CODE F6[1]
STUDENT MEDICATION
Policy
The ____________School District shall have procedures in place to ensure
compliance with laws and regulations governing the possession, administration
and storage of prescription and non-prescription medications needed by students
at school or during school sponsored activities.
Implementation
The Superintendent (or designee) will develop procedures t governing the
possession, administration and storage of medication needed by
any student during the regular
school day or during school sponsored activities. The procedures will comply
with the following:
Non-prescription
medication must be accompanied by a written request from the parent or guardian
of a student bringing such medication to school. The request must contain
assurances that the student has suffered no previous ill effects from the use
of medication. Medication must be left in the custody of the school nurse.
The
school shall provide an opportunity for communication with the pupil, parent or
guardian, and physician regarding the efficacy of the medication administered
during school hours. In the case of medication possessed by students with life
threatening allergies or with asthma, the school shall provide forms for
parents to submit authorizing possession of the medication and releasing the
school from liability as a result of any injury arising from the student’s
self-administration of the emergency medication.[3]
[1] Act 175 of 2008, codified at 16 V.S.A. § 1387,
requires that public and approved independent schools have procedures in place
to ensure that students with life-threatening allergies or with asthma are
permitted to possess and self administer emergency medication at school, on
school grounds, at school sponsored activities, on school provided
transportation, and during school related programs. The Act does not require the adoption of a
school board policy. This model is
intended to provide guidance to school boards and administrators who choose to
revise current policies on student medication or who wish to adopt new board
policies on this subject.
[2] See, 16
V.S.A. § 1387(b). Parents must provide annual written authorization and documentation
from the student’s physician as to the need for emergency medication. Parents must also annually develop, in
consultation with the school nurse or designee, a plan of action for the school
and student to follow when possessing emergency medication, and must sign a
statement releasing the school and its agents from liability as a result of any
injury arising from the student’s self-administration of the emergency medication.
[3] See, 16
V.S.A. §1387((b)(1) and §1387(d).
Date Warned:
Date Adopted:
Legal Reference: Act
174 of 2008
16 V.S.A. §1387
NOTE: The
footnotes in this model policy are for reference purposes only and should not
be included in the adopted version of a school board policy on student
medication.
VSBA Model Policy Manual
Student Medication Code
F6 A
Sample Parental Authorization Form
As the parent (or guardian)
of ____________, I hereby authorize my child to possess and self administer
emergency medication at school, on school grounds, at school sponsored
activities, on school provided transportation, and during school-related
programs.
As documented by the attached
physician’s statement, my child has (name the specific life-threatening
allergies or asthma applicable to this authorization), and is capable of, and
has been instructed by the physician in, properly self-administering the
emergency medication named by the physician.
As further documented by the
attached physician’s statement, my child has been advised of possible
side-effects of the medication and has been informed of when and how to access
emergency services.
The attached plan of action,
developed specifically for the _________school year in consultation with the
school nurse, is based on the documentation provided by the physician’s
statement and includes the name of each emergency medication, the dosage, and
the times and circumstances under which the medication is to be taken. The plan of action also indicates that the
medication is solely for the use of my child, and includes the names of
individuals who will be given copies of the plan. I understand that one of requirements of the
plan is that my child will notify a school employee or agent after
self-administering emergency medication.
As required by Act 175 of
2008, I hereby release the school, its employees and agents, including
volunteers, from liability as a result of any injury arising from my child’s
self-administration of emergency medication, except when the conduct of the
school, school employee, or agent would constitute gross negligence,
recklessness or intentional misconduct.
Signed on ___(Date)__________at _____(City or Town and State)____________by______(Parent or
Guardian)______________.
Witnessed
by_____________________________. Dated_______________