453.4

PORT EDWARDS PUBLIC SCHOOLS

Board of Education Policy

ADMINISTERING MEDICATION(S) TO STUDENTS

With the increased number of students needing to take medications, it is now required by law for schools to have a written policy governing the administration of drugs and prescription drugs to students.

The practitioner prescribing the medication has the power to direct, supervise, decide, inspect and oversee the administration of said medication. In order to ensure this power, the following criteria will be required prior to the administration of medication in the Port Edwards Schools:

I. Medications include any form of prescription or non-prescription drugs (over-the-counter).

II. Non-prescription medications must be supplied by the pupil’s parent or guardian in the original sealed manufacturer’s package. The package must list the ingredients and recommended therapeutic dose. A pupil may be administered a non-prescription drug in a dosage other than the recommended therapeutic dose only with the written approval of the pupil’s practitioner.

III. Medication to be given in school must have:

a. Written order from the prescribing practitioner.

b. Written parent/legal guardian permission.

c. Properly labeled container with the following:

1. Child’s name

2. Name of drug and dosage of drug

3. Time to be given

4. Prescribing practitioner’s name

5. Prescription number (when a prescription drug is ordered)

IV. Medication(s) will be taken by students at a designated time supervised by authorized personnel who have received appropriate training that has been approved by the Wisconsin Department of Public Instruction.

V. It is the responsibility of the student, if appropriate, and not school personnel, to get his/her medication at the

designated time.

VI. Limited quantities of medication should be kept at school.

VII. All medication to be administered by school personnel at school will be stored safely in a locked drawer, cabinet or file.

VIII. Parents/guardians must notify the school when any change in drugs, dosage and/or time occurs or if medication is renewed. Any change in drug, dosage, time or renewal of medication must have a new practitioner’s order and a new parent/guardian consent form.

IX. Newly written orders for medication from practitioners must be renewed annually for students on long-term medication(s).

X. Non-prescription medication (over-the-counter) will not require a practitioner’s order form unless deemed advisable by appropriate school personnel. They will require all other provisions as with prescription medication(s). Verbal permission may be acceptable from parents/guardians, providing written consent follows when students request “as needed” medication, i.e., Tylenol, antacid.

XI. Students taking medication on an “as needed” basis or taking prescription medication without dispensing by authorized school personnel are doing so by their own and/or their parents’/guardians’ own responsibility.

XII. An accurate record-keeping system for each pupil receiving medication will be established by the school nurse and secretaries.

XIII. An asthmatic student may possess and use a metered dose inhaler or dry powder inhaler while in school, at a school-sponsored activity or under the supervision of a school authority if all of the following are true:

a) the student uses the inhaler before exercise to prevent the onset of asthmatic symptoms or uses the inhaler to alleviate asthmatic symptoms;

b) the student has the written approval of the student’s practitioner and , if the student is a minor, the written approval of the student’s parent/guardian; and,

c) the student has provided the school nurse with a copy of the required approval or approvals.

XIV. It is strongly recommended that parents/guardians bring medication(s) to avoid broken containers and/or to prevent

other individuals from ingesting the medication(s).

XV. School personnel authorized to administer medication to students shall be provided appropriate instruction.

LEGAL REF.: Sections 118.29 Wisconsin Statutes

121.02(1)(g)

PI 8.01(2)(g), Wisconsin Administrative Code

2009 Wisconsin Act 160

CROSS REF.: 453.4 – Rule

Adopted: 11/08/87

Reviewed:

Revised: 02/15/05, 09/13/10

453.4 - Rule

PROCEDURE FOR ADMINISTERING/DISPENSING MEDICATION IN SCHOOL

I. Medication will include all forms of drugs (i.e. prescription or non-prescription pills, liquids, ointments, creams, cough drops, lozenges, vitamins, drops for eyes or ears for oral, topical or injectable use).

II. A. No medication(s) will be administered by school personnel without a practitioner’s order for medication administration form being filled out and returned to authorized school personnel.

1. The practitioner’s order for medication administration form will ensure that the practitioner retains the power to direct, supervise, decide, inspect, and oversee the administration of medication.

2. The practitioner’s order for medication administration form will include signed, written instruction(s) for the administration of the prescribed medication(s).

3. The practitioner’s order for medication administration form will include a signed, written statement which identifies specific conditions/circumstances under which contact should be made with him/her in relation to conditions or reactions of the student receiving the medication(s).

4. No medication(s) brought to school for administration will be dispensed without the practitioner’s order for medication administration form. In the absence of this order, a request for practitioner’s order must be sent to the prescribing practitioner’s, along with the practitioner’s order for medication administration form, to be filled out and signed by the prescribing practitioner and returned to authorized school personnel.

B. No medication(s) will be administered by authorized school personnel without a parent/guardian consent form being filled out, signed and returned to authorized school personnel.

1. The parent/guardian consent form will include authorization for school personnel to give medication(s) as prescribed by the practitioner.

2. The parent/guardian consent form will include authorization for school personnel to contact the practitioner directly as needed.

