Health Office Procedures 

August 2009

Dear Students and Parents:

Welcome back to school!  I hope everyone enjoyed the summer.  This is just a note to inform you of the 2009-2010 Health Office policies.

1. Medications – Prescription or over-the-counter medications must have the following items to be given at school:

1. Medication Authorization Form

                               i.   Each child must have a form completed for each medication they are to receive.  I cannot accept forms with more than one medication or more than one child’s name on the form. Each form needs to be signed by the parent.

                              ii.   If prescription – please have the physician sign the form with instructions for administration.  A physician prescription form is acceptable.  The prescription administration form must be signed by the parent.

                             iii.   If a student requests medication and there is not a completed form, they will not be given any medication. I cannot accept phone authorizations. 

2. Medication must be presented in original bottle/container.  This will be marked with the child’s name for their use only and kept in the health office.  The pharmacy will provide you with two bottles – one for home and one for school. You will need to request this. 
3. If the medication is presented to school in anything other than the original medication container, it will not be given and the medication will be sent home with the student. This is for everyone’s safety.
4. The Health Office will not keep stock medication for student use.  The student/parent will need to provide the medication for administration. 

2. Dismissal from school due to illness, injury, etc. 

1. The student may be dismissed by a parent at anytime. However, for the student to be dismissed from school “excused”, there are certain criteria that need to be met:

                               i.   Vomiting

                              ii.   Diarrhea

                             iii.   Fever ( 100⁰F or above)

                              iv.   Identification of a potential communicable disease.

                               v.   Injury-loss of consciousness, potential fractures, need for stitches, etc

                              vi.   Nursing judgment regarding the situation. 

3. All medication will be returned to the student at the end of the school year to be taken home.

My goal is not to make life more complicated for anyone, myself included. This allows everyone the advantage of knowing the “rules” to avoid misunderstanding and miscommunication.

If you have any questions, you are always welcome to contact me at school.

Sincerely,

Dixie Simpson, BAN, RN, MICT

Student Health History (doc file - 61 KB)
This form provides medical information about the individual student-allergies, medications, health history. When completed by a parent or guardian, this form grants permission for district personnel to authorize emergency medical treatment, health office treatment and screenings provided at school.


Permission form for Over-The-Counter Medication (doc file - 46 KB)
This form provides district personnel to administer Over-The-Counter Medications to your student during school.


Permission form for medications prescribed by a doctor. (doc file - 53 KB)
This form provides district personnel to administer prescription medications under medical direction and parent/guardian authorization, to your student during school.


Permission form for the student to self-administer prescription medications during school. (doc file - 39 KB)
This form provides authorization for the student to carry and use their inhaler/epinephrine pen during school. The form needs to be signed by the physician and the parent/guardian.

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