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 may self-administer their medication upon approval of their parents and prescribing physician without having to first demonstrate competency in self-administration.

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

a. Written consent of the parent or guardian, which is signed and dated, must be on file in the student health office for the District to administer a medication.

b. 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.

c. 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.

d. Medications shall be stored in the student health office or other designated location in a secure place in the original 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.

e. 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.

f. Acute cases, such as asthma, diabetes, and severe allergic reactions will be handled individually according to District rules and procedures.

g. The District nurses shall develop protocols for emergency situations involving medication-related reactions.

h. 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 nonadministration shall be made.

i. When administration of the medication requires ongoing professional health judgment, an individual health plan will be developed.

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

Date of Revision: April 1, 2013

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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