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Board Policy

Administration of Medicine to Minor Students

 

Purpose

The purpose of this policy is to identify when district personnel are authorized to administer medication to minor students, when minor students are authorized to self-medicate and how district personnel will maintain, administer, monitor and dispose of minor student medication.

Definitions

For purposes of this policy, these terms have the following definitions:

"Medicine" or “medications” includes prescription medications and over-the-counter medicines such as but not limited to aspirin, cough syrup, medicated ointments and any other item used to treat an illness, disease or malady. This term shall not include “Sunscreen” as defined below.

“Parent” means a parent, a court appointed guardian or a person having legal custody of a minor student.

“Sunscreen” means a compound topically applied to prevent sunburn. Policy

Under Oklahoma law, a school nurse, an administrator or a designated school employee may administer prescription and nonprescription medications to minor students. Only designated employees who have successfully completed specific training in the administration of nonprescription and prescription medications may administer medication to minor students with legitimate health needs.

Except as provided in this policy and in the technology center’s diabetes care and management policy, minor students may not retain possession of or self-administer any medicine. Violation of this rule will be reported to the minor student's parent and may result in discipline, including out-of-school suspension.

As further set out below, the technology center retains the discretion to reject requests for the administration of medication and to discontinue the administration of medication.

The parent must deliver the minor student’s medicine to the school administrator in its original container with the parent’s written authorization for administration of the medicine. The parent's authorization must identify the minor student, the medicine and include or refer to the label for instructions on administration of the medicine. The administrator or a designated  employee  will  administer  the  medicine  to  the  minor  student  pursuant to the

parent's instructions and the directions for use on the label or in the physician's prescription. The parent must complete a new authorization form annually and for each change of medication. The technology center will maintain the authorization form as a part of the  minor student’s health record. Authorization forms will be available in the  campus  director’s office. A parent who chooses to do so may come to the school and personally dispense medication to the minor student.

The administration of each campus will keep a record of the minor students to whom medicine is administered, the date of administration, the person who administered the medicine and the name or type of medicine administered.

Medications will be stored in a separate locked drawer or cabinet that is readily accessible only to the persons who will administer the medication. Medications requiring refrigeration will be refrigerated in a secure area.

Any person administering medicine to a minor student will participate in training by  October 1 of each year conducted by a school nurse or other health care professional. The training will include:

  • Review of state statutes and school rules and regulations (including this policy) regarding administration of medication by school personnel;
  • Procedures for administration, documentation, handling and storage of medication; and
  • Medication needs of specific minor students, desired effects, potential side effects, adverse reactions and other observations.

Only those persons who successfully complete the training are authorized to administer medication. Each campus site will maintain a current list of those authorized to administer medication at that site.

Minor students who are able to self administer specific medications, such as inhaled asthma medication or anaphylaxis medication, replacement pancreatic enzymes, or use specialized equipment, such as an inhaler or Epinephrine injector, may do so provided such medication and specialized equipment are transported and maintained under the minor students’ control in compliance with the following rules:

  • A licensed physician or dentist must provide a written order that the minor student has a particular medical condition (asthma, anaphylaxis, cystic fibrosis, etc.), is capable of and has been instructed in the proper method of self-administration of medication. It is the parent’s responsibility to contact  the physician and have the physician complete and return the required order.
  • The parent must provide a written authorization for self-administration of medication.
  • Parents who elect self-medication understand and agree that the technology center, its agents and employees shall incur no liability for any adverse reaction or injury the minor student suffers as a result of self-administration of medication and/or use of specialized equipment.
  • The written authorization will terminate at the end of the school year and must be renewed annually.
  • If the parent and physician authorize self-medication, the technology center is not responsible for safeguarding the minor students’ medications or specialized equipment.
  • Minor students who self-medicate are prohibited from sharing or playing with their medication or special equipment. If a minor student engages in these activities the parent will be contacted and a conference will be scheduled  with the parent, minor student, nurse and other appropriate persons.
    • Minor students will not be allowed to self-administer:
    • Narcotics;
    • Prescription pain killers;
    • Medication used to treat ADD/ADHD or other psychological or behavior disorders; and
    • Other medication hereafter designated in writing by the technology center.
  • Except as otherwise provided by an individual minor student’s school health plan, minor students may self-administer non-diabetes and non-anaphylaxis- related injectables only in the campus director’s office in the presence of authorized school personnel. Diabetes-related injectables will be administered in accordance with the technology center’s diabetes care and management policy.
  • Minor students who self-medicate are encouraged to wear Medic Alert bracelets or necklaces.
  • The parent will provide an emergency supply of a minor student’s inhaled asthma medication or anaphylaxis medication or replacement pancreatic enzymes to be administered by school personnel, as required by state law.

