Belle Chasse Academy
Policy on Medications in Schools
Belle Chasse Academy will enforce vigorously the policy on medication. The policies state:
- As a general principle, medication should not be given at school
- Children should not be allowed to have any medication in their possession on the school grounds. Faculty and staff have the right to take the medication from the child and contact the parent for appropriate information
- Dosage of antibiotics and other short-term medication, including non-prescription medication, should be adjusted so that none will be administered at school
- Possible exceptions to the general policy:
- Medication for behavior modification
- Insect sting allergy – Must have a note from the physician with specific instructions
- Anticonvulsive medication (i.e., Dilantin, Phenobarbital)
- Medication for asthmatic conditions
Certain health conditions may be severe enough to require a student to administer his/her own medication because treatment cannot be delayed. These students are allowed to carry their medications with them at all times. These conditions are, but not limited to, severe asthma and severe anaphylactic allergic reactions. The physician must document the severity of student’s condition. The student must demonstrate competency in self-administration of medication. The school nurse will determine if it is safe and appropriate for student to self medicate.
I. WRITTEN ORDERS, APPROPRIATE CONTAINERS, LABELS AND INFORMATION
A. Medication shall not be administered to any student without an order from a Louisiana licensed physician or dentist and it shall include the following information:
1. The student’s name
2. The name and signature of the physician/dentist
3. Physician/dentist’s business address, office phone number and emergency phone numbers.
4. The frequency and time of the medication.
5. The route and dosage of the medication.
6. A written statement of the desired effects and the child’s specific potential adverse effects
B. Medication shall be provided to the school by the parent or guardian in the container that meets acceptable pharmaceutical standards and shall include the following information:
1. Name of pharmacy
2. Address and telephone number of pharmacy
3. Prescription number
4. Date dispensed
5. Name of student
6. Clear direction for use, including the route, frequency, and other as indicated
7. Drug name and strength
8. Last name and initial of pharmacist
9. Cautionary auxiliary labels, if applicable
10. Physician of dentist’s name
II. ADMINISTRATION OF MEDICATION: GENERAL PROVISIONS
A. During the period when the medication is administered, the person administering medication shall be relieved of all other duties. This requirement does not include the observation period required in Section II. E.
B. Except in life threatening situation, trained unlicensed school employees may not administer injectable medications.
C. All medications shall be stored in a secured locked area or locked drawer with limited access except by authorized personnel.
D. Unlicensed personnel shall administer only oral, inhalant, topical ointment for diaper rash, and emergency medications at school.
E. Each student shall be observed by a school employee for a period of 45 minutes following the administration of medication. This observation may occur during instruction time.
F. School medication orders shall be limited to medication that cannot be administered before or after school hours.
A. The principal shall designate at least two employees to receive training and administer medications.
A. The classroom teacher who is not otherwise previously contractually required shall not be assigned to administer medications to students.
B. A teacher may request in writing to volunteer to administer medications to his/her own students. The administration of medications shall not be a condition of employment of teachers.
V. SCHOOL NURSE
A. The school nurse, in collaboration with the principal, shall supervise the implementation of the school policies for the administration of medications in school to insure safety, health and welfare of students.
B. The school nurse shall be responsible for the training of non-medical personnel who have been designated by the principal to administer medications. The training shall be at least six hours and include but not limited to the following provisions.
1. Proper procedures for administration of medications including controlled substances
2. Storage and disposal of medications
3. Appropriate and correct record keeping
4. Appropriate actions when unusual circumstances or medication reactions occur
5. Appropriate use of resources
A. The parent/guardian who wishes medication administered to his/her student shall provide the following:
1. A letter of request and authorization that contains the following information:
a. Name of student
b. Clear instructions
c. Rx Number, if any
d. Current date
e. Name, dosage, frequency and rote of medication
f. Name of physician or dentist
g. Printed name and signature of parent or guardian
h. Statement granting or withholding release of medical information
2. Written orders for all medications to be given at school, including annual renewals at the beginning of the school year
3. A prescription for all medications to be administered at school, including medications that might ordinarily be available over the counter
4. A list of all medications that the student is currently receiving at home and school, if that listing is not a violation of confidentiality or contrary to the request of the parent/guardian of student
5. A list of names and telephone numbers of persons to be notified in case of medication emergency in addition to the parent/guardian and licensed prescriber
6. Arrangements for the safe delivery of the medication to and from school in the original labeled container as dispensed by the pharmacist, shall be delivered by the responsible adult
