JANUARY 15, 2013
DRAFT
THE PARISH SCHOOL BOARD OF VERNON PARISH LOUISIANA CONVENED IN REGULAR SESSION ON JANUARY 15, 2013 AT 10:00AM, 201 BELVIEW ROAD, LEESVILLE, LOUISIANA. PRESIDENT GLEASON CALLED THE MEETING TO ORDER AND ON ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT:
RANDI GLEASON, PRESIDENT
JOHN BLANKENBAKER, VICE PRESIDENT
MEL HARRIS
ROBERT PYNES, JR.
RICHARD SCHWARTZ
DOUG BRANDON
JERRY L. JEANE
RANDY MARTIN
STEVE WOODS
MICHAEL PERKINS
GERALD COOLEY
ABSENT: VERNON L. TRAVIS JR.
COL. ROGER SHUCK
There was also present Mr. Jackie D. Self, Secretary of the Board.
The meeting was opened in prayer by Randy Martin.
The Pledge of Allegiance was led by Randy Martin.
On motion of Mel Harris, seconded by John Blankenbaker, the Board voted to approve the minutes of the January 10, 2013 regular meeting and dispense with the reading of the minutes.
The following Top Gain Schools were recognized by Superintendent Self and Board Members: Anacoco High, Evans High, Hicks High, Leesville High, North Polk, Pickering High Pitkin High, Rosepine High, Simpson High, South Polk, Vernon Middle School
These schools exceeded their School Performance Score Growth Target and will receive $8,453.85 from the Department of Education. Superintendent Self congratulated these school principals for a job well done.
After discussion and on motion of Mel Harris, seconded by John Blankenbaker, the Board voted to approve the following policies:
SALE OF SURPLUS EQUIPMENT AND SUPPLIES
Merchandise and equipment no longer usable for the purpose for which it was acquired or built shall be declared surplus by the Superintendent upon notification by the department to which the merchandise or equipment has been assigned. The equipment and appliances will then be inspected to determine if they are usable or should be declared surplus. If the items are declared surplus, the Vernon Parish School Board shall then call for sealed bids and/or public auction for the sale of such merchandise or equipment. A minimum fair value price shall be established for each item and the bid price shall start at that point for items considered worthy. Said bids shall be opened publicly and disposed of in a prudent, businesslike manner. The School Board shall reserve the right to accept or reject any and all bids.
Items declared surplus or unfit for further use by the Board shall be stored at the school/department where assigned until the merchandise or equipment is properly sold or other plans for disposition are approved by the Superintendent.
The sale of surplus merchandise or equipment shall be final, on the "as is" or "where is" basis and shall carry no warranties whatsoever. If not sold, these items shall be sold as junk, or if no salvage value can be realized, destroyed in the most economical manner possible.
COMPUTING DEVICES
When the School Board determines that an individual computing device used by a student or students has reached the end of its typical life cycle, is no longer needed for school purposes, and will be removed from classroom use, and that the best interest of the public school system would be served by the private sale of such device due to the cost of auctioning the device or recycling it or due to other factors, the School Board may sell the device to a student enrolled in a school in the school system or to the parent, tutor, or legal guardian of such a student.
The sale price for the device shall be reasonably equivalent to the value of the device, taking into consideration its typical life cycle, current condition, and costs of other methods of alienation or disposal.
All such sales shall be in accordance with School Board policies, and sale prices shall be approved by appropriate school system administrative personnel prior to sale. Such sales shall apply only to individual computing devices used for classwork by students and shall not apply to other computer equipment or related equipment such as routers, switches, or servers.
New policy: December, 2012
Ref: La. Rev. Stat. Ann. ''17:87.6, 49:125.
SCHOOL PROPERTIES DISPOSAL
SALE OF BUILDINGS AND LAND
The Vernon Parish School Board may sell, or otherwise dispose of, at public or private sale, for cash or on terms of credit, any school site, building, facility, or other property which is not used and, in the judgment of the School Board, is not needed in the operation of any school or schools within the district. Any such sale, lease, or disposal of such school property shall be on such terms and conditions and for such consideration as the School Board shall prescribe.
In the event that any Vernon Parish School Board property is considered to have no further use for school system purposes, the Superintendent is authorized to make a recommendation to the Board for disposition. The recommendation may include the rationale for the disposal and an estimate of the market value of the property. The Board may at such time declare that said property is surplus and no longer needed for public school purposes.
Once school property, real or personal, is declared no longer needed for public school purposes, the Board shall take appropriate action to dispose of such property as permitted by statutory provisions.
SALE OF BUILDINGS AND LANDPROCEDURES
Real estate that has been declared as no longer needed for public school purposes shall be disposed of as outlined below:
1. At least one (1) real estate appraisal shall be obtained reflecting the fair market value.
2. Local governmental authorities shall be notified that such property is no longer needed for school purposes and invited to submit a proposal if there is a need for such property.
3. Advertisement for sealed bids shall be published in the Board’s official journal on at least three (3) separate days for at least thirty (30) days prior to the date the land is to be offered for sale, or as otherwise provided for in state law.
4. Upon receipt and opening of bids at the time designated, all bids shall be considered by the Board and the property sold to the highest bidder in accordance with such terms and conditions as the School Board shall determine. The Board shall reserve the right to reject any and all bids.
A. The first time the School Board offers a particular property for sale, the minimum bid shall be eighty-five percent (85%) of the appraised value of the property.
B. If the School Board fails to sell the property because the maximum bid received was not equal to or greater than the minimum bid in item A. above, the School Board may make a second effort to sell the property. The minimum bid for a second effort to sell the same property shall be eighty percent (80%) of the appraised value.
C. If the School Board has twice failed to sell property because the maximum bid received was not equal to or greater than the minimum bid provided above, there shall be no minimum bid at the third effort to sell the property, and the School Board may sell the property to the highest bidder.
SIXTEENTH SECTION LANDS
The Vernon Parish School Board shall conduct all elections to authorize the sale of sixteenth section land and the funds realized from the sale of such land, after deduction for necessary expenses connected with such elections, shall be promptly forwarded to the state auditor. These funds shall be credited to the general school funds of the Board.
Revised: November, 2010
Revised: December, 2012
Ref: La. Rev. Stat. Ann. §'17:87, 17:87.6, 41:891, 41:892; Board minutes, 12-2-10.
CLASS SIZE
The Vernon Parish School Board is aware that class size may have bearing on effective teaching. Therefore, the Board directs the Superintendent and/or his/her designee to work with principals in establishing a reasonable and equitable class enrollment for each teacher.
Louisiana law requires the systemwide pupil-classroom-teacher ratio in grades kindergarten through third grade to be no greater than twenty (20) students. The maximum enrollment in a class or section in grades K-3 shall be twenty-six (26) students and in grades 4-12, thirty-three (33) students, except in certain activity types of classes in which the teaching approach and the materials and equipment are appropriate for large groups. No teachers at the secondary level shall instruct more than 750 student hours per week, except those who teach the above classes.
The School Board may request from the State Superintendent of Education a limited waiver from complying with the systemwide 20-1 student-teacher ratio, provided the teacher has demonstrated effectiveness pursuant to the state evaluation program.
New policy: December, 2012
Ref: La. Rev. Stat. Ann. ''17:151, 17:174; Louisiana Handbook for School Administrators, Bulletin 741, Louisiana Department of Education.
HOMELESS STUDENTS CHILDREN AND YOUTH
The Vernon Parish School Board shall provide a free appropriate public education to any homeless child or youth within the jurisdiction of the School Board.
For the purpose of this policy, the term homeless includes an individual who lacks a fixed, regular or adequate residence; or has a primary nighttime residence in a shelter, an institution providing temporary residence for individuals intended to be institutionalized, or a public or private place not designated for, or ordinarily used as, a regular sleeping accommodation for human beings. The term does not include any individual imprisoned or adjudicated. In addition to the above, the Vernon Parish School Board shall:
! Continue the child's or youth's education in the school of origin for the remainder of the academic year, or for the following academic year if the family becomes homeless between academic years, or shall enroll the child or youth in any school that non-homeless students who live in the attendance area in which the child or youth is actually living are eligible to attend -- whichever is in the child's or youth's best interest.
