W. Va. Code R. § 126-27-7

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 126-27-7 - Administration of Prescribed Medication

7.1. Prescribed medications shall be administered after written authorization from a licensed prescriber with parent/guardian approval are received.

7.1.a. Prescribed medication shall be in the originally labeled container from the pharmacy, which includes the following:

7.1.a.1. student's name,

7.1.a.2. name of the medication,

7.1.a.3. reason(s) for the medication (if to be given only for specific symptoms),

7.1.a.4. dosage, time and route,

7.1.a.5. reconstitution directions, if applicable, and

7.1.a.6. the date the prescription and/or medication expires.

7.1.b. Prescribed OTC Medication(s)

7.1.b.1. student's name (affixed to original manufacturer's bottle),

7.1.b.2. name of the medication,

7.1.b.3. reason(s) for the medication (if to be given only for specific symptoms),

7.1.b.4. dosage, time and route,

7.1.b.5. reconstitution directions, if applicable, and

7.1.b.6. the date the prescription and/or medication expires.

7.2. Medication administration steps must be followed exactly as outlined in Policy 2422.7.

7.2.a. Medication administration must take place in a clean and quiet environment where privacy may be established and interruptions are minimal.

7.2.b. The school nurse is to be contacted immediately when a prescribed medication's appearance or dosage is questioned. The school nurse shall take the appropriate steps to assure the medication is safe to administer.

7.2.c. The school nurse is to be contacted immediately when a student's health condition suggests that it may not be appropriate to administer the medication.

7.2.d. When a student's medical condition requires a change in the medication dosage or schedule, the parent must provide a new written medication authorization form from a licensed prescriber and container, if applicable. This must be given to designated personnel within an appropriate time frame.

7.2.e. Schools may only stock medications as permitted by W. Va. Code § 18-5-22c (epinephrine) and §§ 16-46-1 through 16-46-6 (naloxone) if the county board of education adopts a policy in accordance with sections 10.2 through 10.14 of this policy. Schools are required to follow the county board of education policy and may voluntarily adopt W. Va. Code § 18-5-22c (stock epinephrine) as outlined in Section 10.2 and/or W. Va. Code § 16-46-1 (stock naloxone) as outlined in Section 10.10. County boards of education will follow the procedures and protocols for school health and school nursing as set forth in Chapter 18 of W. Va. Code and the rules set forth by the WVBE

7.3. Medication administration incidents include, but are not limited to, any deviation from the instructions provided by the licensed health care provider. The school nurse and administrator/principal shall be contacted immediately in the event of a medication incident. The school nurse or administrator/principal shall do the following:

7.3.a. Contact the physician and parent/guardian, if necessary.

7.3.b. Implement the school nurse or administrator recommendation and/or licensed prescriber order in response to a medication incident.

7.3.c. Document all circumstances, orders received, actions taken and student's status.

7.3.d. Submit a written report to the administrator and county superintendent at the time of the incident. The report should include the name of the student, the parent/guardian name and phone number, a specific statement of the medication incident, who was notified, and what remedial actions were taken.

7.4. Self-administration of medication shall be permitted in accordance with W. Va. Code §§ 18-5-22a, 18-5-22b and 18-2K-1, et seq., after the following conditions are met:

7.4.a. A written medication authorization form is received from the parent/guardian and licensed prescriber for self-administration of medication.

7.4.b. A written statement is received from a licensed prescriber which contains the student name, purpose, appropriate usage, dosage, time or times at which, or the special circumstances under which the medication is to be administered.

7.4.c. The student has demonstrated the ability and understanding to self-administer medication by passing an assessment by the school nurse evaluating the student's technique of self-administration and level of understanding of the appropriate use of the medication.

7.4.d. The parent/guardian has acknowledged in writing that they have read and understand a notice provided by the county board of education stating that the school, county school board and its employees and agents are exempt from any liability, except for willful and wanton conduct, as a result of any injury arising from the self-administration of medication.

7.4.e. The permission to self-administer medication shall be effective for the school year for which it is granted and all documents related to the self-administration of medication shall become part of the student health record.

7.4.f. The permission to self-administer medication may be revoked if the school nurse finds that the student's technique and understanding of the use of medication is not appropriate or is willfully disregarded.

W. Va. Code R. § 126-27-7