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 licensed health personnel working under the auspice of the school with collaboration from the parent or guardian, individual’s health care provider or education team pursuant to 281.14.2(256) .  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 conducted by a registered nurse or pharmacist that is provided by the department of education). The medication administration course is completed every five years with an annual procedural skills check completed with a registered nurse or a pharmacist. 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.  The development of emergency protocols for medication-related reactions is required. Medication information shall be confidential information as provided by law.

Disposal of unused, discontinued/recalled, or expired abandoned 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. 

 

NOTE: This is a mandatory policy. 

NOTE: Iowa law requires school districts to allow students with asthma, airway constricting disease, or respiratory distress to carry and self-administer their medication as long as the parents and prescribing physician report and approve in writing.  Students do not have to prove competency to the school district. The consent form, see 507.2E1, is all that is required.  School districts that determine students are abusing their self-administration may either withdraw the self-administration if medically advisable or discipline the student, or both.  

 NOTE: School districts may stock over-the-counter, nonprescription medications that are not for life-threatening incidents.  The policy for medication administration covers prescription and nonprescription medication.

NOTE: Disposal procedures reflect the Iowa Department of Education School Hazardous Waste and Medication Management Guidance, issued 2021-2022: https://www.iowadnr.gov/Portals/idnr/uploads/waste/swfact_schoolhazardo…

Approved 3/16/16                Reviewed      8/23/23            Revised 

Jen@iowaschool… Sun, 07/28/2019 - 13:41

507.2E1 AUTHORIZATION ASTHMA OR AIRWAY CONSTRICTING MEDICATION SELF-ADMINISTRATION CONSENT FORM

507.2E1 AUTHORIZATION ASTHMA OR AIRWAY CONSTRICTING MEDICATION SELF-ADMINISTRATION CONSENT FORM

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

Code No. 507.2E1

Page 2 of 2

 

AUTHORIZATION-ASTHMA OR AIRWAY CONSTRICTING MEDICATION 

SELF-ADMINISTRATION CONSENT FORM

 

                                    /    /   

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.

 

                                    /    /   

Parent/Guardian Signature                     Date

(agreed to above statement)           

 

                                               

Parent/Guardian Address                    Home Phone

 

                                               

                                Business Phone

 

                                               

 

                                               

 

                                               

Self-Administration Authorization Additional Information       

Jen@iowaschool… Sun, 07/28/2019 - 13:43

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

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.

Code No. 507.2E2

Page 2 of 2

 

PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION 

OF PRESCRIPTION MEDICATION TO STUDENTS

 

                                    /    /   

Parent's Signature                        Date

 

                                           

Parent's Address                        Home Phone

 

                                           

Additional Information                        Business Phone

                                               

       

                                               

 

                                               

Authorization Form

Jen@iowaschool… Sun, 07/28/2019 - 13:43

EXHIBIT 507.2E4: PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION OF VOLUNTARY SCHOOL STOCK OF OVER-THE-COUNTER MEDICATION TO STUDENTS

EXHIBIT 507.2E4: PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION OF VOLUNTARY SCHOOL STOCK OF OVER-THE-COUNTER MEDICATION TO STUDENTS

EXHIBIT 507.2E4

cjenness@e-hawks.org Thu, 08/24/2023 - 08:43