! Keep and have immediately available any records ordinarily kept by the school-- including immunization records, academic records, birth certificates, guardianship records, and evaluations for special services or programs -- of each homeless child or youth.
! Make placement choices regardless of whether the child or youth resides with the homeless parents or has been temporarily placed elsewhere by the parents.
! Provide services comparable to services offered to other students in the school selected, including transportation services, educational services for which the child or youth meets the eligibility criteria (Title I, special education, limited English proficiency), programs in vocational education, programs for the gifted and talented, and school meals programs.
! Designate a central office official who will serve as a homeless advocate to coordinate services and ensure that there are no barriers to the enrollment, transportation, attendance, and success in school for homeless children and youth. Additionally, the homeless advocate will promptly solve disputes regarding educational placement.
The Vernon Parish School Board recognizes that homelessness alone should not be sufficient reason to separate students from the mainstream school environment. Therefore, the School Board, in accordance with state and federal law, shall give special attention to ensure that homeless children in the school district have access to a free and appropriate public education and to hopefully ensure that there are no barriers to the enrollment, transportation, attendance and success in school of homeless children and youth.
DEFINITION
Homeless children and youth means individuals who lack a fixed, regular and adequate nighttime residence and include the following:
• Children and youth who are sharing the housing of other persons due to loss of housing, economic hardship or a similar reason; are living in motels, hotels, trailer parks or camping grounds due to the lack of alternative adequate accommodations; are living in emergency or transitional shelters; are abandoned in hospitals; or are awaiting foster care placement.
• Children and youth who have a primary nighttime residence that is a public or private place not designated for or ordinarily used as a regular sleeping accommodation for human beings.
• Children and youth who are living in cars, parks, public spaces, abandoned buildings, substandard housing, bus or train stations or similar settings.
• Migratory children who meet one of the above-described circumstances are also recognized under this definition.
ENROLLMENT/PLACEMENT
The best interest of the child, with parental involvement, shall be considered in determining whether the child should be enrolled in the school of origin or the school that non-homeless students who live in the attendance area in which the homeless child or youth is actually living are eligible to attend. To the extent feasible, and in accordance with the child or youth's best interest, the child or youth should continue his or her education in the school of origin. If the youth is unaccompanied by a parent or guardian, the homeless coordinator shall consider the views of the youth in deciding where the youth shall be educated. The choice regarding placement shall be made regardless of whether the child or youth lives with the homeless parents or has been temporarily placed elsewhere.
The school selected shall immediately enroll the homeless child or youth, even if the child or youth is unable to produce records normally required for enrollment, such as previous academic records, immunization records, proof of residency or other documentation. However, the district may require a parent or guardian of a homeless child or youth to submit contact information, such as medical emergency information, contact information regarding the parent, guardian, or caregiver.
The district shall provide a written explanation, including a statement regarding the right of appeal, to the homeless child or youth's parent or guardian, or to the homeless youth if unaccompanied, if the district sends the child or youth to a school other than the school of origin or other than a school requested by the parent or guardian.
If a dispute arises over school selection or enrollment in a school, the child, youth, parent or guardian shall be referred to the district homeless coordinator, who will carry out the dispute resolution process as expeditiously as possible.
For the purposes of this policy, school of origin is defined as the school that the student attended when permanently housed or the school in which the student was last enrolled.
Children in Foster Care
The School Board shall ensure that a student who is in foster care pursuant to placement through the Louisiana Department of Children and Family Services shall be allowed to remain enrolled in the public school in which the child was enrolled at the time he/she entered foster care for the duration of the child’s stay in the custody of the state or until he/she completes the highest grade offered at the school if the Department of Children and Family Services determines that remaining in that school is in the best interest of the child.
If foster care placement is outside the jurisdictional boundaries of the public school in which the student is enrolled, the School Board shall be responsible for providing free transportation for the student to and from a designated location which is within that school district and is located nearest to the child’s residence and is determined to be appropriate by the Board and the Department of Children and Family Services.
SERVICES
Each homeless child or youth shall be provided services comparable to services offered to other students in the district including, but not limited to, transportation services; educational services for which the child meets the eligibility criteria, such as educational programs for disadvantaged students, students with disabilities and gifted and talented students; vocational programs and technical education; school nutrition programs; preschool programs; before- and after-school care programs; and programs for students with limited English proficiency. Homeless students shall not be segregated in a separate school or in a separate program within a school based on the students' status as homeless.
TRANSPORTATION
In the event that it is in the best interest of the homeless child or youth to attend the school of origin, transportation to and from that school shall be provided at the request of the parent or guardian or, in the case of an unaccompanied youth, the homeless coordinator. If the student begins living in an area served by another School Board, both School Boards shall agree on a method to apportion the responsibility and costs for transporting the child to and from the school of origin. If an agreement cannot be reached, the costs will be shared equally.
RECORDS
Any records ordinarily kept by the school, including immunization records, academic records, birth certificates, guardianship records and evaluations for special services or programs of each homeless child or youth shall be maintained so that appropriate services may be given the student, so that necessary referrals can be made, and so that records may be transferred in a timely fashion when a homeless child or youth enters a new school district. Copies of records shall be made available upon request to students or parents in accordance with the Family Educational Rights and Privacy Act and School Board policy.
ENROLLMENT DISPUTES
If a dispute arises over school selection or enrollment in a school:
(1) Unless otherwise provided for in any desegregation order, the child or youth shall be immediately admitted to the school in which enrollment is sought, pending resolution of the dispute;
(2) The parent or guardian of the child or youth shall be provided with a written explanation of the school’s decision regarding school selection or enrollment, including the rights of the parent, guardian, or youth to appeal the decision;
(3) The child, youth, parent, or guardian shall be referred to the Board’s homeless liaison, who shall carry out the dispute resolution process as expeditiously as possible after receiving notice of the dispute; and
(4) In the case of an unaccompanied youth, the homeless liaison shall ensure that the youth is immediately enrolled in school pending resolution of the dispute.
LIAISON
One individual shall be appointed by the Board to act as the district's homeless liaison. The School Board shall inform school personnel, service providers and advocates working with homeless families of the duties of the district homeless liaison.
DISCIPLINE – NOT REQUIRED TO ENROLL
Nothing in this policy shall require the enrollment of any child not permitted by another school system to attend school, either permanently or temporarily, as a result of disciplinary actions.
Revised: December, 2012
Ref: 42 USC 11431 et seq. (Stewart B. McKinney Homeless Assistance Act); 34 CFR Part 200 (Title I - Improving the Academic Achievement of the Disadvantaged); Plyler v. Doe 457 U.S. 202 (1982); La. Rev. Stat. Ann. §§17:81, 17:151.3, 17:221, 17:221.2, 17:222, 17:235.1, 17:238, 17:416; Louisiana Handbook for School Administrators, Bulletin 741, Louisiana Department of Education.
ADMINISTRATION OF MEDICATION
The purpose of administering medication in the school setting is to assist students who require medicine during school hours to maintain an optimal state of health and therefore enhance and fulfill their educational program.
The intent of this policy is to assure safe administration of medicines in the school. The procedures contained herein apply to both prescription and non-prescription or over the counter medicines.
When possible, arrangements should be made for all medications to be given at home, before and after school. If medication is given no more frequently than three (3) times a day or every eight (8) hours, it can be given at home.
Written parental permission and a signed physician's, dentist's or other authorized prescriber's order shall be furnished to the school before any prescription or non-prescription medication shall be dispensed. Non-prescription medication shall be given at home unless there is a written statement from the student's authorized prescriber stating it is necessary to be given at school.
