507.2 Administration of Medication to Students

The board is committed to the inclusion of all students in the education program and recognizes that some 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. Administration of medication may also occur consistent with board policy 804.05 – Stock Prescription Medication Supply.

When administration of the medication requires ongoing professional health judgment, an individual health plan shall be developed by licensed health personnel working under the auspices of the school with collaboration from the parent or guardian, the individual’s health care provider or education team pursuant to 281.14.2(256). 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, airway constricting diseases, respiratory distress or students at risk of anaphylaxis who use epinephrine delivery system may self-administer their medication upon the written approval of the student’s parents and prescribing licensed health care professional, regardless of competency.

Persons administering medication shall include authorized practitioners, such as licensed registered nurses and physicians, and persons to whom authorized practitioners have delegated the administration of medication (who have successfully completed a medication administration course conducted by a registered nurse or pharmacist that is provided by the department of education). The medication administration course is completed every five years with an annual procedural skills check completed with a registered nurse or a pharmacist. A record of course completion shall be maintained by the school.

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. The development of emergency protocols for medication-related reactions is required. Medication information shall be confidential information as provided by law.

Disposal of unused, discontinued/recalled, or expired abandoned medication shall be in compliance with federal and state law. Prior to disposal school personnel shall make a reasonable attempt to return medication by providing written notification that expired, discontinued, or unused medications needs to be picked up. If medication is not picked up by the date specified, disposal shall be in accordance with the disposal procedures for the specific category of medication.

Legal Reference:

Disposing on Behalf of Ultimate Users, 79 Fed. Reg. 53520, 53546 (Sept. 9, 2014).

Iowa Code §§124.101(1); 147.107; 152.1; 155A.4(2); 280.16; 280.23.

481 IAC 620.

281 IAC §14.1, 2

I.C. Iowa Code	Description
Iowa Code § 124	Controlled Substances
Iowa Code § 147.107	Drug Dispensing/Supplying
Iowa Code § 152	Nursing
Iowa Code § 155A.4	Dispensing/Distributing Prescription Drugs - Exceptions
Iowa Code § 280.16	Asthma - epi-pens
Iowa Code § 280.23	Student Health Services

I.A.C. Iowa Administrative Code	Description
281 I.A.C. 14	Special Health Services
281. I.A.C 14.1	Medication Administration
481. I.A.C. 620	Nursing Practice for Registered Nurses/LPNs

Cross References

Code	Description
603.03	Special Education
607.02	Student Health Services
607.02-R(1)	Student Health Services - Regulation
804.05	Stock Prescription Medication Supply
804.05-E(1)	Stock Prescription Medication Supply - Parental Authorization and Release Form for the Administration of a Voluntary School Supply of Stock Medication for Life Threatening Incidents

Approved 02-18-03 08-21-23 Reviewed 03-24-26 Revised 07-20-26

507.2E1 Authorization - Asthma, Airway Constricting, or Respiratory Distress Medication Self-Administration Consent Form

Form attached.

Attachment:

507.2E1

507.2E2 Parental Authorization and Release Form for the Administration of Medication or Special Health Services to Students

PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION

OF MEDICATION OR SPECIAL HEALTH SERVICES TO STUDENTS

_________________________________ ___/___/___ _________________ ___/___/___

Student's Name (Last), (First), (Middle) Birthday School Date

School medications and special health services are administered following these guidelines:

Parent has provided a signed, dated authorization to administer prescription medication and/or provide special health services listed. Electronic signatures meet the requirement of written signatures.
The prescribed medication is in the original, labeled container as dispensed.
The prescription medication label contains the student’s name, name of the medication, the medication dosage, time(s) to administer, route to administer, and date.
Authorization is renewed annually and as soon as practical when the parent notifies the school that changes are necessary.

__________________ ________ ________ _____________

Prescribed Medication Dosage Route Time at School

Special Health Services and instructions, in indicated:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

___________ / ___________ / _____________

Discontinue/Re-Evaluate/Follow-up Date for Prescribed Medication or Special Health Services listed

____________________________________________ ___________ / ___________ / _____________

Prescriber’s Signature Date

And credentials (when indicated for health service delivery)

____________________________________________ ___________ / ___________ / _____________

Parent/Guardian Signature Date

_______________________________________ __________________________

Parent/Guardian address Home phone

PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION

OF MEDICATION OR SPECIAL HEALTH SERVICES TO STUDENTS

/ /

Parent's Signature Date

Parent's Address Home Phone

Additional Information Business Phone

Authorization Form

507.2E3 PARENTAL AUTHORIZATION AND RELEASE FORM FOR INDEPENDENT SELF CARRY AND ADMINISTRATION OF PRESCRIBED MEDICATION OR INDEPENDENT DELIVERY OF HEALTH SERVICES BY THE STUDENT

Form Attached

Attachment:

507.2E3

507.2E4 PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION OF VOLUNTARY SCHOOL STOCK OF OVER-THE-COUNTER MEDICATION TO STUDENTS

PARENTAL AUTHORIZATION AND RELEASE FORM FOR THE ADMINISTRATION

OF VOLUNTARY SCHOOL STOCK OF OVER-THE-COUNTER MEDICATION TO STUDENTS

_________________________________ ___/___/___ _________________ ___/___/___

Student's Name (Last), (First), (Middle) Birthday School Date

The district supplies the following nonprescription, over-the-counter medications that are listed below. Generic brands may be substituted, (select all that apply:

Acetaminophen administered per manufacturer label

Throat Lozenges administered per manufacturer label

Other: ____________________ administered per manufacturer label (Please Specify)

Voluntary school stock of nonprescription, over-the-counter medications are administered following these guidelines:

Parent has provided a signed, dated annual authorization to administer of the nonprescription, over-the-counter medication(s) listed according to the manufacturer instructions. Electronic signature meets the requirement of written signature.

The nonprescription, over-the-counter medication is in the original, labeled container and dispensed per the manufacturing label.

All other nonprescription, over-the-counter medication not listed will require a written parent authorization and supply for the over-the counter medication.

Supplements are not nonprescription, over-the-counter medications approved by the Federal Drug Administration and are NOT applicable.

Nonprescription, over-the-counter medications approved by the Federal Drug Administration that require emergency medical service (EMS) notification after administration are NOT applicable.

Persons administering nonprescription, over-the-counter medication include licensed health personnel working under the auspices of the school and individuals, whom licensed health personnel have delegated the administration of medication with valid certification who have successfully completed a medication administration course approved by the department and annual medication administration procedural skills check.

Districts stocking the administration of a voluntary stock of nonprescription, over-the-counter medications, collaborate with licensed health personnel to develop and adopt a protocol shared with the parent to define at a minimum:

when to contact the parent when a nonprescription medication, over the counter medication is administered;

documentation of the administration of the nonprescription, over-the-counter medication and parent contact;

a limit to the administration of a school’s stock nonprescription, over-the-counter medications that would require a prescriber signature for further administration of a school’s nonprescription, over-the-counter medications for the remaining school year;

the development of an individual health plan for ongoing medication administration or health service delivery at school.

I request that the above-named student receive the voluntary stock nonprescription, over-the-counter medications supplied by the school in accordance with the district guidelines and protocol.

__________________________________________ _________________________

Parent Signature Date

__________________________________________ _________________________

Parent/Guardian Address Home Phone