Approved:     6-10-09
PDF

 

Philosophy:

The South Sanpete Board of Education expects parents/guardians to be responsible for the medical needs of their children and use professional, licensed health care providers and follow professional health care practices. The Board also realizes that due to extenuating circumstances that qualified, trained school personnel may be called upon to monitor and assist parents with a child’s unique medical needs. In addition, the Board expects the District’s schools to follow District policy and current State health laws, rules, and regulations to ensure the safety and well-being of all students.

Definitions:

1.   Alternative Medicine: Any practice that is available to the public but is not integrated into conventional medical practice.
2.   Anaphylaxis: Any potentially, life-threatening hypersensitivity (allergic reaction) to a substance. Symptoms of anaphylaxis may include shortness of breath, wheezing, difficulty breathing, difficulty talking or swallowing, hives, itching, swelling, shock, or asthma. Causes of anaphylaxis may include an insect sting, food allergy, drug reaction, or exercise.
3.   Asthma Medication: This may be prescription or non-prescription inhaled asthma medication.
4.   Diabetes Medication: This may be a prescription or non-prescription medication used to treat diabetes, including related medical devices, supplies, and equipment.
5.   Epinephrine Auto-Injector: This is a disposal drug delivery system with a spring-activated concealed needle that is designed for emergency administration of epinephrine to provide rapid, convenient first-aid for persons suffering a potentially fatal anaphylactic reaction.
6.   Glucagon: This is a protein hormone produced by the body which regulates carbohydrate metabolism in order to maintain normal levels of glucose in the blood. Glucagon has the opposite effect of insulin, in that glucagon increases blood glucose levels. An injectable form of glucagon is used in cases of severe hypoglycemia (low blood sugar) when the individual is unconscious or for some other reason is unable to take glucose orally.

Policy:

South Sanpete School District shall follow what is prescribed by State law, qualified health care providers, and the school nurse in maintaining, enforcing, accommodating, and providing a healthy, safe environment for all students. The student’s parent or legal guardian has the primary duty to inform school authorities in writing about the child’s potentially life-threatening medical condition(s) while registering the student for school or upon medical diagnosis of the medical condition. Once a school receives this written information, the school nurse shall develop a Student Health Plan for that student and provide training (as needed) to authorized school personnel for safe administration of medication while the student is at school. Reference: Utah Code 53A-11-601

1.   School Consent to Medical Treatment

The school, in which a minor student is enrolled, may consent to emergency medical treatment of that student, provided:

A.   The person having the power to consent as otherwise provided by law connot be contacted; or
B.   Actual notice to the contrary has not been given by that parent or legal guardian.

2.   Administering Medication

A.   Employees of the District may administer medication to a student during periods when the student is under control of the school, subject to the following conditions:
B.   The District/school must receive a written and signed request to administer the medication during regular school hours to the student from the parent, legal guardian, or other person having legal control of the student.
C.   The student’s physician, dentist, nurse practioner, or physcian assistant has provided a signed statement describing the method, amount, and time schedule for administration, and a statement that admnistration of medication by school employees during periods when the student is under the control of the school is medically necessary.
D.   The school nurse shall develop a Student Health Plan (in accordance with the professional health care provider’s prescribed treatment) for students who have critical medical needs that may include the administration of Glucagon, Epinephrine, Diabetes Medication, Asthma Medication, Diastat (seizure medication), Allergy Medication, etc. This Plan shall include who will administer the medication, where the medication shall be stored, the training of designated personnel, maintenance of records, emergency information, etc.
E.   School personnel are prohibited from dispensing, providing, or recommending any type of medication or treatment to students.
F.   Oral, topical, and inhalant medication may be administered by assigned school personnel; students 12 years of age or older may be approved by the school nurse to self-medicate using these medications.  Medications requiring other routes of administration, such as glucagon, shall not be given by school personel except in emergency situations as outlined in a Student’s Health Plan.
G.  All medication that is to be given at school must be furnished by the parent or guardian and delivered to the school by a responsible adult.
H.  All prescription medication must be in the original container labeled by the pharmacy with the name of the student, the name of the physcian, the name of the medication, the amount to be given (dose), and the duration of the treatment.
I.   Over-the-counter drugs shall be treated as prescription medication in accordance with this Policy and must be in the original bottle and labeled with the student’s name. This includes aspirin, ibuprofen, acetamenophine, cold medicines, etc.
J.   All medication provided to the school is to be kept in a secure location under lock and key. When employee assistance is required to administer medication to students, the school nurse shall train three individuals to ensure a qualified person is always available.
K.  A record including the type of medication, amount, and the time and day it was administered must be kept for each student receiving medication at school. The person administering the medication must sign the record each time medication is given.
L.  Students must be at least 12 years of age to self-administer medications at school. The school nurse, in conjunction with the parent and the student’s health care provider, may make an exception to this for extenuating circumstances. Secondary students may be allowed to self-administer medications, but may not carry more than one or two doses of medication on their person. Students must not share, sell, or distribute any prescription medications or over-the-counter medications to other students. Students who have been prescribed a controlled substance shall have a parent/guardian contact the school and arrange for a safe place to store and to administer these substances with a designated adult during school. Regardless of the age of the student, the student is not allowed to have in his possession a controlled substance while at school. Students who violate these guidelines shall face disciplinary action as outlined by State law and District Policies JFCI and JH.
M.  Athletic coaches and other school personnel are prohibited from encouraging the use or administering enhancement drugs, supplements, or remedies to students.
N.   Authorization for administration of medication by school personnel may be withdrawn by the school at any time following actual notice to the student’s parent or guardian.
O.   In consultation with the school nurse, the District schools shall not participate in the administration of alternative medicine.

