14 Del. Admin. Code § 817-6.0

Current through Reigster Vol. 28, No. 6, December 1, 2024

Section 817-6.0 - Assistance With Self-Administration of Medications at Approved School Activities

6.1 Educators and Other School Employees who are Trained Assistants for Self-Administration are authorized by 24 Del.C. § 1921 (a)(13) to assist a student with self-administration of Medications at an Approved School Activity for students in kindergarten through Grade 12. The Trained Assistant for Self-Administration is subject to the following provisions:

6.1.1 Assistance with Self-Administration of Medication shall not be provided without the prior written request or consent of a parent, guardian or relative caregiver, or the student if 18 years or older, or an unaccompanied homeless youth (as defined by 42 U.S.C. § 11434 a). Said written request or consent shall contain clear instructions including: the student's name; the name of the medication; the dose; the times and dates of administration; and the method of administration. At least one copy of said written request or consent shall be in the possession of the person assisting a student with medication on a Field Trip or Approved School Activity outside of the traditional school day or off campus.

6.1.1.1 Medications shall be prescribed by a licensed healthcare provider and are ones that cannot be rescheduled for times when a person, who may legally administer medication, is available.

6.1.1.1.1 Doses may be provided for up to one week, unless covering an Approved School Activity lasting longer than this time period and shall be maintained in a secure location.

6.1.1.2 Prescription medications shall be provided to the School Nurse by the parent and shall be properly labeled with the student's name; the licensed healthcare provider's name; the name of the medication; the dosage; how and when it is to be administered; the name and phone number of the pharmacy; and the current date of the prescription. The medication shall be in a container which meets United States Pharmacopoeia National Formulary standards.

6.1.1.2.1 Controlled medications must be stored on the person assisting or in a secure location under double lock. Maintaining doses for greater than one day is not permitted except in the case of an overnight activity.

6.1.1.3 Non-prescription medications shall be provided to the School Nurse by the parent in an original container along with a current, written directive from the student's licensed healthcare provider and shall include the student's name; the licensed healthcare provider's name; the name of the medication; the dosage; and how and when it is to be administered.

6.1.2 In order to be qualified to provide Assistance with Self-Administration of Medications, each such person shall complete a Board of Nursing approved training course developed by the Delaware Department of Education, pursuant to 24 Del.C. § 1921 (a)(13). Training shall be renewed minimally every five years. No person shall provide Assistance with Self-Administration of Medications without documented acknowledgment to the Department of Education that they havecompleted the course and that they understand the same, and will abide by the safe practices and procedures set forth therein. A School Nurse shall:

6.1.2.1 Complete instructor training as designated by the Department of Education.

6.1.2.2 Oversee the training for Educators and Other School Employees.

6.1.2.3 Coordinate the collection and review of the written parental consent.

6.1.2.4 Provide the appropriately labeled medication, copy of the consent, and directions on assistance to the Trained Assistant for Self-Administration.

6.1.3 Each School shall maintain a record of all students receiving Assistance with Self-Administration of Medications pursuant to this regulation. Said record shall contain the student's name; the name of the medication; the dose; the time of administration; the method of administration; and the name of the person assisting.

6.1.4 The School Nurse may prepare a Trained Assistant for Self-Administration to render emergency care to a student, with a known, diagnosed condition, who is in pre-kindergarten through Grade 12 and shows life-threatening signs and symptoms of the condition at an Approved School Activity.

6.1.4.1 Response shall include immediate activation of emergency medical services.

6.1.4.2 Preparation shall include instruction in the provision of the student's Emergency Medication for a Diagnosed Medical Condition, including injection, for symptoms related to the condition. Instruction will be based on the healthcare provider's order and the manufacturer's instructions for administration.

6.1.4.3 The Trained Assistant for Self-Administration shall annually demonstrate their ability to provide Emergency Medication for a Diagnosed Medical Condition.

6.1.4.4 An Emergency Medication for a Diagnosed Medical Condition shall be a current prescription provided by the student's licensed healthcare provider for a diagnosed medical condition that requires immediate medication to save or sustain life and is one which can be safely provided by a Trained Assistant for Self-Administration.

6.1.4.5 In addition to subsection 6.1 .3, the Trained Assistant for Self-Administration shall provide documentation related to the rendering of emergency care, to include at a minimum, the student's symptoms, time of the incident, medication administered, other actions taken, and the response by emergency medical services.

6.2 District and charter school boards may develop policies for unique Approved School Activities for which the specified process is unable to be implemented.

14 Del. Admin. Code § 817-6.0

18 DE Reg. 639 (2/1/2015)
19 DE Reg. 622 (1/1/2016)
24 DE Reg. 351 (10/1/2020) (Final)