The Vernon Parish School Board and the school nurse shall not be responsible for any non-prescription medication administered to any student without a written authorized prescriber's order.
The designated school personnel administering medications shall request a copy of drug information from the pharmacist, the Physician's Desk Reference (PDR) or from the school nurse for each medication being administered so that he or she will be familiar with the common side-effects and precautions for each medication.
Medications shall be stored in a locked cabinet or drawer. Medication requiring refrigeration shall be refrigerated in a secure area. Exceptions are as noted in Students with Chronic Illnesses, below.
MEDICATION ADMINISTRATION
The principal of each school, or designee, usually the school secretary, may administer medications to students during school hours under the Vernon Parish School Board guidelines and under the overall supervision of the registered nurse assigned to that school.
All persons administering medications in the school shall be inserviced by the registered nurse assigned to that school regarding the Vernon Parish School Board medication policies and procedures. These persons shall be observed by the school nurse at least annually in the administration of medications. There shall be at least one trained back-up person to administer medications when the designee is absent from work.
Documentation
Each school shall use a daily log form on which to record the date and time a medication is given and the initials of the person administering it. This form shall be kept at the site where the medicine is actually given. It shall be easily accessible to facilitate recordings.
The school nurse or designee shall record each dose of medication administered at school. The person who is delegated to give medication shall be instructed in the proper way to record medications given.
All log sheets shall be kept on file in the individual schools until the end of each school year. At that time, they shall be turned in to the school nurse to be filed in the School Health office for future reference. The log sheets shall be kept on file for a period of five (5) years.
REQUIREMENTS FOR ADMINISTRATION
Administering medication to a student can be fraught with legal problems, administrative complications, and adverse side effects. For this reason, only medications that are deemed necessary by the student's other authorized prescriber to be administered during school hours shall be administered at school. No medication shall be allowed in the parish public school system unless prescribed, as noted on the Medication Order by a physician, dentist, or other authorized prescriber, and submitted by the parent/legal guardian.
Long-Term Medications:
A written statement shall be required (annually).
1. From the physician, dentist, or other authorized prescriber, who shall indicate the name of the medication, the route, the dosage, frequency and time of administration, the reason the medication needs to be given (diagnosis), possible side effects, and termination date. The parent or guardian must submit a Medication Order to be filled out by the authorized prescriber. These will be kept on file at school.
2. From the parent, who shall sign and submit the Medication Order to the school to give the medication in the dosage prescribed by the physician. The parent or guardian shall co-sign the form authorizing administration of medications by the school. The parent or guardian must notify the school of any changes in medication type, time, or dosage. A new Medication Order must be obtained to reflect these changes.
3. The parent/guardian or designated adult shall be responsible for bringing to the school any medication that is required to be administered at school, including prescription and non-prescription medications. No more than a twenty-five (25) day supply of medication for the student may be kept at school.
4. In the presence of the parent or adult who delivered the medication, the unlicensed trained school employee specifically designated to receive the medication for the student shall verify the label with the order on file.
Both the employee and the parent/adult shall count the number of tablets received and sign the medication log to document the amount, date and time of delivery.
Short-Term Medications: Over the counter or prescribed for less than two (2) weeks.
1. A Medication Order shall be required upon initiation of medication from the physician, dentist, or other authorized prescriber and parent as outlined under Long-Term Medications.
Injectable Medications:
Injectable medications shall not be given at school except in an emergency situation. There must be written instructions (Physician’s Authorizing for Special Health Care) from a physician, dentist, or other authorized prescriber; there must be written permissions from the parent or legal guardian for the procedure; and the injection must be given by appropriately trained personnel and under the supervision of school personnel or the school nurse.
Administration of Medication Procedures:
1. A written order from a physician, dentist, or other authorized prescriber licensed in Louisiana or an adjacent state shall be obtained and shall include:
a. Name of child
b. Name of medication
c. Reason for the medication (diagnosis)...that it is required to administer medication during school hours
d. The dosage route, and time it is to be given
e. Any special directions for administering the medication
f. Possible side-effects
g. The date medication should be stopped
2. A written statement from the parents or guardian shall be required, giving permission for the student to receive the medication in school, as prescribed by the physician.
3. A duplicate bottle of the medication shall be obtained, if possible. Parents should ask the pharmacist for duplicate bottles of the medication. One bottle should be kept at home, the other at school. Both bottles should contain the name of and telephone number of the pharmacist, student's ID, name of authorized prescriber, name of medication, dosage and times to be given, and the route of administration. The parent/guardian shall be responsible for sending a five (5) day supply of student's medication to school each week.
4. Any administration of medication in the schools shall be under the overall supervision of the school nurse who shall routinely review medication permits, physician's orders, and daily logs. The nurse shall also be responsible for inservicing school personnel on medication policies and procedures as needed on an on-call basis.
5. Procedure:
a. Check the label on the medication bottle to assure the correct medicine is given to the student.
b. Check the prescription to assure the proper dosage is given in the prescribed way.
c. Log in the date and time given and initial same on medication log sheet.
d. Make sure the designated school staff is aware of the potential benefits and side-effects of the medication being taken by the student.
1) This information may be obtained from the pharmacist, prescriber, PDR (Physician's Desk Reference), or school nurse.
2) Report any unusual reaction according to guidelines stated herein.
e. Watch for any student self-administering medication for which the school has no authorization. Report this to the student's parents, the school principal and the school nurse.
6. If a medication is lost, stolen, or spilled, or if the child refuses to take it or spits it out, a reasonable attempt will be made to reach the parents. If the parents cannot be reached, the school personnel shall not be held responsible. These particular situations must be documented and signed by the person(s) involved.
STUDENTS WITH CHRONIC ILLNESSES:
The above policies may be difficult to enforce strictly with students who have chronic illnesses, such as diabetes and asthma. (Those students who are reliable and require frequent medication or have been trained to administer their own medication may under certain circumstances retain their medications in their possession and administer same in rare circumstances. A Medication Order shall be submitted by the parent in all such cases.)
The guidelines for self administration are the same as with school administered medication. Any "as needed" medications, i.e. inhalers for asthmatics or prescribed needs for students with migraine headaches shall be kept at the designated central medication area and dispensed by school personnel unless there is authorized self-administration. There may be a rare exception when medication needs to be with child at all times, and such circumstances shall require a written statement from an authorized prescriber stating such. If the parent and the authorized prescriber agree that the student can be trusted with self-medication, permission of the principal must be obtained before the child self-administers medication.
Asthma or the Use of Auto-Injectable Epinephrine
Self-administration of medications by a student with asthma or the use of auto-injectableepinephrine by a student at risk of anaphylaxis shall be permitted by the School Board, provided the student’s parent or other legal guardian provides the school in which the student is enrolled with the following documentation:
A. Written authorization for the student to carry and self-administer such prescribed medications,
B. Written certification from a licensed medical physician or other authorized prescriber that the student:
1. has asthma or is at risk of having anaphylaxis
2. has received instruction in the proper method of self-administration of the student’s prescribed medications to treat asthma or anaphylaxis
C. A written treatment plan from the student’s licensed physician or other authorized prescriber for managing asthma or anaphylactic episodes. The treatment plan shall be signed by the student, the student’s parent or other legal guardian, and the student’s physician or other authorized prescriber. The treatment plan shall contain the following information:
1. The name, purpose, and prescribed dosage of the medications to be self-administered.
2. The time or times the medications are to be regularly administered and under what additional special circumstances the medications are to be administered.
3. The length of time for which the medications are prescribed.
D. Any other documentation required by the School Board.
The required documentation shall be maintained in the office of the school nurse or other designated school official.
The School Board shall inform the parent or other legal guardian of the student in writing that the school and its employees shall incur no liability as a result of any injury sustained by the student from the self-administration of medications used to treat asthma or anaphylaxis. The parent or other legal guardian of the student shall sign a statement acknowledging that the school shall incur no liability and that the parent or other legal guardian shall indemnify and hold harmless the school and its employees against any claims that may arise relating to the self-administration of medications used to treat asthma or anaphylaxis.
