ADMINISTRATION OF MEDICATION
It is the policy of the Central Community School Board that the administration of medication to students at school shall meet the following conditions and limitations. As used in this policy, the term medication shall include all prescription and non-prescription drugs.
WRITTEN ORDERS, APPROPRIATE CONTAINERS, LABELS, AND INFORMATION
Medication shall not be administered to any student without a completed Medication Order from a physician or dentist licensed to practice medicine in Louisiana or an adjacent state, or any other authorized prescriber authorized in the state of Louisiana to prescribe medication or devices, and a letter of request and authorization from the student's parent or guardian. The following information shall be included:
the student's name
the name and signature of the physician/dentist/other authorized prescriber
physician's/dentist's/other authorized prescriber's business address, office phone number, and emergency phone numbers
name, amount of each school dose, time of school administration, route of medication, and reason for use of medication
a written statement of the desired effects and the child specific potential adverse effects
Medication shall be provided to the school by the parent/legal guardian in the container that meets acceptable pharmaceutical standards and shall include the following information:
name of pharmacy
address and telephone number of pharmacy
name of student
clear directions for use, including the route, frequency, and other as indicated
drug name and strength
last name and initial of pharmacist
cautionary auxiliary labels, if applicable
physician's/dentist's/other authorized prescriber's name
Labels of prepackaged medications, when dispensed, shall contain the following information in addition to the regular pharmacy label:
name of manufacturer and/or distributor
manufacturer's lot or batch number
ADMINISTRATION OF MEDICATION: GENERAL PROVISIONS
Once trained, the school employee who administers medication
may not decline to perform such service at the time indicated,
unless exempted in writing by the MD or RN.
During the period when the medication is administered the
person administering medication must be relieved of all other
duties. This requirement does not include the observation
period required in 2.-F below.
Except in the case of a trained unlicensed diabetes care
assistant administering diabetes medications (if applicable) or
in life-threatening situations, trained unlicensed school personnel
may not administer injectable medications.
All medications must be stored in a secured locked area
or locked drawer with limited access except by authorized trained
Only oral, inhalant, topical ointment for diaper rash, and
emergency medications may be administered at school by unlicensed,
but trained, school personnel. Under special circumstances,
other medications not mentioned above may be administered as necessary,
as approved by the school nurse.
Each student must be observed by a school employee for a
period of 45 minutes following the administration of medication. This
observation may occur during instruction time.
School medication orders shall be limited to medication which cannot be administered before or after school hours.
The principal shall designate at least two (2) employees to receive training and administer medications in each school.
The classroom teacher who is not otherwise previously contractually required shall not be assigned to administer medications to students. 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 employed subsequent to July 1, 1994. A regular education teacher who is assigned an exceptional child shall not be required to administer medications.
The school nurse, in collaboration with the principal, shall
supervise the implementation of the school policies for the administration
of medications in schools to ensure the safety, health and welfare
of the students.
The school nurse shall be responsible for the training of non-medical personnel who have been designated by each principal to administer medications in each school. The training must be at least six (6) hours and include but not be limited to the following provisions:
Proper procedures for administration of medications including controlled substances
Storage and disposal of medications
Appropriate and correct record keeping
Appropriate actions when unusual circumstances or medication reactions occur
Appropriate use or resources
The parent/legal guardian who wishes medication administered to his/her child shall provide the following:
A letter of request and authorization that contains the following information:
the student's name;
clear instructions for school administration;
prescription number, if any;
name, amount of each school dose, time of school administration, route of medication, and reason for use of medication;
physician's/dentist's/other authorized prescriber's name;
the parent's/legal guardian's printed name and signature;
parent's/legal guardian's emergency phone number;
statement granting or withholding release of medical information;
A written order for each medication to be given at school,
including annual renewals at the beginning of the school year. The
new orders dated before July of that school year shall not
be accepted. No corrections shall be accepted on
the physician's Medication Order
form. Alteration of this form in any way or falsification
of the signature is grounds for prosecution. Orders
for multiple medications on the same form, an incomplete form,
or a form with a physician's/dentist's/ other authorized prescriber's
stamp shall not be accepted. Faxed orders may be
accepted; original orders must be received within five (5)
A prescription for all medications to be administered
at school, including medications that might ordinarily be
available over-the-counter. Only the physician/dentist/other
authorized prescriber or his/her staff may write on the Medication Order form. This
form must be signed by the physician/dentist/other authorized
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/legal
guardian or student.
