District Policies

C525 Medical Needs at School

Emergency Medical Authorization

The Corporation will distribute annually to parents or guardians of all students the Emergency Medical Authorization Form.

The Emergency Medical Authorization Form will be kept in an easily accessible file in each school building during the school year.

Any time the student is taken out of the Corporation by Corporation employees to participate in a school event (such as field trips, academic contests, music or athletic trips) the staff in charge of the event will take the Emergency Medical Forms for that student. This does not include student spectators at events.

The Corporation will follow the instructions of the Emergency Medical Authorization Form in the event of a medical emergency, provided however that the Corporation will defer to instructions provided by licensed health care professionals and/or first responders on the scene.

Student Emergencies and Accidents

If an accident or emergency occurs on school property; off school grounds at a school activity, function, or event; or traveling to or from school for a school activity, function, or event, the Board directs Corporation employees to take all necessary steps to render assistance to the student in good faith, which may include summoning medical assistance, administering first aid by persons trained to administer first aid, notifying administration, notifying the student’s parent, and filing accident reports.

Employees should administer first aid, emergency stock medication, or overdose intervention drugs within the limits of their knowledge of recommended practices. The Superintendent may provide for an in-service program on first aid and CPR procedures.

The administrator in charge must submit an accident report to the Superintendent on all accidents.

Administering Medicine at School

The administration of prescribed medication and/or medically-prescribed treatments to a student during school hours will be permitted only when failure to do so would jeopardize the health of the student, the student would not be able to attend school if the medication or treatment were not made available during school hours, or the child is disabled and requires medication to benefit from his/her educational program.

	A written authorization form for medication administration must be completed by the parent/guardian and be on file before any medication transported to the health clinic (prescription or non-prescription) will be administered. a. Medication shall be administered in accordance with the directions on the original package (in the case of non-prescription medicine) or the physician’s order (in the case of prescription medicine). The nurse may require additional information prior to administering medication. b. The consent of the parent shall be valid only for the period specified on the consent form and in no case longer than the current school year.
	All non-prescription medicine must be kept in its original container accompanied by the package label or package information.
	All prescription medicine, including medication administered by injection, student/parent/guardian-provided emergency medication (i.e. Epinephrine, Glucagon), and diabetes monitoring of a student must be accompanied by a physician’s order, which is current and correct to the way that the student is to receive the medicine. The nurse may require additional information prior to administering medication.
	All medication administration will be documented and kept on file in the health office.
	If the medication is to be terminated prior to the date on the prescription, a withdrawal of consent of the parent is required. The written consent of the parent and the written order of the physician shall be kept on file in the health office.

All medication needed during school hours or at school functions that are supervised by school staff, except those subject to I.C. 20-33-8-13 (student possession and self-administration), will be administered by the nurse, administrator, or designated trained staff under the following conditions:

The Corporation does not honor requests by parents or physicians to administer over-the-counter herbs, minerals and vitamins and other homeopathic products as there is currently no standardization relative to these products and no FDA approval and guidelines.

Any unused medication, which is unclaimed by the parent, will be destroyed by the Corporation when a prescription is no longer to be administered according to the authorization form, or at the end of the school year.

All designated staff responsible for administering medication to students will be trained by a registered nurse on the proper administration of medication and/or diabetes care. A record of this training will be kept on file in the health office.

All medication, both prescription and non-prescription, must be brought into the nurse's office by a parent or guardian for grades PK-8. Students in grades 9-12 may bring in medications directly to the school clinic in a sealed envelope and accompanied with the proper documentation. Only students meeting the criteria of Indiana code who have valid medical authorization and parent permission on file in the school office will be permitted to carry medications and self-administer such substances. These exceptions are explicitly stated in the law and detailed below.