Minor students who are able to self-apply sunscreen may do so provided such sunscreen is regulated by the Food and Drug Administration. Minor students may self-apply sunscreen without the written authorization of a parent, legal guardian or physician. All students are permitted to possess sunscreen that is regulated by the Food and Drug Administration.

Sunscreen

School staff will only assist the minor student in applying sunscreen with the parent’s written authorization and according to label directions or, if applicable, written instructions from the minor student’s physician. The sunscreen must be in the original container indicating:

  • Ingredients; and
  • Directions for Application.

Nonprescription Medication

Technology center staff will only administer nonprescription medication with the parent’s written authorization and according to label directions or written instructions from the minor student’s physician.  The medication must be in the original container that indicates:

  • Minor student name (affixed to the container);
  • Ingredients;
  • Expiration date;
  • Dosage and frequency;
  • Administration route, i.e., oral, drops, etc.; and
  • Other directions as appropriate.

Technology center staff will only administer aspirin (acetylsalicylic acid) and products containing salicylic acid with written instructions from the minor student’s physician. The parent must provide and maintain a supply of nonprescription medication for the minor student.

Prescription Medication

Technology center staff will only administer prescription medication with written authorization and instructions. Prescription medication must be in the original container that indicates:

  • Minor student name;
  • Name and strength of medication and expiration date;
  • Dosage and directions for administration;
  • Name of the licensed physician or dentist;
  • Date, name, address and phone number of the pharmacy.

The parent must provide and maintain the supply of prescription medication for the minor student.

The parent must reclaim any remaining medication by the last official day of school or within seven days after the prescribing physician discontinues the medication. The designated employee will destroy in a nonrecoverable fashion in the presence of a witness any medication not timely reclaimed. The person who destroys the medication will record the following information:

  • Date of destruction;
  • Time of destruction;
  • Name and quantity of medication destroyed; and
  • Manner of destruction of medication

Any and all controlled substances will be destroyed according to state law.

The designated employee will advise the campus director if discontinuance of medication to a minor student is appropriate and assist in informing the parent. Legitimate reasons for discontinuing administration of medication include, but are not limited to the following:

  • A legitimate lack of space or facility to adequately store specific medication;
  • Lack of cooperation by the minor student, parent and/or prescribing doctor and the technology center;
  • An unexpected and/or adverse medical reaction to the medication at school, i.e., mood change, allergic reaction, etc., considered to be harmful to the health and well-being of the minor student;
  • Any apparent change in the medication’s appearance, odor, or other characteristics that raise reasonable doubts about the quality of the medication; and
  • The medication expiration date has passed.

Administration of Opiate Antagonists (e.g., Narcan) by Technology Center Personnel

 Technology center medical personnel (certified school nurse or any other nurse employed by or under contract with the technology center) or any other person designated by the Superintendent may administer an opiate antagonist for a suspected opiate overdose by a student or other individual exhibiting signs of an opiate overdose.

The Superintendent may authorize one or more technology center employees to receive training offered by the Department of Mental Health and Substance Abuse Services, a law enforcement agency or any other entity in recognizing the signs of an opiate overdose and administering an opiate antagonist. The Superintendent may designate persons to receive this training who have been required to receive annual training in cardiopulmonary resuscitation and the Heimlich maneuver (70 Okla. Stat. § 1210.199). Furthermore,  if  a person or persons designated and trained to administer an opiate antagonist are absent, the Superintendent or designee may authorize any person to administer an opiate antagonist to a student or other individual exhibiting signs of an overdose.

Any person administering an opiate antagonist to a student or other individual at a technology center site or technology center-sponsored event, in a manner consistent with addressing opiate overdose, shall be covered by Oklahoma’s Good Samaritan Act. In the event of a suspected overdose, the technology center and its employees or designees shall be immune from civil liability in relation to the administration of an opiate antagonist.

Reference:     

OKLA. STAT. tit. 70 § 1-116.2, 70 § 1-116.3

Okla. Stat. tit. 70 § 1210.199

Okla. Stat. tit. 70 §1210.242

Okla. Stat.  tit. 63 §1-2506.1


Adopted: December 18, 2014
Revised: January 17, 2019;
February 11, 2020

Printable PDF

First page of the PDF file: AdministrationOfMedicineToMinorStudentsPolicy590
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