MANAGEMENT OF MEDICATION ADMINISTRATION IN THE SCHOOL SETTING
-
Medications
should
be
taken
at
home
whenever
possible
so
that
the
student
does
not
lose
valuable
classroom
time.
-
If
it
is
absolutely
necessary
for
the
student
to
take
medication
at
school,
the
Authorization
for
Medication
Administration
form
(Attachment
I)
must
be
received
for
each
medication
and
must
be
submitted
to
the
health
office
staff
prior
to
the
medication
being
given
at
school.
The
appropriate
Health
Treatment
Plan
(HTP)
for
asthma,
allergy,
seizure,
and
diabetes
medications
must
be
completed.
Medications
will
not
be
accepted
without
receipt
of
the
appropriate
form.
-
The
health
office
staff
are
Unlicensed
Assistive
Personnel
(UAP).
The
UAPs
must
be
Medication
and/or
Insulin/Glucagon
trained.
Cardiopulmonary
Resuscitation
(CPR)
and
First
Aid
training
for
all
UAP's
is
strongly
recommended.
The
health
office
staff
and
all
persons
trained
in
Medication
Administration
are
required
to
attend
the
Prince
William
County
Public
Schools
three-hour
Medication
Administration
and/or
the
four-hour
Insulin/Glucagon
class
every
three
years
with
an
annual
refresher
by
the
school
nurse.
CPR
and
First
Aid
recertification
should
be
in
accordance
with
the
certifying
organization.
There
will
be
three
staff
members
designated
by
the
building
principal
(other
than
the
school
nurse)
in
each
building
trained
to
administer
medication.
UAPs
employed
for
summer
school
must
attend
a
Medication
Administration
class.
-
The
health
office
staff
must
have
written
instructions
from
the
health
care
provider
to
administer
prescription
medications.
The
Authorization
for
Medication
Administration
form
is
preferred,
but
the
healthcare
provider
may
use
office
stationary
or
a
prescription
pad
with
the
following
information:
- Student's name and date of birth;
- Date of order;
- Duration of medication order and effective dates;
- Reason for medication or diagnosis;
- Name of medication;
- Exact dosage to be taken in school;
- Time to take medication and frequency or exact time interval dosage is to be administered;
- If medication is given on an as-need basis, specify the exact conditions or symptoms when medication is to be taken and the time at which it may be given again (repeat as necessary is unacceptable);
- Statement that the student may self-carry and self-administer; and
-
Health
care
provider's
signature
and
date.
-
Medications
must
be
brought
to
the
health
office
and
signed
by
a
parent/guardian.
Students
with
diabetes,
asthma,
or
life-threatening
allergies
may
carry
life-saving
medications
(insulin,
Glucagon,
inhaler,
Epinephrine
Auto-Injectors)
throughout
the
school
day
in
accordance
with
their
approved
HTP
or
medical
authorization.
Otherwise,
students
are
not
permitted
to
transport
medications
to
and
from
school
or
carry
any
medication
while
in
school
-
Medication
Containers
-
Prescription
medications
-
Medications
(including
physician/pharmacy
samples)
must
be
in
the
original
pharmacy
bottle
with
proper
label
containing:
- Student's name;
- Name of medication;
- Time to be given;
- Dose/amount to be given; and
-
Name
of
health
care
provider.
-
Non-prescription
medications
(over-the-counter)
must
be
in
the
original
sealed
package
with
the
name
of
the
medicine,
instructions,
and
must
not
have
exceeded
the
expiration
date.
Non-prescription
medication
will
only
be
administered
according
to
directions
on
the
label.
If
a
higher/lower
dosage
is
required,
the
Authorization
for
Medication
Administration
form
must
be
signed
by
the
health
care
provider.
-
The
school
will
not
be
responsible
for
lost
or
spilled
medications.
-
Prescription
medications
-
Medications
(including
physician/pharmacy
samples)
must
be
in
the
original
pharmacy
bottle
with
proper
label
containing:
-
Prescription
information
on
the
bottle
label
must
match
the
health
care
provider
information
on
the
Authorization
for
Medication
Administration
form.
The
pharmacy
can
provide
a
properly
labeled
bottle
for
school.
-
Staff
will
not
cut
or
break
pills.
Parents/guardians
should
cut/break
pills
or
request
the
pharmacy
to
cut
pills
into
the
correct
dose.
-
The
first
dose
of
any
new
medication
or
change
in
dose
must
be
given
at
home.
-
Medications
will
be
given
no
more
than
30
minutes
before
or
after
the
prescribed
time.
-
Medication
kept
at
school
will
be
stored
in
a
locked
area
of
the
health
office
accessible
only
to
authorized
school
personnel
during
school
hours.
