Authorized Prescriber – Includes a healthcare provider licensed or otherwise authorized by state law
to prescribe medication.
Diabetes Medical Management Plan – A document developed by the student's personal healthcare
team that sets out the health services needed by the student at school and that is signed by the
student's personal healthcare team and parent/guardian.
Medications – For the purposes of this policy, 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.
The St. Charles R-VI School District is not legally obligated to administer medication to students
unless specifically included in a Section 504 plan or an individualized education program (IEP).
However, the Board recognizes that some students may require medication for chronic or short-term
illnesses to enable them to remain in school and participate in the district's educational services.
Parents/Guardians are encouraged to submit any relevant information regarding the medications their
student needs, including a diabetes medical management plan or other information the district may
use to develop an IEP, Section 504 Plan or individualized health plan (IHP). The district will review
all information submitted by the parents/guardians and work with them to create a plan to meet the
student's medical needs while at school or school activities. The district prohibits students from
possessing or self-administering medications while on district grounds, on district transportation or
during district activities unless explicitly authorized in accordance with this policy. The
superintendent, in collaboration with the district nursing staff, will establish administrative
procedures for storing and administering medications in compliance with this policy and pursuant
to state and federal law. Medications will only be administered at school when it is not possible or
effective for the student to receive the medication at home.
The administration of medications is a nursing activity that must be performed by or under the
supervision of a registered professional nurse. A registered professional nurse may delegate the
administration of medication to a licensed practical nurse or unlicensed personnel who are trained
by the nurse to administer medications. The registered professional nurse is responsible for
developing written procedures for training unlicensed personnel in the administration of medications
and for supervising the administration of medication by others. In accordance with law, any trained
or qualified employee will be held harmless and immune from civil liability for administering
medication in good faith and according to standard medical practices. A qualified employee is one
who has been trained to administer medication according to standard medical practices.
For all medications administered to students, the school nurse or designee must maintain thorough
Nurses must use reasonable and prudent judgment to determine whether to administer particular
medications to students while also working in collaboration with parents/guardians and the school
administration. In carrying out their legal duty to protect the health, welfare and safety of students,
nurses will, when necessary, clarify authorized prescriber orders and respond in accordance with
The district may refuse to administer medications in an amount exceeding the recommended dosage
listed in the Physician's Desk Reference (PDR) or other recognized medical or pharmaceutical text.
Except for the emergency use of a prefilled epinephrine auto syringe or asthma-related rescue
medication, the district will not administer the first dose of any medication. Parents/Guardians are
encouraged to arrange to administer prescription medications themselves when possible.
The district may administer over-the-counter medication to a student upon receipt of a written
request and permission to do so by the parent/guardian. However, on the elementary level (grades
K–4) and the vocational level (Lewis & Clark as well as YES and RES Programs), all non-prescription medicines sent to school must be accompanied by an authorized prescriber’s written
order and signature. All over-the-counter medications must be delivered to the school nurse or
health clerk in the manufacturer's original packaging and will only be administered in accordance
with the manufacturer's label.
The parent/guardian must provide the district with written permission to administer the medication
before the district will administer the prescription medication to the student. The prescription label
will be considered the equivalent of a prescriber's written direction, and a separate document is not
Possession and Self-Administration of Medications
The district will permit a student to possess and self-administer medications as required by law and
as allowed in this section. Permission to possess and self-administer medications may be revisited
if there is evidence that the student is not handling or administering the medication appropriately or
that the student’s actions may be harming his or her own health or the health and safety of other
persons. Such permission is required for students to possess and self-administer medications while
at school, at a district-sponsored activity and on district-sponsored transportation. Such permission
shall be effective only for the same school and school year for which it is granted.
Students with Diabetes
Upon written request of the parent/guardian and upon authorization by a student's diabetes medical
management plan, the district will permit a student with diabetes to perform blood glucose checks,
administer insulin through the student's insulin delivery systems, treat hypoglycemia and
hyperglycemia, and otherwise attend to the care and management of the student's diabetes. The
district will permit the student to possess on his or her person at all times all necessary supplies and
equipment to perform these monitoring and treatment functions. The student shall have access to
a private area for performing diabetes care tasks should the parent/guardian or student request such
Students with IEPs or Section 504 Plans
Students may possess and self-administer medications in accordance with the student’s IEP or
Section 504 plan.
Students with Other Chronic Health Conditions
Students may possess and self-administer medications for the treatment of asthma, anaphylaxis and
other chronic health conditions in accordance with this policy and law. The district must have
written authorization from both the student's authorized prescriber and the parent/guardian.
All student-occupied buildings in this district are equipped with prefilled epinephrine auto syringes
and asthma-related rescue medications that can be administered in the event of severe allergic
reaction causing anaphylaxis or a life-threatening asthma episode. These medications will only be
administered in accordance with written protocols provided by an authorized prescriber. The school
principal will maintain a list of personnel trained in the proper administration of these drugs.
The school principal or designee will also maintain a list of students who cannot, according to their
parents/guardians, receive epinephrine or asthma-related rescue medications. A current copy of the
list will be kept with the devices at all times.
Students who possess or consume medications in violation of this policy while on district grounds,
on district transportation or during a district activity may be disciplined up to and including
suspension or expulsion. Employees who violate this policy may be disciplined up to and including
termination. District administrators will notify law enforcement when they believe a crime has
* * * * * * *
Note: The reader is encouraged to check the index located at the beginning of this section
for other pertinent policies and to review administrative procedures and/or forms for
Revised: 01/14/1999; 01/13/2000; 06/08/2000; 01/10/2002; 07/13/2006; 07/14/2011;
Cross Refs: EBB, Communicable Diseases
EBBA, Illness and Injury Response and Prevention
Legal Refs: §§ 167.621 - .635, .800 - .824, 335.016, .066, 338.059, 577.625, .628, RSMo.
Davis v. Francis Howell Sch. Dist., 138 F.3d 754 (8th Cir. 1998)
DeBord v. Board of Educ. of Ferguson-Florissant Sch. Dist., 126 F.3d 1102 (8th Cir.
St. Charles School District, St. Charles, Missouri
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