John Glenn School Corporation
Administrative Guidelines


The medications and/or treatments which may be administered are defined in Policy 5330. In those circumstances where a student must take prescribed medication during the school day, the following guidelines are to be observed:



Parents should determine with their physician's counsel whether the medication schedule can be adjusted to avoid administering medication during school hours.



The Medication Request and Authorization Form 5330 F1 must be filed with the respective building principal before the student will be allowed to begin taking any medication during school hours. This written and signed request form is to be submitted on an annual basis and will include:



student's name;



medication and dosage or procedure required;



times required;



special instructions including storage and sterility requirements;



date prescribed medication will be started;



date prescribed medication will no longer be needed;



physician's name, address, and telephone number;



probable side effects;



authorization by both the physician and the parent for a student to self-administer the medication but only in the presence of an authorized staff member or parent;



authorization for school personnel to administer the prescribed medication, if necessary;



agreement/satisfactory arrangement to deliver medication to/from school;



agreement to notify the school in writing if the medication, dosage, schedule, or procedure is changed or eliminated. A new request form must be submitted each school year or for each new medication.



All medications to be administered during school hours must be registered with the principal's office. Upon receipt of the medication, the school nurse shall verify the amount of medication brought to the school and indicate that amount on the student medication log sheet. Medication should be kept in a locked cabinet in the clinic or nurse's office, when possible.



Medication that is brought to the office will be properly secured. Medication may be conveyed to school directly by the parent or transported by transportation personnel (bus driver and/or bus aide) at parental request. This should be arranged in advance. a two to four (2-4) weeks’ supply of medication is recommended. Medication MAY NOT be sent to school in the student's lunch box, pocket, or other means on or about his/her person.



For each prescribed medication, the container shall have a pharmacist's label with the following information:



student's name



physician's name






pharmacy name and telephone



name of medication



prescribed dosage and frequency



special handling and storage directions



Any unused medication unclaimed by the parent will be destroyed by the administrative personnel when a prescription is no longer to be administered or at the end of a school year.



The staff member administering the medication shall ensure that the student takes the medication properly.



If a student does not take the medication at the proper time, the staff member responsible for administering the medication shall take appropriate steps to locate the student and administer the medication and to then notify the parents of the importance of the child reporting on time for his/her medication.



All medications are to be administered in such a way as to not unduly embarrass the student.



A log for each prescribed medication shall be maintained which will note the personnel giving the medication, the date, and the time of day. This log will be maintained along with the physician's written request and the parent's written release.



Form 5330 F1 shall be completed and signed by the principal authorizing the person(s) who may administer the medication or procedure. A second adult must be present during the administration of any medication.



A count of each student's medication is to be made every week and the amount reconciled with the original amount indicated on the log sheet and the number administered since the last count.



If, for supportable reasons, the principal wishes to discontinue the privilege of a student self-administering a medication, s/he shall notify the parent of this decision in sufficient time for an alternative administration to be established. If the student is disabled, the principal shall act in accordance with the regulations covering IDEA or Section 504.



Written documentation of any training provided for each person authorized to administer a prescribed medication or treatment will show:



what training was given;



the trainer's name and professional status;



when the training was given;



the duration of the training.



If a student is exhibiting behavior which causes the teacher to be concerned about his/her medical status, this behavior must be reported to the building principal and expressed in writing in behavioral terms.



Auto-Injectable Epinephrine


The school principal may fill a prescription for auto-injectable epinephrine to be stored at school if an Indiana licensed health care provider with authority to issue a prescription writes a prescription for auto-injectable epinephrine for the school. The school must store the auto-injectable epinephrine in a safe location to which only school personnel have access.


A school nurse may administer auto-injectable epinephrine to any of the following individuals if the individual is demonstrating signs or symptoms of life-threatening anaphylaxis and the individual does not have epinephrine at the school or the individual's prescription is not available:



students at the school



school personnel



visitors at the school



School employees may administer auto-injectable epinephrine that is stored at school pursuant to this guideline if:



the school employee has received training in recognizing anaphylaxis; and the proper administration of auto-injectable epinephrine by a health care provider who is licensed or certified in Indiana, whose practice includes the administration of auto-injectable epinephrine, who has received training in the administration of auto-injectable epinephrine, and who is knowledgeable in recognizing the symptoms of anaphylaxis and the administration of auto-injectable epinephrine; and



the individual to whom the epinephrine is being administered is:



a student at the school;



a member of school personnel; or



a visitor at the school.


Auto-injectable epinephrine must be administered in accordance with the manufacturer's guidelines and the above provisions.



Nonprescribed (Over-the Counter) Medications


A student in grades 7-12 may be allowed to possess and self-administer an over-the-counter medication upon the written authorization of the parent. The parent must complete Form 5330 F1a - Authorization for Nonprescribed Medication and Treatment and submit it to the school office for filing in the student's records.


If a student is found with a medication in his/her possession, his/her record should be checked to determine if the proper authorization is on file. If not, the matter is to be reported to the principal for disciplinary action. The principal may use one or more of the following procedures, depending on the particular situation:



Contact the parent and arrange for the parent to submit Form 5330 F1a as soon as possible.



Take the medication from the student and keep it in the school office until the completed form has been submitted.



Place the student in In-School Suspension for no more than three (3) days for failure to abide by school rules.



Suspend the student from school for no more than five (5) days.


The purpose of any disciplinary action on this matter should be to make it clear to all students and parents that, because of its policy on drug use, the school cannot allow possession or use of any form of unauthorized drug or medication at any time.



If a student is taking several prescriptions and it is noted that two (2) or more physicians are prescribing for the same student, this should be brought to the attention of the building principal who will be responsible for investigating the situation.



Dispensing of nonauthorized, over-the-counter (OTC) medication by Corporation employees to students served by the Corporation is prohibited. Where investigation confirms such allegations, prompt corrective action shall be taken up to and including dismissal.



In order to minimize health and safety risks to student-athletes and maintain ethical standards, school personnel, coaches, athletic trainees, and lay coaches should never dispense, supply, recommend, or permit the use of any drug, medication, or food supplement solely for performance-enhancing purposes.

Revised 11/99
Revised 8/4/15

© Neola 2015