Medication Administration

Recommended Guidelines for Medication Administration in Schools.

The recommended guidelines for medication administration are currently being revised. Here are some general rules based on the previous guidelines:

The administration of medication in school requires:

  • An order from the physician
  • Parental consent
  • Medication must be brought to school in a container, labeled appropriately by the pharmacist or licensed prescriber.
  • Medication must be stored in a separate locked drawer or cabinet. Controlled substances must be stored in a locked cabinet that is securely affixed to the wall.
  • Medications requiring refrigeration must be stored in a locked refrigerator separate from food products.
  • Disposing of Medication at the end of the year:
  • At the end of the school year or the end of the medication regime, the student’s parent/guardian is responsible for removing the unused medication from the school. If the parent does not pick up the medication, the CSN or RN will dispose of the medication and document that it was discarded. Medication must be discarded in the presence of a witness and documentation signed by both parties.
Nurse’s Rights

Nurses are responsible for their own actions regardless of the licensed prescriber’s written order. It is the nurse’s responsibility to clarify any medication order that seems inappropriate or ambiguous. Nurses have the right and responsibility to refuse to administer a medication if they feel it jeopardizes student safety. In such circumstances, the nurse must notify the parent/guardian, physician, and administrator.

Student Refuses Medication

Nurse is responsible for trying to explain the importance of the medication to the student. If student still refuses, the parent/guardian, physician, and administrator must be notified.

Self administration

According to the medication administration policy (link above), the nurse may, in conjunction with a licensed prescriber and parent/guardian, identify circumstances in which a student may self administer medication.

Self Carry Inhalers and Epipens:

Public Act 096-1460
Guidance Document on the Self-Administration and Self-Carry of Medications for Asthma and Allergy

requirements for self-carry of inhalers:

 

  • Written authorization from the parent/guardian for self administration
  • The prescription label containing the name of the medication, the prescribed dosage, the time at which or circumstances under which the medication is to be administered.
  • The school district must inform the parent/guardian in writing that the school district and its employees are to incur no liability, except for willful and wanton conduct, as a result of any injury arising from the self-administration of medication regardless of whether authorization was given by the student’s parent/guardian, physician, APN, or PA. In addition, the parent/guardian must sign a statement to this effect.
A student may possess and use the inhaler:
  • While in school
  • While at a school sponsored activity
  • While under the supervision of school personnel
  • Before or after normal school activities such as before or after school care on school-operated property.

 

Requirements for self-carrying epipens:
  • Written authorization from the parent/guardian for self administration
  • Written authorization from the student’s physician, physician’s assistant, or advanced practice nurse.
  • The prescription label containing the name of the medication, the prescribed dosage, the time at which or circumstances under which the medication is to be administered OR a written statement from the physician, APN, or PA containing the name and purpose of the auto-injector, the prescribed dosage, and the time at which or the special circumstances under which the epinephrine auto-injector is to be administered.
  • The school district must inform the parent/guardian in writing that the school district and its employees are to incur no liability, except for willful and wanton conduct, as a result of any injury arising from the self-administration of medication regardless of whether authorization was given by the student’s parent/guardian, physician, APN, or PA. In addition, the parent/guardian must sign a statement to this effect.
A student may possess and use the epipen auto-injector:
  • While in school
  • While at a school sponsored activity
  • While under the supervision of school personnel
  • Before or after normal school activities such as before or after school care on school-operated property.