A list of names and telephone numbers of persons to
be notified in case of medication emergency in addition to
the parent/legal guardian and licensed physician/dentist/other
Arrangements for the safe delivery of the medication to and from school in the properly labeled container as dispensed by the pharmacist; the medication must be delivered by a responsible adult. The parent/ legal guardian will need to get two (2) containers for each prescription from the pharmacist in order that the parent/legal guardian, as well as the school, will have a properly labeled container. If the medication is not properly labeled and does not match the physician's order exactly, it will not be given.
All aerosol medications shall be delivered to the school
in pre-measured dosage.
Provide no more than a thirty-five (35) school day supply
of medication in a properly labeled container to be kept at school.
The initial dose of a medication shall be administered by
the student's parent/legal guardian outside the school jurisdiction
with sufficient time for observation for adverse reactions.
The parent/legal guardian shall work with those personnel designated to administer medication as follows:
Cooperate in counting the medication with the designated
school personnel who receives it and sign the Drug Receipt
Cooperate with school staff to provide for safe, appropriate
administration of medications to students, such as positioning,
and suggestions for liquids or foods to be given with the
Assist in the development of the emergency plan for
Comply with written and verbal communication regarding
Grant permission for school nurse/physician/ dentist/other
authorized prescriber consultation.
Remove or give permission to destroy unused, contaminated, discontinued, or out-of-date medications according to the school guidelines.
Only those medical conditions which require immediate access to medications to prevent a life threatening or potentially debilitating situation shall be considered for self-administration of medication. Compliance with the school policy for a drug-free zone shall also be met if possible.
Asthma, Diabetes, or the Use of Auto-Injectable Epinephrine
Self-administration of medications by a student with asthma or diabetes or the use of auto-injectable epinephrine by a student at risk of anaphylaxis shall be permitted by the School Board, provided the student’s parent or other legal guardian provides the school in which the student is enrolled with the following documentation:
Written authorization for the student to carry and self-administer
such prescribed medications.
Written certification from a licensed medical physician or other authorized prescriber that the student:
has asthma, diabetes, or is at risk of having anaphylaxis
has received instruction in the proper method of self-administration of the student’s prescribed medications to treat asthma, diabetes, or anaphylaxis
A written treatment plan from the student’s licensed physician or authorized prescriber for managing asthma, diabetes, or anaphylactic episodes. The treatment plan shall be signed by the student, the student’s parent or other legal guardian, and the student’s physician or other authorized prescriber. The treatment plan shall contain the following information:
The name, purpose, and prescribed dosage of the medications
to be self-administered.
The time or times the medications are to be regularly
administered and under what additional special circumstances
the medications are to be administered.
The length of time for which the medications are prescribed.
Any other documentation required by the School Board.
The required documentation shall be maintained in the office of the school nurse or other designated school official.
The School Board shall inform the parent or other legal guardian of the student in writing that the school and its employees shall incur no liability as a result of any injury sustained by the student from the self-administration of medications used to treat asthma, diabetes, or anaphylaxis. The parent or other legal guardian of the student shall sign a statement acknowledging that the school shall incur no liability and that the parent or other legal guardian shall indemnify and hold harmless the school and its employees against any claims that may arise relating to the self-administration of medications used to treat asthma, diabetes, or anaphylaxis.
A student who has been granted permission to self-administer medication by the School Board shall be allowed to carry and store with the school nurse or other designated school official an inhaler, auto-injectable epinephrine, or insulin, at all times.
Permission for the self-administration of asthma or diabetes medications or use of auto-injectable epinephrine by a student shall be effective only for the school year in which permission is granted. Permission for self-administration of asthma or diabetes medications or the use of auto-injectable epinephrine by a student shall be granted by the School Board each subsequent school year, provided all of the requirements of this part of the policy are fulfilled.
