Page 95 - ELLSWORTH HILL ELEMENTARY SCHOOL

a locked storage place, unless the medications require refrigeration in which
case they shall be stored in a refrigerator in a place not commonly used by
students. Parents, or students authorized in writing by a licensed health
professional authorized to prescribe drugs, and parents, may administer
medication or treatment. Parent-supplied nonprescription medications shall
only be administered at the dosage indicated on the manufacturer's packaging
for the child's age and/or weight. Any dosage greater than manufacturer
recommended must be accompanied by Physician's Statement. (see Form 5330
F1)

However, students shall be permitted to carry and use, as necessary, an
asthma inhaler, or other emergency medication, provided the student has prior
written permission from his/her parent and physician and has submitted Form
5330 F3, Authorization for the Possession and Use of Asthma Inhalers/Other
Emergency Medication(s), to the principal and any school nurse assigned to the
building.

Additionally, students shall be permitted to carry and use, as necessary, an
epinephrine autoinjector to treat anaphylaxis, provided the student has prior
written approval from the prescriber of the medication and his/her
parent/guardian, if the student is a minor, and has submitted written approval
(Form 5330 F4, Authorization for the Possession and Use of Epinephrine
Autoinjector (epi-pen)) to the principal and any school health staff assigned to
the building. The parent/guardian or the student shall provide a back-up dose
of the medication to the principal or school nurse. This permission shall extend
to any activity, event, or program sponsored by the school or in which the
school participates. In the event epinephrine is administered by the student or
a school employee at school or at any of the covered events, a school employee
shall immediately request assistance from an emergency medical service
provider (911).

For students in grades 6-12 attending extracurricular/co-curricular
overnight trips, parents will be required to complete a separate emergency
authorization Form 2340 F3.

For grades 6-12 extracurricular/co-curricular overnight trips only,
ibuprophen, Tylenol (Acetaminophen), Benadryl (OTC), Tums, Hydrocortisone
Cream, Benadryl Cream, Antibiotic Cream, and Cough Drops will be supplied
and stored by the appropriate middle or high school staff members (due to
limited space availability on the trips). Form 2340 F4, requires a parent
signature for the administration of specified nonprescription medications. This
exception to policy will not apply to other prescription or nonprescription
medications that may be needed during an extracurricular or co-curricluar
overnight trip. If other prescription or over-the-counter medications are needed
by a student during an extracurricular or co-curricular overnight trip,
additional sections of Form 2340 F4 must be completed and the appropriate
signatures obtained.

Only employees or contractors of the Board who are licensed health
professionals or who have completed a drug administration training program

93