The Corporation may fill a prescription or statewide standing order for albuterol, epinephrine, and naloxone (emergency medications) if such emergency medications are prescribed for schools or school corporations by an Indiana-licensed healthcare provider whose scope of practice includes the prescribing of medication or if the state health commissioner or the health commissioner’s legally authorized designee, if any, issues a statewide standing order for such emergency medication for schools or school corporations. Injectable epinephrine that is filled and used in accordance with this policy must have an expiration date of not less than twelve (12) months from the date that the pharmacy dispenses the injectable epinephrine to the Corporation.

All emergency medication must be stored in a safe location where only school employees have access.

A school nurse may administer emergency medication obtained under this policy to a student, employee, or visitor of the school if such individual is demonstrating signs or symptoms of a life-threatening emergency and the individual does not have emergency medication at the school or the individual's prescription is not available. Such administration must be within the manufacturer’s guidelines.

A school employee may administer emergency medication obtained under this policy to a student, employee, or visitor of the school if the administering employee has voluntarily received training in recognizing a life threatening emergency and in the proper administration of the emergency medication administration. Such training must be by a health care provider who is licensed or certified in Indiana, for whom the administration of emergency medication is within the health care provider's scope of practice, who has received training in the administration of emergency medication, and who is knowledgeable in recognizing the symptoms of a life-threatening emergency and the administration of emergency medication. Such administration must be within the manufacturer’s guidelines.

All emergency medication administration will be documented and kept on file in the health office.

Indiana law permits an individual or entity in a position to assist an individual who, there is reason to believe, is at risk of experiencing an opioid-related overdose, anaphylaxis, or respiratory related illness, to administer “emergency medication” defined as epinephrine, albuterol, or an overdose intervention drug, to an individual who is suffering an overdose.

The Corporation, in good faith, believes it is an entity in a position to assist an individual who there is a reason to believe is at risk of experiencing an opioid-related overdose, anaphylaxis, or respiratory related illness; therefore, it may obtain an overdose intervention drug, epinephrine, or albuterol from a prescriber or entity acting under a standing order issued by a prescriber and may maintain such intervention drugs on-site in school facilities to provide such assistance.

All overdose intervention drug medication administration will be documented and kept on file in the health office.

Chronic Disease or Medical Condition

In accordance with Indiana statute, a student with a chronic disease or medical condition may possess and self-administer medication for the chronic disease or medical condition on school grounds immediately before or during school hours, or immediately after school hours, or at any other time when the school is being used by a school group; off school grounds at a school activity, function, or event; or traveling to or from school for a school activity, function, or event, if the following conditions are met:

The student's parent has filed an authorization with the student's principal for the student to possess and self-administer the medication. The authorization must include the physician’s statement described below in #2.

A physician states in writing that:

a. the student has an acute or chronic disease or medical condition for which the physician has prescribed medication;

b. the student has been instructed in how to self-administer the medication; and

c. the nature of the disease or medical condition requires emergency administration of the medication

The authorization and statement described in subsection (2) must be filed with a student's principal annually.

Students with diabetes, seizures, or chronic diseases shall be appropriately accommodated per Indiana statutes. An appropriate plan for the student, which may be a Section 504 Plan, individual health plan, or IEP, will be developed and implemented.

	The student’s parent or guardian;
	An individual who is at least eighteen years of age and designated in writing by the student’s parent or guardian to receive the medication; or
	The student if the student's parent provides written permission for the student to receive the medication. (Note: This section does not apply to medication possessed by a student for self-administration under Indiana code as specified above).

Transportation of Medications by Students

Medication that is possessed by a school for administration during school hours or at school functions for a student may be released to:

Do Not Resuscitate (DNR) Orders / Physician Orders for Scope of Treatment (POST) Forms

Each student with a potentially life-threatening medical condition should have a health care plan and/or emergency medical plan. Corporation employees shall follow normal procedures for addressing emergencies occurring while students are on Corporation property (including being transported in vehicles owned, leased, or operated by Corporation); and during Corporation events, even if held outside of Corporation property (for example, prom or field trips).

Therefore, Corporation employees will not adhere to Do Not Resuscitate (DNR) Orders or Physician Orders for Scope of Treatment (POST) forms which prohibit individuals from administering resuscitation (CPR) or medical interventions measures to a student. This policy shall not interfere with a health care provider’s obligations under Indiana law.