Upon obtaining permission to self-administer asthma or diabetes medication or to use auto-injectable epinephrine, a student shall be permitted to possess and self-administer such prescribed medication at any time while on school property or while attending a school sponsored activity. A student who uses any medication permitted by this policy in a manner other than as prescribed shall be subject to disciplinary action; however, such disciplinary action shall not limit or restrict such student’s immediate access to such prescribed medication.
Auto-injectable epinephrine means a medical device for the immediate self-administration of epinephrine by a person at risk for anaphylaxis.
Glucagon means a hormone that raises the level of glucose in the blood. Glucagon, given by injection is used to treat severe hypoglycemia.
Inhaler means a medical device that delivers a metered dose of medication to alleviate the symptoms of asthma.
Insulin Pen means a pen-like device used to put insulin into the body.
Insulin Pump means a computerized device that is programmed to deliver small, steady, doses of insulin.
Other Permitted Medications
Self administration of other medications by a student may be permitted by the School Board, provided that:
Medication Order from the
physician or authorized prescriber and from the student's parent
or guardian shall be on file and communication with the prescriber
has been established.
The school nurse has evaluated the situation and deemed
it to be safe and appropriate, and has developed a medical administration
plan for general supervision. The administration plan
may include observation of the procedure, student health counseling
and health instruction regarding the principles of self-care.
The principal and appropriate staff are informed that the
student is self-administering the prescribed medication.
The medication is handled in a safe, appropriate manner.
The school principal and the school employed registered
nurse determine a safe place for storing the medication.
The medication must be accessible if the student's health needs require it; this information is included in the medication administration plan.
Some medication should have a backup supply readily available.
The student records the medication administration and reports
unusual circumstances (as a general rule the student must record
all dates and times he/she is self-medicating during school hours. The
medication log shall be kept in the main office where the student
shall record this information unless otherwise noted on the student's
Individual Administration Plan).
The school employed registered nurse, and/or the designated employee monitors the student.
Acceptable School Medications
School medication orders shall be limited to medication which cannot be administered before or after school hours. Parents may come to school and administer medication to their children at any time during the school day.
Medications which may be considered as acceptable under this policy:
Medication to modify behavior (e.g., Ritalin, when the sustained
action form of this medication is not effective.)
Severe allergic reactions - must have specific written instructions
from a physician.
Medication for asthma or diabetes.
Medication given in extenuating circumstances.
Non-prescription (over-the-counter) drugs will only be given
if medical certification of extenuating circumstances and prescription
Antibiotics and other short-term medications will not be
given at school, unless so ordered by a physician, dentist, or
The school nurse or trained school employee shall have the
authority to administer auto-injectable epinephrine, as defined
elsewhere in this policy, to a student who the school nurse or
trained school employee believes is having an anaphylactic reaction,
whether or not the student has a prescription for epinephrine. At
least one employee at each school shall receive training from
a registered nurse or licensed medical physician in the administration
Other specific illnesses that require medication.
Each student with diabetes who seeks care for his/her diabetes while at school or while participating in a school-related activity shall submit a diabetes management and treatment plan on an annual basis. Such plan shall be developed by a physician licensed in Louisiana or adjacent state, or other authorized health care prescriber licensed in Louisiana who is selected by the parent or legal guardian to be responsible for such student’s diabetes treatment. School-related activities include, but are not limited to, extracurricular activities and sports.
A student’s diabetes management and treatment plan shall be kept on file in the school in which the student is enrolled and shall contain:
A detailed evaluation of the student’s level of understanding
of his/her condition and his/her ability to manage his/her diabetes.
The diabetes-related healthcare services the student may
receive or self-administer at school or during a school-related
A timetable, including dosage instructions, of any diabetes
medications to be administered to the student or self-administered
by the student.
The signature of the student (if age appropriate), the student’s parent or legal guardian, and the physician or other authorized health care prescriber responsible for the student’s diabetes treatment.
The parent or legal guardian of a student with diabetes shall annually submit a copy of the student’s diabetes management and treatment plan to the principal or appropriately designated school personnel of the school where the student is enrolled. The plan shall be reviewed by appropriate school personnel either prior to or within five (5) days after the beginning of each school year, or upon enrollment if the student enrolls after the beginning of the school year or as soon as practicable following the student being diagnosed with diabetes, or as warranted by changes in the student’s medical condition.