-
The
student
is
to
go
to
the
health
office
or
to
a
pre-determined
location,
at
the
prescribed
time
to
receive
medication.
Parents/guardians
should
develop
a
plan
with
the
student
to
ensure
that
the
student
goes
to
the
health
office
at
the
appropriate
time.
-
Written
permission
is
required
from
the
parent/guardian
for
the
administration
of
medication
to
a
student
during
school
hours
by
persons
other
than
the
parent/guardian.
-
A
new
Authorization
for
Medication
Administration
form
is
required
at
the
start
of
each
school
year,
and
each
time
there
is
a
change
in
the
dosage
or
time
at
which
a
medication
is
to
be
taken.
-
Parents/guardians
should
not
bring
in
more
than
a
60-day
supply
of
prescription
medicine
at
a
time.
-
A
Medication
Incident
Report
must
be
completed
whenever
there
has
been
any
incident
or
error
resulting
in
the
incorrect
administration
of
medication
and/or
medication
given
by
a
staff
member
not
trained
in
the
administration
of
medication.
Possible
errors
in
the
administration
of
medication
would
include
an
incorrect
dosage,
route
or
time
of
administration,
or
giving
medication
to
the
wrong
student.
A
completed
Medication
Incident
Report
should
be
sent
to
the
Supervisor
of
School
Health
Services.
-
Exceptions
to
these
regulations
may
be
necessary
depending
on
individual
circumstances.
Exceptions
may
only
be
authorized
by
the
principal,
Supervisor
of
School
Health
Services,
or
school
nurse,
in
collaboration
with
the
health
care
provider
and/or
parent/guardian.
-
Students
may
carry
and
appropriately
use
non-medicated
products.
For
the
comfort
and
safety
of
others,
spray
or
aerosol
products
are
not
to
be
used.
Any
herbal
or
natural
alternative
medications
(botanicals,
oils,
dietary
or
nutritional
supplements,
homeopathic
medicine,
phytomedicinals,
vitamins,
and
minerals)
require
an
Authorization
for
Medication
Administration
form
signed
by
the
health
care
provider
and
parent/guardian.
-
Field
trips
-
Current
approved
HTPs
are
acceptable
for
all
field
trips.
- Appropriate school staff (i.e., principal or designee) shall notify the school nurse at least 10 days prior to the field trip so medication can be prepared.
- The Medication Permission Form for Extended Day/Overnight Field Trips (Attachment II) must be completed and brought to the school nurse at least five school days before the field trip. Medications brought after this time will not be accepted. Extended day field trips are trips returning to school after the dismissal bell.
Students
may
not
carry
unauthorized
substances,
including
over-the-counter
analgesics.
It is the intent of the Prince William County Public Schools (PWCS) to assist parents/guardians when they are unable to come to school to administer medication by giving needed medication to the student so that the student may maintain school attendance.
Every effort should be made by the parent/guardian for the student to receive needed medication outside of the school day. Prescription or over-the-counter drugs, pain relievers, cough medicine, inhalants, etc., shall be administered to students by parent/guardians outside of school hours except in unusual circumstances.
The first or adjusted dose of medication shall be administered at home by the parent/guardian. The first or adjusted dose will not be given at school.
All
students
and
parents
are
reminded
of
the
following:
School
personnel
cannot
administer
any
medication
until
a
form,
signed
by
the
parent
is
on
file
in
the
clinic.
All
prescription
medication
must
also
have
a
physician's
signature
on
the
PWCS
medication
form
before
a
prescription
medication
can
be
administered.
All
medication,
prescription
and
over-the-counter
(i.e.,
Tylenol,
Advil,
etc.)
brought
to
school
must
be
in
the
original
sealed
container
and
kept
in
the
clinic.
It
should
be
in
small
amounts
as
storage
space
is
limited.
Students may keep in their possession certain medications, such as prescription inhalers and Epi-pens as warranted with a Health Treatment Plan on file signed by the physician.
Under
no
other
circumstances
will
students
be
permitted
to
carry
medication
without
the
direct
written
physician's
order
and
agreement
of
the
school
nurse
or
an
administrator.
Medications
can
be
administered
to
students
that
have
signed
medication
consent
on
file
and
have
their
own
medication
into
the
clinic.
All
prescription
medication
must
be
brought
in
by
a
parent
and
the
consent
form
must
be
signed
by
the
physician.
All
medications
must
be
in
their
original
container
and
be
labeled
with
the
student's
name.
Click
on
The
Required
Forms
below
Medication
Administration
Form
Formulario
de
Administración
de
medicamentos
Medication
Permission
Form
for
Extended
Day/Overnight
Field
Trips