Students may be required to take medication during the school day. Medication shall be administered only by the school nurse or a qualified designee. A qualified designee is a person who has been trained under the State Department of Health guidelines. Training and continued supervision shall be documented and kept on file at school.
Some students may need prescription and non-prescription medication to participate in their educational program. These students shall receive medication concomitant with their educational program. When administration of the medication requires ongoing professional health judgment, an individual health plan shall be developed by the licensed health personnel with the student and the student's parent.
Students may be required to take medication during the school day. Medication is administered by the parent, physician, school nurse, or in the nurse's absence, by a person who has successfully completed an administration of medication course reviewed by the Board of Pharmacy Examiners. The course is conducted by a registered nurse or licensed pharmacist. A record of course completion will be maintained by the school District.
Students who have demonstrated competence in administering their own medications may self- administer their medication as long as all other relevant portions of this policy have been complied with by the student and the student’s parent or guardian. A written statement by the student's parent/guardian shall be on file requesting co-administration of medication, when competence has been demonstrated. By law, students with asthma or other airway constricting diseases may self-administer their medication upon approval of their parents and prescribing physician regardless of competency.
Medication will not be administered without written authorization that is signed and dated from the parent and the medication must be in the original container which is labeled by the pharmacy or the manufacturer with the name of the child, name of the medication, the time of the day which it is to be given, the dosage, and the duration. Written authorization will also be secured when the parent requests student co-administration of medication when competency is demonstrated. When administration of the medication requires ongoing professional health judgment, an individual health plan will be developed by the licensed health personnel with the student and the student's parents. It is the parent’s responsibility to ensure that the medication is current; that all information regarding the medication is current; and that the information provided to the district, including, but not limited to the written authorization, is current.
A written record of the administration of medication procedure must be kept for each child receiving medication including the date; student's name; prescriber or person authorizing the administration; the medication and its dosage; the name, signature, and title of the person administering the medication; and the time and method of administration and any unusual circumstances, actions or omissions. Medication shall be stored in a secured area unless an alternate provision is documented. Emergency protocols for medication-related reactions shall be posted. Medication information shall be kept confidential.
The school nurse, or in the nurse's absence, the person who has successfully completed an administration of medication course reviewed by the Iowa Board of Pharmacy Examiners will have access to the medication which will be kept in a secured area. Students may carry medication (including but not limited to inhalers and epi-pens) only with the approval of the parents and building principal of the student's attendance center. Emergency protocol for medication-related reactions will be in place.
The superintendent is responsible, in conjunction with the school nurse, for developing rules and regulations governing the administration of medication, prescription and nonprescription, including emergency protocols, to students and for ensuring persons administering medication have taken the prescribed course and periodically review the prescribed course. Annually, each student is provided with the requirements for administration of medication at school.
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Approved: 8/14/89 Reviewed: 6/10/19 Revised: 12/14/09; 5/13/13
The undersigned(s) are the parent(s), guardian(s), or person(s) in charge of _________________ (student’s full legal name), who is in the ______ grade at the _________________________ building in the Spirit Lake Community School District.
It is necessary that the above student receive the following medication(s), at the following frequencies, for the following time period (Attach additional sheets if necessary):
(a) _________________________________________________________________________
(Medication)
_________________________________________________________________________
(Frequency (i.e., once at noon, etc.))
Beginning on ______________________ and continuing through ____________________. (Duration)
_____ I hereby request the Spirit Lake Lake Community School District, or its authorized representative, to administer the above-named medication to my child named above and agree to:
1. Submit this request to the principal or school nurse;
2. Personally ensure that the medication is received by the principal or school nurse administering it in the container in which it was dispensed by the prescribing physician or licensed pharmacist or is in the manufacturer's container;
3. Personally ensure that the container in which the medication is dispensed is marked with the medication name, dosage, interval dosage, and date after which no administration should be given. OR
_____ I hereby authorize my child to self-administer his/her medication as he/she has shown the competency to do so. I hereby agree to:
1. Submit this request to the principal or school nurse;
2. Personally ensure that:
a. the medication is received by the principal or school nurse administering it in the container in which it was dispensed by the prescribing physician or licensed pharmacist or is in the manufacturer's container; or b. the medication will be kept in the student's possession but only with prior written permission from the parent and principal.
3. Personally ensure that the container in which the medication is dispensed is marked with the medication name, dosage, interval dosage, and date after which no administration should be given.
___________________________________ _________________ (Signature of Parent/Guardian) (Date)
___________________________________ (Printed Name of Parent/Guardian) (Phone Number) - ______________________
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Approved: 5/13/13 Reviewed: 6/10/19 Revised:
I authorize my child, _________________________, to self-administer his/her own asthma inhaler or airway medication at school. I agree that my child meets the requirement outlined in the District’s policy for the administration of his/her own asthma inhaler or airway medication at school.
