5330 Administration of Medication/Emergency Care
5330 - ADMINISTRATION OF MEDICATIONS
For purposes of this guideline:
For purposes of this guideline:
A. "Practitioner" shall include any physician, dentist, podiatrist, optometrist, physician assistant, and advanced practice nurse prescriber who is licensed in any State.
B. "Medication" shall include all drugs including those prescribed by a practitioner and any nonprescription drug products.
C. "Administer" means the direct application of a nonprescription drug product or prescription drug, whether by injection, ingestion, or other means, to the human body.
D. "Nonprescription drug product" means any non-narcotic drug product which may be sold without a prescription order and which is prepackaged for use by consumers and labeled in accordance with the requirements of State and Federal law.
Nonprescription drug products include cough drops that contain active ingredients. These cough drops must be handled in the same manner as aspirin, Advil and Tylenol. If a cough drop contains only sugar, water, and some menthol, the procedures for handling nonprescription drug products are not required.
Prescribed Medications
In those circumstances where a student must take prescribed medication during the school day, the following guidelines are to be observed:
B. "Medication" shall include all drugs including those prescribed by a practitioner and any nonprescription drug products.
C. "Administer" means the direct application of a nonprescription drug product or prescription drug, whether by injection, ingestion, or other means, to the human body.
D. "Nonprescription drug product" means any non-narcotic drug product which may be sold without a prescription order and which is prepackaged for use by consumers and labeled in accordance with the requirements of State and Federal law.
Nonprescription drug products include cough drops that contain active ingredients. These cough drops must be handled in the same manner as aspirin, Advil and Tylenol. If a cough drop contains only sugar, water, and some menthol, the procedures for handling nonprescription drug products are not required.
Prescribed Medications
In those circumstances where a student must take prescribed medication during the school day, the following guidelines are to be observed:
A. Parents should determine with their practitioner’s counsel whether the medication schedule can be adjusted to avoid administering medication during school hours.
B. The Medication Request and Authorization Form 5330 F1 must be filed with the school office before the student will be allowed to begin taking any medication during school hours. This written and signed request form is to be submitted on an annual basis, or more often if changes in dosage occur, and will include:
B. The Medication Request and Authorization Form 5330 F1 must be filed with the school office before the student will be allowed to begin taking any medication during school hours. This written and signed request form is to be submitted on an annual basis, or more often if changes in dosage occur, and will include:
1. student's name and date of birth;
2. medication and dosage or procedure required;
3. times required;
4. special instructions including storage and sterility requirements;
5. date prescribed medication will be started;
6. date prescribed medication will no longer be needed;
7. agreement to notify the school in writing if the medication, dosage, schedule, or procedure is changed or eliminated. A new request form must be submitted each school year or for each new medication.
2. medication and dosage or procedure required;
3. times required;
4. special instructions including storage and sterility requirements;
5. date prescribed medication will be started;
6. date prescribed medication will no longer be needed;
7. agreement to notify the school in writing if the medication, dosage, schedule, or procedure is changed or eliminated. A new request form must be submitted each school year or for each new medication.
C. For each prescribed medication, the medication shall be in the original pharmacy-labeled package with the following information in a legible format:
1. student’s name
2. practitioner’s name
3. date
4. pharmacy name and telephone
2. practitioner’s name
3. date
4. pharmacy name and telephone
5. name of medication
6. prescribed dosage and frequency
7. special handling and storage directions
6. prescribed dosage and frequency
7. special handling and storage directions
D. All medications to be administered during school hours must be registered with the school office. Upon receipt of the medication, the Executive Administrative Assistant shall verify the amount of medication brought to the school and indicate that amount on the student's medication log sheet.
Nonprescription Drug Products
In those circumstances where a student must take a Nonprescription Drug Product during the school day, the following guidelines are to be observed:
A. The Nonprescription Drug Product Request and Authorization Form 5330 F1a must be filed with the school office before the student will be allowed to begin taking any medication during school hours.
B. For each nonprescription drug product, the container shall be the original manufacturer’s package and the package must list in a legible format the ingredients and recommended therapeutic dose.
The parents request to administer a nonprescription drug product shall contain the following information:
Nonprescription Drug Products
In those circumstances where a student must take a Nonprescription Drug Product during the school day, the following guidelines are to be observed:
A. The Nonprescription Drug Product Request and Authorization Form 5330 F1a must be filed with the school office before the student will be allowed to begin taking any medication during school hours.
B. For each nonprescription drug product, the container shall be the original manufacturer’s package and the package must list in a legible format the ingredients and recommended therapeutic dose.
