ST. LOUIS BOARD OF EDUCATION POLICY
The student's authorized prescriber shall provide a written request that the student be given medication during school hours. The request shall state the date, name of the student, the name of the drug, the dosage, the frequency of administration, the route of administration, restrictions, and the prescriber's name. The diagnosis or indication for use of the medication shall also be provided. When possible, the prescriber should state potential adverse effects and applicable emergency instructions.
A parent or guardian shall provide a written request that the St. Louis Public School District comply with the authorized prescriber's request to give the medication. The parent, guardian, or an adult designee must deliver the medication to the nurse, principal, or designee at their child's school in a container properly labeled by the pharmacy. Medication will not be administered if brought by the student.
The district will not administer the first dose of an initial prescription except in an emergency situation. Furthermore, the district will not knowingly administer prescribed medication that exceeds the daily recommended dosage.
II. Over-the-Counter Medication
A student shall not be permitted to have over-the-counter medication administered at school unless the medication is accompanied by a written request from the student's authorized prescriber. The request shall state the date, the name of the student, the name of the drug, the dosage, the frequency of administration, the route of administration, and the prescriber's name. The diagnosis or indication for use of the medication shall also be provided. When possible, the prescriber should state potential adverse effects and applicable emergency instructions.
A parent or guardian shall provide a written request that the St. Louis Public School District complies with the authorized prescriber's request to give medication. The district will not knowingly administer over-the-counter medication that exceeds the daily recommended dosage.
III. Emergency Medication
Written standing orders will be obtained annually for the administration of emergency medication.
IV. Storage and Administration of Medication
A parent or guardian or other responsible party designated by the parent or Guardian will deliver all medication to be administered at school to the school nurse or designee. All medication, prescription, or over-the-counter, must be in a pharmacy or manufacturer labeled container. The district provides secure, locked storage for medication with restricted access to authorized personnel only. A protocol for inventory of Schedule 11 controlled substances (e.g., Ritalin) is in place.
The administration of medication, including over-the-counter medications, is a nursing activity governed by the State of Missouri Nursing Practice Act. It must be performed by the registered professional school nurse. The school nurse may delegate and supervise the administration of medication by unlicensed personnel who are qualified by education, knowledge, and skill. The school nurse must provide and document the requisite education, training, and competency verification.
The school nurse shall determine and maintain an adequate supply of
prefilled auto syringes of epinephrine with fifteen hundredths milligram
or three-tenths milligram delivery at the school. Prefilled epinephrine
auto syringes will be obtained for the district from a prescription written
by a licensed physician, a physician’s assistant, or nurse practitioner. Epinephrine
will be administered at the discretion of a school nurse or any student
the school nurse believes is having a life threatening anaphylactic reaction
based on the nurse’s training.
Students with asthma or anaphylaxis, or any potentially life-threatening respiratory illness may carry with them medication for self-administration inhaled bronchodilators and/or auto-injectible epinephrine. Possession and self-administration of these prescription medications must comply with the Missouri Statutes. The board and its employees shall grant students authorization to possess and self-administer such medication to treat students’ asthma or anaphylaxis if:
1. A licensed physician prescribed medication and instructed the student in the correct use of such medication;
2. The student has demonstrated to his or her physician and the school nurse, the ability to administer such medication as prescribed;
3. The student’s physician has approved and signed a written treatment plan for managing asthma or anaphylaxis episodes and for the medication used by the student. Such plan shall include a statement that the student is capable of self-administering the medicine under the treatment plan;
4. The student’s parent or guardian has submitted to the school a written treatment plan required under subsection 3 and the liability statement required under subsection 5;
5. The student’s parent or guardian has signed a statement releasing the board of education and its employees or agents from liability as a result of injury arising from the self-administration of such medication by the pupil or the administration of such medication by school staff. Such statement shall not be construed to release the board of education and its employees or agents from liability for negligence.
The authorization granted to the student to possess and self-administer medicine while in school, at a school sponsored activity, and in transit from school or school sponsored activity is only effective for the same school and school year for which it was granted. Such authorization must be renewed by the student’s parent or guardian each subsequent school year.
VI. Parent or Guardian Administration
In situations where the above requirements are not met, or any time the parent or guardian chooses, the parent or guardian may come to school to administer medicine to his or her child.
195.017, 167.600,167.621, 167.627, 167.630 RSMo.
Regulation approved: December 8, 1998
Revised: December 07, 1999
Revised: September 19, 2006