I understand that the Spirit Lake Community School District and its employees are to incur no liability, except for gross negligence, as a result of any injury arising from my child's self- administration of medication. The District, and its employees, acting reasonably and in good faith, shall incur no liability for any improper use of medication, or for supervising, monitoring, or interfering with a student's self-administration of medication.
________________________________________________________________________
Parent or Guardian Signature Date
The Following to Be Completed by the Student’s Physician:
I have prescribed the following medication (asthma inhaler/airway medication):
________________________________for this student____________________________
Name of Medication Student’s Name
In this dosage:_________________________________________________________.
Dosage and Instructions (Frequency of Use)
For the purpose of:______________________________________________________.
________________________________________________ ________________.
Doctor's Signature Date
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Approved: 3/10/03 Reviewed: 6/10/19 Revised: 12/14/09; 5/13/13
I authorize my child, _________________________, to carry an Epinephrine auto-injector and to self-administer his/her own epinephrine at school in the event of an emergency. I agree that my child shall only administer said medication, provided my child can do all of the following:
______________________________________________________________________________
Parent or Guardian Signature Date
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The Following to Be Completed by the Student’s Physician:
I have prescribed an epi-pen auto-injector in the following dosage _____________________ to _______________________for his/her allergy/allergies to the following (list all applicable allergies):______________________________________________________________________ _____________________________________________________________________________.
I have further instructed him/her with respect to:
• The events surrounding the need for epinephrine;
• The consequences of incorrectly administering epinephrine;
• The signs and symptoms of an allergic reaction; and
• The correct usage of an epi-pen.
________________________________________________ ________________.
Doctor's Signature Date
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|
Approved: 3/10/03 |
Reviewed: 6/10/19 |
Revised: 1;82/14/09; 5/13/13;8/13/18 |
No over-the-counter medication shall be administered at school, unless the school has the parent/guardian's written permission.
Prescription medication will be given to students during a school day only if the following requirements are met:
1. Medication must be in the original container from the pharmacy with the directions clearly stated. This serves two purposes: signifies permission from the doctor and includes directions from the pharmacist. Pharmacists will supply another labeled container for school upon request when the prescription is filled. NO BAGGIES OR ENVELOPES WILL BE ACCEPTED AT SCHOOL. It is the parent’s responsibility to ensure that the medication is current and that all information regarding the medication is current.
2. Parents/guardians must give written authorization for the administration of the medication. It is the parent’s responsibility to ensure that the information provided to the district, including, but not limited to the written authorization, is current.
Students are to bring all medications to the school office immediately upon their arrival at school. Students are not to carry over-the-counter medications with them during the school day unless approved by the school nurse. Students are not to carry prescription medication with them during the school day unless ordered by the physician and cleared by the school nurse.
Medication on school premises shall be kept in a locked container in a limited access storage space. Only appropriate personnel shall have access to the locked container. Each school or facility shall designate the specific locked and limited access space within each building to store pupil medication. More specifically, the following requirements shall be followed:
1. In each building in which a full-time registered nurse is assigned, access to medication locked in a designated space shall be under the authority of the nurse.
2. In each building in which a less than full-time registered nurse is assigned, access to the medication shall be under the authority of the principal.
Iowa law requires school districts to allow students with asthma or other airway constricting diseases to carry and self-administer their medication as long as the parents and prescribing physician report and approve in writing. Students do not have to prove competency to the District.
Emergency protocols for medication-related reactions shall be posted.
A written medication administration record shall be on file, including:
• Date;
• Student's name;
• Prescriber or person authorizing administration;
• Medication;
• Medication dosage;
• Administration time;
• Administration method;
• Signature and title of the person administering medication; and
• Any unusual circumstances, actions, or omissions.
Medication information shall be confidential information and shall be available to school personnel with parental authorization.
Students and parents/guardians shall be provided with the requirements for medication procedures by the school annually.
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Approved: 5/13/13 Reviewed: Revised: 6/10/19
The Board will allow students to carry asthma inhalers and airway medications at school. The Board will allow students to self-administer said medication. In order for a student to carry and self-administer said medication, the following conditions shall be met:
1. The drug must be prescribed by a licensed physician, or physician's assistant, or advanced nurse practitioner.
2. The student's parent or guardian provides to the school written authorization for the self administration of medication
3. The student's parent or guardian provides to the school a written statement from the student's physician containing the following information:
a.) The name and purpose of the medication
b.) The prescribed dosage
c.) The times at which or the special circumstances under which the medication is to be administered.
4. The parent or guardian must sign a statement that they understand that the school district and its employees are to incur no liability except for gross negligence, as a result of self administration of medication by the student. The school district and its employees acting reasonably and in good faith shall incur no liability for any improper use of medication, or for supervising, monitoring, or interfering with a student's self-administration of medication.
5. The permission for self administration of medication is effective for the school year and shall be renewed each subsequent school year. The parent or guardian shall immediately notify the school of any changes in the conditions listed in number 3.
