SchulenburgIndependentSchool District

MEDICATION POLICY

1. Parents will provide any medication needed for their student.

2. All non-prescription medicine must be in the original manufacturer’s package with the dose specified by age and/or weight.

3. Prescription medication must be in the original prescription bottle with the current and correct label, showing the student’s name, medication name, dispensing instructions, physician’s name, and recent date. Ask pharmacy for school bottle.

4. Medication prescribed or requested to be given (3) three times a day or less will not be given unless a specific time during the day is prescribed by a physician, or the school nurse determines that a special need exists for an individual student.

5. Loose, unmarked medication will not be given and will be disposed of.

6. Medications from foreign countries will not be administered by school staff.

7. Herbal or homeopathic products will not be administered by school staff, unless required by student’s IEP, or Section 504 plan of a student with a disability.

8. If any medication, prescription or non-prescription, is to be given more than 15 consecutive days, the permission form must be cosigned by the prescribing physician.

9. A physician’s order is required for any injectable medication. Allergy shots will NOT be given.

10. All medication will be stored and dispensed in the school clinic. Please contact the school nurse if your student must carry an inhaler or anaphylaxis medication (Epi-pen).

11. No student may have prescription or non-prescription drugs in his/her possession on school grounds during school hours without proper authorization. Contact the nurse for students needing to carry inhalers or emergency allergy injections (7th grade and above).

12. In accordance with the Board of Nurses Rule, 22 Texas Administrative code §217.11, the school nurse has the responsibility and authority to refuse to administer medications that, in his or her judgment, are not in the best interest of the student.

MEDICATION ADMINISTRATION REQUEST

STUDENT NAME______DOB ______Grade______

PARENTAL PERMISSION TO ADMINISTER PRESCRIPTION OR NON-PERSCRIPTION MEDICATIONS AT SCHOOL

Prescription Medication / Non-Prescription Medication
Name of Med. ______
Time to be given ______
Amount to be given ______
Special instructions/handling______
______/ ______
Reason Receiving Medication______
Amount of ______Tablets, ______Capsules, ______Other
BRING ONLY THE AMOUNT STUDENT NEEDS TO TAKE AT SCHOOL.

If a medication must be given 15 consecutive school days or more from the original request, prescription or non-prescription, or is an injectable medication, the prescribing physician must cosign this permission form.

PHYSICIAN’S CONSENT FOR ABOVE NAMED MEDICATION

Reason for prescribed medication ______

Special Instructions______Date to Discontinue______

Feedback Requested______Yes_____ No_____ How Often______

Physician Signature Date Phone

X______

In the event of a class field trip, _____ I give my permission for regularly scheduled medications to be sent on field trips and administered by the class teacher._____ I do not want the medications sent on a field trip. Check which option you prefer.

PARENT SIGNATURE REQUIRED

I have read the above policy and give Schulenburg ISD permission to administer the above named medication as directed, as well as contact the physician for additional information, if needed.

Date______Signature of Parent/Guardian X______

Telephone: Home______Work______Cell______email______