3. If verbal permission by parent/guardian is deemed acceptable, a written consent form must follow.

C. Medication will not be dispensed/administered in school without being received in a proper container, with the following information printed on the label:

1. Student’s name

2. Name of drug/dosage

3. Time to be given

4. Practitioner’s name (applies to prescription and non-prescription drugs)

5. Prescription number (applies to prescription drugs)

III. Medication(s) will be administered by the school nurse or by other individuals who have been identified to do so. If the student refuses the medication(s) or the time of administration needs to be altered, parents/guardians will be informed.

IV. Students, when of appropriate age and development, will be responsible for reporting to the individual who is administering the medication(s). When the student does not report, medication(s) will be taken to the student whenever possible. If the student does not receive the medication(s), parents/guardians will be informed.

V. Only necessary, limited quantities of medication(s) are to be kept at school.

A. If medication is to be given for a specific number of days, only that amount of medication(s) will be accepted.

B. If medication is on a PRN basis (whenever or as needed), only limited quantities will be accepted.

C. If medication is on a daily basis for the school year, only limited quantities will be accepted and empty bottles will be sent home for refills.

D. If medication is discontinued, parents/guardians will be requested to pick up remaining medication(s) at school.

E. Except as otherwise provided under Section XIII, all medication(s) remaining at school at the end of the school year must be picked up by parents, after being informed by school personnel. Remaining medication(s) will be destroyed.

VI. All medication(s) to be administered by school personnel will be kept in a safe place not accessible to students (i.e., locked drawer, cabinet, file) and checked out only by designated, authorized personnel who will administer the medication(s).

VII. The length of time a medication is to be administered, times to be administered and dosage must be in the written instructions from the prescribing practitioner. Any change from the original instructions or renewal of medication(s) shall be reported by parents and a new order from the prescribing practitioner and a new parental/guardian consent form must be received by the school prior to the administration of medication(s).

VIII. The length of time for which a medication is to be administered is not to exceed a current school year. New prescriptions and parental/guardian consent forms must be received annually for any pupil’s yearly medication(s).

IX. Non-prescription (over-the-counter) drugs will be administered only with parental/guardian approval, unless a practitioner’s order form is also deemed advisable by appropriate school personnel, as is indicated by written consent on the parent/guardian consent form.

Non-prescription medication(s) must be labeled, as are prescription medication(s), with:

a. Student’s name

b. Name of medication/dosage

c. Time of administration

d. Practitioner’s name

X. a. Students taking medication(s) without consent, approval or knowledge of the school are doing so by their own responsibility and/or their parents/guardians own responsibility.

b. If a student takes medication(s) without dispensing by authorized school personnel, the prescribing practitioner must indicate on the practitioner’s order form that the student may take medication(s) at school without authorized school personnel dispensing the medication(s), when a prescription drug is being taken. All other information must be included by the prescribing practitioner as listed on the practitioner’s order form.

c. A parent/guardian consent form must indicate that the student is to take medication(s) without the authorized school personnel dispensing the medication(s). All other information must be included by the parent/guardian as listed on the parent/guardian consent form. This applies to prescription and non-prescription drugs.

XI. When a student requests a non-prescription (over-the-counter) drug (i.e., Tylenol, throat lozenges) and a parent/guardian form has not been received by the school, verbal permission from the parent/guardian may be obtained by authorized school personnel, providing written consent follows.

XII. a. A list of students needing medication(s) during school hours and those students authorized by practitioners and parents/guardians to take their own medication(s) will be maintained and kept in the appropriate health services offices. This list will include:

1. Student’s name

2. Name of medication(s)

3. Grade level/homeroom

4. Dosage

5. Route (oral, topical, injectable)

6. Time of administration

7. Duration of medication(s)

8. Reason/diagnosis

9. Practitioner’s name

10. Comments to be made

This list will be updated as needed.

b. An individual record for each student receiving medication(s) will be kept. This record will include:

1. Student’s name

2. Name of medication

3. Dosage

4. Prescription number (applies to prescription drugs)

5. Time of administration

6. Duration of medication

7. Route (oral, topical, injectable)

8. Diagnosis

9. Practitioner’s name

10. Practitioner’s phone number

11. Initials/name of authorized school personnel dispensing medication

Attached to this record will be the parent/guardian consent form and the practitioner’s order form. This record will be kept in the appropriate school area.

c. Appropriate school personnel will be advised of medication(s) a student is receiving, along with side effects and expected results, and will be asked to report any unusual behavior the student on medication may display.

Parents/guardians and the prescribing practitioner may request medical/medication information be kept confidential. This request will be honored.

XIII. The school cannot be responsible for any accident/injury/lost medication that results from a student transporting medication(s) to and/or from school. If a student must transport medication, parents must give written permission when the parent/guardian consent is signed.

Medication(s) will not be sent home with students unless written permission is on file.

This permission will release the school from any responsibility of any accident/injury or lost medication(s) that results from the student transporting the medication(s) to and/or from school.