The parents request to administer a nonprescription drug product shall contain the following information:
1. student's name
2. date
3. name of medication
4. dosage and frequency
5. special handling and storage directions
2. date
3. name of medication
4. dosage and frequency
5. special handling and storage directions
General Procedures
A. A Medications Administration Daily Log (Form 5330 F2) recording the administration of each prescribed medication and nonprescription drug product shall be maintained. The log will note the personnel giving the medication, the date, the exact dosage administered, and the time of day. The log will include each error in the administration of the medication and each missed administration of the medication. This log will be maintained along with the practitioner's written request and the parent's written release.
B. Written documentation of the Department of Public Instruction approved training provided for each person authorized to administer a prescribed medication or treatment will show what training was given;
C. Any unused medication unclaimed by the parent will be destroyed by administrative personnel when a prescription is no longer to be administered or within seven (7) days after the end of a school year.
D. The staff member administering the medication shall make a reasonable effort to see that the student takes the medication properly.
E. If a student does not take the medication at the proper time, the staff member responsible for administering the medication shall take appropriate steps to locate the student and administer the medication and to then notify the parents of the importance of the child reporting on time for his/her medication.
F. A medication error includes any failure to administer medication as prescribed for a particular student, including failure to administer the medication within appropriate time frames, in the correct dosage, in accordance with accepted practice, and to the correct student. In the event of a medication error, the school nurse shall notify the parent(s) immediately. If there is a question of potential harm to the student, the nurse shall also notify the student's practitioner.
The school nurse shall document medication errors on the Medications Log Form 5330 F2. The school nurse shall review reports of medication errors and provide consultation to ensure appropriate medication administration in the future.
G. If a student is exhibiting behavior which causes the teacher to be concerned about his/her medical status, this behavior must be reported to the school office and expressed in writing in behavioral terms. A designated person may then contact the parent and advise that they seek medical attention for the child, at which time the written observations may be given to the parent to take to the doctor.
B. Written documentation of the Department of Public Instruction approved training provided for each person authorized to administer a prescribed medication or treatment will show what training was given;
C. Any unused medication unclaimed by the parent will be destroyed by administrative personnel when a prescription is no longer to be administered or within seven (7) days after the end of a school year.
D. The staff member administering the medication shall make a reasonable effort to see that the student takes the medication properly.
E. If a student does not take the medication at the proper time, the staff member responsible for administering the medication shall take appropriate steps to locate the student and administer the medication and to then notify the parents of the importance of the child reporting on time for his/her medication.
F. A medication error includes any failure to administer medication as prescribed for a particular student, including failure to administer the medication within appropriate time frames, in the correct dosage, in accordance with accepted practice, and to the correct student. In the event of a medication error, the school nurse shall notify the parent(s) immediately. If there is a question of potential harm to the student, the nurse shall also notify the student's practitioner.
The school nurse shall document medication errors on the Medications Log Form 5330 F2. The school nurse shall review reports of medication errors and provide consultation to ensure appropriate medication administration in the future.
G. If a student is exhibiting behavior which causes the teacher to be concerned about his/her medical status, this behavior must be reported to the school office and expressed in writing in behavioral terms. A designated person may then contact the parent and advise that they seek medical attention for the child, at which time the written observations may be given to the parent to take to the doctor.
H. Student with Severe Asthmatic Symptoms
Use of Metered Dose or Dry Powder Inhalers
Asthmatic students may, while in school, at a school-sponsored activity, or under the supervision of a school authority, possess and use a metered dose inhaler or dry powder inhaler when the following three (3) conditions are met.
Use of Metered Dose or Dry Powder Inhalers
Asthmatic students may, while in school, at a school-sponsored activity, or under the supervision of a school authority, possess and use a metered dose inhaler or dry powder inhaler when the following three (3) conditions are met.
1. The student is required to carry an inhaler for use prior to physical activity to prevent the onset of asthmatic symptoms or for use to alleviate asthmatic symptoms, and
2. the completed Parent Consent form for a minor student has been submitted to the principal, and
3. the practitioner's order for medication administration has been submitted to the principal authorizing the student to possess and use an inhaler.
Asthmatic students who are not required to carry an inhaler shall follow the guidelines which apply to all other prescription medications and their administration.
Students with Severe Allergic Reactions
Use of Epi-pen
Students who may suffer from severe allergic reactions may, while in school, at a school-sponsored activity, or under the supervision of a school authority, possess and use an epi-pen when three (3) conditions are met.
Students with Severe Allergic Reactions
Use of Epi-pen
Students who may suffer from severe allergic reactions may, while in school, at a school-sponsored activity, or under the supervision of a school authority, possess and use an epi-pen when three (3) conditions are met.
