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Please notify the School Nurse if your child is on a permanent medication at home even if the <br /> school does not have the responsibility of distributing medication during the school day. This may <br /> be important information for the School Nurse to monitor for effectiveness of medication, possible <br /> side effects and adverse reactions. <br /> DOCUMENTATION <br /> A medication order from a licensed prescriber for a long-term prescription medication <br /> must contain the following information: <br /> • The student's name <br /> • The name and signature of the licensed prescriber and business <br /> and emergency phone numbers <br /> • The name, route and dosage of medication <br /> • The frequency and time of medication administration <br /> • The date of the order <br /> • The diagnosis and any other medical condition(s) requiring medication, if not <br /> a violation of confidentiality or if not contrary to the request of a <br /> parent/guardian or student to keep the information confidential <br /> • Specific directions for administration. <br /> For short-term prescription medications, i.e., those requiring administration for ten (10) <br /> schooldays <br /> or fewer, the pharmacy labeled container may be used in lieu of a licensed prescriber's <br /> order. <br /> The School Nurse shall ensure that there is a written authorization by the parent/guardian <br /> which contains: <br /> • the parent's/guardian's printed name and signature and a home and emergency <br /> phone number <br /> • a list of all medications the student is currently receiving, if not a violation of <br /> confidentiality or contrary to the request of the parent/guardian or student that <br /> such medication not be documented <br /> • approval to have the School Nurse or school personnel designated by the <br /> School nurse administer the prescription medication <br /> • persons to be notified in case of a medication emergency in addition to the <br /> parent/guardian and licensed prescriber. <br /> Following the Board of Registration's Nursing Protocol, there is no distinction or <br /> requirements for distribution between prescription medications and over-the- <br /> counter medications (e.g. aspirin, Tylenol, cough drops, salve, etc.). These must be <br /> delivered by the parent/guardian to the Nurse's Office and not brought in by the <br /> child. <br /> 54 <br />