Code of Student Conduct and Handbook for Lebanon High School ...

Lebanon School DistrictMEDICAL/DENTAL DEPARTMENTMedication Distribution PoliciesThe following guidelines apply to all medications administered in school:1. The school nurse and building secretary may administer prescribed medication if it is sent to school inthe original container (with the child’s name, dosage, the time for administration and the doctor’s nameclearly marked on it.)2. Before any medication may be administered to a student during school hours, the student must have awritten request from a parent or guardian granting permission for medication administration. AMedical Permission Form is attached. This form must be filled out and kept on file in the school.3. It is recommended that parents refrain from sending medication to school whenever possible;administer required dosage to children before and after school, and at bedtime whenever possible.4. Students taking daily medication throughout the school year require a written order from theprescribing physician. It shall include the purpose of the medication, the dosage, the time and/orspecial circumstances under which the medication shall be administered, and the dates for which themedication is prescribed and possible side effects of the medication.5. Over the counter medications may be administered with a doctor’s note only. Medicine not in itsoriginal container cannot be administered by school personnel.6. Students must hand all medications and permission forms to the school nurse or the building secretary.Students are not permitted to carry any form of medication on their person unless they have a writtenorder from their physician.7. If it is necessary to distribute medication during a school sponsored field trip, the school nurse shallinsure that the person/persons responsible for the supervision of the child shall be notified of thefollowing: child’s name, child’s parents/guardian name, date of field trip, name of medication, dosage,and frequency and/or time to be administered.--------------------------------------------------------------------MEDICATION PERMISSION FORMA physician’s medical note must be submitted with this form to the school nurse.Student’s Name (please print) ____________________________________________Grade _____ Flex Room __________ Flex Room Teacher ___________________I, _____________________________ give permission for my child to take medicationduring school hours and relieve the District and it employees of liability for administrationof the medication.PLEASE COMPLETE THE FOLLOWING:Name and dosage of medication ____________________________ Date _________Physician ordering __________________________ Time of day to be taken _______Note: Medication must be its original container with only enough medication required for oneweek.40