507.2 - Administration of Medications
507.2 - Administration of MedicationsSome students may need prescription and nonprescription medication to participate in their educational program.
Medication shall be administered when the student's parent or guardian (hereafter "parent") provides a signed and dated written statement requesting medication administration and the
medication is in the original, labeled container, either as dispensed or in the manufacturer's container.
When administration of the medication requires ongoing professional health judgment, an individual health plan shall be developed by the licensed health personnel with the student and
the student's parent. Students who have demonstrated competence in administering their own medications may self-administer their medication. A written statement by the student's parent
shall be on file requesting co-administration of medication, when competence has been demonstrated. By law, students with asthma or other airway constricting diseases may self -
administer their medication upon approval of their parents and prescribing physician regardless of competency.
Persons administering medication shall include the licensed registered nurse, parent, physician, and persons who have successfully completed a medication administration course reviewed
by the Board of Pharmacy Examiners. A medication administration course and periodic update shall be conducted by a registered nurse or licensed pharmacist, and a record of course
completion kept on file at the agency.
A written medication administration record shall be on file including:
date; student’s name; prescriber or person authorizing administration; medication; medication dosage;
administration time; administration method; signature and title of the person administering medication; and any unusual circumstances, actions, or omissions.
Medication shall be stored in a secured area unless an alternate provision is documented. Emergency protocols for medication-related reactions shall be posted. Medication information
shall be confidential information.
Note: This law reflects the Iowa Department of Education’s special education administrative rule regarding administration of medication. Since there are no rules addressing students
not receiving special education services, IASB has written the sample policies and regulations to address all students.
Iowa law requires school districts to allow students with asthma or other airway constricting disease to carry and self-administer their medication as long as the parents and prescribing
physician report and approve in writing. Students do not have to prove competency to the school district. The consent form, see 507.2E1, is all that is required. School districts that
determine students are abusing their self-administration may either withdraw the self-administration if medically advisable or discipline the student, or both.
Legal Reference: Iowa Code §§124.101(1), 147.107, 152.1, 155A.4(2), 280.16, 280.23 (2007)
Education [281]—§41.12(11) IAC
Pharmacy [657]—§8.32(124, 155A), IAC
Nursing Board [655]—§6.2(152), IAC
Cross Reference: 506 Student Records
507 Student Health and Well-Being
603.3 Special Education
607.2 Student Health Services
Approved 2-15-2010
Reviewed 7-20-2015
Revised
507.2E1 - Administration of Medications Form
507.2E1 - Administration of Medications Form___________________________________ ___/___/___ _________________ ___/___/___
Student's Name (Last), (First) (Middle) Birthday School Date
In order for a student to self-administer medication for asthma or any airway constricting disease:
· Parent/guardian provides signed, dated authorization for student medication self-administration.
· Physician (person licensed under chapter 148, 150, or 150A, physician, physician's assistant, advanced registered nurse practitioner, or other person licensed or registered to distribute or dispense a prescription drug or device in the course of professional practice in Iowa in accordance with section 147.107, or a person licensed by another state in a health field in which, under Iowa law, licensees in this state may legally prescribe drugs) provides written authorization containing:
purpose of the medication,
prescribed dosage,
times or;
special circumstances under which the medication is to be administered.
· The medication is in the original, labeled container as dispensed or the manufacturer's labeled container containing the student name, name of the medication, directions for use, and date.
· Authorization is renewed annually. If any changes occur in the medication, dosage or time of administration, the parent is to notify school officials immediately. The authorization shall be reviewed as soon as practical.
Provided the above requirements are fulfilled, a student with asthma or other airway constricting disease may possess and use the student's medication while in school, at school-sponsored
activities, under the supervision of school personnel, and before or after normal school activities, such as while in before-school or after-school care on school-operated property. If the
student abuses the self-administration policy, the ability to self- administer may be withdrawn by the school or discipline may be imposed.
Pursuant to state law, the school district or accredited nonpublic school and its employees are to incur no liability, except for gross negligence, as a result of any injury arising from self-
administration of medication by the student. The parent or guardian of the student shall sign a statement acknowledging that the school district or nonpublic school is to incur no liability,
except for gross negligence, as a result of self-administration of medication by the student as established by Iowa Code § 280.16.
Medication Dosage Route Time
Purpose of Medication & Administration /Instructions
/ /
Special Circumstances Discontinue/Re-Evaluate/
Follow-up Date
/ /
Prescriber’s Signature Date
Prescriber’s Address Emergency Phone
· I request the above named student possess and self-administer asthma or other airway constricting disease medication(s) at school and in school activities according
to the authorization and instructions.
· I understand the school district and its employees acting reasonably and in good faith shall incur no liability for any improper use of medication or for supervising,
monitoring, or interfering with a student's self-administration of medication
· I agree to coordinate and work with school personnel and notify them when questions arise or relevant conditions change.
· I agree to provide safe delivery of medication and equipment to and from school and to pick up remaining medication and equipment.
· I agree the information is shared with school personnel in accordance with the Family Education Rights and Privacy Act (FERPA).
· I agree to provide the school with back-up medication approved in this form.
· Student maintains self-administration record.
/ /
Parent/Guardian Signature Date
(agreed to above statement)
Parent/Guardian Address Home Phone
Business Phone
Self-Administration Authorization Additional Information
507.2E2 - Parent Form
507.2E2 - Parent Form___________________________________ ___/___/___ _________________ ___/___/___
Student's Name (Last), (First) (Middle) Birthday School Date
School medications and health services are administered following these guidelines:
· Parent has provided a signed, dated authorization to administer medication and/or provide the health service.
· The medication is in the original, labeled container as dispensed or the manufacturer's labeled container.
· The medication label contains the student’s name, name of the medication, directions for use, and date.
· Authorization is renewed annually and immediately when the parent notifies the school that changes are necessary.
Medication/Health Care Dosage Route Time at School
Administration instructions
Special Directives, Signs to Observe and Side Effects
/ /
Discontinue/Re-Evaluate/Follow-up Date
/ /
Prescriber’s Signature Date
Prescriber's Address Emergency Phone
I request the above named student carry medication at school and school activities, according to the prescription, instructions, and a written record kept. Special considerations are
noted above. The information is confidential except as provided to the Family Education Rights and Privacy Act (FERPA). I agree to coordinate and work with school personnel and
prescriber when questions arise. I agree to provide safe delivery of medication and equipment to and from school and to pick up remaining medication and equipment.
/ /
Parent's Signature Date
Parent's Address Home Phone
Business Phone
Additional Information