A student who has been granted permission to self-administer medication by the School Board shall be allowed to carry and store with the school nurse or other designated school official an inhaler or auto-injectable epinephrine, or both, at all times.
Permission for the self-administration of asthma medications or use of auto-injectable epinephrine by a student shall be effective only for the school year in which permission is granted. Permission for self-administration of asthma medications or the use of auto-injectable epinephrine by a student shall be granted by the School Board each subsequent school year, provided all of the requirements of this part of the policy are fulfilled.
Upon obtaining permission to self-administer asthma medication or to use auto-injectable epinephrine, a student shall be permitted to possess and self-administer such prescribed medication at any time while on school property or while attending a school sponsored activity. A student who uses any medication permitted by this policy in a manner other than as prescribed shall be subject to disciplinary action; however, such disciplinary action shall not limit or restrict such student’s immediate access to such prescribed medication.
Auto-injectable epinephrinemeans a medical device for the immediate self-administration of epinephrine by a person at risk for anaphylaxis.
Inhaler means a medical device that delivers a metered dose of medication to alleviate the symptoms of asthma.
GUIDELINES FOR ALLERGIC REACTIONS:
The school nurse acts as a liaison between parent, child and physician, dentist, or other authorized prescriber; therefore, any noticed undesirable side-effects or lack of therapeutic effects shall be promptly reported to the school nurse and the student's parents or legal guardian.
An allergic reaction is a medical emergency that requires immediate action:
1. Procure emergency medical treatment authorization card for the student
2. Notify appropriate school personnel of emergency and obtain directive from same if time permits
3. Notify the student's parents or guardian and authorized prescriber as soon as possible for directives and of actions taken
4. If the allergic reaction is immediately life threatening and requires the student to be sent immediately to a medical facility, enact the 911 system when possible and transfer the student via ambulance to the designated facility. Transmitted with emergency personnel should be the student's health and allergy information including:
a. Suspected or known allergies
b. Medication that has been administered
5. Document the reaction through an accident report
6. Notify the school nurse as soon as possible. The school nurse shall follow up by assisting as appropriate in the emergency care of the student and by documenting for future reference the:
a. Medical intervention, any medication, resuscitation or hospitalization
b. Allergen/Medication that triggered the reaction
c. Medications prescribed
d. Any necessary follow up with the student/parent and/or school staff regarding the student's condition and health education pertaining to allergic reactions.
GUIDELINES FOR MEDICATIONS ERRORS:
A medication error is a potential medical emergency that requires immediate action. If a student is administered the wrong medication, the wrong dosage, or medication at a wrong time especially sooner than prescribed:
1. The student shall be observed closely for any unusual reaction.
2. Procure the student's emergency medical treatment authorization card.
3. Notify the appropriate school personnel of the error and obtain directives from same.
4. Notify the student's parent or guardian and authorized prescriber as soon as possible for directives and actions taken.
5. If the error requires medical attention or any unusual reaction develops, send the student to the appropriate medical facility via parental transport or ambulance. The student's health and allergy information should be sent with the student, including the medication, dosage, and time of administration of the medication error.
6. Document the error through an accident report.
7. Notify the school nurse as soon as possible. The school nurse shall follow up by assisting as appropriate in the emergency care of the student and by documenting for future reference:
a. Medical intervention, any medications, resuscitation or outside medical care.
b. Any unusual reaction or sequelae from the error.
c. Any necessary follow up with the student/parent and or school staff regarding the student's condition and education pertaining to the error.
MEDICATION ADMINISTRATION PLAN FOR FIELD TRIPS
Medication should be administered to students on field trips only when absolutely necessary.
1. Unlicensed trained school employees may administer medication to a student while on a field trip in accord with the student's medication administration plan.
2. Medication administered on field trips require all the documentation and conditions that any other medication at school requires.
3. Medication shall be transported in a proper pharmacy labeled container. Caution: Ritalin is a controlled substance and must be properly safeguarded.
4. A copy of the medication administration plan with emergency phone numbers including health care provider phone numbers shall accompany the child.
EARLY DISMISSAL OF SCHOOL
On days when schools are dismissed at or prior to noon, the school personnel shall not be responsible for administering midday medications.
STUDENT CONFIDENTIALITY
All student information shall be kept confidential. The parent/legal guardian shall be required to sign the Authorization for Release of Confidential Information form, so that health information can be shared between the School Board and health care providers, such as hospitals, physician, service agency, school nurse, and/or other health provider.
It is the policy of the Vernon Parish School Board that the administration of medication to students at school shall meet the following conditions and limitations. As used in this policy, the term medication must include all prescription and non-prescription drugs.
1. WRITTEN ORDERS, APPROPRIATE CONTAINERS, LABELS, AND INFORMATION
A. Medication shall not be administered to any student without a completed Medication Order from a physician or dentist licensed to practice medicine in Louisiana or an adjacent state, or any other authorized prescriber authorized in the state of Louisiana to prescribe medication or devices, and a letter of request and authorization from the student's parent or guardian. The following information shall be included:
1) the student's name
2) the name and signature of the physician/dentist/other authorized prescriber
3) physician's/dentist's/other authorized prescriber's business address, office phone number, and emergency phone numbers
4) student's diagnosis
5) name, amount of each school dose, time of school administration, route of medication, and reason for use of medication
6) a written statement of the desired effects and the child specific potential adverse effects
B. Medication shall be provided to the school by the parent/legal guardian in the container that meets acceptable pharmaceutical standards and shall include the following information:
1) name of pharmacy
2) address and telephone number of pharmacy
3) prescription number
4) date dispensed
5) name of student
6) clear directions for use, including the route, frequency, and other as indicated
7) drug name and strength
8) last name and initial of pharmacist
9) cautionary auxiliary labels, if applicable
10) physician's/dentist's/other authorized prescriber's name
Labels of prepackaged medications, when dispensed, shall contain the following information in addition to the regular pharmacy label:
1) drug name
2) dosage form
3) strength
4) quantity
5) name of manufacturer and/or distributor
6) manufacturer's lot or batch number
2. ADMINISTRATION OF MEDICATION: GENERAL PROVISIONS
A. Once trained, the school employee who administers medication may not decline to perform such service at the time indicated, unless exempted in writing by the MD or RN.
B. During the period when the medication is administered the person administering medication must be relieved of all other duties. This requirement does not include the observation period required in 2.-F below.
C. Except in life-threatening situations, unlicensed but trained, school personnel may not administer injectable medications.
D. All medications must be stored in a secured locked area or locked drawer with limited access except by authorized trained school personnel.
E. Only oral, inhalant, topical ointment for diaper rash, and emergency medications may be administered at school by unlicensed, but trained, school personnel. Under special circumstances, other medications not mentioned above may be administered as necessary, as approved by the school nurse.
F. Each student must be observed by a school employee for a period of 45 minutes following the administration of medication. This observation may occur during instruction time.
G. School medication orders shall be limited to medications which can be administered during school hours or school activities.
3. PRINCIPAL
The principal shall designate at least two (2) employees to receive training and administer medications in each school.
4. TEACHER
The classroom teacher who is not otherwise previously contractually required shall not be assigned to administer medications to students. A teacher may request in writing to volunteer to administer medications to his/her own students. The administration of medications shall not be a condition of employment of teachers employed subsequent to July 1, 1994. A regular education teacher who is assigned an exceptional child shall not be required to administer medications.
5. SCHOOL NURSE
A. The school nurse, in collaboration with the principal, shall supervise the implementation of the school policies for the administration of medications in schools to ensure the safety, health and welfare of the students.
