Asthma and Severe Allergic Reactions

 Diphenhydramine (Benadryl)  Menthol cough drops/throat lozenges  Calcium Carbonate chewable tablets (Tums)

These medications may be given on campus, after assessment by the registered nurse, for up to ten doses (no more than 5 consecutive days of administration) before a specific physician signature is required, in accordance with standing orders by the District’s medical advisor and with appropriate written parent/guardian consent. Upon school enrollment, the parent/guardian is given the opportunity to electronically consent to administration of the above districtapproved nonprescription medications in accordance with Board policy. In the event that the parent/guardian did not give consent to district-provided nonprescription medications during enrollment, the parent may provide written consent for medication by completing a medication request form. A separate form must be completed for each medication. Verbal consent is not acceptable for administration of medications. o Parent-provided nonprescription medication from the District-approved list (above), in the original container (which shows the dosage guideline and expiration date for the medication), and properly labeled with the student’s first and last name.

These medications may be kept in the school clinic all year with a parent’s written request form and administered for up to ten doses (no more than 5 consecutive days of administration) before a physician signature is required.

o All other nonprescription medications must be provided by the parent in the original container (which shows the dosage guideline and expiration date for the medication), and properly labeled with the student’s first and last name. These medications may be kept in the school clinic for 10 school days with a parent’s written consent on the District request form. If the medication is needed at school for longer than a 10-day period, a physician signature is required. PISD staff will not administer nonprescription medications in dosages higher than the label recommends for age, or for indications the medication is not FDA-approved for in children and adolescents unless additional doctor’s orders are received. Note:

Aspirin and/or products containing aspirin will not be administered without a doctor’s order.

• Herbal or dietary supplements provided by the parent only if: o The student’s physician has ordered that such product(s) must be administered during school hours; and o The physician statement verifies that the product and requested dosage are safe for the student and provides information about therapeutic and untoward effects and interactions for the prescribed substance for the condition in which it is being prescribed; and o The student’s individualized education program (IEP) or Section 504 plan reflects that the product(s) are necessary for the provision of a free, appropriate public education for a student with a disability.

Students whose schedules provide for regular time spent outdoors, including for recess and physical education classes, should apply sunscreen before coming to school. At the elementary level, a student’s teacher or other district personnel will apply sunscreen to the student’s exposed skin if the student brings the sunscreen to school and asks for help 52

applying it. A student at this level may apply his or her own sunscreen if the student is able to do so.

At the secondary level, a student may possess and apply sunscreen when necessary. If the student needs assistance with sunscreen application, please address the need with the school nurse.

Whether a student is at the elementary or secondary level, if sunscreen needs to be administered to treat any type of medical condition, this should be handled through communication with the school nurse so that the district is made aware of any safety and medical issues. A new medication request form is required for each medication each school year. Medication should be scheduled to be given at home by the student’s parent/guardian whenever possible. Students will not be called out of class for “as needed” medications.

For student safety, all medication should be transported to/from the clinic by a parent/guardian. Controlled medications will be counted/signed in by the school nurse and parent/guardian or other designated PISD staff member. PISD staff are not responsible for the exchange of student medications between a student’s parents/guardians unless the medication is for medical emergencies such as diazepam, epinephrine, or glucagon and a separate supply of the medication is not feasible. Should the student require medication at multiple households, it is the responsibility of the parent/guardian to facilitate the provision of medication to necessary caregivers outside of the school setting. A parent or guardian must pick up all medication after it is discontinued. Medication will be destroyed if not picked up at the end of the school year or within 2 weeks after discontinued, whichever is earlier.

Prosper ISD has a no tolerance policy for students in possession of medication of any kind, including dietary or herbal supplements and all over the counter medications including cough drops/lozenges. All medications must be delivered and picked up by a parent/guardian. All medications are to be stored in the school clinic with the exception of prescribed medications for the treatment of asthma, anaphylaxis and diabetes. Please contact the campus nurse if your child has one of these conditions. Failure to store medication in the campus clinic or follow the above-mentioned procedure may result in serious disciplinary action. Sample medication provided by a physician can only be administered when the medication is accompanied by a written order for the medication from the student’s health care provider. The sample medication should only be given until a proper prescription can be obtained by the parent/guardian. Out-of-state physician orders for students transferring from another state will be accepted for no more than 90 days and only if omission of the medication poses a risk of harm to the child.

Off-label medications are FDA approved legal medications that are prescribed for nonapproved indications in children (medications prescribed in doses or routes outside FDA guidelines; medications known to be safe in adults and prescribed without long-term studies demonstrating safety in children; or medications approved to treat one type of medical condition but prescribed for a different medical condition). Experimental or research medications are also considered off-label. Please contact your school nurse to request an off-label medication to be given at school as additional information will be required from the prescribing physician before PISD staff will be able to administer the medication.