1st Reading

11/09/10

 

New

 

2nd Reading

11/09/10

 

Revised

X

Approved

11/09/10

 

Substitute

 

 

 

007.0720 HEALTH REQUIREMENTS AND SERVICES: MEDICAL TREATMENT

 

ReVISES 007.0700 Health Requirements and Services: Medical Treatment and Immunization approved 11/09/04). 

 

1.0              Notification of Parents

1.1              Parents will be notified of child’s accident or sudden illness as soon as possible.

1.2              If student is ill, parents need to be contacted; the teacher should consult with the principal/designee who will contact the home.

 

2.0              Consent to Emergency Medical Treatment

2.1              An administrator or school nurse or designee at the school in which a minor student is enrolled may consent to emergency medical treatment of that student, provided:

The person having the power to consent as otherwise provided by law cannot be contacted to give the consent. (Utah Code Ann. 78-14-5(4C))

2.2       Consent to medical treatment under this policy shall be in writing, signed by the school official giving consent, and given to the physician, hospital, or other medical facility that administers the treatment.

 

3.0              School Health Program

3.1              Uintah School District participates in the following health-related services:

3.1.1        Vision Screenings;

3.1.2        Hearing Screenings;

3.1.3        Encouragement of dental checks of all children.

3.1.4        Health counseling will be provided by the school nurse to parents.

3.1.5        First aid supplies will be available in every school in a convenient place.

3.2              Communicable disease control will include the following:

3.2.1        Decisions regarding closing schools when epidemics occur or threaten.  School closure should be considered after consultation with the school administrator, school nurse and Superintendent.

3.2.2        Lists of communicable diseases provided by health department will be supplied containing information concerning isolation, exclusion from school, signs and symptoms which should cause school personnel to suspect a communicable disease.

 

4.0              Procedures for dealing with blood borne pathogens

4.1              See Policy 007.0705 Guidelines for Handling Body Fluids and 007.0710 HIV and Hepatitis

 

5.0              Emergency First Aid Treatment

5.1              Definition:

5.1.1        “Life-sustaining emergency care”: means any procedure or intervention applied by school staff that may prevent a student from dying who, without such procedure or intervention, faces a risk of imminent death.  Examples of “life-sustaining emergency care” may include: efforts to stop bleeding, unblocking airways, mouth-to-mouth resuscitation, and cardiopulmonary resuscitation (CPR).

5.2              Procedures:

5.2.1        When any student on school grounds is in need of life-sustaining emergency care, staff shall immediately contact an ambulance in accordance with school policies to secure the speedy transportation of the student to hospital facilities.  While awaiting paramedics or medical assistance, appropriately trained staff members shall take all reasonable steps to provide first aid assistance.

5.2.2        If the need is dire and untrained school staff are the only ones available, the untrained staff person should immediately summon paramedics or other assistance and assist the victim until help arrives.

5.2.3        Uintah School District employees may administer emergency first aid medical treatment to students or others on school property when conditions so require without any liability to either the School District or the administering employee.  Whenever possible and advisable under the circumstances, first aid treatment should be administered by the school nurse. (Utah Code Ann. 63-30-10(18)(a)

 

6.0              Life-Sustaining Emergency Care Do Not Resuscitate Order (DNR)

6.1              The district will not comply with “do not resuscitate” orders and other directives from parents or others that life-sustaining emergency care should not be provided to any particular student in need of such care while under the control and supervision of the school.  The district shall consider requests for alternative forms of life-sustaining emergency care, but those requests must be supported by written medical substantiation by the child’s physician.  Determinations shall be made on such requests by a team of persons at the school who are knowledgeable about the child.  This team may seek additional outside information when necessary for a decision.  Any determination made on such a request must be based on the likelihood that the chosen form of life sustaining emergency care shall maintain the child’s life until an ambulance arrives or the student is otherwise transported to the care of medical personnel.

 

7.0              Administering Medication

7.1              Authorized employees of the Uintah School District may administer medication to a student during periods when the student is under the control of the school, subject to the following conditions  (Utah Code 53A-11-501):

7.1.1        The district has received a current written and signed request to administer the medication when the student is under the control of the school, from the parent or legal guardian of the student.  This signed request shall be updated and re-submitted each year and shall be on a form approved by the District.

7.1.2        The student’s physician, dentist, nurse practitioner or physician assistant has provided a signed statement describing the method, amount and time schedule for administration and the side effects that may be seen in the school setting from the medication.

7.1.3        Administering over-the-counter medications requires a prescribing practitioner statement as well as consent of the parent or guardian.  Protocol for administering over-the-counter medications is the same as for administering prescription medications.

7.1.4        Oral, topical, and inhalant medication may be administered by assigned school personnel.  Medications requiring other routes of administration will not be given by school personnel except in emergency situations. (Utah Code Ann. 53A-11-603) In non-emergency situations, medications requiring other routes of administration must be given by a registered nurse or the parent/guardian.  Exceptions will be addressed within a 504 accommodation/Individualized Health Care Plan for example, an insulin dependent diabetic or asthmatic student.

7.1.5        All medication that is to be given at school must be furnished by the parent or guardian and delivered to school by a responsible adult (not sent with the student).

7.1.6        All prescription medication must be in the original container, labeled by the pharmacy with the name of the student, the name of the physician, the name of the medication, the amount to be given (dose), and the duration of the treatment.  Over-the-counter drugs must be in the original bottle and labeled with the student’s name.

7.1.7        All medication provided to the school shall be kept in a secure location in the central office or nurse’s office under lock and key.  Only the principal and persons authorized to administer medication shall have access to the medications.

7.1.8        The principal shall assign one (1) or more trained personnel the responsibility of administering student medication.

7.1.9        A record including the type of medication, amount, and the time and day it was administered must be kept for each student receiving medication at school.  The person administering the medication must sign the record each time medication is given. The school nurse should be notified of all medications being administered to students, especially the first dose of a new medication or a dosage change. (Nurse Practice Act R156 31B-701.a)

7.1.10    Students shall not carry or self-administer medication on school premises unless it is expressly ordered by the student’s physician. (Utah Code Ann. 53A-11-602, Utah Code Ann. 26-41-104, Utah Code Ann. 53A-11-604)

7.1.11    Authorization for administration of medication by school personnel may be withdrawn by the school at any time following actual notice to the student’s parent or guardian. (Utah Code Ann. 53A-11-601)

7.1.12    Authorized school personnel who provide assistance as set forth in this policy in substantial compliance with physicians or dentists written statement and the employers of the School District personnel are not liable civilly or criminally for any adverse reaction suffered by the student as a result of taking the medication or discontinuing the administration of the medication pursuant to the provisions of this policy. (Utah Code Ann. 53A-11-601(3)

 

Authorized Employees

7.2              The School Board delegates to the Superintendent and the Principal, authority to select and appoint authorized employees who may administer medications pursuant to this policy in each building.

7.2.1        Employees appointed and authorized to administer medication shall be provided training annually by the School District Nurses.

7.2.2        The training shall include at a minimum:

7.2.2.1  Proper practices and procedures for administering medication;

7.2.2.2  Proper identification and safekeeping of medications;

7.2.2.3  Record keeping procedures;

7.2.2.4  Emergency first-aid procedures;

7.2.2.5  Identification of adverse reactions to medications;

7.2.2.6  Proper understanding and application of School District medication policies.

 

8.0              Consultation with Local Department of Health and Appropriate Health Officials