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POLICY 516 - STUDENT MEDICATION

I. PURPOSE

The purpose of this policy is to set forth the provisions that must be followed when administering nonemergency prescription medication to students at school.

II. GENERAL STATEMENT OF POLICY

The school district acknowledges that some students may require prescribed drugs or medication during the school day. The school district’s licensed school nurse, trained health clerk, principal, or teacher will administer prescribed medications, except any form of medical cannabis, in accordance with law and school district procedures. Medications will be kept in a locked cabinet in the health office.

III. REQUIREMENTS

1. The administration of prescription medication or drugs at school requires a completed signed request from the student’s parent and a licensed healthcare provider. An oral request must be reduced to writing within two school days, provided that the school district may rely on an oral request until a written request is received.
2. An “Administrating Prescription Medications” form must be completed annually (once per school year) and/or when a change in the prescription or requirements for administration occurs.  Prescription medication as used in this policy does not include any form of medical cannabis as defined in Minnesota Statutes section152.22, Subd. 6. If the medication is stored and/or administered for more than two (2) weeks, a physician’s signature may be required on the authorization of medication school form.
3. Prescription medication must come to school in the original container labeled for the student by a pharmacist in accordance with law, and must be administered in a manner consistent with the instructions on the label.
4. The school nurse may request to receive further information about the prescription, if needed, prior to administration of the substance. The student must bring the medication to the health office as soon as he/she arrives at school. All controlled substances/medications must be brought to the health office by a parent/guardian (i.e. Ritalin, Adderall, and Codeine) unless other arrangements have been made with the school nurse. All medications given will be documented on the student’s medication log.
5. Prescription medications are not to be carried by the student, but will be left with the appropriate school district personnel. Exceptions to this requirement are: prescription asthma medications self-administered with an inhaler (See Part J.5. below), and medications administered as noted in a written agreement between the school district and the parent or as specified in an IEP (individualized education program), Section 504 plan, or IHP (individual health plan).
6. The school must be notified immediately by the parent or student 18 years old or older in writing of any change in the student’s prescription medication administration. A new medical authorization or container label with new pharmacy instructions shall be required immediately as well.
7. For drugs or medicine used by children with a disability, administration may be as provided in the IEP, Section 504 plan or IHP.
8. The school nurse, or other designated person, shall be responsible for the filing of the Administering Prescription Medications form in the health records section of the student file. The school nurse, or other designated person, shall be responsible for providing a copy of such form to the principal and to other personnel designated to administer the medication.
9. Procedures for administration of drugs and medicine at school and school activities shall be developed in consultation with a school nurse, a licensed school nurse, or a public or private health organization or other appropriate party (if appropriately contracted by the school district under Minnesota Statutes section121A.21).  The school district administration shall submit these procedures and any additional guidelines and procedures necessary to implement this policy to the school board for approval.  Upon approval by the school board, such guidelines and procedures shall be an addendum to this policy.
10. If the administration of a drug or medication described in this section requires the school district to store the drug or medication, the parent or legal guardian must inform the school if the drug or medication is a controlled substance. For a drug or medication that is not a controlled substance, the request must include a provision designating the school district as an authorized entity to transport the drug or medication for the purpose of destruction if any unused drug or medication remains in the possession of school personnel. For a drug or medication that is a controlled substance, the request must specify that the parent or legal guardian is required to retrieve the drug or controlled substance when requested by the school.
11. The District may obtain and possess Narcan (naloxone) to be maintained and administered by trained school staff to a student or other individual if it is determined in good faith that the person is experiencing an opioid overdose.
    1. Minnesota Statute (604A.04) “Good Samaritan Overdose Protection" allows for "A person who is not a healthcare professional who acts in good faith in administering an opiate antagonist to another person whom the person believes in good faith to be suffering an opioid overdose is immune from criminal prosecution for the act and is not liable for any civil damages for acts or omissions resulting from the act.”
    2. In accordance with this statute, the individual who is seeking assistance and the individual who is experiencing an overdose have a limited immunity from prosecution.
    3. The District shall obtain a standing order for Narcan (naloxone) by a licensed medical prescriber and update as needed.
    4. Stock Narcan (naloxone) shall be clearly labeled and stored in a secured location that is accessible by trained staff.
    5. Health Services and School Administration shall identify appropriate staff to be trained annually at each school site.
12. Specific Exceptions:
    1. Special health treatments and health functions such as catheterization, tracheostomy suctioning, and gastrostomy feedings do not constitute administration of drugs and medicine;
    2. Emergency health procedures, including emergency administration of drugs and medicine are not subject to this policy;
    3. Drugs or medicine provided or administered by a public health agency to prevent or control an illness or a disease outbreak are not governed by this policy;
    4. Drugs or medicines used at school in connection with services for which a minor may give effective consent are not governed by this policy;
    5. Drugs or medicines that are prescription asthma or reactive airway disease medications can be self-administered by a student with an asthma inhaler if:
       1. the school district has received a written authorization from the pupil’s parent permitting the student to self-administer the medication;
       2. the inhaler is properly labeled for that student; and
       3. the parent has not requested school personnel to administer the medication to the student.
          The parent must submit written authorization for the student to self-administer the medication each school year. In a school that does not have a school nurse or school nursing services, the student’s parent or guardian must submit written verification from the prescribing professional which documents that an assessment of the student’s knowledge and skills to safely possess and use an asthma inhaler in a school setting has been completed.
          If the school district employs a school nurse or provides school nursing services under another arrangement, the school nurse or other appropriate party must assess the student’s knowledge and skills to safely possess and use an asthma inhaler in a school setting and enter into the student’s school health record a plan to implement safe possession and use of asthma inhalers;
    6. Medications:
       1. that are used off school grounds;
       2. that are used in connection with athletics or extracurricular activities; or
       3. that are used in connection with activities that occur before or after the regular school day
          are not governed by this policy.
    7. Nonprescription Medication. After consultation with the school nurse, a secondary student may possess and use nonprescription pain relief in a manner consistent with the labeling, if the school district has received written authorization from the student’s parent or guardian permitting the student to self-administer the medication. The parent or guardian must submit written authorization for the student to self-administer the medication each school year. In some circumstances, a doctor’s note may be required or requested. The school district may revoke a student’s privilege to possess and use nonprescription pain relievers if the school district determines that the student is abusing the privilege. This provision does not apply to the possession or use of any drug or product containing ephedrine or pseudoephedrine as its sole active ingredient or as one of its active ingredients. Except as stated in this paragraph, only prescription medications are governed by this policy.
    8. At the start of each school year or at the time a student enrolls in school, whichever is first, a student’s parent, school staff, including those responsible for student health care, and the prescribing medical professional must develop and implement an individualized written health plan for a student who is prescribed epinephrine auto-injectors that enables the student to:
       1. possess epinephrine auto-injectors; or
       2. if the parent and prescribing medical professional determine the student is unable to possess the epinephrine, have immediate access to epinephrine auto-injectors in close proximity to the student at all times during the instructional day.
          The plan must designate the school staff responsible for implementing the student’s health plan, including recognizing anaphylaxis and administering epinephrine auto-injectors when required, consistent with state law. This health plan may be included in a student’s § 504 plan.
    9. A student may possess and apply a topical sunscreen product during the school day while on school property or at a school-sponsored event without a prescription, physician’s note, or other documentation from a licensed health care professional. School personnel are not required to provide sunscreen or assist students in applying sunscreen.
    10. Per the discretion of the school nurse, emergency and/or life sustaining medication may be self-carried or immediately available in accordance with the school health plan.
13. “Parent” for students 18 years old or older is the student.
14. Districts and schools may obtain and possess epinephrine auto-injectors to be maintained and administered by school personnel to a student or other individual if, in good faith, it is determined that person is experiencing anaphylaxis regardless of whether the student or other individual has a prescription for an epinephrine auto-injector. The administration of an epinephrine auto-injector in accordance with this section is not the practice of medicine.
    A district or school may enter into arrangements with manufacturers of epinephrine auto-injectors to obtain epinephrine auto-injectors at fair-market, free, or reduced prices. A third party, other than a manufacturer or supplier, may pay for a school’s supply of epinephrine auto-injectors.
15. Procedure regarding unclaimed drugs or medications.
    1. The school district has adopted the following procedure for the collection and transport of any unclaimed or abandoned prescription drugs or medications remaining in the possession of school personnel in accordance with this policy. Before the transportation of any prescription drug or medication under this policy, the school district shall make a reasonable attempt to return the unused prescription drug or medication to the student’s parent or legal guardian. Transportation of unclaimed or unused prescription drugs or medications will occur at least annually, but may occur more frequently at the discretion of the school district.
    2. If the unclaimed or abandoned prescription drug is not a controlled substance as defined under Minnesota Statutes section 152.01, subdivision 4, or is an over-the-counter medication, the school district will either designate an individual who shall be responsible for transporting the drug or medication to a designated drop-off box or collection site or request that a law enforcement agency transport the drug or medication to a drop-off box or collection site on behalf of the school district.
    3. If the unclaimed or abandoned prescription drug is a controlled substance as defined in Minnesota Statutes section 152.01, subdivision 4, the school district or school personnel is prohibited from transporting the prescription drug to a drop-off box or collection site for prescription drugs identified under this paragraph. The school district must request that a law enforcement agency transport the prescription drug or medication to a collection bin that complies with Drug Enforcement Agency regulations, or if a site is not available, under the agency’s procedure for transporting drugs.

