Virginia Administrative Code › Title 8 - EDUCATION › Agency 20 - STATE BOARD OF EDUCATION › Chapter 671 - REGULATIONS GOVERNING THE OPERATION OF PRIVATE SCHOOLS FOR STUDENTS WITH DISABILITIES › Section 8VAC20-671-710 - Medication and health

Current through Register Vol. 40, No. 24, July 15, 2024
A. Each
				student shall have on file evidence of a comprehensive physical examination
				prescribed by the State Health Commissioner from a qualified licensed (i)
				physician, (ii) nurse practitioner, or (iii) physician assistant acting under
				the supervision of a licensed physician. The examination must contain, at a
				minimum, information required on the Commonwealth of Virginia School Entrance
				Health Form.
B. Each student shall
				have an up-to-date certificate of immunization.
C. Any student or staff with a medical
				condition that is contagious or infectious shall take leave from school while
				in that condition unless attendance is approved by a qualified health care
				provider. Conditions meeting this requirement must be provided in the
				parent/student handbook or other print materials.
D. A first aid kit shall be maintained and
				readily accessible for minor injuries and medical emergencies in each building
				used for instruction or other school activity.
E. Each private school for students with
				disabilities shall develop a written policy related to its procedures to
				address students with severe allergies who may be at risk of an anaphylactic
				reaction necessitating the use of an epinephrine auto-injector. The policy
				shall address, but is not limited to (i) an overview of anaphylaxis and its
				symptoms; (ii) staff training in the possession and administration of
				epinephrine auto-injectors; (iii) standing orders; (iv) responding to
				anaphylaxis; (v) post administration of epinephrine actions; and (vi) storage,
				access, and maintenance. School administrators shall ensure that the school's
				policy is consistent with the Recognition and Treatment of Anaphylaxis in the
				School Setting guidelines dated June 28, 2012 that are published on the
				Virginia Department of Education's website.
F. Each private school for students with
				disabilities shall ensure that it has at least two auto-injectable epinephrine
				units in both dosage sizes, 0.3 mg for a student who weighs more than 66 pounds
				and 0.15 mg for a student who weighs 33 to 66 pounds, on school premises, to be
				administered by any employee of a school for students with disabilities
				licensed by the Board of Education who is authorized by a prescriber and
				trained in the administration of epinephrine to any student believed to be
				having an anaphylactic reaction. Stock epinephrine is intended for use on
				school premises and should not be carried offsite. Additional epinephrine
				should be made available along with arrangements for administration during
				field trips and other official offsite school activities.
G. Procurement and acceptance of medication.
1. All medications shall be accepted only in
				the original container with written permission signed and dated by the parent
				to administer to the child.
2. The
				use of all prescriptive medication must be authorized in writing by a licensed
				prescriber.
3. For students
				enrolled in private schools for students with disabilities with known life
				threatening allergies or anaphylaxis the school administrator shall obtain on
				an annual basis, through the student's parent or legal guardian, "student
				specific" written instructions from the student's health care provider for
				handling anaphylaxis and all necessary medications for implementing the student
				specific order.
4. The private
				school for students with disabilities administrator shall designate an
				authorized medical provider with prescriptive authority, such as a medical
				doctor, doctor of osteopathy, physician assistant, or nurse practitioner, and
				obtain a standing order to prescribe "non-student specific" epinephrine for
				students within the school who do not presently have a health care plan
				addressing the administration of epinephrine, to be administered to any student
				believed to be having an anaphylactic reaction.
5. School administrators shall coordinate
				with, among other resources as they deem appropriate, placing school divisions,
				local health department directors, local practitioners, and the Virginia
				Chapter of the American Academy of Pediatrics to assist them in obtaining the
				required standing orders for treatment of anaphylaxis and prescriptions to
				order auto-injectable epinephrine.
6. Standing orders and prescriptions shall be
				renewed annually and with any change in prescriber.