B. The school nurse shall be responsible for the training of non-medical personnel who have been designated by each principal to administer medications in each school. The training must be at least six (6) hours and include but not be limited to the following provisions:
1) Proper procedures for administration of medications including controlled substances
2) Storage and disposal of medications
3) Appropriate and correct record keeping
4) Appropriate actions when unusual circumstances or medication reactions occur
5) Appropriate use or resources
6. PARENT/LEGAL GUARDIAN
A. The parent/legal guardian who wishes medication administered to his/her child shall provide the following:
1) A letter of request and authorization that contains the following information:
a. the student's name;
b. clear instructions for school administration;
c. RX number, if any;
d. current date;
e. student's diagnosis;
f. name, amount of each school dose, time of school administration, route of medication, and reason for use of medication;
g. physician's/dentist's/other authorized prescriber's name;
h. the parent's/legal guardian's printed name and signature;
i. parent's/legal guardian's emergency phone number;
j. statement granting or withholding release of medical information;
2) A written order for each medication to be given at school, including annual renewals at the beginning of the school year. The new orders dated before July of that school year shall not be accepted. No corrections shall be accepted on the physician's Medication Order form. Alteration of this form in any way or falsification of the signature is grounds for prosecution. Orders for multiple medications on the same form, an incomplete form, or a form with a physician's/dentist's/other authorized prescriber's stamp shall not be accepted. Faxed orders may be accepted; original orders must be received within five (5) business days.
3) A prescription for all medications to be administered at school, including medications that might ordinarily be available over-the-counter. Only the physician/dentist/other authorized prescriber or his/her staff may write on the Medication Order form. This form must be signed by the physician/dentist/other authorized prescriber.
4) A list of all medications that the student is currently receiving at home and school, if that listing is not a violation of confidentiality or contrary to the request of the parent/legal guardian or student.
5) A list of names and telephone numbers of persons to be notified in case of medication emergency in addition to the parent/legal guardian and licensed physician/dentist/other authorized prescriber.
6) Arrangements for the safe delivery of the medication to and from school in the properly labeled container as dispensed by the pharmacist; the medication must be delivered by a responsible adult. The parent/ legal guardian will need to get two (2) containers for each prescription from the pharmacist in order that the parent/legal guardian, as well as the school, will have a properly labeled container. If the medication is not properly labeled and does not match the physician's order exactly, it will not be given.
B. All aerosol medications shall be delivered to the school in pre-measured dosage.
C. Provide no more than a thirty-five (35) school day supply of medication in a properly labeled container to be kept at school.
D. The initial dose of a medication shall be administered by the student's parent/legal guardian outside the school jurisdiction with sufficient time for observation for adverse reactions.
E. The parent/legal guardian shall work with those personnel designated to administer medication as follows:
1) Cooperate in counting the medication with the designated school personnel who receives it and sign the Drug Receipt form.
2) Cooperate with school staff to provide for safe, appropriate administration of medications to students, such as positioning, and suggestions for liquids or foods to be given with the medication.
3) Assist in the development of the emergency plan for each student.
4) Comply with written and verbal communication regarding school policies.
5) Grant permission for school nurse/physician/ dentist/other authorized prescriber consultation.
6) Remove or give permission to destroy unused, contaminated, discontinued, or out-of-date medications according to the school guidelines.
7. STUDENT SELF-MEDICATION
Only those medical conditions which require immediate access to medications to prevent a life threatening or potentially debilitating situation shall be considered for self administration of medication. Compliance with the school policy for a drug free zone shall also be met if possible.
Asthma or the Use of Auto-Injectable Epinephrine
Self-administration of medications by a student with asthma or the use of auto-injectable epinephrine by a student at risk of anaphylaxis shall be permitted by the School Board, provided the student’s parent or other legal guardian provides the school in which the student is enrolled with the following documentation:
A. Written authorization for the student to carry and self-administer such prescribed medications,
B. Written certification from a licensed medical physician or other authorized prescriber that the student:
1) has asthma or is at risk of having anaphylaxis
2) has received instruction in the proper method of self-administration of the student’s prescribed medications to treat asthma or anaphylaxis
C. A written treatment plan from the student’s licensed physician or authorized prescriber for managing asthma or anaphylactic episodes. The treatment plan shall be signed by the student, the student’s parent or other legal guardian, and the student’s physician or other authorized prescriber. The treatment plan shall contain the following information:
1) The name, purpose, and prescribed dosage of the medications to be self-administered.
2) The time or times the medications are to be regularly administered and under what additional special circumstances the medications are to be administered.
3) The length of time for which the medications are prescribed.
D. Any other documentation required by the School Board.
The required documentation shall be maintained in the office of the school nurse or other designated school official.
The School Board shall inform the parent or other legal guardian of the student in writing that the school and its employees shall incur no liability as a result of any injury sustained by the student from the self-administration of medications used to treat asthma or anaphylaxis. The parent or other legal guardian of the student shall sign a statement acknowledging that the school shall incur no liability and that the parent or other legal guardian shall indemnify and hold harmless the school and its employees against any claims that may arise relating to the self-administration of medications used to treat asthma or anaphylaxis.
A student who has been granted permission to self-administer medication by the School Board shall be allowed to carry and store with the school nurse or other designated school official an inhaler or auto-injectable epinephrine, or both, at all times.
Permission for the self-administration of asthma medications or use of auto-injectable epinephrine by a student shall be effective only for the school year in which permission is granted. Permission for self-administration of asthma medications or the use of auto-injectable epinephrine by a student shall be granted by the School Board each subsequent school year, provided all of the requirements of this part of the policy are fulfilled.
Upon obtaining permission to self-administer asthma medication or to use auto-injectable epinephrine, a student shall be permitted to possess and self-administer such prescribed medication at any time while on school property or while attending a school sponsored activity. A student who uses any medication permitted by this policy in a manner other than as prescribed shall be subject to disciplinary action; however, such disciplinary action shall not limit or restrict such student’s immediate access to such prescribed medication.
Auto-injectable epinephrine means a medical device for the immediate self-administration of epinephrine by a person at risk for anaphylaxis.
Inhaler means a medical device that delivers a metered dose of medication to alleviate the symptoms of asthma.
Other Permitted Medications
Self administration of other medications by a student may be permitted by the School Board, provided that:
A. Medication Order from the physician or authorized prescriber and from the student's parent or guardian shall be on file and communication with the prescriber has been established.
B. The school nurse has evaluated the situation and deemed it to be safe and appropriate, and has developed a medical administration plan for general supervision. The administration plan may include observation of the procedure, student health counseling and health instruction regarding the principles of self-care.
C. The principal and appropriate staff are informed that the student is self-administering the prescribed medication.
D. The medication is handled in a safe, appropriate manner.
E. The school principal and the school employed registered nurse determine a safe place for storing the medication.
The medication must be accessible if the student's health needs require it; this information is included in the medication administration plan.
F. Some medication should have a backup supply readily available.
G. The student records the medication administration and reports unusual circumstances (as a general rule the student must record all dates and times he/she is self-medicating during school hours. The medication log shall be kept in the main office where the student shall record this information unless otherwise noted on the student's Individual Administration Plan).
H. The school employed registered nurse, and/or the designated employee monitors the student.
8. Acceptable School Medications
School medication orders shall be limited to medications which must be administered during the school day. Parents may come to school and administer medication to their children at any time during the school day.
Medications which may be considered as acceptable under this policy:
A. Medication to modify behavior (e.g., Ritalin, when the sustained action form of this medication is not effective.)
B. Severe allergic reactions ‑ must have specific written instructions from a physician.
C. Anticonvulsive medication.
D. Medication for asthma.
E. Medication given in extenuating circumstances.
F. Non-prescription (over-the-counter) drugs will only be given if medical certification of extenuating circumstances and prescription is obtained.
G. Antibiotics and other short‑term medications will not be given at school, unless so ordered by a physician, dentist, or authorized prescriber.