Source: Cambridge-Isanti Schools

Legal References:

• Minn. Stat. § 13.32 (Student Health Data)
• Minn. Stat. § 121A.21 (Hiring of Health Personnel)
• Minn. Stat. § 121A.22 (Administration of Drugs and Medicine)
• Minn. Stat. § 121A.2205 (Possession and Use of Epinephrine Auto-Injectors; Model Policy)
• Minn. Stat. § 121A.2207 (Life-Threatening Allergies in Schools; Stock Supply of Epinephrine Auto-Injectors)
• Minn. Stat. § 121A.221 (Possession and Use of Asthma Inhalers by Asthmatic Students)
• Minn. Stat. § 121A.222 (Possession and Use of Nonprescription Pain Relievers by Secondary Students)
• Minn. Stat. § 121A.223 (Possession and Use of Sunscreen)
• Minn. Stat. § 151.212 (Label of Prescription Drug Containers)
• Minn. Stat. § 152.01 (Definitions)
• Minn. Stat. § 152.22 (Medical Cannabis; Definitions)
• Minn. Stat. § 152.23 (Medical Cannabis; Limitations)
• 20 U.S.C. § 1400 et seq. (Individuals with Disabilities Education Improvement Act of 2004)
• 29 U.S.C. § 794 et seq. (Rehabilitation Act of 1973, § 504)

Cross References:

• Policy 418 (Drug-Free Workplace/Drug-Free School)

Reviewed: 09-20-01, 08-19-04, 06-23-05, 04-20-06, 06-23-16, 01-21-21

Approved: 10-18-01, 09-23-04, 07-19-05, 05-19-06, 07-21-16, 02-18-21, 04-21-22