6. Provided that the requirements above are fulfilled, a student with asthma or other airway constricting disease may possess and use the students medication while in school, at school-sponsored activities, under the supervision of school personnel, and before or after normal school activities, such as while in before-school, or after-school care on school- operated property. If the student misuses this privilege, the privilege may be withdrawn.
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Approved: Reviewed: 6/10/19 Revised: 5/13/13
The Board will allow students identified to be at risk for an anaphylactic reaction who have received a prescription for said medication to carry epinephrine in the form of the autoinjector at school. A spare autoinjector should be provided for the Health Room in case the student loses, or forgets his/her personal Epinephrine auto-injector.
The Board will allow students to self-administer said medication if the administration of epinephrine becomes necessary as described in the anaphylaxis protocol. Once a student has been identified as having a severe reaction to an allergen, 911 will be called, and your child may be transported to the hospital for continued medical support.
In order for a student to carry and self-administer said medication, the following conditions shall be met:
- Student shall demonstrate to the school nurse his/her knowledge and understanding of anaphylaxis and correct usage of the Epinephrine auto-injector.
- Student shall have written permission from the prescribing physician stating the child has been instructed in, and demonstrates understanding of:
•the events surrounding the need for epinephrine
•the signs and symptoms of allergic reaction
•agrees never to share the Epinephrine auto-injector with another student
•agrees to obtain assistance from the school nurse or another adult immediately by sending for help
•signs the schools agreement form.
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|
Approved: |
Reviewed: 6/10/19 |
Revised: 5/13/13;8/13/18;7/13/20 |
It is the policy of the Spirit Lake Schools to provide all students a safe and nurturing environment. The school district recognizes that many factors, including the use and misuse of prescription painkillers, can lead to the dependence on and addiction to opioids. This addiction can lead to a potential overdose and possible death among the public (students, staff, and visitors to the school district). To recognize and respond to potential life-threatening opioid overdose and deaths, the Spirit Lake School District wants to establish a plan to address this potentially life-threatening opioid overdose. Naloxone (Narcan) is a medication that can reverse an overdose caused by an opioid drug. Rapid administration of Naloxone may be lifesaving in patients with an overdose due to opioids. It is both safe and effective, with no potential for abuse. Naloxone has been used by paramedics and in the emergency room for decades.
To treat a case of suspected opioid overdose in a school setting, any school nurse, or those trained, may administer Naloxone during an emergency to any students, staff or visitor suspected of having an opioid-related drug overdose, whether or not there is a previous history of opioid abuse. Iowa’s Good Samaritan Law, found under Iowa Code Section 613.17, states “a person, who in good faith renders emergency care of assistance without compensation, shall not be liable for any civil damages for acts or omissions occurring at the place of an emergency or accident or while the person is in transit to or from the emergency or accident or while the person is at or being moved to or from an emergency shelter- unless such acts or omissions constitute recklessness or wilful and wanton misconduct.” This indicates that any staff member or student who assists a person or persons who show signs of an overdose on school property and assists this person by administering aid in some form will be covered under the good Samaritan Law if they are doing so in good faith and for the safety of the patient.
Definition of Opioid Overdose
Opioid overdose occurs when the amount of opioid in the body is so great the individual becomes unresponsive to stimuli and breathing becomes inadequate. Lack of oxygen affects vital organs, including the heart and brain, leading to unconsciousness, coma, and eventually death. Naloxone/NARCAN is indicated for the reversal of opioid overdose in the presence of respiratory depression or unresponsiveness.
Sign/Symptoms of Opioid Overdose
|
BODY SYSTEM |
SIGNS/SYMPTOMS OF AN OPIOID OVERDOSE |
|
Mouth/Throat |
Loud, uneven snoring or gurgling noises |
|
Lungs |
Shallow, slow breaths ( fewer than 10 per minute) or not breathing at all. |
|
Skin |
Pale, blue or gray, cold and wet skin |
|
Heart |
Slow or erratic pulse (heartbeat) - blue lips or fingertips (lack of oxygen) |
|
Mental |
Unresponsive to stimuli such as noise or sternal rub - Unconsciousness |
NARCAN/naloxone is a nasal spray in a one piece pre-assembled nasal device.
Procedure
Attempt to rouse and stimulate the student/patient (perform sternal rub by making a fist; rub your knuckles firmly up and down breast bone).
Call 911.
Notify the school nurse. (You will be following the nurse’s guidance from here on)
If possible, monitor and record respirations and heart rate. Note suspected opiate overdose as evidenced by pinpoint pupils, depressed mental status, etc
The School Nurse (during the school day) will guide the administration of Naloxone/NARCAN as necessary for trained individuals and per protocol.
Start rescue breathing if not breathing or CPR if there is no pulse.
Stay with the person until medical help arrives. Notify EMS of Naloxone/NARCAN administration.
Notify the parent and school administrators if a student.
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Approved: 3/13/23 Reviewed: Revised: