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Some medications which students take
at school fall under the strict requirements of the Controlled Substances Act
and require that special effort be exercised in their safe distribution. Your
attention to the following guidelines will help facilitate the safe
administration and handling of any medication administered to your student at
school. Only FDA approved drugs and prescription drugs ordered by a physician
licensed to practice in the United States will be given. The clinic does not
supply any medication.
1. A written physician’s statement
must be submitted to the nurse’s office which provides the name of the
student, name of the drug, the dose, the times the drug is to be taken, and
the diagnosis or reason the medication is needed, and the duration of the
physician’s order. Prescription drugs require a prescription label.
2. The
parent/guardian must complete the medication permit. Physician’s directions
and signature are required for medication given longer than 10 days.
3. Changes
in dosage must be verified by a written or faxed order from the physician,
unless the physician’s original order specified a scheduled dosage adjustment.
4.
Milligram dosage indicated on the prescription bottle must match the milligram
tablet in the container.
5. An
adult should bring medication to the office. Should your child transport
his/her own medication, the district, the school, and the district personnel
assume no responsibility for the improper exchange, loss, or contamination of
or the failure to administer medication. Student’s improper actions involving
medications can result in disciplinary action.
6. Asthma
inhalers and samples are subject to the same guidelines as medications taken
daily at school. Students may carry their inhalers with the written permission
of the physician.
7. PRN
and/or over the counter medications should be in original container and have a
signed note of instructions from parent/guardian. Herbs, dietary supplements,
and vitamins will not be given at school. Parent/guardian provides all
medication.
8.
Medication should be received in the nurse’s office in the original container,
after which it will be counted and recorded. Please do not send any medication
to school in a plastic bag or other such container.
9. Morning
and afternoon doses should be given before and/or after school unless
otherwise requested by your physician. The first dose must be given at home.
Antibiotics should be given 24 hours at home before returning to school.
10. At the
end of the school year any medication remaining will be discarded if you do
not retrieve it by the last day of school. No medication will be sent home
with students in grades K-6.
11.
Students may carry epi pens and diabetic supplies with education on the use
and doctor’s written permission.
Student’s
Name_____________________________ D.O.B.________ Grade__________
Medication_____________________________ Dose _____________ Time __________
Reason for
Medication _____________________________________________________
Physician’s Signature ______________________________ Date ______Phone________
Physician
Printed Name: ___________________________________________________
I give permission for the medication
above to be administered to my child. I have read and understand the policies
listed above and agree to abide by them.
Parent
/Guardian Signature __________________________Date______ Phone _______
Other
Information ________________________________________________________
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