1. The student is required to carry the epi-pen for use to prevent the onset of an allergic reaction, and
2. the completed Parent Consent form for a minor student has been submitted to the principal, and
3. the practitioner's order for medication administration has been submitted to the principal authorizing the student to possess and use the epi-pen.
2. the completed Parent Consent form for a minor student has been submitted to the principal, and
3. the practitioner's order for medication administration has been submitted to the principal authorizing the student to possess and use the epi-pen.
Students who may suffer from severe allergic reactions but are not required to carry an epi-pen shall follow the guidelines which apply to all other prescription medications and their administration.
I. School personnel are not required to administer a nonprescription drug product or prescription drug by means other than ingestion. However, personnel designated to administer medications may indicate a willingness to provide medications, in an emergency or special situation, by means other than ingestion. This is done only under the direction and delegation of the school nurse. The school nurse shall provide instruction and written protocols, as well as documentation that both were provided.
J. Dispensing of nonauthorized, nonprescription drug products by District employees to students served by the District is prohibited. Where investigation confirms such conduct, prompt corrective action shall be taken, up to and including dismissal.
K. To minimize health and safety risks to student-athletes and maintain ethical standards, school personnel, coaches, athletic trainers, and lay coaches should never dispense, supply or recommend the use of any drug, medication, or food supplement for performance-enhancing purposes.
© Neola 2010
J. Dispensing of nonauthorized, nonprescription drug products by District employees to students served by the District is prohibited. Where investigation confirms such conduct, prompt corrective action shall be taken, up to and including dismissal.
K. To minimize health and safety risks to student-athletes and maintain ethical standards, school personnel, coaches, athletic trainers, and lay coaches should never dispense, supply or recommend the use of any drug, medication, or food supplement for performance-enhancing purposes.
© Neola 2010
5330 - ADMINISTRATION OF MEDICATION/EMERGENCY CARE
The Board of Education shall not be responsible for the diagnosis and treatment of student illness. The administration of medication to a student during school hours will be permitted only when failure to do so would jeopardize the health of the student, the student would not be able to attend school if the medication were not administered during school hours, or the child is disabled and requires medication to benefit from his/her educational program.
For purposes of this policy, "practitioner" shall include any physician, dentist, podiatrist, optometrist, physician assistant, and advanced practice nurse prescriber who is licensed in any state. "Medication" shall include all drugs including those prescribed by a practitioner and any nonprescription drug products. "Administer" means the direct application of a nonprescription drug product or prescription drug, whether by injection, ingestion, or other means, to the human body. "Nonprescription drug product" means any nonnarcotic drug product which may be sold without a prescription order and which is prepackaged for use by consumers and labeled in accordance with the requirements of State and Federal law.
Before any prescribed medication may be administered to any student during school hours, the Board shall require the written instructions from the child's practitioner accompanied by the written authorization of the parent.
Nonprescription drug products may be administered to any student during school hours only with the prior written consent of the parent. Substances, which are not FDA approved (i.e. natural products, food supplements), will require the written instruction of a practitioner and the written consent of the parent. Only those nonprescription drugs that are provided by the parent or guardian in the original manufacturers package which lists the ingredients and dosage in a legible format may be administered.
The document authorizing the administration of both prescribed medication and nonprescription drug products shall be kept on file in the administrative offices.
Only medication in its original container; labeled with the date, if a prescription; the student's name; and the exact dosage will be administered. Parents, or students authorized in writing by their practitioner and parents, may administer medication.
No student is allowed to provide or sell any type of medication to another student. Violations of this rule will be considered violations of Policy 5530 - Drug Prevention and of the Student Code of Conduct.
Medications will be administered and the instruction and consent forms will be maintained in accordance with the District Administrator's guidelines.
Any bus driver, staff member or volunteer, authorized in writing by the District Administrator, is immune from liability for his/her acts or omissions in administering medication including, but not limited to glucagon and epinephrine, unless the act or omission constitutes a high degree of negligence. Such immunity does not apply to health-care professionals.
All medication shall be kept in a locked storage case in the school office.
The Board shall permit the administration by staff of any medication requiring a delivery method other than oral ingestion when both the medication and the procedure are prescribed by a practitioner and the delivery is under the supervision of a licensed nurse, provided that the staff member has completed any necessary training and that staff member voluntarily agrees to deliver the medication. No staff member, other than a health care professional, shall be required to administer medications that are administered by means other than oral ingestion.
Students who may require administration of a drug on an emergency basis may have such medication in their possession with written authorization of their parent.
