Missouri ....Stanton Elementary.

Posted on: Tue, 11/02/2004 - 11:38pm
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[url="http://www.rockwood.k12.mo.us/stanton/nurse.html"]http://www.rockwood.k12.mo.us/stanton/nurse.html[/url]

Health Room and Medications Accessibility Information

1. Two sets of keys will always be kept for the health room.
Nurse will have a set.
Transfer of keys will be recorded on Nurse's Health Room Key Log. (For example, while nurse is at lunch and a team member has the keys)
Principal will have a set.
Each principal will determine building procedure for key control.
2. Emergency medications such as inhalers and Epi Pens are to be accessible at all times when students are present including after school activities.
Exception for Potentially Harmful Administration

It shall be the policy of this District that the District will not knowingly administer any medication to a student if the District's registered professional school nurse believes in his/her professional judgement, that such administration could cause harm to the student, other students, or the District itself. Such cases may include, but are not necessarily limited to, situations in which the District is being asked to administer medication in a dosage that exceeds the highest recommended dosage listed in the current annual volume of the Physician's Desk Reference or other recognized medical or pharmaceutical text.

Self-Administration of Medication

Students in grades nine through twelve may carry their own over-the-counter medication and consume or apply this medication as directed by their physician. This medication must be in its original container and the student must carry with the medication a written statement from the parent/guardian requesting self-administration. A self-administration waiver must be on file in the nurse's office.

When students and/or parents of students in grades nine through twelve prefer that over-the-counter medication be kept in the school nurse's office and administered by the school nurse, the requirements of Over-the-Counter Medication, of this procedure shall apply.

Students with asthma or any potentially life threatening respiratory illness may carry with them for self-administration metered dose inhalers containing "rescue" medication and Epi-Pen. Possession and self-administration of these prescription medications must comply with the Missouri Safe Schools Act, 1996. The directives of this Act will be given to each parent/guardian who requests permission for his/her child to carry and self-administer such medication, and are enumerated in the guidelines of this administrative procedure, as per Appendix A.

Parent/Guardian Administration

In situations where the above requirements are not met, or any time the parent/guardian chooses, the parent/guardian may come to school to administer medicine to his/her child. The parent should report to the office to have the child summoned to meet the parent in the office.

APPENDIX A

Self-administration of metered-dose "rescue" medication inhaler
1. The parent/guardian shall provide written authorization for the child's self-administration of this medication with a written history of the child's experience with the potentially life-threatening respiratory illness. He/she shall provide a plan of action for addressing any emergency situation, which could reasonably be anticipated as a consequence of self-administering this medication.

2. The parent/guardian shall provide written certification from the child's physician, or the physician shall provide written certification that the child has asthma or another potentially life-threatening respiratory illness. This certification shall further state that the child has been instructed in and is capable of the proper method of self-administration of the specific rescue medication, that he/she has been informed of the dangers of improper use and the danger of permitting other persons to use the prescribed medication.

3. The District shall inform the parent/guardian of the child in writing that the District, its employees or agents shall incur no liability as a result of any injury arising from the self-administration of the medication by the child.

4. The parent/guardian shall sign a statement acknowledging the District shall incur no liability as a result of injury arising from the self-administration of this medication by the child. The parent/guardian shall indemnify and hold harmless the District and its employees or agents against any claims arising out of the self-administration of medication by the child.

5. This authorization is effective for the school year for which it is granted and must be renewed annually, renewal contingent upon completion of the above four steps with each request for renewal.

6. The District may require children to maintain current duplicate metered-dose "rescue" inhalers with the school nurse.

7. The child shall report to the school nurse within a timely manner when he/she has had occasion to use his/her "rescue" medication.

8. The registered professional nurse shall communicate to parent/guardian and/or physician the effect of the medication on the student, and apprise them of frequency of need. Concerns regarding proper use of the medication can be discussed with parent/guardian and the physician.

9. When administration pursuant to the physician's order is perceived to be ineffective or when it is believed that the safety of the child is at risk, the physician shall be contacted immediately. If said physician is unavailable, Rockwood's consulting physician shall be contacted for direction.

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