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Glenbard Township High School District 87
Policy 7:270-R1

Students

Administative Procedure – Dispensing Medication


Actor
Action
Parents/Guardians
Ask the child’s physician, dentist, or other health care provider who has authority to prescribe medications if a medication, either prescription or non-prescription, must be administered during the school day. Medication includes an epinephrine auto-injector e.g., EpiPen and asthma inhaler medication (105 ILCS 5/22-30(a).
For a student with diabetes: The parent(s)/guardian(s) are responsible to share the health care provider’s instructions. When the student is at school, the student’s diabetes will be managed according to a diabetes care plan, if one exists, and not this Procedure. See Care of Students with Diabetes Act, 105 ILCS 145/. Last, the Public Self-Care of Diabetes Act allows a person with diabetes (or a parent/guardian of a person with diabetes) to self-administer insulin (or administer insulin) in any location, public or private, where the person is authorized to be irrespective of whether the injection site is uncovered during or incidental to the administration of insulin (410 ILCS 135/.
For a student with asthma: The parent(s)/guardian(s) are responsible for sharing the student’s asthma action plan. When the student is at school, the student’s asthma will be managed according to an asthma action plan, if one exists, and not this Procedure. See 105 ILCS 5/22-30(j-5), added by P.A. 99-843. Asthma emergencies shall be managed pursuant to the District’s asthma emergency response protocol. 105 ILCS 5/22-30(j-10).
A student with asthma is allowed to self-administer and self-carry asthma medication if the student’s parent(s)/guardian(s) provide the school with: (1) written authorization for the self-administration and/or self-carry of asthma medication; and (2) the prescription label containing the name of the asthma medication, the prescribed dosage, and the time at which or circumstances under which the asthma medication is to be administered. 105 ILCS 5/22-30(b).
If so, ask the health care provider to complete a School Medicine Authorization Form. This form must be completed and given to the school before the school will store or dispense any medication and before a child may possess asthma medication or an epinephrine auto-injector.
If a student is on a medication indefinitely, the parent/guardian must file a new “School Medication Authorization Form” every year.
Bring the medication to the school office. If the medicine is for asthma or is an epinephrine auto-injector, a student may keep possession of it for immediate use at the student’s discretion: (1) while in school, (2) while at a school-sponsored activity, (3) while under the supervision of school personnel, or (4) before or after normal school activities, such as while in before-school or after-school care on school-operated property (105 ILCS 5/22-30(e).
For asthma inhalers, provide the prescription label. Bring other prescription medications to the school in the original package or appropriately labeled container. The container shall display:
Student’s name
Prescription number
Medication name and dosage
Administration route and/or other direction
Dates to be taken
Licensed prescriber’s name
Pharmacy name, address, and phone number
Bring non-prescription medications to school in the manufacturer’s original container with the label indicating the ingredients and the student’s name affixed.
At the end of the treatment regime, remove any unused medication from the school.
School Office Personnel
Follow the Emergency Response Protocol in the event of an asthma emergency:
STEP 1: Asthma Episode. If student exhibits any of the following signs such as wheezing, coughing, shortness of breath, chest tightness, or difficulty breathing take the following actions:
  • Assess student for any asthma episode symptoms;
  • Student report of “needing my inhaler” should be given primary weight even in the absence of other symptoms; and
  • Summon or notify school nurse of student’s condition regardless of severity of symptoms and report findings (if non-nurse is assisting student).
STEP 2: Severe Asthma Episode. If student has any one or more of the following severe asthma episode symptoms: very fast or hard breathing; nasal flaring; skin retracting/sucking over child’s neck, stomach, or ribs with breaths; breathing so hard they cannot walk or speak; or lips or fingernail beds turn blue, then do the following in this order:
  • CALL 911 IMMEDIATELY;
  • CALL SCHOOL NURSE (RN) IF NOT ALREADY PRESENT;
  • CALL PARENT/GUARDIAN;
  • Assess respiratory status using peak flow meter;
  • Give/assist with giving prescribed asthma quick-relief mediation (with delivery device) as authorized by student’s Asthma Action Plan or medical orders;
  • Stay with the student and observe for improvement;
o  Stay calm, speak softly, encourage student to take slow, deep breaths;
o  Seat student comfortably, indoors if possible; remove outerwear, if present, and loosen clothing, if needed;
  • Do not permit student to lie down or fall asleep.
STEP 3: Loss of Consciousness. If student appears to lose consciousness or ability to participate in own treatment, then CALL 911, if not already summoned.
STEP 4: No Quick-Relief Medication. If student has no quick-relief medication, then do the following:
  • CALL 911 IMMEDIATELY
  • CALL SCHOOL NURSE (RN), IF NOT ALREADY PRESENT
  • CALL PARENT/GUARDIAN
STEP 5: Quick-Relief Medication. If student has quick-relief mediation and the episode is not an emergency, then do the following:
