Last Updated: 15 January 2019 15 January 2019
|Policies and Regulations
||NEPN Code: JLCD-R
- Medication Administration
“Medication” All properly prescribed medications, all over-the-counter (non-prescribed medications) and all chemical/homeopathic substances and compounds, including but not limited to natural remedies, herbs and vitamins*, which purport to aid in a person’s health or wellbeing or to treat illness or disease.
- * Chemical/homeopathic substances and compounds and natural remedies, herbs and vitamins are not tested by the US Food & Drug Administration for safety or effectiveness and this lack of safety information limits their appropriate use at school. In accordance with the American Academy of Pediatrics Policy Statement – Guidance for the Administration of Medication in School, these substances are subject to the same restrictions and requirements in this regulation for prescribed medications.
- “Self-Administration” Taking of any medication without the intervention of a school nurse or qualified staff after receiving approval through this regulation.
- “Emergency/Urgent” An illness or allergic reaction that requires an immediate response that if left untreated may lead to potential loss of life.
- “Qualified Staff Member” A licensed nurse or unlicensed assistive personnel with a minimum of a high school education or the equivalent who has completed an approved South Dakota Board of Nursing Medication Administration Training Program for Unlicensed Assistive Personnel.
- The following rules shall be followed with regard to medication administration in the school setting.
- Transportation of Medication
- Early Childhood and K-5
The parent/guardian must deliver the medication to the school and deliver the medication to the school nurse or a qualified staff member. All medication must be in the original properly labeled container.
- Grades 6-12
Students shall transport prescription medication and chemical/homeopathic substances and compounds, including but not limited to natural remedies, herbs and vitamins from home to the school nurse or a qualified staff member. The medication shall be in the original properly labeled container.
Storage of Medication at School
The school nurse or a qualified staff member will promptly count and document all medications received. Received medication shall be secured with only the school nurse and a qualified staff member allowed access to the medication. Controlled substances will be double-locked. Any unused medication will be returned to the parent/guardian at the end of the school year. If the parent/guardian does not pick up the medication, it will be disposed of properly.
School buildings may also acquire and maintain a stock of epinephrine auto-injectors pursuant to a prescription issued by an authorized health care provider for use in accordance with this Regulation in an emergency situation of a severe allergic reaction causing anaphylaxis.
Methods of Medication Administration
For a student to ingest medication in a school setting, the applicable District medical consent form must be completed, signed and submitted to the school nurse.
- Staff Administration
Medications shall be administered by a school nurse or a qualified staff member. All medication administration by school staff will be properly documented on the appropriate District form.
Any school nurse or qualified staff member may administer an epinephrine auto-injector to a student in accordance with a prescription specific to the student on file with the school or administer an epinephrine auto-injector to any student during school hours if the school nurse or qualified staff member believes that the student is experiencing anaphylaxis in accordance with the standing protocol provided by the health care provider that provided the non-student specific prescription regardless of whether that student has a prescription for an epinephrine auto-injector or has been diagnosed with an allergy.
Prior to administering an epinephrine auto-injector made available by the school, each qualified staff member shall be trained by a licensed health care professional to (1) recognize the symptoms of a severe allergy or anaphylactic reaction; (2) to know the procedure for the administration of an epinephrine auto-injector; (3) to know the procedure for storage of an epinephrine auto-injector; and (4) to know the emergency care and aftercare for a student who has an allergic or anaphylactic reaction.
- Asthma or Anaphylaxis
Any student with asthma or anaphylaxis may possess and self-administer prescription medication while on school property or at a school-related event or activity if:
- The prescription medication has been prescribed for that student as indicated by the prescription label on the medication;
- The self-administration is done in compliance with the prescription or written instructions from the student’s physician or other licensed health care provider; and
- A parent of the student provides to the school:
- Written authorization, signed by the parent, for the student to self-administer; and
- A signed statement from the student’s physician or other licensed health care provider indicating that the student has asthma or anaphylaxis and that the student is capable of self-administration. The statement should also include the name and purpose of the medication, the prescribed dosage, the times and circumstances under which the medication may be administered, and the period for which the medication is prescribed.
- Early Childhood and Grades K-5
While on school property, with the exception of parent/guardian approved insulin administration supervised by a school nurse or qualified staff member, students in early childhood and grades K-5 may not self-administer prescription medication (including chemical/homeopathic substances and compounds, including but not limited to natural remedies, herbs and vitamins) and may not self-administer over-the-counter (non-prescribed) medication with the sole limited exception being cough drops with parent/guardian written consent/permission.
- Grades 6-12
• Prescription and chemical/homeopathic substances and compounds, including but not limited to natural remedies, herbs and vitamins.
Students in grades 6-12 may possess and self-administer prescription medication (including chemical/homeopathic substances and compounds and natural remedies, herbs and vitamins) while on school property or at a school-related event or activity if a signed statement from the student’s physician or other licensed health care provider is provided indicating that the student is capable of self-administration. The statement should also include the name and purpose of the medication, the prescribed dosage, the times and circumstances under which the medication may be administered, and the period for which the medication is prescribed. Possession is limited to the dose(s) necessary during school hours or the school event or activity for one day.
• Over-the-Counter (non-prescription)
Students in grades 6-12 may possess and self-administer over-the-counter (non-prescribed) medication if parental consent is updated annually on the Student’s Health Information record. Possession is limited to the dose(s) necessary during school hours or the school event or activity for one day.
- School Related Events or Activities Off School Property
Prescribed medication that must be taken during the time the event or activity is scheduled and a school nurse or qualified staff member is not attending the event or activity shall be self-administered with written consent/permission of the parent/guardian.
- Non-District Building Use
Outside entities that utilize school buildings must ensure that medications used by their staff or participants are not left in the building unsecured.
Misuse of All Medication
Students are prohibited from transferring, delivering or receiving any medication to or from another student. All violations will result in confiscation of the medication and subject student(s) to discipline in accordance with the District’s progressive discipline policy. Students who use medication for purposes other than for its intended use will be disciplined and will no longer be allowed to carry and self-administer medications.
SDCL Ch. 13-33A-1 Student Health Services
SDCL 13-32-11 Self-Administration of prescription asthma and anaphylaxis medication
ARSD 20:48:04.01:09 Training Required for delegated medication administration
JK/JK-R - Student Discipline
JLCAA/JLCAA-R - Physician Prescribed Services