H. The school nurse or trained school employee shall have the authority to administer auto-injectable epinephrine, as defined elsewhere in this policy, to a student who the school nurse or trained school employee believes is having an anaphylactic reaction, whether or not the student has a prescription for epinephrine. At least one employee at each school shall receive training from a registered nurse or licensed medical physician in the administration of epinephrine.
I. Other specific illnesses that require medication.
9. DIABETES
Each student with diabetes who seeks care for his/her diabetes while at school or while participating in a school-related activity shall submit a diabetes management and treatment plan. A student’s diabetes management and treatment plan shall contain:
A. An evaluation of the student’s level of understanding of his/her condition and his/her ability to manage his/her diabetes.
B. The diabetes-related healthcare services the student may receive or self-administer at school or during a school-related activity.
C. A timetable, including dosage instructions, of any diabetes medications to be administered to the student or self-administered by the student.
D. The signature of the student, the student’s parent or legal guardian, and the physician responsible for the student’s diabetes treatment.
The parent or legal guardian of a student with diabetes shall annually submit a copy of the student’s diabetes management and treatment plan to the principal of the school where the student is enrolled. The plan shall be reviewed by appropriate school personnel either prior to or within five (5) days after the beginning of each school year, or upon enrollment if the student enrolls after the beginning of the school year, or as soon as practicable following the student being diagnosed with diabetes.
The school nurse or a trained, unlicensed diabetes care assistant shall provide care to a student with diabetes, or assist a student with his/her self-care of diabetes, in accordance with the student’s diabetes management and treatment plan. The principal shall be responsible for having adequate school staff to provide appropriate diabetes care in accordance with the student’s diabetes management and treatment plan. A trained, unlicensed diabetes care assistant may only provide diabetes care if the student’s parent or legal guardian has signed an agreement authorizing such care and the agreement is on file with the school. An unlicensed diabetes care assistant means a school employee who volunteers to be trained in accordance with state law.
In accordance with the student’s diabetes management and treatment plan, the student shall be permitted to self-manage his/her diabetes care.
With written permission of a student’s parent or legal guardian, a school may provide a school employee with responsibility for providing transportation for a student with diabetes, or supervising a student with diabetes with an off-campus activity. An information sheet with pertinent information about the student’s condition and contact information in cases of emergency shall be provided the employee.
10. ADMINISTRATION OF MEDICATION ON FIELD TRIPS AND OTHER EXTRA-CURRICULAR ACTIVITIES
If a student with an identified medical need is to attend a field trip or other school-sponsored activity, the parents shall be notified to ascertain if any medication must be administered on the field trip or school-sponsored activity away from school. If so, the parent/legal guardian shall accompany the student to the activity to administer any medication.
If the parent/legal guardian cannot attend the field trip/activity with his/her child, the parent/legal guardian shall request in writing that the medication be administered on a pending field trip/activity by a non-School Board employee designated by the parent, or another trained person designated by the School Board. Such request shall include supporting documentation as outlined in this policy. The request shall state that the parent/legal guardian gives permission for the designee or another trained person to administer the medication. If the parent does not designate a non-School Board employee to attend the field trip/activity, once the proper documentation has been submitted, the School Board shall assign a trained Board employee to accompany the student on the field trip or other school-sponsored activity.
In the event that a trained, unlicensed School Board employee, the parent/legal guardian, a non-School Board employee designated by the parent/legal guardian, or a child-specific school nurse is not available to attend the field trip, the school nurse shall be contacted for other possible alternatives.
11. EXTENDED DAY CARE
In the event that a student attends extended day care and requires medication outside school hours (before or after school), medication orders that include the dosage(s), time(s), and medication(s), shall be obtained from the physician/dentist/other authorized prescriber before any administration of medication may be administered by properly trained personnel.
12. STUDENT CONFIDENTIALITY
All student information shall be kept confidential. The parent/legal guardian shall be required to sign the Authorization for Release of Confidential Information form, so that health information can be shared between the School Board and health care providers, such as hospitals, physician, service agency, school nurse, and/or other health provider.
Revised: October, 1993
Revised: March, 1995
Revised: December, 1995
Revised: October, 2001
Revised: June, 2008
Revised: September, 209
Revised: December, 2012
Ref: La. Rev. Stat. Ann. ''17:81, 17:436.1, 17:436.3; Louisiana Administrative Code, Vol. 18, Education (BESE), Section 929, Administration of Medication, Louisiana Handbook for School Administrators, Bulletin 741, Louisiana Department of Education; Board minutes, 1-10-95, 7-10-08, 10-6-09.
ADMINISTRATION OF MEDICATION
The administration of medication to students must be in compliance with the requirements of La. Rev. Stat. Ann. '17:436.1 and the policy established by the Louisiana Board of Elementary and Secondary Education (BESE). It shall be the policy of the ? Parish School Board that no school employee other than a registered nurse or licensed medical physician shall be required to administer medication until all It is the policy of the ? Parish School Board that the administration of medication to students at school shall meet the following conditions have been met and limitations. As used in this policy, the term medication must include all prescription and non-prescription drugs.
1. WRITTEN ORDERS, APPROPRIATE CONTAINERS, LABELS, AND INFORMATION
A. Medication shall not be administered to any student without a completed Medication Order from a physician or dentist licensed to practice medicine in Louisiana or an adjacent state, or any other authorized prescriber authorized in the state of Louisiana to prescribe medication or devices, and a letter of request and authorization from the student's parent or guardian. The following information shall be included:
1) the student's name
2) the name and signature of the physician/dentist/other authorized prescriber
3) physician's/dentist's/other authorized prescriber's business address, office phone number, and emergency phone numbers
4) student's diagnosis
5) name, amount of each school dose, time of school administration, route of medication, and reason for use of medication
6) a written statement of the desired effects and the child specific potential adverse effects
B. Medication shall be provided to the school by the parent/legal guardian in the container that meets acceptable pharmaceutical standards and shall include the following information:
1) name of pharmacy
2) address and telephone number of pharmacy
3) prescription number
4) date dispensed
5) name of student
6) clear directions for use, including the route, frequency, and other as indicated
7) drug name and strength
8) last name and initial of pharmacist
9) cautionary auxiliary labels, if applicable
10) physician's/dentist's/other authorized prescriber's name
Labels of prepackaged medications, when dispensed, shall contain the following information in addition to the regular pharmacy label:
1) drug name
2) dosage form
3) strength
4) quantity
5) name of manufacturer and/or distributor
6) manufacturer's lot or batch number
2. ADMINISTRATION OF MEDICATION: GENERAL PROVISIONS
A. Once trained, the school employee who administers medication may not decline to perform such service at the time indicated, unless exempted in writing by the MD or RN.
B. During the period when the medication is administered the person administering medication must be relieved of all other duties. This requirement does not include the observation period required in II.2.-F below.
C. Except in life-threatening situations, unlicensed but trained, school personnel may not administer injectable medications.
D. All medications must be stored in a secured locked area or locked drawer with limited access except by authorized trained school personnel.
E. Only oral, inhalant, topical ointment for diaper rash, and emergency medications must may be administered at school by unlicensed, but trained, school personnel. Topical ointment -- A student with a chronic skin condition that requires the application of an ointment can apply the ointment to themselves. The parent/legal guardian must comply with School Board policy regarding medication administration including the medication self-administration form signed by the physician/dentist/other authorized prescriber. Under special circumstances, other medications not mentioned above may be administered as necessary, as approved by the school nurse.
F. Each student must be observed by a school employee for a period of 45 minutes following the administration of medication. This observation may occur during instruction time.
G. School medication orders must shall be limited to medications which cannot be administered before or after school hours during school hours or school activities.
3. PRINCIPAL
The principal must shall designate at least two (2) employees to receive training and administer medications in each school.
4. TEACHER
The classroom teacher who is not otherwise previously contractually required shall not be assigned to administer medications to students. A teacher may request in writing to volunteer to administer medications to his/her own students. The administration of medications shall not be a condition of employment of teachers employed subsequent to July 1, 1994. A regular education teacher who is assigned an exceptional child shall not be required to administer medications.
