1. A SIGNED PHYSICIAN’S NOTE IS TO BE ON FILE FOR EACH MEDICATION.
2. A SIGNED PARENT/GUARDIAN NOTE IS TO BE ON FILE FOR EACH MEDICATION.
3. THE MEDICATION MUST BE IN THE ORIGINAL CONTAINER.
Notes expire at the end of the school year and must be renewed for the following school year.
The school district will provide the following OTC medications with permission to dispense by the school physician: Acetaminophen (Tylenol), Ibuprofen (Advil), Mylanta, Pepto Bismol, Benadryl, Coke Syrup,
Throat spray/lozenge, Neosporin Ointment
Please check those to be given on the Student Emergency Form.
Students are NOT permitted to carry medication in school. This includes all prescriptive, OTC and homeopathic preparations. Violation of this policy will result in disciplinary action which may include recommendation for expulsion.
Act 187 of the Pennsylvania School Code allows students to possess and self-administer an asthma inhaler in the school setting under certain guidelines.
STUDENTS who desire to possess and self-administer an asthma inhaler will be required to:
a) demonstrate that he/she is capable and responsible to self-administer the inhaler
b) notify the school nurse immediately following each use of the asthma inhaler
c) not allow other students to use the inhaler
PARENTS will provide written permission to include:
b) to relieve the school and school employee of any responsibility for the benefit or consequences of the prescribed medication
c) the school bears no responsibility for ensuring that the medication is taken
PHYSICIANS will provide a written permission to include:
a) name of the drug, dose, time to be administered and the diagnosis or reason for the medication
b) indicate any reaction that may occur to the medication and any emergency response
c) state whether the student is qualified and able to self-administer the medication
Permission to possess and self administer must be renewed yearly.
An Asthma Action Plan should be completed for each student with asthma.
MEDICATION PARENT/PHYSICIAN PERMISSION FORMS ARE
AVAILABLE FROM THE SCHOOL NURSE