516 – Student Health-Administering Medications At School

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 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 or students with risk of anaphylaxis may self-administer their medication or use an epinephrine auto-injector, as the case may be, upon written approval of their parents and prescribing licensed health care professional without having to first demonstrate competency in self-administration.

Pursuant to state law, the District and its employees are to have no liability, except for gross negligence, as a result of an injury arising from self-administration of medication or use of an epinephrine auto-injector by a student, and parents or guardians of the student shall sign a statement acknowledging this provision.  The 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.

Administration of Medications. The following conditions shall apply to administration of medications (prescription and over-the-counter) by District personnel to students:

  1. Written consent of the parent or guardian and written request of the prescribing physician, which are signed and dated, must be on file in the student health office for the District to administer a medication.
  2. 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 medications shall be reviewed by a District nurse for the current usage and dosage before being administered.
  3. All medication shall be administered in the student health office when practicable. All medications must be consumed in the presence of the designated school personnel.
  4. Medications shall be stored in the student health office or other designated location in a secure place in the original labeled containers. Prescription medications and nonprescription medications (other than Ibuprofen and Acetaminophen) shall have detailed labels or authorization forms clearly showing 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 or other designated employee may contact the student’s physician if he or she has any questions regarding the administration of the medication.
  5. 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.
  6. Acute cases, such as asthma, diabetes, and severe allergic reactions will be handled individually according to District rules and procedures.
  7. The District nurses shall develop protocols for emergency situations involving medication-related reactions.
  8. 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 health facilitator showing reasons for non-administration shall be made.
  9. When administration of the medication requires ongoing professional health judgment, an individual health plan will be developed.
  10. Parents or guardians shall be responsible for safe and timely delivery and pickup of medication, and shall notify school officials immediately if any changes occur in the administration of medication during the school year.

Confidentiality. Medication administration consents and records shall be kept confidential in accordance with Policy 535.

Date of Revision: March 26, 2018

Legal References: 124.101(1), 147.107, 152.1, 155A.4, 279.8, 280.14, 280.16, 280.23, Code of Iowa; 281 I.A.C., 41.404, 41.405; 655 I.A.C. 6.2, 657 I.A.C. 8.32


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