Health Services Forms
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SOLICITUD DE ADMINISTRACIÓN DE MEDICAMENTOS
Medication Permission Request Form Spanish 2022_2023.docx 40.14 KB (Last Modified on September 12, 2022) -
REQUEST FOR ADMINISTRATION OF MEDICATION
Medication Guidance to Parents:
Medication administration times will follow the directions provided by the prescribing healthcare provider. If the time(s) do not coincide with the child’s daily school schedule, the nurse may need to contact the parent and or prescribing healthcare provider to modify or change the directions to meet the child’s healthcare and academic needs.
If a student is to receive controlled medication (narcotics), the Receipt of Controlled Substances/Medications Form must be completed when the medication is brought to school. The nurse will count the medication and document the amount of medication received and the amount returned to the parent.
Additional information about medication administration:
- All medication forms must be updated each school year.
- A pharmacy label will be affixed that contains the student’s name, prescriber’s name, pharmacy name and contact information, dose, route, time, amount of drug to be given.
- Medications that are ordered to be given once, twice, or three times a day will not be administered at school unless the medication orders for these times explicitly state that the medication is to be given at school. Initial doses of medication will not be given, except in emergency situations (ex. First Epi-pen injection per IHP orders).
- If or when the medication order changes, it is unclear, or anytime the nurse has questions about the medication, the nurse will contact the student’s healthcare provider to obtain new orders or clarify current orders.
Nonprescription Medications
Over-the-counter medications will be given only as prescribed on the label unless accompanied by a physician’s order and must be of United States origin. Vitamins, herbal preparations, anabolic steroids, or health food supplements of any type will not be administered by campus nurses or employees.
Form - Medication Permission Request English 2022-23.docx 39.9 KB (Last Modified on September 12, 2022)