Section 10-058 Student Self-Administration of Medication
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.

Student Eligibility
The self-administration of medication is allowed for students in Grades K-12. To be eligible, a student shall meet all requirements of this policy. This policy pertains only to the administration of medicine for the treatment of anaphylactic reactions or asthma. 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, route of administration, and frequency of administration;
• the conditions under which the medication is to be self-administered;
• any additional special circumstances under which the medication is to be administered;
• the length of time for which the medication is prescribed; and
• must be in original prescription bottle with the appropriate label for that student only.

The statement shall also show the student has been instructed on self-administration of the medication and is authorized to do so in school. It will be required that all requirements must be met annually with renewal every year. It will be required that duplicate or back-up medications will be maintained in the health room. Documentation of student’s ability to demonstrate the skill level necessary to use the medication will be required. This documentation shall be provided by the parent and health care provider. The student must also demonstrate to the healthroom nurse the skill level necessary to safely use the medication prior to any self administration. Safe skill level means that the student will have knowledge of the following:

a.       name and purpose of the medication

b.      correct dosage, route, and frequency

c.       correct information as to appropriate conditions under which to administer the medication

d.      skill to administer the medication

e.       emergency notification procedures for parent, school personnel, 911.

f.        Immediately following the self-use of medication, the student will be required to notify the healthroom office so that in the event further care is needed, appropriate care may be given.

MISUSE OF THIS POLICY
Any misuse of this policy-through either sharing medication with other students, losing it on the playground, etc, will cause the student to lose the privilege of self-medication and the ability to carry the medication.

ALL SCHOOL REQUIREMENTS MUST BE MET PRIOR TO AUTHORIZATION FOR SELF ADMINISTRATION OF THESE MEDICATIONS.

Authorization Required
The student shall provide written authorization from the student’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.

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 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 by Board 1-9-06