Self-Medication and Supervision
February 07, 2008
Self-Medication and Supervision of Medicines
JGFGBA Student Self-Administration of Medications JGFGBA
As used in this policy medication means a medicine for the treatment of anaphylactic reactions or asthma which is prescribed by a physician licensed to practice medicine and surgery; a certified, advanced registered nurse practitioner who has authority to prescribe drugs; or a licensed physician assistant who has authority to prescribe drugs pursuant to a written protocol with a responsible physician. (Also see JGFGB)
Student Eligibility
The self-administration of medication is allowed for students in grades {6–12 only}. To be eligible, a student shall meet all requirements of this policy. Parents/guardians shall submit a written statement from the student’s health care provider stating:
* the name and purpose of the medication;
* the prescribed dosage;
* the conditions under which the medication is to be self-administered;
* any additional special circumstances under which the medication is to be administered; and
* the length of time for which the medication is prescribed.
The statement shall also show the student has been instructed on self-administration of the medication and is authorized to do so in school.
Authorization Required
The student shall provide written authorization from the stu-dent’s health care provider and parent or guardian stating the student has been instructed on self-administration of the medication and is authorized to do so in school. The student’s parent or guardian shall provide written authorization for the self-administration of medication. An annual renewal of parental authorization for the self-administration of medication shall be required.
Employee Immunity
A school district, and its employees and agents, which authorizes the self-administration of medication in compliance with the provisions of this policy, shall not be liable in any action for any injury resulting from the self-administration of medication. The school district shall provide written notification to the parent or guardian of a student that the school and its employees and agents are not liable for any injury resulting from the self-administration of medication.
Waiver of Liability
The parent or guardian of the student shall sign a statement acknowledging that the school incurs no liability for any injury resulting from the self-administration of medication and agreeing to indemnify and hold the school, and its employees and agents, harmless against any claims relating to the self-administration of such medication. The provisions of this policy shall expire on June 30, 2005 (Kansas Law.)
Approved: September 27, 2004
Permission for Self-Administration of Medication
Name of Student _______________________________________________ School_____________________________Grade__(6-12-only)___________ Teacher________________________________________________________Medication _________________________Dosage_____________________ Date Started____________________________________________________
Conditions under which the medication is to be given:
______________________________________________________________
Any additional circumstances under which the medication is to be given:
______________________________________________________________
Length of time mediation is to be administered:
______________________________________________________________
I hereby give my permission for (name of student) to administer the above medication at school as ordered. I understand that it is my responsibility to furnish this medication. I acknowledge that the school incurs no liability for any injury resulting from the self-administration of medication and agree to indemnify and hold the school, and its employees and agents, harmless against any claims relating to the self-administration of such medication.
My child has been instructed on self-administration of the
medication and is authorized to do so in school.
Signature of Parent or Guardian
______________________________________________________________
Date __________________Signature of Health Care Provider
______________________________________________________________
Date __________________
Approved: September 27, 2004
