by personnel such as, but not limited to: registered nurses, physicians, pharmacists, and/or dentists. Medical personnel should adhere to the practice standards for their profession as governed by the appropriate licensing authority. School personnel shall keep a child's medication in a safe place and call the child to take the medication at the proper time providing there is a signed, notarized authorization to give medication form (see sample form) from the parent. The forms shall be completed before any person administers medication to a student. The information given on the sample form includes (1) name of child, (2) name, address, and phone number of physician, (3) type of medicine, (4) dosage, (5) time of day for dosage, (6) reason medication is to be given, (7) possible reactions or side effects of medicine, (8) release from liability and (9) parent's telephone at home, work, and emergency. Students shall be supervised while taking any medication by a qualified individual with training in first aid. The individual shall receive appropriate preparation for the administration of medication and recording of medication. The person supervising the administration of medication shall keep a written record. Students are permitted to self-administer asthma medications when the school receives written authorization from the parent and health care provider. This permission shall be effective for the school year and renewed each school year. Self-medication, when appropriate, requires parental and physician or health care provider approval. Additionally, the school shall have on file a written statement from the physician stating methods and times to administer the drug. All medication shall be sent to school in its original container with the prescription label attached, which includes the physician's directions for dispensing the medication. KRS 218A.210 states "A person to whom or for whose use any controlled substance has been presented, sold, or dispensed by a practitioner or other persons authorized under this chapter, may lawfully possess it only in the container in which it was delivered to him by the person selling or dispensing the same."

 

PRESCRIPTION MEDICATIONS

Prescription Medications are to be accepted on an individual basis and administered only as prescribed on the physician's or dentist's written authorization. The original prescription or refill shall be provided by the parent and include the student's name, date, medication dosage, strength, and directions for use which includes frequency, duration, and route of administration, prescribing physician, and pharmacy name and address.

 

 

NONPRESCRIPTION MEDICATIONS

Non-prescription (over-the-counter) medications may be accepted on an individual basis as provided by the parent or legal guardian so long as a completed authorization to give medication form is on file. Prolonged use of non-prescription medication should be discouraged. Physician or health care provider approval is highly recommended for use of non-prescription medication. The medication should be in the original container.

 

 

EMERGENCY MEDICATION

Emergency Medication shall be administered as per written protocol approved and signed by a physician or local health officer and parent.

Individual protocols are needed to address those students with a history of systemic reaction to known allergens (anaphylaxis). Schools shall develop emergency plans of action to address allergic reactions occurring in students with no previous history of anaphylaxis.

 

 

STORAGE OF MEDICATION

All medications shall be stored in a secure, locked, clean container or cabinet accessible only to the responsible authorized school personnel.

 

 

DOCUMENTATION OF ADMINISTRATION

All medication given shall be documented on a medication log. Records shall contain legal signature of person(s) administering medication and kept on file in the student's cumulative folder. Documentation shall be complete reflecting beginning and ending dates and rotations of missed doses and absences. Medication recording sheets shall be filed in student's cumulative folder when completed or medication changed or discontinued.

 

Each local district should be encouraged to develop board policy regarding administration of medication to reflect their local needs.

 

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