5200-R Student Health
Illness/Injury SupervisionCampbell County School District nurses assess and provide care for injured and ill students according to district policies and regulations, applicable local and federal laws, State Nurse Practice Act, and standards set forth by the American Nurses Association and National Association of School Nurses. Personnel covering the nurse's office will utilize the guidelines in the booklet "Emergency First Aid and Nursing Office Guide for Schools" in the provision and care of students and staff.Medications Administered by School PersonnelAll Medications
- All non-licensed personnel who give medication at school are required to participate in annual medication administration training.
- All medication administered by school personnel must be approved by the U.S. Food and Drug Administration (FDA) unless a licensed healthcare provider signs the medication permission form. Information on dosage, side effects and contraindications of any medication or medicinal-like substance given by school personnel, must be readily available from a professionally acknowledged resource (PDR or other U.S. published drug reference book, FDA or USP website, etc).
- School personnel have the right to refuse to administer any prescription, over-the-counter, or other medication and may seek medical opinion or advice pertaining to medication administration.
- Medication provided by the parent/guardian must be in the original container in which the medication was purchased which should clearly state the name and strength of the medication and its proper use.
- All medications shall be kept in secured storage with the exception of emergency medications that may be carried by a student with special written consent from the healthcare provider and parent/guardian.
- A photo identification of the student will be available in a location accessible to all staff who will administer medication.
- The person administering medications will appropriately document each time any medication is administered. Documentation will include the child’s name, date, time, medication, and identification of the person administering the medication.
- School personnel cannot be held liable for adverse reactions suffered by the student after administering the medication as prescribed.
- If a medication administration error occurs, a medication error form will be completed by the administering personnel and the error should be reported to the parent/guardian, the school nurse, and the prescribing healthcare provider when necessary.
- All prescribed medication will be retrieved by a parent/guardian or disposed of by the school nurse at the end of the prescribed administration period or by the end of each school year, whichever occurs first. At the end of the school year, the parent/guardian is asked to retrieve any leftover personal medication stored in the nurse’s office. Medications not retrieved by the parent/guardian will be disposed of in an appropriate and legal manner.
- CCSD nurses will administer IV medications with written orders from a medical provider.
- CCSD nurses will not administer allergy shots (immunotherapy).
- A limited supply of over-the-counter medication is kept at each school. A signed permission form indicating which of these medications a parent/guardian wishes his/her child to receive will be on file in the nurse's office. If a signed permission form is not on file, the nurse may obtain verbal permission and instructions from the parent/guardian for administering the medication. However, a permission form should be completed by the parent/guardian within 24 hours of the nurse contact.
- If a parent/guardian requests administration of an over-the-counter medication not supplied by the school, the parent/guardian must complete a medication permission form and provide the school with the medication.
- Over-the-counter medication brought from home must be in the original container and labeled with the student's name.
- Administration of over-the-counter medications sent from home will be at the discretion of the school nurse and according to manufacturer's recommendations.
- Prescription medication will be dispensed by a school nurse, principal, or other designee, only when authorized in writing by the student's parent/guardian per completion of a medication permission form.
- If instructions and the permission form are not provided with the medication, the nurse may obtain verbal permission and instructions from the parent/guardian for administering the medication. However, a permission form should be completed by the parent/guardian within 24 hours of the nurse contact.
- Medication permission forms must be renewed annually.
- No student will be given prescription medication except upon order from a U.S. licensed physician, nurse practitioner, physician assistant, optometrist, or dentist who has the responsibility for medical management of the student.
- If prescription medication is to be given at school longer than 30 days, the student’s healthcare provider must sign the medication permission form.
- A written order from the prescriber must accompany any changes in medication dosage or schedule.
- Administration of medication during the school day must be medically necessary. Parents/guardians should give medications outside of school hours whenever possible.
- The school nurse will determine the schedule for medication administration unless specified by the prescriber.
