Each school principal in consultation with the school nurse shall authorize at least two staff members to administer prescribed or non-prescribed medication. The school nurse is responsible for the delegation and supervision of the administration of medications by school staff. At the start of each school year the RN at each school will provide staff training, as appropriate.
Medication may be dispensed to students on a scheduled basis upon written authorization from a parent with a written request by a licensed health professional prescribing within the scope of their prescriptive authority. If the medication is to be administered for more than fifteen (15) consecutive days the written request must be accompanied by written instructions from a licenses health professional. Requests will be valid for not more than the current school year. The prescribed or non-prescribed medication must be properly labeled and be contained in the original container.
The dispenser of prescribed or non-prescribed oral medication shall:
A. Collect the medication directly from the parent, (students should not transport medication to school), collect an authorization form signed by the parent and the prescribing health professional, and collect instructions from the prescribing health professional if the medication is to be administered for more than fifteen (15 consecutive days);
B. School staff must store the prescription or non-prescribed oral medication (not more than a twenty (20) day supply) in a locked, substantially constructed cabinet;
C. Maintain a daily record which indicates that the prescribed or non-prescribed oral medication was dispensed; and
D. Provide a copy of this policy and procedure to the parent upon request.
Prescribed and over-the-counter oral or topical medications, eye drops or ear drops may be administered by a registered nurse, licensed practical nurse, or an authorized staff member.
No prescribed medication will be administered by injection by staff except when a student is susceptible to a predetermined, life-endangering situation (e.g. medication administered to counteract a reaction to an insect sting). The parent will submit a written state that grants a staff member the authority to act according to the specific written orders and supporting directions provided by licensed health professional prescribing within their prescriptive authority. Such mediation will be administered by staff trained by the supervising registered nurse to administer such an injection.
Written orders for emergency medication, signed and dated, from the licensed health professional prescribing within his or her prescriptive authority shall:
A. State that the student suffers from an allergy which may result in an anaphylactic reaction;
B. Identify the drug, the mode of administration, the dose. Epinephrine administered by inhalation, rather than injection, may be a treatment option. This decision must be made by the licensed health professional prescribing within his or her prescriptive authority;
C. Indicate when the injection shall be administered based on anticipated symptoms or time lapse from exposure to the allergen;
D. Recommend follow-up after administration, which may include care of the stinger, need for a tourniquet, administration of additional medications, transport to hospital; and
E. Specify how to report to the health professional prescribing within his or her prescriptive authority and any record keeping recommendations; and
F. Only be effective for one school year.
If a health professional and a student’s parent request that a student be permitted to carry his/or her own medication and/or be permitted to self-administer the medication, the principal may grant permission after consulting with the school nurse. The process for requesting and providing instructions will be the same as established for oral medications. The principal and nurse will take into account the age, maturity, and capability of the student; the nature of the medication, the circumstances under which the student will or may have to self-administer the medication and other issues relevant in the specific case before authorizing a student to carry and/or self-administer medication at school. Except in the case of multi-dose devices (like asthma inhalers), students will only carry one day’s supply of medication at a time.
Violations of any conditions placed on the student permitted to carry and/or self-administer his or her own medication may result in termination of that permission, as well as the imposition of discipline when appropriate.
Students in any grade may carry and self-administer non-prescription sunscreen at school. Students may not share sunscreen with other students. Parents/guardians should write their child’s name on the sunscreen container. Only rub-on sunscreen is permitted; spray sunscreen is not allowed.
Violations of any conditions placed on the student permitted to carry and/or self-administer his or her own sunscreen products may result in confiscation and termination of that permission, as well as the imposition of discipline when appropriate.
Highline School District 401
Approved by the Superintendent: August 28, 1985
Revised by the Superintendent: 9.90, 3.92, 6.06, 11.17