-The Board acknowledges that in certain instances it may be necessary for a student to have medication administered to him/her while in attendance at school.  The Board discourages the administration of medication on school premises where other options exist.  The first dose of a newly-prescribed medication should be given at home.
  1. Requests To Administer Medications Pursuant To Health Provider Order
The following procedure must be followed for any prescription medication to be administered for greater than 14 days to a student pursuant to a health care provider’s order.  Such an order must be obtained from a medical/health practioner who has a current Maine license with a scope that includes administering medication.
  1. The parent/legal guardian shall obtain a copy of the Cape Elizabeth School Department Request / Permission to Administer Medication in School form and Board Policy JLCD from the school health office or on the Cape Elizabeth School website.
  2. The parent/legal guardian and the student’s health care provider shall complete and sign the Request/Permission Form.
  3. The parent/legal guardian shall return the Request/Permission form to the school health office along with the medication:
    • In the original container (and in the case of prescription medications, appropriately labeled by the health care provider or pharmacy);
    • Including no more than the amount of medication necessary to comply with the health provider’s order.
    • Medication no longer required (or remaining at the end of the school year) must be removed by the parent/legal guardian or the student with parent permission.  Medication not removed by the parent/legal guardian in a timely manner shall be disposed of by the school nurse.
    • Students may be permitted to transport medication to/from school only when mutually agreed upon by the parent/legal guardian and school nurse.
  4. The school nurse shall review the Request/Permission form for completeness and clarity.  If the nurse has any questions or concerns about the form, s/he will contact the parent/legal guardian, as appropriate for more information.
  5. If there is a later change in the medical order (such as change in dose, frequency or type of medication), a new Request/Permission form must be completed.
  6. Medication orders should be renewed annually.
  7. The Board disclaims any and all responsibility for the diagnosis, prescription of treatment, and administration of medication for any student.
  1. Self-Administration of Medications
Inhalers and Epinephrine Autoinjectors
 
Students shall be authorized to possess and self-administer emergency medication from an asthma inhaler or epinephrine autoinjector if the following requirements are met:
  1. The student must have the prior written approval of the student’s health care provider and, if the student is a minor, the prior written approval of his/her parent/guardian (see Request/Permission Form).
  2. The student’s parent/guardian must submit written verification from the student’s health care provider confirming that the student has the knowledge and the skills to safely possess and use an asthma inhaler or autoinjector in school.
  3. The school nurse shall evaluate the student’s technique to ensure proper and effective use of an asthma inhaler or autoinjector in school.
Glucagon and Insulin
 
Students with a diagnosis of diabetes shall be authorized to possess and self-administer insulin if the following requirements are met:
  1. The student must have the prior written approval of the student’s health care provider and, if the student is a minor, the prior written approval of his/her parent/guardian (see Request/Permission Form).
  2. The student’s parent/guardian must submit written verification from the student’s health care provider confirming that the student has the knowledge and the skills to safely possess and use insulin in school.
  3. The school nurse shall evaluate the student’s technique to ensure proper and effective use of insulin in school.
A student with diabetes will be allowed to carry the emergency rescue medication, Glucagon, on their person or in their backpack to be available in case of a diabetic medical emergency. Staff will be trained to administer Glucagon.
 
Other Medications
 
High School students shall be permitted to possess and self-administer prescription medications in school on a case-by-case basis except for controlled substances.  All such requests must be approved by the school nurse.
  1. Dispensation of Over the Counter Medications
Students are not allowed to possess over-the-counter medications or prescription medications except as provided in this policy.
 
With prior parental/legal guardian permission on the Student Information Form (located in the parent Powerschool portal), students may receive over-the-counter medications at school. The Powerschool portal information must be updated annually.
 
No cough/cold elixirs or other over-the-counter medications, or any medications that differ from the Cape Elizabeth standing physician orders will be administered to students without prior written permission from a health care provider and the parent/guardian.
  1. Medication of Field Trips
Field trip is an extension of the school day, therefore medications to be administered on field trips will be in accordance with this policy.
  1. Personnel Authorized to Administer/Dispense Medications
Medications may be administered by the school nurse and/or by authorized unlicensed school personnel who have received appropriate training.  Annual refresher training is required for all unlicensed personnel authorized to administer medications.  The school nurse shall maintain appropriate documentation of training.  Authorization to administer medications shall be made by the Superintendent based upon the recommendation of the school nurse.
  1. Confidentiality of Information
To the extent legally permissible, school staff may be provided with such information regarding a student’s medication(s) as may be in the best interest of the student.
  1. Storage of Medications
  1. All medications shall be stored in a secure space in the school nurse’s office or school office and locked at all times except during the actual administration of medication.
  1. Clearly marked containers are provided for daily medications and those to be taken as needed.
  1. Recordkeeping for Controlled Substances
A Medication Record Book shall be maintained by the school nurse/designee, including the Request/Permission Form and individual medication records for each student to document the administration of all medications (dose administered, by whom, date, time and any errors).  Scheduled medications will be counted by the school nurse and one other adult (e.g., parent/guardian, school secretary) when received.
  1. Administrative Procedures
The Superintendent/designee shall develop any administrative procedures necessary to implement this policy and as required by Maine Department of Education Rules.
 
 
Legal Reference:              MRS Title 20-A, Chapter 3 §254(5) and Chapter 201 § 4009 (4)
                                      Maine Department of Education Rule Chapter 40
                                      28 CFR Part 35 (Americans with Disabilities Act of 1990)
                                      34 CFR Part 104 (Section 504 of the Rehabilitation Act of 1973)
                                      34 CFR Part 300 (Individuals with Disabilities Education Act)
 

CROSS REFERENCE:

 
ADOPTED:           March 14, 2006
Revised:                February 11, 2014
                                  December 12, 2017

School Board Members 2019

Susana Measelle Hubbs - Chair
Heather Altenburg - Co-Vice Chair
Elizabeth Scifres
Kimberly Carr - Co-Vice Chair
Laura DeNino
M. Nasir Shir
Hope Straw
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