5. SCHOOL NURSE
A. The school nurse, in collaboration with the principal, shall supervise the implementation of the school policies for the administration of medications in schools to ensure the safety, health and welfare of the students.
B. The school nurse shall be responsible for the training of non-medical personnel who have been designated by each principal to administer medications in each school. The training must be at least six (6) hours and include but not be limited to the following provisions:
1) Proper procedures for administration of medications including controlled substances
2) Storage and disposal of medications
3) Appropriate and correct record keeping
4) Appropriate actions when unusual circumstances or medication reactions occur
5) Appropriate use or resources
6. PARENT/LEGAL GUARDIAN
A. The parent/legal guardian who wishes medication administered to his/her child shall provide the following:
1) A letter of request and authorization that contains the following information:
a. the student's name;
b. clear instructions for school administration;
c. RX number, if any;
d. current date;
e. student's diagnosis;
f. name, amount of each school dose, time of school administration, route of medication, and reason for use of medication;
g. physician's/dentist's/other authorized prescriber's name;
h. the parent's/legal guardian's printed name and signature;
i. parent's/legal guardian's emergency phone number;
j. statement granting or withholding release of medical information;
2) A written order for each medication to be given at school, including annual renewals at the beginning of the school year. The new orders dated before July of that school year shall not be accepted. No corrections shall be accepted on the physician's Medication Order form. Alteration of this form in any way or falsification of the signature is grounds for prosecution. Orders for multiple medications on the same form, an incomplete form, or a form with a physician's/dentist's/other authorized prescriber's stamp shall not be accepted. Faxed orders may be accepted; original orders must be received within five (5) business days.
3) A prescription for all medications to be administered at school, including medications that might ordinarily be available over-the-counter. Only the physician/dentist/other authorized prescriber or his/her staff may write on the Medication Order form. This form must be signed by the physician/dentist/other authorized prescriber.
4) A list of all medications that the student is currently receiving at home and school, if that listing is not a violation of confidentiality or contrary to the request of the parent/legal guardian or student.
5) A list of names and telephone numbers of persons to be notified in case of medication emergency in addition to the parent/legal guardian and licensed physician/dentist/other authorized prescriber.
6) Arrangements for the safe delivery of the medication to and from school in the properly labeled container as dispensed by the pharmacist; the medication must be delivered by a responsible adult. The parent/ legal guardian will need to get two (2) containers for each prescription from the pharmacist in order that the parent/legal guardian, as well as the school, will have a properly labeled container. If the medication is not properly labeled and does not match the physician's order exactly, it will not be given.
B. All aerosol medications must shall be delivered to the school in pre-measured dosage.
C. Provide no more than a thirty-five (35) school day supply of medication in a properly labeled container to be kept at school.
D. The initial dose of a medication must shall be administered by the student's parent/legal guardian outside the school jurisdiction with sufficient time for observation for adverse reactions.
E. The parent/legal guardian must shall work with those personnel designated to administer medication as follows:
1) Cooperate in counting the medication with the designated school personnel who receives it and sign the Drug Receipt form.
2) Cooperate with school staff to provide for safe, appropriate administration of medications to students, such as positioning, and suggestions for liquids or foods to be given with the medication.
3) Assist in the development of the emergency plan for each student.
4) Comply with written and verbal communication regarding school policies.
5) Grant permission for school nurse/physician/ dentist/other authorized prescriber consultation.
6) Remove or give permission to destroy unused, contaminated, discontinued, or out-of-date medications according to the school guidelines.
7. STUDENT SELF-MEDICATION
Only those medical conditions which require immediate access to medications to prevent a life threatening or potentially debilitating situation shall be considered for self administration of medication. Compliance with the school policy for a drug free zone shall also be met if possible.
Asthma or the Use of Auto-Injectable Epinephrine
Self-administration of medications by a student with asthma or the use of auto-injectable epinephrine by a student at risk of anaphylaxis shall be permitted by the School Board, provided the student’s parent or other legal guardian provides the school in which the student is enrolled with the following documentation:
A. Written authorization for the student to carry and self-administer such prescribed medications,
B. Written certification from a licensed medical physician or other authorized prescriber that the student:
1) has asthma or is at risk of having anaphylaxis
2) has received instruction in the proper method of self-administration of the student’s prescribed medications to treat asthma or anaphylaxis
C. A written treatment plan from the student’s licensed physician or other authorized prescriber for managing asthma or anaphylactic episodes. The treatment plan shall be signed by the student, the student’s parent or other legal guardian, and the student’s physician or other authorized prescriber. The treatment plan shall contain the following information:
1) The name, purpose, and prescribed dosage of the medications to be self-administered.
2) The time or times the medications are to be regularly administered and under what additional special circumstances the medications are to be administered.
3) The length of time for which the medications are prescribed.
D. Any other documentation required by the School Board.
The required documentation shall be maintained in the office of the school nurse or other designated school official.
The School Board shall inform the parent or other legal guardian of the student in writing that the school and its employees shall incur no liability as a result of any injury sustained by the student from the self-administration of medications used to treat asthma or anaphylaxis. The parent or other legal guardian of the student shall sign a statement acknowledging that the school shall incur no liability and that the parent or other legal guardian shall indemnify and hold harmless the school and its employees against any claims that may arise relating to the self-administration of medications used to treat asthma or anaphylaxis.
A student who has been granted permission to self-administer medication by the School Board shall be allowed to carry and store with the school nurse or other designated school official an inhaler or auto-injectable epinephrine, or both, at all times.
Permission for the self-administration of asthma medications or use of auto-injectable epinephrine by a student shall be effective only for the school year in which permission is granted. Permission for self-administration of asthma medications or the use of auto-injectable epinephrine by a student shall be granted by the School Board each subsequent school year, provided all of the requirements of this part of the policy are fulfilled.
Upon obtaining permission to self-administer asthma medication or to use auto-injectable epinephrine, a student shall be permitted to possess and self-administer such prescribed medication at any time while on school property or while attending a school sponsored activity. A student who uses any medication permitted by this policy in a manner other than as prescribed shall be subject to disciplinary action; however, such disciplinary action shall not limit or restrict such student’s immediate access to such prescribed medication.
Auto-injectable epinephrine means a medical device for the immediate self-administration of epinephrine by a person at risk for anaphylaxis.
Inhaler means a medical device that delivers a metered dose of medication to alleviate the symptoms of asthma.
Other Permitted Medications
Self administration of other medications by a student may be permitted by the School Board, provided that:
A. Medication Order from the physician or authorized prescriber and from the student's parent or guardian shall be on file and communication with the prescriber has been established.
B. The school nurse has evaluated the situation and deemed it to be safe and appropriate;, documented this on the student's cumulative health record; and has developed a medical administration plan for general supervision. The administration plan may include observation of the procedure, student health counseling and health instruction regarding the principles of self-care.
C. The principal and appropriate staff are informed that the student is self-administering the prescribed medication.
D. The medication is handled in a safe, appropriate manner.
E. The school principal and the school employed registered nurse determine a safe place for storing the medication.
The medication must be accessible if the student's health needs require it; this information is included in the medication administration plan.
F. Some medication should have a backup supply readily available.
G. The student records the medication administration and reports unusual circumstances (as a general rule the student must record all dates and times he/she is self-medicating during school hours. The medication log shall be kept in the main office where the student shall record this information unless otherwise noted on the student's Individual Administration Plan).
H. The school employed registered nurse, and/or the designated employee monitors the student.
8. Acceptable School Medications
School medication orders shall be limited to medications which must be administered during the school day. Parents may come to school and administer medication to their children at any time during the school day. following submission of proper physician’s authorization for medications and arrangements with the school principal.
