PROPOSED SCHOOL MEDICATION POICY
ADMINISTRATION OF MEDICATION
The Board of
Education disclaims any and all responsibility for the diagnosis and treatment
of an illness of any student. However, in order for many students with
chronic health conditions and disabilities to remain in school,
medication may have to be administered during school hours. Parents are encouraged to administer
medications to children at home whenever possible as medication should
be administered in school only when necessary for the health and safety of students. The Board will permit the administration of
medication in school in accordance with applicable law.
Medication will
only be administered to students in school by the school physician, a certified
or noncertified school nurse, a substitute school nurse employed by the
district, the student’s parent, a student who is approved to
self-administer in accordance with N.J.S.A. 18A:40-12.3 and 12.4, and school employees
who have been trained and designated by the certified school nurse to
administer epinephrine in an emergency pursuant to N.J.S.A.
18A:40-12.5 and 12.6.
Self-administration
of medication by a student for asthma or other potentially life-threatening
illness or a life threatening allergic reaction
is permitted in accordance with the provisions of N.J.S.A. 18A:40-12.3.
Medication no longer required must be
promptly removed by the parent.
The school nurse
shall have the primary responsibility for the administration of epinephrine. However, the certified school nurse may
designate, in consultation with the Board or the
Superintendent, additional employees of the district who volunteer to be
trained in the administration of epinephrine via a
pre-filled auto-injector mechanism using standardized training protocols
established by the Department of Education in consultation with the Department
of Health and Senior Services when the school
nurse is not physically present at the scene.
In accordance
with the provisions of N.J.S.A. 18A:40-12.6.d, no school employee,
including a school nurse or any other officer or agent of a
Board of Education or a physician providing a prescription under a standing
protocol for school epinephrine pursuant to N.J.S.A. 18A:40-12.5, shall be held liable for any
good faith act or omission consistent with the provisions of N.J.S.A. 18A:40-12.5, nor shall any action
before the New Jersey State Board of Nursing lie against a school nurse for any
such action taken by a person designated in good faith by the school nurse
pursuant to N.J.S.A.
18A:4012.6. Good faith shall not include
willful misconduct, gross negligence, or recklessness.
The school nurse
or designee shall be promptly available on site at the school and at schoolsponsored
functions in the event of an allergic reaction.
In addition, the parent must be informed that the school
district, its employees and agents shall have no liability as a result of any
injury arising from the administration of
epinephrine to the student.
The parent of the
student must sign a statement acknowledging their understanding the district
shall have no liability as a result of any
injury arising from the administration of the epinephrine via a prefilled
auto-injector mechanism to the student and the parent shall indemnify and hold harmless
the district and its employees or agents
against any claims arising out of the administration of the epinephrine via a
pre-filled auto-injector mechanism to the student.
The permission
for the emergency
administration of epinephrine via a pre-filled auto-injector mechanism
containing epinephrine to students for anaphylaxis is effective for the school
year it is granted and must be renewed for each
subsequent school year.
Each school in
the district
shall have and maintain for the use of students at least one nebulizer in the office of the
school nurse or a similar accessible location.
Each certified school nurse or other persons
authorized to administer asthma medication will receive training in airway
management and in the use of nebulizers and inhalers
consistent with State Department of Education regulations. Every student that is authorized to use
self-administered asthma medication pursuant to N.J.S.A.
18A:40-12.3 or a nebulizer must have an asthma treatment plan prepared by the student’s physician which
shall identify, at a minimum, asthma triggers, the treatment plan, and other
such elements as required by the State Board of Education.
All student
medications shall be appropriately maintained and secured by the school nurse, except those medications
to be self-administered by students. In
those instances the medication may be retained by the student with the prior
knowledge of the school nurse. The
school nurse may provide the Principal and other teaching staff members
concerned with the student’s educational progress with such
information about the medication and its administration as may be in the
student’s best educational interests. The school nurse may report to the school
physician
any student who appears to be affected adversely by the
administration of medication and may recommend to the Principal the student’s
exclusion pursuant to law.
The school nurse shall document each
instance of the administration of medication to a student. Students self-administering medication shall
report each incident to a teacher, coach, or other individual
designated by the school nurse who is supervising the student during the school activity when the
student self-administers. These
designated individuals shall report such incidents to the school
nurse within twenty-four hours of the self-administration of medication. The school nurse shall
preserve records and documentation regarding the self-administration of medication in the student’s
health file.
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