Each school principal will authorize staff members to administer medication. These designated staff members will receive RN training, supervision, and delegation prior to the opening of school each year from the professional person designated under Policy 3416.
For purposes of this procedure, “medication” means oral medication, topical medication (including sunscreen), eye drops, ear drops and nasal spray. Oral medications are administered by mouth either by swallowing or by inhaling and may include administration by mask if the mask covers the mouth or mouth and nose.
Medication may be dispensed to students on a scheduled basis upon written request from a parent with a written request by a licensed health professional prescribing within the scope of their prescriptive authority. If the medication is to be administered more than fifteen consecutive days the written request must be accompanied by written instructions from a licensed health professional. Requests will be valid for not more than the current school year. The medication must be properly labeled and be contained in the original container. The dispenser of the medication will:
- Collect the medication directly from the parent (students should not transport medication to school), collect an authorization form properly signed by the parent and by the prescribing health professional, and collect instructions from the prescribing health professional if the medication is to be administered for more than fifteen consecutive days;
- Store the medication (not more than a thirty (30) day [NOTE: this number is discretionary] supply) in a locked, substantially constructed cabinet; and
- Maintain a daily record which indicates that the medication was dispensed.
Oral medications, topical medications, eye drops, or ear drops may be administered by a registered nurse, a licensed practical nurse or an authorized staff member.
Nasal sprays containing legend (prescription) drugs or controlled substances may only be administered by a school nurse or, if a school nurse is not present on school premises, by an authorized school employee or parent-designated adult with training as required by RCW 28A.210.260.
No prescribed medication will be administered by injection by staff except when a student is susceptible to a predetermined, life-endangering situation. The parent will submit a written statement which grants a staff member the authority to act according to the specific written orders and supporting directions provided by licensed health professional prescribing within his or her prescriptive authority (e.g., medication administered to counteract a reaction to an insect sting). Such medication will be administered by staff trained to administer such an injection by the professional person designated under Policy 3416.
Written orders for emergency medication, signed and dated, from the licensed health professional prescribing within his or her prescriptive authority will:
- State that the student suffers from an allergy which may result in an anaphylactic reaction;
- Identify the drug, the mode of administration, the dose. Epinephrine administered by inhalation, rather than injection, may be a treatment option. This decision must be made by the licensed health professional prescribing within his or her prescriptive authority;
- Indicate when the injection will be administered based on anticipated symptoms or time lapse from exposure to the allergen;
- Recommend follow-up after administration, which may include care of the stinger, need for a tourniquet, administration of additional medications, transport to hospital; and
- Specify how to report to the health professional prescribing within his or her prescriptive authority and any record keeping recommendations.
For rules regarding asthma and anaphylaxis medication, including self-administration by students, see Policies 3419 and 3442. Staff shall not administer and students shall not self-administer essential oils at school.
Students may self-administer over-the-counter sunscreen if they have submitted a signed authorization from a parent or guardian. Such signed authorizations shall expire at the end of each school year. Authorized students may only self-administer sunscreen after requesting and receiving permission from a staff member.
District employees asked to administer medications or perform nursing services not recognized in law as of July 1, 2014, shall first file with the professional person designated under Policy 3416 a voluntary, written, current, and unexpired letter of intent stating his or her willingness to administer the new medication or nursing service. The district shall not coerce an employee to file such a letter, and shall not take any retaliatory or disciplinary actions against an employee who refuses to file such a letter.
Parent-Designated Adult Care of Students with Epilepsy/Diabetes
Parents of students with epilepsy may designate an adult to provide care for their student consistent with the student’s individual health care plan. At parent request, school district employees may volunteer to be a parent-designated adult under this policy, but the district shall not coerce an employee to file such a letter, and shall not take any retaliatory or disciplinary actions against an employee who refuses to file such a letter.
Parent-designated adults who are school employees will file a voluntary, written, current and unexpired letter of intent stating their willingness to be a parent-designated adult. Parent-designated adults who are school employees are required to receive training in caring for students with epilepsy from the professional person designated under Policy 3416. Parent-designated adults will receive additional training from a parent-selected health care professional or expert in epileptic care to provide the care (including medication administration) requested by the parent.
Parent-designated adults who are not school employees are required to show evidence of comparable training, and meet school district requirements for volunteers. Parent-designated adults will receive additional training from a parent-selected health care professional or expert in epileptic care to provide the care requested by the parent. The professional person designated under Policy 3416 is not responsible for the supervision of procedures authorized by the parents and carried out by the parent-designated adult who is not a school employee.