Medications which may be considered as acceptable under this policy:
A. Medication to modify behavior (e.g., Ritalin, when the sustained action form of this medication is not effective.)
B. Severe allergic reactions ‑ must have specific written instructions from a physician.
C. Anticonvulsive medication.
D. Medication for asthma.
E. Medication given in extenuating circumstances.
F. Non-prescription (over-the-counter) drugs will only be given if medical certification of extenuating circumstances and prescription is obtained.
G. Antibiotics and other short‑term medications will not be given at school, unless so ordered by a physician, dentist, or authorized prescriber.
H. The school nurse or trained school employee shall have the authority to administer auto-injectable epinephrine, as defined elsewhere in this policy, to a student who the school nurse or trained school employee believes is having an anaphylactic reaction, whether or not the student has a prescription for epinephrine. At least one employee at each school shall receive training from a registered nurse or licensed medical physician in the administration of epinephrine.
I. Other specific illnesses that require medication.
9. DIABETES
Each student with diabetes who seeks care for his/her diabetes while at school or while participating in a school-related activity shall submit a diabetes management and treatment plan. A student’s diabetes management and treatment plan shall contain:
A. An evaluation of the student’s level of understanding of his/her condition and his/her ability to manage his/her diabetes.
B. The diabetes-related healthcare services the student may receive or self-administer at school or during a school-related activity.
C. A timetable, including dosage instructions, of any diabetes medications to be administered to the student or self-administered by the student.
D. The signature of the student, the student’s parent or legal guardian, and the physician responsible for the student’s diabetes treatment.
The parent or legal guardian of a student with diabetes shall annually submit a copy of the student’s diabetes management and treatment plan to the principal of the school where the student is enrolled. The plan shall be reviewed by appropriate school personnel either prior to or within five (5) days after the beginning of each school year, or upon enrollment if the student enrolls after the beginning of the school year, or as soon as practicable following the student being diagnosed with diabetes.
The school nurse or a trained, unlicensed diabetes care assistant shall provide care to a student with diabetes, or assist a student with his/her self-care of diabetes, in accordance with the student’s diabetes management and treatment plan. The principal shall be responsible for having adequate school staff to provide appropriate diabetes care in accordance with the student’s diabetes management and treatment plan. A trained, unlicensed diabetes care assistant may only provide diabetes care if the student’s parent or legal guardian has signed an agreement authorizing such care and the agreement is on file with the school. An unlicensed diabetes care assistant means a school employee who volunteers to be trained in accordance with state law.
In accordance with the student’s diabetes management and treatment plan, the student shall be permitted to self-manage his/her diabetes care.
With written permission of a student’s parent or legal guardian, a school may provide a school employee with responsibility for providing transportation for a student with diabetes, or supervising a student with diabetes with an off-campus activity. An information sheet with pertinent information about the student’s condition and contact information in cases of emergency shall be provided the employee.
10. ADMINISTRATION OF MEDICATION ON FIELD TRIPS AND OTHER EXTRA-CURRICULAR ACTIVITIES
If the parent/legal guardian of a student normally on medication does not request in writing that medication be administered on a pending field trip then no School Board employee shall be responsible for administering medication to the student on the field trip. If the parent/legal guardian does not provide the required paperwork and medication (whether taken at school/home or both) to the school prior to the field trip, then the student cannot attend the field trip.
If the parent/legal guardian of a student requests in writing that medication be administered on a pending field trip then:
1. a person certified to administer medication must go on the field trip; and
2. a nurse must be on call while the field trip is being taken.
In the event that a certified School Board employee is not available, the parent/ legal guardian or a non-School Board employee designee (designated in writing by the parent/legal guardian) should attend the field trip to administer medication.
In the event that a certified School Board employee is not available, and neither the parent/legal guardian nor their designee can attend the field trip to administer medication, then the child may not attend the field trip.
If a student with an identified medical need is to attend a field trip or other school-sponsored activity, the parents shall be notified to ascertain if any medication must be administered on the field trip or school-sponsored activity away from school. If so, the parent/legal guardian shall accompany the student to the activity to administer any medication.
If the parent/legal guardian cannot attend the field trip/activity with his/her child, the parent/legal guardian shall request in writing that the medication be administered on a pending field trip/activity by a non-School Board employee designated by the parent, or another trained person designated by the School Board. Such request shall include supporting documentation as outlined in this policy. The request shall state that the parent/legal guardian gives permission for the designee or another trained person to administer the medication. If the parent does not designate a non-School Board employee to attend the field trip/activity, once the proper documentation has been submitted, the School Board shall assign a trained Board employee to accompany the student on the field trip or other school-sponsored activity.
In the event that a trained, unlicensed School Board employee, the parent/legal guardian, a non-School Board employee designated by the parent/legal guardian, or a child-specific school nurse is not available to attend the field trip, the school nurse shall be contacted for other possible alternatives.
11. EXTENDED DAY CARE
In the event that a student attends extended day care and requires medication outside school hours (before or after school), medication orders that include the dosage(s), time(s), and medication(s), must shall be obtained from the physician/dentist/other authorized prescriber before any administration of medication may be administered by properly trained personnel.
12. STUDENT CONFIDENTIALITY
All student information shall be kept confidential. The parent/legal guardian shall be required to sign the Authorization for Release of Confidential Information form, so that health information can be shared between the School Board and health care providers, such as hospitals, physician, service agency, school nurse, and/or other health provider.
Revised: September, 2009 Revised: December, 2012
Ref: La. Rev. Stat. Ann. ''17:81, 17:436.1, 17:436.3; Louisiana Administrative Code, Vol. 18, Education (BESE), Section 929, Administration of Medication, Louisiana Handbook for School Administrators, Bulletin 741, Louisiana Department of Education.
On motion of Randy Martin, seconded by Doug Brandon, the Board voted to advertise for bids to sell used computers.
On motion of Gerald Cooley , seconded by Jerry Jeane, the Board voted to accept the following retirements:
Mayo, Jeanette, office aide/Optional School
Adams, Mary, teacher/LHS
Ray, Joyce, cook/PHS
Kay, James bus driver/Evans
On motion of Doug Brandon, seconded by Mike Perkins, the Board voted to approve amendments related to personnel changes.
On motion of Jerry Jeane, seconded by Mel Harris, the Board voted to authorize the president and secretary to pay the claims.
In other business, Superintendent Self reminded Board members of the LSBA update.
On motion of John Blankenbaker, seconded by the Board, the Board adopted the following memorial resolution:
R E S O L U T I O N
WHEREAS, the members of the Vernon Parish School Board wish to express their sympathy to the family of William Churchman who recently passed away; and
WHEREAS, Mr. Churchman was a retired teacher, the husband of Peggy Churchman, the father of Shannon Breaux, and Bryan Churchman, teachers at Rosepine Schools, Erik Churchman, former teacher at Evans, and was the brother-in-law of Ricky Deggs, teacher at Rosepine; and
WHEREAS, Mr. Churchman was actively involved in the community and he will be greatly missed by his family and friends; now
BE IT THEREFORE RESOLVED that the Vernon Parish School Board requests a copy of this memorial resolution be sent to his family at this time of sadness.
On motion of Steve Woods, seconded by the Board, the Board adopted the following memorial resolution:
R E S O L U T I O N
WHEREAS, the Vernon Parish School Board members take this means to express their sympathy to the family of Cursetta Piper who recently passed away; and
WHEREAS, Ms. Piper was a teacher at Leesville Jr. High School; and
WHEREAS, Ms. Piper was a longtime employee of the Vernon Parish School Board and she will be greatly missed by her family and friends; now
BE IT THEREFORE RESOLVED that the Vernon Parish School Board requests a copy of this memorial resolution be sent to her family at this time of sadness.
There being no further business, on motion of, seconded by the Board, the meeting was adjourned.
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RANDI GLEASON, PRESIDENT
ATTEST:
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JACKIE D. SELF, SUPERINTENDENT