Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 210.000 - The Administration Of Prescription Medications In Public And Private Schools › Section 210.006 - Self Administration of Prescription Medications

Current through Register 1525, July 5, 2024
(A) Consistent with school policy, students
			 may self administer prescription medication provided that certain conditions
			 are met. For the purposes of
			 105 CMR 210.000, "self
			 administration" shall mean that the student is able to consume or apply
			 prescription medication in the manner directed by the licensed prescriber,
			 without additional assistance or direction.
(B) The school nurse may permit self
			 medication of prescription medication by a student provided that the following
			 requirements are met:
(1) the student, school
			 nurse and parent/guardian, where appropriate, enter into an agreement which
			 specifies the conditions under which prescription medication may be self
			 administered;
(2) the school nurse,
			 as appropriate, develops a medication administration plan (
			 105
			 CMR 210.005(E)  which
			 contains only those elements necessary to ensure safe self administration of
			 prescription medication;
(3) the
			 school nurse evaluates the student's health status and abilities and deems self
			 administration safe and appropriate. As necessary, the school nurse shall
			 observe initial self-administration of the prescription medication;
(4) the school nurse is reasonably assured
			 that the student is able to identify the appropriate prescription medication,
			 knows the frequency and time of day for which the prescription medication is
			 ordered, and follows the school self administration protocols;
(5) there is written authorization from the
			 student's parent or guardian that the student may self medicate, unless the
			 student has consented to treatment under M.G.L. c. 112, § 12F or other
			 authority permitting the student to consent to medical treatment without
			 parental permission;
(6) if
			 requested by the school nurse, the licensed prescriber provides a written order
			 for self administration;
(7) the
			 student follows a procedure for documentation of self-administration of
			 prescription medication;
(8) the
			 school nurse establishes a policy for the safe storage of self-administered
			 prescription medication and, as necessary, consults with teachers, the student
			 and parent/guardian, if appropriate, to determine a safe place for storing the
			 prescription medication for the individual student, while providing for
			 accessibility If the student's health needs require it. This information shall
			 be included in the medication administration plan. In the case of an inhaler or
			 other preventive or emergency medication, whenever possible, a backup supply of
			 the prescription medication shall be kept in the health room or a second
			 readily available location;
(9) the
			 school nurse develops and implements a plan to monitor the student's self
			 administration, based on the student's abilities and health status. Monitoring
			 may include teaching the student the correct way of taking the prescription
			 medication, reminding the student to take the prescription medication, visual
			 observation to ensure compliance, recording that the prescription medication
			 was taken, and notifying the parent, guardian or licensed prescriber of any
			 side effects, variation from the plan, or the student's refusal or failure to
			 take the prescription medication;
(10) with parental/guardian and student
			 permission, as appropriate, the school nurse may inform appropriate teachers
			 and administrators that the student is self-administering a prescription
			 medication.