Upon receipt of the student’s diabetes management and treatment plan, the school nurse shall conduct a nursing assessment of the student’s condition and develop an Individualized Healthcare Plan (IHP). The school nurse shall be given not less than five (5) school days to develop the IHP and shall implement the IHP within ten (10) school days of receipt of the diabetes treatment plan. The school nurse must assess the stability of the student’s diabetes both at home and in the school setting prior to the development of the IHP for care in the school setting.
The parent or legal guardian shall be responsible for all care related to the student’s diabetes management and treatment plan until the IHP is developed, the parents or legal guardian have agreed to and signed the IHP, and the diabetes management and treatment plan is put into place by the school nurse.
The School Board may utilize an unlicensed diabetes care assistant to provide appropriate care to a diabetic student, or assist a student with self-care of his/her diabetes, in accordance with the student’s diabetes management and treatment plan, the student’s IHP, and regulations contained in Health and Safety, Bulletin 135. An unlicensed diabetes care assistant is defined as a school employee who is not a healthcare professional, who is willing to complete training requirements established by BESE, and is determined competent by the school nurse to provide care and treatment to students with diabetes. An unlicensed diabetes care assistant also means an employee of an entity that contracts with the school or school system to provide school nurses who are responsible for providing health care services required by law or the Department of Education.
In accordance with the student’s diabetes management and treatment plan, the student shall be permitted to self-manage his/her diabetes care as outlined in the student’s management and treatment plan.
With written permission of a student’s parent or legal guardian, a school may provide a school employee with responsibility for providing transportation for a student with diabetes, or supervising a student with diabetes with an off-campus activity. An information sheet with pertinent information about the student’s condition and contact information in cases of emergency shall be provided the employee.
ADMINISTRATION OF MEDICATION ON FIELD TRIPS AND OTHER EXTRA-CURRICULAR
If a student with an identified medical need is to attend a field trip or other school-sponsored activity, the parents shall be notified to ascertain if any medication must be administered on the field trip or school-sponsored activity away from school. If so, the parent/legal guardian shall accompany the student to the activity to administer any medication.
If the parent/legal guardian cannot attend the field trip/activity with his/her child, the parent/legal guardian shall request in writing that the medication be administered on a pending field trip/activity by a non-School Board employee designated by the parent, or another trained person designated by the School Board. Such request shall include supporting documentation as outlined in this policy. The request shall state that the parent/legal guardian gives permission for the designee or another trained person to administer the medication. If the parent does not designate a non-School Board employee to attend the field trip/activity, once the proper documentation has been submitted, the School Board shall assign a trained School Board employee to accompany the student on the field trip or other school-sponsored activity.
EXTENDED DAY CARE
In the event that a student attends extended day care and requires medication outside school hours (before or after school), medication orders that include the dosage(s), time(s), and medication(s), shall be obtained from the physician/dentist/ other authorized prescriber before any administration of medication may be administered by properly trained personnel.
In accordance with statutory provisions, sunscreen means a compound topically applied to prevent sunburn, and for the purpose of this policy shall not be considered medication. A student may possess and self-apply sunscreen at school, on a school bus, or at a school-sponsored function or activity without parental consent or the authorization of a physician.
If a student is unable to self-apply sunscreen, a school employee may volunteer to apply the sunscreen to the student. However, a school employee may apply sunscreen to a student only if his/her parent or legal guardian has provided written consent for this application. Neither the School Board nor the school employee shall be held liable for any adverse reaction relating to the employee's application of the sunscreen or his/her cessation of such application.
All student information shall be kept confidential. The parent/legal guardian shall be required to sign the Authorization for Release of Confidential Information form, so that health information can be shared between the School Board and health care providers, such as hospitals, physician, service agency, school nurse, and/or other health provider.
Revised: December, 2016
Revised: October 9, 2017
Ref: La. Rev. Stat. Ann. §§17:81, 17:436.1, 17:436.3
Health and Safety, Bulletin 135, Louisiana Department of Education
Board minutes, 1-28-13, 6-10-13, 1-23-17, 10-9-17
Central Community School Board