If the school is presented with a DNR order or POST form, the parent or guardian should be advised of the Corporation’s policy and should be directed to the hospital(s) in the area where the student may be transported in an emergency and advised to discuss the order with such facility.

Student Concussions and Sudden Cardiac Arrest

Corporation employees shall abide by legal obligations regarding student athletes and avoiding injuries, including informing and educating coaches, student athletes, and parents of student athletes regarding the nature and risk of concussion, head injury, and sudden cardiac arrest to student athletes. Corporation employees shall additionally abide by legal obligations regarding students in extracurricular activities and sudden cardiac arrest. The following individuals must complete a sudden cardiac arrest training course (approved by the Indiana Department of Education) including training in the use of an automated external defibrillator (AED): head coach or assistant coach who coaches an athletic activity, a marching band leader, a drama or musical leader, and a leader of an extracurricular activity in which students have an increased risk of sudden cardiac arrest activity as determined by the Indiana Department of Education in consultation with an appropriate organization. Such individuals may not lead or coach an activity in which students have an increased risk of sudden cardiac arrest until such training is complete. The provider of the training course shall provide a certificate of completion, and the Corporation shall maintain all certificates of completion for each individual required to undergo sudden cardiac arrest training. The Board has determined that it may enhance school safety to have an AED placed in building(s) within the Corporation for use by employees with proper training. The Board directs the Superintendent to develop guidelines that govern response to sudden cardiac arrest and AEDs, including a venue specific emergency action plan and associated training or practice for execution of such plan, distribution, sharing, and posting of such plan, the use of AEDs, placement of AEDs, availability of the AED (including for use by more than one event), notification of school employees, volunteers, other event leaders, students, and others of the location and availability of AEDs, proper maintenance of the AEDs, expectations for school personnel, training and oversight by a medical doctor or by the local EMS Medical Director.

Communicable Diseases

The Corporation will collaborate with and follow guidance from the Indiana State Department of Health to meet its obligations to control communicable diseases impacting the school community. See Policy A325 Communicable Disease.

Immunizations

The School Board requires that all students be properly immunized against vaccine-preventable diseases, in accordance with Indiana Code and the IN State Department of Health (ISDH). Requirements for designated grade levels or ages shall be defined by ISDH annually in the first quarter of the year, for the following school year. (I.C. 20-34-4-2)

The Superintendent shall require parents to furnish to their child's school, no later than the student’s first day of school attendance after enrollment, proof of the student’s immunization status, either as a written document from the health care provider who administered the immunization or documentation provided from the State immunization data registry. Students whose parents do not provide the required documentation by the opening day of school may be admitted to school provided the documentation is received within twenty (20) school days. If the student remains unimmunized at the close of the twenty (20) school day period, the student may not be permitted to attend school, unless the parents have filed a religious or medical exemption in accordance with state law.

Information concerning meningococcal disease (meningitis) and its vaccine shall be provided to students and parents at the beginning of the school year by the Superintendent or his or her designee. The Superintendent shall consult with the State Department of Education and the State Department of Health to develop necessary information and needed materials.

The parent of each student who is entering grade six (6) shall be provided with information prescribed by the State Department of Health concerning cancer and the human papillomavirus (HPV) infection and that an immunization against the HPV infection is available.

Materials concerning immunizations and immunization preventable diseases shall be provided to parents and guardians of students by each Building Principal, who shall obtain these materials from the State Department of Education. Posting the materials on the school building’s website shall satisfy the distribution requirement.

The Superintendent shall ensure that all applicable immunization information is complete in the State immunization data registry (CHIRP) no later than the first Friday in February each year.

Mental Health Treatment Notification

Prior to referring a student to a provider of mental health services due to a pattern of aberrant or abnormal behavior, a school official will contact a student's parent. A school official shall also hold a conference with the student and the student's parent prior to referring student to a provider of mental health services.