Definitions
Medications -- For the purposes of this procedure, medications include prescription drugs and
over-the-counter drugs, including herbal preparations and vitamins. Medications also include
substances that claim or purport to be medicinal or performance enhancing.
Authorized Prescriber -- Includes a health care provider licensed or otherwise authorized by state
law to prescribe medication.
Medication Administration
1. All medications must be delivered to the school principal or designee by the
parent/guardian in a properly labeled container from the pharmacy or in the manufacturer's
original packaging.
2. All medications must be accompanied by a written administration request from the
parent/guardian.
3. Medications will be stored in an environmentally appropriate locked area to which the
school nurse and school principal have keys.
4. The school nurse will maintain proper documentation of all medications and their
administration. Documentation will minimally include the:
► Student's name.
► Prescriber's name.
► Pharmacy.
► Prescription number.
► Name of the medication.
► Dosage.
► Date and time administered.
► Reasons for not giving medications as prescribed (e.g., vomiting, spills, refusal).
► Name and signature of person who actually administered the medication.
5. Students shall be provided privacy when receiving medications.
6. The school nurse will work with the student, parents/guardians and teachers in determining
how best to deliver the medication to the student during the school day.
7. If the district maintains epinephrine premeasured auto-injection devices, a list of students
whose parents/guardians indicate that they cannot receive epinephrine will be kept with the
devices.
Handling and Disposal of Medications
1. Schedule II controlled substances shall be inventoried upon receipt and daily by the person
administering the drug.
2. The record of the drug count shall be maintained in a log or on the student's medication
record.
3. Any count discrepancies shall be reported to the school nurse for further investigation.
4. Controlled substances shall be kept in double-locked storage, such as a locked box within
a locked cabinet, to which the school nurse and the school principal or designee shall have
keys.
5. Expiration dates on all medications will be checked on a routine basis.
6. Parents/Guardians may retrieve their student's medications from the school at any time
during school hours.
7. When possible, all unused, discontinued or expired medication shall be returned to the
parent/guardian and the return documented.
8. The school nurse may destroy medications if the parent/guardian consents, if a witness
observes and if the destruction is properly documented.
9. All medications shall be returned to the parent/guardian or destroyed at the end of the
school year.
* * * * * * *
Note: The reader is encouraged to review policies and/or forms for related information in
this administrative area.
Implemented: 05/15/2006
Dunklin R-5 School District, Herculaneum, Missouri
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