  • Assess respiratory status using peak flow meter;
  • Give/assist with giving prescribed asthma quick-relief mediation (with delivery device) as authorized by student’s Asthma Action Plan or medical orders;
  • Stay with the student and observe for improvement;
o  Stay calm, speak softly, encourage student to take slow, deep breaths;
o  Seat student comfortably, indoors if possible. Remove outerwear, if present, and loosen clothing, if needed.
  • Do not permit student to lie down or fall asleep.
STEP 6: Improvement. If student improves after quick-relief medication given, then do the following:
  • Monitor student for 15-20 minutes then allow student to return to class and resume activities.
  • Repeat quick-relief medication every 10-20 minutes, or as authorized in student’s Asthma Action Plan, until transferred or recovers. Call parent/guardian or direct someone else to contact parent/guardian.
STEP 7: No Improvement. If no improvement within 10 minutes of quick-relief mediation administration, if symptoms worsen, or if student develops any one of the following symptoms: very fast or hard breathing; nasal flaring; skin retracting/sucking over child’s neck, stomach, or ribs with breaths; breathing so hard they cannot walk or speak; or lips or fingernail beds turn blue, then CALL 911 IMMEDIATELY.
STEP 8: Recording Incidents. Record all incident information per school or District’s emergency medical response guidelines. If needed, work with parent/guardian to obtain Asthma Action Plan for the student.
Provide a copy of these procedures, as well as a School Medication Authorization Form to inquiring parents/guardians.
If the building has no school nurse and a student is identified as having asthma, request the student’s parent(s)/guardian(s) to share their child’s asthma action plan. If the plan is provided, keep it on file in the school nurse’s office or, in the absence of a school nurse, the Building Principal’s or designee’s office. Tell the school nurse or Building Principal or designee of the receipt of the plan as soon as possible so that he/she may provide copies of it to appropriate school staff interacting with the student on a regular basis and, if applicable, attach it to the student’s Section 504 plan or individualized education plan (IEP). 105 ILCS 5/22-30(j-5), added by P.A. 99-843.
Whenever a parent/guardian brings medication for a student to the office, summon the school nurse.
If the school nurse is unavailable, accept the medication, provided the parent/guardian submits a completed “School Medication Authorization Form” and the medication is packaged in the appropriate container.
Put the medication in the appropriate locked drawer or cabinet. Tell the school nurse about the medication as soon as possible.
School Nurse (certificated school nurse or non-certificated registered professional nurse)
Ensure that a parent/guardian who brings medication for his or her child has complied with the parent/guardian’s responsibilities as described in this administrative procedure.
If a student is identified as having asthma, request the student’s parent(s)/guardian(s) to share their child’s asthma action plan. If the plan is provided, keep it on file in the school nurse office. Provide copies of it to appropriate school staff who interact with the student on a regular basis and, if applicable, attach it to the student’s Section 504 plan or individualized education plan (IEP). 105 ILCS 5/22-30(j-5), added by P.A. 99-843.
In conjunction with the licensed prescriber and parent/guardian, identify circumstances, if any, in which the student may self-administer the medication and/or carry the medication. A student will be permitted to carry and self-administer medication for asthma or an epinephrine auto-injector.
Store the medication in a locked drawer or cabinet. A student may keep possession of medication for asthma or an epinephrine auto-injector. Medications requiring refrigeration should be refrigerated in a secure area.
Plan with the student the time(s) the student should come to the nurse’s office to receive medications.
Document each dose of the medication in the student’s individual health record. Documentation shall include date, time, dosage, route, and the signature of the person administering the medication or supervising the student in self-administration.
Assess effectiveness and side effects as required by the licensed prescriber. Provide written feedback to the licensed prescriber and the parent/guardian as requested by the licensed prescriber.
Document whenever the medication is not administered as ordered along with the reasons.
If the parent/guardian does not pick up the medication by the end of the school year, discard the medication in the presence of a witness.
Building Principal
Supervise the use of these procedures.
Perform any duties described for school office personnel, as needed.
Perform any duties described for school nurses, as needed, or delegate those duties to appropriate staff members. No staff member shall be required to administer medications to students, except school nurses, non-certificated and registered professional nurses, and administrators.
Make arrangements, in conjunction with the parent/guardian, supervising teachers, and/or bus drivers for the student to receive needed medication while on a school-sponsored off0site activity.


LEGAL REF.:     105 ILCS 5/10-20.14b, 5/10-22.21b, and 5/22-30.
                        23 Ill.Admin.Code §1.540.


ADOPTED:          May 26, 2015
REVIEWED:  January 23, 2017
REVISED:          March 6, 2017