Prescription medications, non-prescriptions and specialized healthcare procedures may be administered to students while they are in school, only with the written consent/direction from the parent/guardian each school year.                                 

Prescription medications must be in an accurately labeled container provided by a pharmacist.  Non-prescription medications provided by the parent/guardian must be in the original container with label and directions.

A physician's written authorization is required for prescription medications and specialized healthcare procedures each year.   Additionally, non-prescriptive medications may need a physician or licensed provider authorization at the discretion of the licensed school nurse. 

All medications will be kept in the nurse’s office, or in the possession of a staff designee who has been authorized by the licensed school nurse to have medication in his or her possession.  With the exception of secondary students who have been approved to self administer and carry approved pain reliever medication, or any student who may need to carry an asthma inhaler, epi-pen, or emergency rescue seizure medication, all medications will be stored in health office. The district may revoke a student’s privilege to possess and use non-prescription pain relievers if the district determines that the student is abusing the privilege.  

Students may self administer an asthma inhaler or an epi-pen if the district with  written authorization from a parent/guardian and the student has been assessed by health provider as capable of self administration of inhaler and/or epi pen.

For the following health conditions: asthma, seizures, diabetes-insulin dependent, anaphylactic (allergic reaction)-please use the Action Plans/Authorizations found in links below.

For the following specialized health care procedures: respiratory management and gastrostomy tube management, please use the appropriate consent found in links below.

See links to the following forms:

·              Authorization and Request for Administration of Medications (use for prescriptive and non- prescriptive medications)

Health Condition Specific Medication Authorization and/or Action Plan:

·              Anaphylaxis Medication Administration Authorization  (Epi-pen ™ or Benadryl™)

·              Authorization/Asthma Action Plan (for inhaler or nebulizer)

·              Annual History and Action Plan for Student with Seizure History (for students with any seizure history with or without rescue seizure medication as part of plan)

·              Authorization and Request for Administration of Medications: Blood Glucose testing and insulin needs

Specialized Health Care Procedures:

·              Gastrostomy Feeding Tube Management

·              Consent for Administration of Special Health Care Procedures: Respiratory Management (use with student needing assistance with oral and respiratory secretions, positioning and/or nebulizer or oxygen support)

·              Consent for Administration of Special Health Care Procedures (use for special procedure other than listed above, i.e. wound care management, cathing, etc.)