7. Unit doses packaging shall be used whenever possible
B. All aerosol medications shall be delivered to the school in pre-measured dosages.
C. No more than a 35 school day supply of medication shall be kept at school
D. The initial dose of a medication shall be administered by the student’s parent/guardian outside the school jurisdiction with sufficient time for observation for adverse reactions
E. The parent/guardian shall also work with those personnel designated to administer medication as follows:
1. Cooperate in counting the medication with the designated school personnel who receives it and sign a drug receipt form
2. Cooperate with school staff to provide for safe, appropriate administration of medications to students, such as positioning, and suggestions of liquids or foods to be given with the medication
3. Assist in the development of the emergency plan for each student
4. Comply with written and verbal communication regarding school policies
5. Grant permission for school nurse/physician consultation
F. Contact school nurse and parent if student refuses medication. Document
G. If a student vomits after taking medication, you report to nurse:
1. Student’s name and age
2. Medicine and dosage
3. Time interval after medication was taken.
VII. STUDENT CONFIDENTIALITY
A. All student information shall be kept confidential
VII. PROCEDURES FOR HANDLING MEDICATION
A. Accepting Medication
1. The parent, or his/her designated adult, is held responsible for delivering medication to the school employee designated to receive it.
2. In the presence of the parent or adult who delivered the medication, the unlicensed trained school employee specifically designated to receive the medication for the student verifies the label with the order on file. Both the employee and the parent/adult count the number of tablets received and sign the medication log to document the amount, date and time of delivery.
B. Storage of Medication
1. Medications shall be stored in a locked space reserved for medication and refrigerated when appropriate
2. Access to all stored medications shall be limited to persons authorized to administer medications
3. The school shall maintain a current list of persons authorized to receive and administer medications
4. Medications shall be stored in their original containers in a manner that assures security and efficacy
5. Not more than a 35 school day supply of medication for the student may be kept at school
6. Storage of medications for students who are to self-medicate should be in compliance with the school policy for a Drug Free School Zone whenever possible
C. Stolen Medication
1. Notify the school administrator and fellow established procedures for missing property on school grounds.
2. Notify school nurse
3. Notify police if appropriate
4. Notify the parents to replace the drugs
5. Complete a school incident report and place in the appropriate file
D. Medication Administration Plan for Field Trips
1. Medication should be administered to students on field trips only when absolutely necessary
a. Unlicensed trained school employees may administer medication to a student while on a field trip in accordance with the student’s medication administration plan.
b. Medication administered during field trips requires all the documentation and conditions that any other medication at school requires.
c. If it is impossible to have a trained unlicensed school employee accompany the students and if the nurse determines the student should receive medication during the hours while away from school, the following guidelines should be followed:
1. Person trained in administering medication will be responsible for the following:
a. Checking with the school nurse to determine if medication must be given during the field trip
b. Untrained person to administer medication during field trip will be determined by school principal
c. The trained person, along with the untrained person, will review the doctor’s orders, check the medication label, and place the individual dose in the properly labeled Zip-Lock bag or envelope that can be sealed. Label should include:
i. Name of student
ii. Name of medication
iii. Dosage of medication
iv. Time of administration
v. Route of administration
vi. Any possible adverse reactions
vii. Emergency numbers
d. Storage of medication while on field trip: Medication must be kept in a safe place and is the responsibility of the appointed person. No other person should have access to medication.
d. Documentation should follow guidelines including: Name, time, medication, dose, route, date, person, administering the medication, observations of desired and adverse effects or unusual occurrences, document it was given while on field trip.
E. Disposal of unused, contaminated, discontinued or out-of-date medication should be destroyed one week after the expiration date or at the end of the school year, following notification of the parent.
1. If not retrieved by a parent or responsible adult, all medication should be destroyed one week after the expiration date or at the end of the school year, following notification of the parent
2. Unused and unclaimed medication, including controlled substances, should be disposed of by:
a. Flushing in the commode in the presence of at least one witness
b. Removing and destroying the label
c. Disposal of sharps (needles, lancets) in a puncture proof container. The school nurse will be responsible for disposing of sharp container.
IX. MEDICATION ADMINISTRATION PLAN FOR RESPONDING TO ERRORS IN MEDICATION
A. A medication error includes any failure to administer medication as prescribed for a particular student, including:
1. Failure to administer medication
2. Failure to administer the right medication
3. Failure to administer the right medication to the right student
4. Failure to administer the medication within appropriate time frames (unless otherwise specified, the acceptable time is 30 minutes before or after specified time)
5. Failure to administer the right medication in correct dosage
6. Failure to administer the right medication by the correct route in accordance with accepted practice
B. When an error is made to appropriate school employee shall:
1. Notify the school nurse and the principal and follow the written plan for the individual student for immediate notification of the parent/guardian (document every effort to reach the parent)
2. The registered nurse shall notify the prescriber of the medication incident.