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Medication at School Procedures

Often, students have to take prescription medications and/or over the counter medications for a certain period of time as treatment for a medical condition.

  1. Prescribed medication must come to school in the original pharmacy bottle with the label on it. This includes inhalers.
  2. If medication is only given 1-3 times per day or time released, it can usually be given at home unless specific times are ordered by the doctor.
  3. Parents must sign a medication consent form before medication can be given at school. The parent’s written request must not conflict with the label instructions.
  4. Medication should be delivered/picked up by a parent, guardian, or other responsible adult designated by the parent/guardian to the school office.  Medication cannot and should not be transported to and from school with the student for safety reasons.
  5. Any increase or decrease in dosage must be stated in writing by a physician until a new prescription bottle is provided. Otherwise, school personnel must administer medication as it is stated on the container label, or parents may choose to come to the school and dispense the medication to their student.
  6. For the safety of the student, it is highly recommended for parents to administer the initial dose of medication that their student has no prior history of taking. Because of the possibility of an allergic or adverse reaction, it is also recommended that the parent keep the student home for close monitoring. School health staff will not administer the initial dose of a medication that the student has no prior history of taking. 
  7. No medication is supplied by the school
  8. Medication purchased in a foreign country will not be given
  9. Over the counter medication must be in its original container stating directions and dosage. If school personnel reading the label directions find that the medicine is contraindicated for that student, a parent must come to school and administer the medication (ex: if a student is younger than the recommended age on the label directions, school personnel cannot administer the medicine without a physician’s order).
  10. If over the counter medication is given for three (3) consecutive days, a physician’s order is required.
  11. Herbal or dietary supplements will not be administered unless the medication will benefit the student’s educational achievement as stated in the student’s individualized education program (IEP) or Section 504 Plan and is prescribed by a physician.
  12. Essential oils are concentrated liquids that give plants their characteristic scents.  These oils are not regulated by the Food and Drug Administration (FDA).  The strong scents could cause allergic reactions or aggravate respiratory issues in certain students; therefore, SAISD nurses, faculty, or staff will not administer essential oils
  13. The district does not allow students to carry their own medications and self-administer without prior approval from their physician and the school nurse

Guidelines for Self-Administration of Asthma Medicine or Anaphylaxis medication

A student with asthma or severe allergic reaction (anaphylaxis) may be permitted to possess and use prescribed asthma or anaphylaxis medication at school or school-related events only if he or she has written authorization from his or her parent a physician, or other licensed health-care provider.  The student must also demonstrate to his or her physician or health-care provider and to the school nurse the ability to use the prescribed medication, including any device required to administer the medication.

Also if:

  1. If a student is to self-administer asthma medication (inhaler) or epi-pen, or have these types of medications available at school, an action plan must be completed, signed by the child’s parent and physician, and be on file in the office.  These medications can only be given based on the prescription label instructions unless an action plan is provided with additional or emergency instructions from the physician.  These forms also give the student permission to carry and self-administer medication if it is age appropriate and the physician signs off that they can do so.
  2. The prescription asthma or anaphylaxis medicine has been prescribed for the student as indicated by the prescription label on the medicine;
  3. The self-administration is done in compliance with the prescription or written instructions from the student’s physician or other licensed health care provider;
  4.  A parent of the student provides the school written authorization, signed by the parent, for the student to self-administer prescription asthma or anaphylaxis medicine; and
  5.  A parent of the student provides the school a written statement from the student’s physician, signed by the physician that states:
    1. The student has asthma or anaphylaxis and is capable of self-administering the
      prescription asthma or anaphylaxis medication.
    2. The name and purpose of the medicine.
    3. The prescribed dosage for the medicine.
    4. The time at which or circumstances under which the medicine may be administered;
      and the period for which the medicine is prescribed.

If the student has been prescribed asthma or anaphylaxis medication for use during the school day, the student and parents should discuss this with the school nurse or principal.

The physician’s statement must be kept on file in the office of the campus the student attends. A
person standing in parental relation to a student or the student himself, if over the age of 18, may give permission to use an asthma inhaler under these guidelines.