3416 Policy – Medication at School

Under normal circumstances prescribed and over-the-counter medication should be dispensed before and/or after school hours under supervision of the parent or guardian.

Medications (prescribed and non-prescribed) that may be administered at school by an authorized staff member include: oral medications, topical medications, eye or ear drops, and nasal spray. If a student must receive medication from an authorized staff member, the parent must submit a written request from the parent and a written request from a licensed health professional prescribing within the scope of his or her prescriptive authority. If the medication will be administered for more than fifteen consecutive days, the health professional must also provide written, current and unexpired instructions for the administration of the medication.

The superintendent will establish procedures for:

A. Delegating, training and supervising staff members in the administration of medication to students by a physician or registered nurse;
B. Designating staff members who may administer medication to students;
C. Obtaining signed and dated parental and health professional requests for the dispensing of medications, including instructions from the health professional if the medication is to be given for more than fifteen (15) days;
D. Storing medication in a locked or limited access facility;
E. Maintaining records pertaining to the administration of medication; and
F. Permitting, under limited circumstances, students to carry and self-administer medications necessary to their attendance at school.
G. Emergency nasal spray and non-emergency injections may not be administered by school staff other than registered nurses and licensed practical nurses.  No medication will be administered by injection by school staff except when a student is susceptible to a predetermined, life-endangering situation [See Policy 3442, Anaphylaxis Prevention and Response]. In such an instance, the parent will submit a written and signed permission statement. Such an authorization will be supported by signed and dated written orders accompanied by supporting directions from a licensed health professional. A staff member will be trained prior to injecting a medication.

In accordance with the requirements of state law, the Board shall designate a professional person licensed under Chapter 18.71 RCW or Chapter 18.79 RCW to:

A. delegate to, train, and supervise designated school district personnel in proper medication procedures; and
B. train and supervise the appropriate school district personnel in proper procedures for care for students with epilepsy and students who require medications and nursing services not recognized in law as of July 1, 2014, to ensure a safe, therapeutic learning environment.

School district employees must receive training before they are authorized to administer medications and nursing services not recognized in law as of July 1, 2014. Where necessary, such training must be provided on an ongoing basis to ensure that the proper procedures are not forgotten because the medication or services are administered infrequently.

If the district decides to discontinue administering a student’s medication, the superintendent or designee must provide notice to the student’s parent or guardian orally or in writing prior to the discontinuance. There must be a valid reason for the discontinuance that does not compromise the health of the student or violate legal protections for the disabled.

Administration of legend (prescribed) drugs or controlled substances by nasal spray

If a school nurse is on the premises, he/she may administer an emergency nasal spray containing a prescribed drug or controlled substance to a student. If a school nurse is not on school premises, a nasal spray containing a legend (prescribed) drug or controlled substance may be administered by: 1) a trained school employee, provided that person has received appropriate RN delegation and volunteered for the training pursuant to RCW 28A.210.260;  or 2) a parent-designated adult.

A parent-designated adult is a volunteer, who may be a school district employee, who receives additional training from a healthcare professional or expert in epileptic seizure care selected by the parents who provides care for the student consistent with the student’s individual health plan on file with the school.

Required Notification of EMS

After every administration of any legend (prescribed) drug or controlled substance by nasal spray to a student, Emergency Medical Services (911) will be summoned as soon as practicable.



Approved By: School Board
Adopted/Previous Revisions: 02/08/07
Updated: 01/22/15
Superintendent or Board Approved: Board Approved
Legal References: Content

RCW 28A.210.260  Public and Private Schools —Administration of Medication— Conditions
RCW 28A.210.270  Public and Private Schools —Administration of Medication— Immunity from Liability — Discontinuance, procedure.
RCW 28A.210.275  Administration of Medications by Employees not Licensed under Chapter 18.79 RCW—Requirements—Immunity from Liability

Management Resources: Content

Policy & Legal News, February 2014, Nasal spray added to list of medications that may be administered by school personnel
Policy News, August 2012, “Medication” Definition Expanded
Policy News, February 2001, Oral Medication Definition Expanded