Any staff member or volunteer who, in good faith, renders emergency care to a student is immune from civil liability for his/her acts or omissions in rendering such emergency care.
Any district administrator who authorizes an employee or volunteer to administer a nonprescription drug product or prescription drug to a student is immune from civil liability for the act of authorization unless it constitutes a high degree of negligence or the administrator authorizes a person who has not received the required Department of Public Instruction training to administer the nonprescription drug product or prescription drug to a student. School nurses, as district employees, are regulated by the Wisconsin Nurse Practice Act and are therefore not necessarily immune from civil liability.
The school nurse(s) has provided assistance in the development of this policy and will also provide a periodic review of the written instructions and consent forms and the Medications Administration Daily Log(s).
The District Administrator shall prepare administrative guidelines to ensure the proper implementation of the requirements of this policy.
118.29, 118.291, 121.02 Wis. Stats.
PI 8.01(2)(g)
Wis. Admin. Code N 6.03
2009 Wisconsin Act 160
© NEOLA 2011
The Board of Education shall not be responsible for the diagnosis and treatment of student illness. The administration of medication to a student during school hours will be permitted only when failure to do so would jeopardize the health of the student, the student would not be able to attend school if the medication were not administered during school hours, or the child is disabled and requires medication to benefit from his/her educational program.
For purposes of this policy, "practitioner" shall include any physician, dentist, podiatrist, optometrist, physician assistant, and advanced practice nurse prescriber who is licensed in any state. "Medication" shall include all drugs including those prescribed by a practitioner and any nonprescription drug products. "Administer" means the direct application of a nonprescription drug product or prescription drug, whether by injection, ingestion, or other means, to the human body. "Nonprescription drug product" means any nonnarcotic drug product which may be sold without a prescription order and which is prepackaged for use by consumers and labeled in accordance with the requirements of State and Federal law.
Before any prescribed medication may be administered to any student during school hours, the Board shall require the written instructions from the child's practitioner accompanied by the written authorization of the parent.
Nonprescription drug products may be administered to any student during school hours only with the prior written consent of the parent. Substances, which are not FDA approved (i.e. natural products, food supplements), will require the written instruction of a practitioner and the written consent of the parent. Only those nonprescription drugs that are provided by the parent or guardian in the original manufacturers package which lists the ingredients and dosage in a legible format may be administered.
The document authorizing the administration of both prescribed medication and nonprescription drug products shall be kept on file in the administrative offices.
Only medication in its original container; labeled with the date, if a prescription; the student's name; and the exact dosage will be administered. Parents, or students authorized in writing by their practitioner and parents, may administer medication.
No student is allowed to provide or sell any type of medication to another student. Violations of this rule will be considered violations of Policy 5530 - Drug Prevention and of the Student Code of Conduct.
Medications will be administered and the instruction and consent forms will be maintained in accordance with the District Administrator's guidelines.
Any bus driver, staff member or volunteer, authorized in writing by the District Administrator, is immune from liability for his/her acts or omissions in administering medication including, but not limited to glucagon and epinephrine, unless the act or omission constitutes a high degree of negligence. Such immunity does not apply to health-care professionals.
All medication shall be kept in a locked storage case in the school office.
The Board shall permit the administration by staff of any medication requiring a delivery method other than oral ingestion when both the medication and the procedure are prescribed by a practitioner and the delivery is under the supervision of a licensed nurse, provided that the staff member has completed any necessary training and that staff member voluntarily agrees to deliver the medication. No staff member, other than a health care professional, shall be required to administer medications that are administered by means other than oral ingestion.
Students who may require administration of a drug on an emergency basis may have such medication in their possession with written authorization of their parent.
Any staff member or volunteer who, in good faith, renders emergency care to a student is immune from civil liability for his/her acts or omissions in rendering such emergency care.
Any district administrator who authorizes an employee or volunteer to administer a nonprescription drug product or prescription drug to a student is immune from civil liability for the act of authorization unless it constitutes a high degree of negligence or the administrator authorizes a person who has not received the required Department of Public Instruction training to administer the nonprescription drug product or prescription drug to a student. School nurses, as district employees, are regulated by the Wisconsin Nurse Practice Act and are therefore not necessarily immune from civil liability.
The school nurse(s) has provided assistance in the development of this policy and will also provide a periodic review of the written instructions and consent forms and the Medications Administration Daily Log(s).
The District Administrator shall prepare administrative guidelines to ensure the proper implementation of the requirements of this policy.
118.29, 118.291, 121.02 Wis. Stats.
PI 8.01(2)(g)
Wis. Admin. Code N 6.03
2009 Wisconsin Act 160
© NEOLA 2011