3.   Immunizations

No person may be admitted to any school in the District unless he or she has presented to school officials an official certificate of immunization from a licensed physician or authorized representative of the State or local health department stating that the student has received the immunizations against communicable diseases as required by the Utah Department of Health. The District shall comply with any modifications or deletions in the required immunizations that may be made by the Utah Department of Health.
References: Utah Code 53A-11-301 and Utah Adm. Rule R396-100-3

A.   Immunization Exemptions

(1)   A parent may claim an exemption to immunizations for medical, religious, or personal reasons, as allowed by Utah Code 53A-11 (302-304). Each exemption claimed must be accompanied by the appropriate Utah Department of Health Exemption Form. This Form may be obtained from the school nurse. There is a fee associated with this process.
(2)   An exemption will be allowed if the parent/guardian is able to present a certificate from a licensed physician stating that due to the physical condition of the student, one or more specified immunizations would endanger the student’s life or health.
(3)   Students who meet the requirement of homeless under the McKinney-Vento Homeless Act shall have 30 days to meet the immunization requirements.
(4)   A student for whom an exemption is claimed will be excluded from school if an outbreak of any vaccine-preventable disease occurs. Exclusion is for the duration of the outbreak.

 B.   Conditional Admittance

A student may be conditionally admitted to the District schools if he or she has received at least one dose of each of the required vaccinations prior to enrollment and is on schedule for subsequent immunizations. If subsequent immunizations are one calendar month past due, the school shall immediately exclude the student from school. Once the student has met the immunization requirements, the school shall re-admit the student and remove him or her from conditional status.

Military children (children legally residing in the home of an active-duty service member) may be conditionally admitted to school for 30 days without an immunization record, as allowed by Utah Code 53A-11-1402.

C.   Immunization Records

(1)   District schools shall retain official certificates of immunization for every enrolled student. The certificate shall become a part of the student’s permanent school record.
(2)  The records shall be open for inspection at all reasonable times by the school nurse, representatives of local health departments, or the State Department of Health.
(3)   The District schools shall cooperate in transferring students’ immunization records between other schools. Reference: Utah Code 53A-11-306 (3)

 4.   Lice Infestation

Students infected with head lice (nits) shall be excluded from school until proper treatment has been applied and the removal of the lice and nits has been verified by the school nurse or a designated school official.

A.   The parent/guardian will be notified as soon as possible and provided with the needed educational materials to assist them in removal of the infestation from family members and their home.
B.   During this process, every effort shall be made to preserve the anonymity and dignity of the student and family.
C.   Siblings of the student who are attending District schools shall also be examined for infestation.
D.   The parent/guardian shall be encouraged to return the child/children back to school the following day providing the head lice and nits have been removed.
E.   If the student does not return to school within a timely manner after exclusion, the school shall contact the parent to inquire about the reason and offer support to family. The school nurse shall be asked to make a follow-up visit if necessary.
F.   Staff, students, and volunteers who may have been at-risk to lice infestation due to close contact with the student shall be notified and provided educational materials upon request.
G.   Each school may schedule or conduct lice inspections as deemed necessary by the school nurse or principal.

 5.   Student’s Responsibilities

The student shall be proactive in the care and management of his or her own health, food allergies, and other health issues based upon the student’s developmental level. At the beginning of each school year, school administration or designee shall review with the students the following student health responsibilities:

A.   Do not trade or share food, drinks, utensils, or containers;
B.   Do not eat or take anything with unknown ingredients;
C.   Do not touch any type of body fluids. If students do come in contact with body fluids, they should report it to the office and follow recommended clean-up and precautions.
D.   Do notify an adult immediately if he or she eats or takes something the student may be allergic to or may contain harmful substances;
E.   Do know the location of emergency medication if applicable to student; and
F.   Wash hands often (6-8 times/day), especially before eating and after using the restroom.

 6.   Civil Liability Immunity

School personnel and the employers of these personnel who provide assistance and comply with the licensed health care provider’s written prescription are not liable, civilly or criminally for any adverse reaction suffered by the student as a result of taking the medication and/or discontinuing the administration of the medication.  Reference: Utah Code 53A- 11-601 (3)

District Policy References:
Policy JFCI         “Drug and Alcohol Abuse by Students”
Policy JH            “Safe Schools”
Policy CCAE        “School Nurse”
Policy JI             “Wellness Policy”
Policy GHCD       “Drug Abuse by Employees”

Print Email