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    Medication Administration

    All prescription and non-prescription medication to be given during the school day must be accompanied by a completed Medication Administration Request Form and/or written request signed and dated by the parent/guardian and turned in to the school nurse. Physician orders for medication are only valid for the current school year and must be renewed each new school  year.

    1. Prescription or non-prescription medications that need to be taken at school for 10 consecutive school days or less:

    a. All prescription medications must be in their original pharmacy container and labeled by the pharmacist. The label must include:

    1) Student’s name
    2) Name of prescribing health care provider.
    3) Name of medication
    4) Amount of medication to be given and frequency of administration
    5) Date prescription filled

    Changes in the administration of prescription medications, to include time and dose, must be in writing from the physician.  A request to discontinue medication must be in writing from the parent/guardian and/or physician.

    b. All non-prescription medications must be supplied by the parent/guardian and in their original container. The written request for administration of these must contain the following information:

    1) Student’s name
    2) Name of medication
    3) Amount of medication to be given
    4) When medication is to be given
    5) Reason medication is to be given
    6) Date
    7) Signature of parent/guardian

    c. Non-prescription medication dosages that exceed the recommended dose on the container, must be accompanied by a written request signed and dated by a prescribing health care provider and the parent or legal guardian.

    Changes in the administration of non-prescription medications must be in writing from the parent/guardian and/or physician.

     2. Prescription or non-prescription medications that need to be taken at school for more than 10 consecutive school days or more than 4 times in a month:

    a. All prescription and non-prescription medications to be administered at school for longer than 10 days or more than 4 times in a month must be accompanied by a written request signed and dated by a prescribing health care provider and the parent or guardian.

    3. Medications are considered to be any pills, liquids, inhalers, sprays, eye drops, ear drops, cough drops or topically applied creams or ointments that are expected to relieve symptoms.  No injections may be given except those needed in emergency situations or those necessary for the student to remain in school (i.e. insulin, epinephrine), as ordered by a prescribing health care provider.  Expired medication will not be given.

    4. Medication administration should be scheduled for non-school hours if possible. Should it be necessary to accommodate proper time intervals between doses and full participation in the school program, requests can be made to the school nurse. These should be scheduled during class breaks and lunch.

    5. Permission to administer “missed doses at home” must be in writing.  Fax and e-mail are permissible; however, original written request must follow within 48 hrs.

    6. All medications will be stored and dispensed in the school clinic. All medication should be delivered to and picked up from the clinic by the parent/guardian or authorized adult.

    7. No more than a 30 day supply of medication shall be maintained in the school clinic

    8. Physician’s orders are required each school year for long term prescribed medications, including “as needed” medications.  In addition the school nurse may request physician signature for any medication requiring additional monitoring.

    9. Medications stored in the school clinic must be picked up by the parent/guardian on or before the last day of school.  Any unused medication left in the clinic at the end of the school year will be destroyed.

    10. For student safety, students who are allowed to self-administer/carry their prescription medication must make every effort to ensure medication packaging with pharmacy label remains with medication at all times.  A student who administers his/her medication during the school day should report to the school nurse for a proper assessment to ensure symptoms have been relieved and no further assistance is needed.
     
    11. In accordance with Board of Nurse Examiners 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.
     
    For more information regarding the district's medication policy, please see the NCISD Parent/Student Handbook & Student Code of Conduct
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