- The parent/guardian assumes full responsibility for the supply, appropriate handling, delivery, and security of all medications.
- Reasonable efforts will be made to ensure that the student receives his/her medication. If a student persistently fails to report to the nurse's office to receive medication, the parent/guardian will be notified.
- The first dose of a new medication will not be administered by school personnel.
Special Consent to Carry and Self-Administer Medication
- Students may be allowed to carry and/or self-administer life-saving or life-maintaining medications on school grounds and/or at school functions.
- Such situations require a consent form signed by the healthcare provider and the parent/guardian verifying that the student has a severe medical condition requiring the student to carry and/or self-administer medications or treatments.
- Students as set forth above must take extraordinary precautions to keep the medication/supplies/equipment secure, and must not, under any circumstances, make available, provide, or administer the medication to another person. The student must immediately report the theft or loss of any medication occurring at school or during a school activity.
- All life-saving and/or life-maintaining medications carried by students must be kept in the original container and prescription medications should have the appropriate prescription label.
- The District and its employees or agents shall incur no liability as a result of any injury arising from the self-administration of a medication/treatment by the student.
- The consent form to carry and/or self-administer medication or treatments must be renewed annually.
Prescription or Over-the-Counter Tobacco Cessation Medication
- Students may use tobacco cessation products, including medication patches, lozenges, tablets, nasal sprays, inhalers, and gum, either prescription or non-prescription treatment, only if a district medication permission form has been completed and signed by both the treating healthcare provider and parent/guardian. The completed form must be on file in the building nurse's office before tobacco cessation medication will be administered.
- Students must not, under any circumstances, make available, provide, or give tobacco cessation products to another person.
- All other requirements listed under the previous sections of this regulation shall be strictly followed.
Hearing Hearing Vision Vision Vision Grade Pure Tones &
Color Depth K X X X
X 1 X X X x 2 X X 3 X X
X 6 7 8 X X 9 10 11 X X 12 Students who receive services through special programs will receive an annual hearing and vision screening when requested. New Students Students new to the District will be screened in the semester in which they enroll unless satisfactory evidence is provided that such screening has been done within the current school year. Rescreens Rescreens are typically completed two weeks after the initial vision screen and four to six weeks after the initial hearing screen. Students will be referred after second screen failure unless there are significant findings that require immediate referral. Hearing Referral
The student will be referred if one of the following conditions is present on two separate screenings:
- Middle ear pressure below -250 daPa
- Static compliance of less than 0.2 (unless acoustic reflex is present and there is a peak)
- Failure to demonstrate response to pure tones at a level of 20 db at 1000 Hz, 2000 Hz, 4000 Hz
If the student fails the hearing screening, they will be referred as follows:
- Fail pure tones only - referral to audiologist
- Fail immittance only - referral to primary care provider
- Fail immittance and pure tones - referral to primary care provider
Vision Referral Referrals will be made based on criteria in the manual of the testing instrument or inability of the student to understand and/or respond to vision screening. Screening Requests Additional screenings including body mass index (height and weight), scoliosis, dental, and additional components of vision screening will be done as requested by a parent or teacher, or at the discretion of the school nurse. Students with potential problems will be referred to parents for appropriate medical evaluation.ADOPTION DATE: March 8, 1983; Effective Date: July 1, 1983; Revised October 22, 1985; Revised January 13, 1987; Revised February 8, 1993; Editorial Revisions to pgs. 2-4 January 14, 1994; Revised October 9, 1995; Revised November 12, 2002; Revised July 29, 2005; Revised August 29, 2007; Revised October 24, 2008; Revised December 13, 2011; Revised July 18, 2012; Revised December 10, 2013; Revised April 8, 2014; Revised January 23, 2018LEGAL REFERENCES:CROSS REFERENCES: 5210 , 5210-R ; Replaced 5141, 5141.4, 5141.4-R, 5141.7, 5141.7-R and 5143.