Administering Medications to Students Regulation 6125
I. ADMINISTRATION OF ALL MEDICATIONS
B. All medications must be in a pharmacy-labeled container with student name, or, for over-the-counter (OTC) medications, in the original container.
C. In order to ensure that medication is administered safely:
- the principal will appoint one or more designee(s) who will assist with medication administration in conjunction with or in the absence of the school nurse
- the school nurse will:
- a. check medications and authorizations provided to the school for accuracy,
- b. keep a record of medication administration and/or monitor administration procedures of others who give medications,
- c. ensure that all medications are kept in a secure location,
- d. provide any necessary consultation concerning medication to appropriate school personnel,
- e. develop a Health Action Plan for any student who requires medication for an emergency condition, with copies to be maintained by the school nurse, with medication authorization, and filed with the student’s health record.
- f. conduct a medication procedures review each semester,
- h. contact prescribing licensed health care provider for clarification of orders.
- The principal’s designee will:
- a. provide daily medications for students,
- b. document on the medication log when medication is given,
- c. notify parents when a student misses their daily medication,
- d. return unused medication to the parent only .
- The parent/guardian will:
- a. provide medication authorization form signed by parent/guardian and licensed health care provider that includes the following information:
- i.) student’s name
- ii.) date of birth
- iii.) name of medication
- iv.) purpose of medication
- v.) time to be administered
- vi.) dosage
- vii.) termination date for administering medication,
- b. assume responsibility for supplying medication to the school,
- c. notify school personnel of any change in the child’s health or change in medication.
E. In the event that medication administration requires special expertise, involves unusual risks, or a student or parent refuses to adhere to the medication policy, CCS reserves the right to decline to administer the medication.
F. CCS reserves the right to dispose of medication after the last day of school each year after notice is given to the parent/guardian to collect the medication. Disposal of medication will be supervised by the school nurse and witnessed by the principal’s designee.
G. A parent/guardian has the right to administer medication to his or her own child at any time while the student is on school property.
H. Medication procedures must be followed when student is on a field-trip or any school-sponsored activity.
II. EXCEPTIONS TO MEDICATION ADMINISTRATION
A. Any student may self-medicate with his or her own medicine with the following:
- Sunscreen lotion
- Cough or throat lozenges, but not liquid cough medicine
B. School nurses may dispense OTC cough or throat lozenges as requested.
C. Self-management of asthma medication by all students
- Prescribed medications must be readily accessible to students with asthma to avoid exacerbation of symptoms. A student will be allowed to carry and self-administer asthma medications when parent/guardian and licensed medical care provider assess, in collaboration with the school nurse, that (s)he is able to use them appropriately. However, a parent may elect to have asthma medication administered from the school office in accordance with other medication procedures.
D. Self-management of diabetes
- An individual diabetes care plan will be written at the request of the student's parent or guardian involving the parent or guardian, the student's health care provider, the student's classroom teacher, the student if appropriate, the school nurse if available, and other appropriate school personnel.
- a. The individual care plan will be reviewed regularly and updated as needed.
- b. Information to be included in a diabetes care plan:
- • responsibilities and appropriate staff development for teachers and other school personnel,
- • an emergency care plan,
- • the identification of allowable actions to be taken,
- • the extent to which the student is able to participate in the student's diabetes care and management,
- • and other information necessary for teachers and other school personnel in order to offer appropriate assistance and support to the student.
- c. Information and staff development to be made available to teachers and other school personnel in order to appropriately support and assist students with diabetes.
III. STORAGE OF EMERGENCY MEDICATIONS
North Carolina Administrative rule 15A NCAC 18A .2820(d) requires all medications to be stored in a locked cabinet or container except for emergency medications where a delay of minutes could result in a serious negative outcome. The following emergency medications may be left unlocked so long as they are stored out of the reach of children:
- Diazepam suppositories
- Metered dose inhalers for management of asthma
IV. EMERGENCY MEDICATION ADMINISTRATION TO STUDENTS AND/OR STAFF BY SCHOOL NURSE
A. Epinephrine and/or Benadryl for allergic response
- The school nurse and any trained staff member are authorized by the Chatham County Health Department Medical Director to administer oral diphenhydramine hydrochloride (Benadryl) and/or subcutaneous epinephrine to any student or staff member who exhibits symptoms of severe allergic response or anaphylactic shock.
- The nurse and any trained staff member will follow the Chatham County Health Department Anaphylaxis protocol for the administration of epinephrine and diphenhydramine. CCHD will provide medical consultation as per the Memo of Agreement between CCS and CCHD.
- The child’s parent/guardian must be notified immediately after administration.
- Chatham County Emergency Management Service or 911 must be called whenever epinephrine is given.