The purpose of this policy is for the Board of Education (Board) to determine who shall administer medications in a school and the circumstances under which self-administration of medication by students shall be permitted.
The Board of Education allows students to self-administer medication and school personnel to administer medication to students in accordance with the established procedures, and applicable state regulations, Sections 10-212a-1 through 10-212a-10 inclusive. In order to provide immunity afforded to school personnel who administer medication, the Board of Education, with the advice and approval of the School Medical Advisor and the school nurse supervisor, shall review and/or revise this policy and regulation biennially concerning the administration of medications to District students by a nurse, or in the absence of a nurse, by qualified personnel for schools. The District's School Medical Advisor (or other qualified physician) shall approve this policy, its regulations and any changes prior to adoption by the Board.
General Policies on Administration of Medication
A child diagnosed with asthma or an allergic condition, pursuant to State Board of Education regulations, may carry an inhaler or an EpiPen or similar device in the school at all times if he/she is under the care of a physician, physician assistant, or advanced practice registered nurse (APRN) and such practitioner certifies in writing to the school nurse that the child needs to keep an asthmatic inhaler or EpiPen at all times to ensure prompt treatment of the child's asthma or allergic condition and protect the child against serious harm or death. A written authorization of the parent/guardian is required.
A school nurse may administer medication to any student pursuant to the written order of an authorized prescriber (physician, dentist, optometrist, an advanced practice registered nurse, or a physician assistant and for interscholastic and intramural athletic events only, a podiatrist) and the written authorization of a parent or guardian of such child or eligible student and the written permission of the parent/guardian for the exchange of information between the prescriber and the school nurse necessary to ensure the safe administration of such medication.
In the absence of a school nurse, any other nurse licensed pursuant to the provisions of Chapter 378, including a nurse employed by, or providing services under the direction of the Board of Education at a school-based clinic, only qualified personnel for schools, including principals and teachers who have been properly trained may administer medications to students as delegated by the school nurse upon approval of the School Medical Advisor and the school nurse may administer medication to any student in the school following the successful completion of specific training in administration of medication and satisfactory completion of the required criminal history check.
Medications with a cartridge injector may be administered by qualified personnel for schools only to a student with a medically diagnosed allergic condition or Type 1 diabetes which may require prompt treatment to protect the student against serious harm or death. Qualified personnel for schools, as defined, may administer oral, topical, intranasal, or inhalant medication in the absence of a licensed nurse. Investigational drugs or research or study medications may not be administered by qualified personnel for schools.
Coaches and licensed athletic trainers during intramural and interscholastic events may administer medications pursuant to Section10-212a-9 of the Regulations of Connecticut State Agencies and as described in this policy and in the administrative regulations to this policy.
In compliance with all applicable state statutes and regulations, parents/guardians may administer medications to their own children on school grounds.
Administration of Medication by Paraprofessionals
A specific paraprofessional, through a plan approved by a school nurse supervisor and School Medical Advisor, may administer medications including medications administered with a cartridge injector, to a specific student with a medically diagnosed allergic condition that may require prompt treatment in order to protect the student against serious harm or death pursuant to Section 10-212a-9 of the Regulations of Connecticut State Agencies and as described in the administrative regulations. The approved plan also requires the written authorization of the student's parent/guardian and pursuant to the written order from the student's authorized prescriber licensed to prescribe medication.
Administration of Medication by Coaches and Licensed Athletic Trainers during Intramural and Interscholastic Events
During intramural and interscholastic athletic events, a coach or licensed athletic trainer who has been trained in the general principles of medication administration applicable to receiving, storing, and assisting with inhalant medication or cartridge injector medications and documentation, may administer medication for select students for whom self-administration plans are not viable options as determined by the school nurse. The medication which may be administered is limited to: (1) inhalant medications prescribed to treat respiratory conditions and (2) medication administered with a cartridge injector for students with a medically diagnosed allergic condition and (3) glucagon administered by injection for students with medically diagnosed type 1 diabetes which may require prompt treatment to protect the student against serious harm or death.
The school nurse is responsible for the student's individualized medication plan and shall provide the coach with a copy of the authorized prescriber's order and the parental/guardian permission form. Parents are responsible for providing the medication, such as the inhaler or cartridge injector, to the coach or licensed athletic trainer, which shall be kept separate from the medication stored in the school health office during the school day.
Medications to be used in athletic events shall be stored in containers for the exclusive use of holding medications; in locations that preserve the integrity of the medication; under the general supervision of the coach or licensed athletic trainer trained in the administration of medication; and in a locked secure cabinet when not in use at athletic events.
The agreement of the coach or licensed athletic trainer is necessary for the administration of emergency medication and the implementation of the emergency care plan.
Coaches and athletic trainers are required to fulfill the documentation requirements as outlined in the administrative regulations accompanying this policy. Errors in the administration of medication shall be addressed as specified in Section 10-212a-6 of the Regulations of Connecticut State Agencies, and detailed in the administrative regulation pertaining to this policy. If the school nurse is not available, a report may be submitted by the coach or licensed athletic trainer to the school nurse on the next school day.
(cf. 4112.5/4212/5 – Security Check/Fingerprinting)
(cf. 5141 – Student Health Services)
(cf. 5141.23 – Students with Special Health Care Needs)
Legal Reference: Conn. Gen. Stat. § 10-206 Health assessments.
Conn. Gen. Stat. § 10-212 School nurses and nurse practitioners. Administration of medications by parents or
guardians on school grounds. Criminal history records checks.
Conn. Gen. Stat. § 10-212a Administration of medications in schools, at athletic events and to children in
school readiness programs.
Conn. Gen. Stat. § 19a-900 Use of cartridge injector by staff member of before or after school program, day
camp or day care facility.
Conn. Gen. Stat. § 21a-240 Definitions.
Conn. Gen. Stat. § 29-17a Criminal history records checks. Procedure. Fees.
Conn. Gen. Stat. § 52-557b "Good Samaritan law". Immunity from liability for emergency medical assistance,
first aid or medication by injection. School personnel not required to administer or render.
Connecticut Regulations of State Agencies §§ 10-212a-1 through 10-212a-10, inclusive.
Code of Federal Regulations: Title 21 Part 1307.2.
Conn. Gen. Stat. § 20-12d Medical functions performed by physician assistants. Prescriptive authority.
Conn. Gen. Stat. § 20-94a Licensure as advanced practice registered nurse.
Litchfield Board of Education
Policy Adopted: October 28, 1986
Policy Revised: October 9, 1990
Policy Reviewed: March 22, 1994
Policy Reviewed: September 24, 1996
Policy Revised: February 11, 1997 (Copy to Dept. of Public Health)
Policy Reviewed: October 1, 1998
Policy Reviewed: February 22, l999 (Copy to Dept. of Public Health)
Policy Reviewed: January 28, 2003 (Copy to Dept. of Public Health)
Policy Reviewed: November, 2005
Policy Revised: February 15, 2006
Policy Revised: April 9, 2008
Policy Revised: November 30, 2011
Policy Revised: April 30, 2014