West Virginia Code of State Rules › Agency 126 - Education › Title 126 - LEGISLATIVE RULE BOARD OF EDUCATION › Series 126-025A - Standards for Basic and Specialized Health Care Procedures and Standards for the Possession and Use of Medical Cannabis by a Student (Policy 2422.7) › Section 126-25A-10 - Administration of Medication

Current through Register Vol. XLI, No. 28, July 12, 2024
10.1. Certified
				school RNs and LPNs are bound by standards of practice by the West Virginia RN
				and LPN boards when administering medication.
10.1.a. Medication administration by RNs,
				LPNs, and trained, designated school personnel shall occur in a clean and quiet
				environment where privacy is assured and with minimal interruptions.
10.1.b. The initial dose of any medication
				should be administered at home, excepting emergency medications, unless
				otherwise directed by the licensed prescriber and/or a court order.
10.1.c. Parents/guardians shall provide
				completed and signed medication authorization form(s) to be provided by the
				county board, indicating the student's name; date; allergies; medication name;
				dosage, time, and route; intended effect of medication; other medication(s)
				taken by the student; licensed prescriber; and parent/guardian signature.
				Parents/guardians shall also replenish long-term and emergency prescribed
				medication as needed and retrieve unused or expired medicine from school
				personnel no later than 30 days after the authorization to give the medication
				expires or on the last day of school.
10.1.d. All medication prescribed by a
				physician shall be in the originally labeled container from the pharmacy
				stating the student's name, name of the medication, reason(s) for the
				medication (if to be given only for specific symptoms), dosage, time, route,
				reconstitution directions if applicable, and the date the prescription and/or
				medication expires.
10.1.e. All
				OTCs falling under the school principal's supervision shall be in the original
				manufacturer's container with the student's name and dosage instructions
				affixed to the container. The school principal may designate school personnel
				as defined in this policy to be trained to administer OTCs. The designated
				school personnel should undergo OTC retraining every two years. The WVDE
				provides online training for OTC administration.
10.1.f. A county board may choose to develop
				a medication policy allowing the administration of OTC medications with the
				parent's/guardian's consent.
10.1.g. Designated school personnel shall
				receive and review the emergency medication and medication authorization form
				and obtain authorization from the certified school RN to administer the
				medication. The student shall not attend school until both the administration
				form and medication are received to prevent risking the safety and welfare of
				the student. The SAT, Section 504, or IEP team shall consider the lack of
				emergency lifesaving medication(s) as child neglect.
10.1.h. The certified school RN is to be
				contacted immediately when a prescribed medication's appearance or dosage is
				questioned. The certified school RN shall take appropriate steps to ensure the
				medication is safe to administer.
10.1.i. The certified school RN is to be
				contacted immediately when a student's health condition suggests that it may
				not be appropriate to administer the medication.
10.1.j. When a student's medical condition
				requires a change in the medication dosage or schedule, the parent/guardian
				shall provide a new written medication authorization form from a licensed
				prescriber and container. The parent/guardian shall give medication changes to
				designated personnel within an appropriate timeframe.
10.1.k. Schools may use those stock
				medications permitted by W. Va. Code §
										18-5-22(c)
				(epinephrine) and § 18-5-22(d) (opioid antagonist) if the county board
				adopts a policy under sections 12.2 through 12.14. Schools are required to
				follow the county board policy and may voluntarily adopt W. Va. Code §
										18-5-22(c)
				(stock epinephrine) as outlined in section 12.2 and W. Va. Code §
										18-5-22(d)
				(stock opioid antagonist) as outlined in section 12.10. County boards shall
				follow the procedures and protocols for school health and school nursing, as
				outlined in W. Va. Code and WVBE policies.
10.1.l. Schools should develop a mechanism to
				ensure all students, especially those with specialized health care needs,
				participate in school-related field trips. This mechanism should include
				advance notification to the certified school RN and/or the county's school
				health services director to ensure out-of-state field trip destinations allow
				reciprocity and delegation of certain health care procedures by their state
				board of nursing laws and practice acts since the certified school RNs are
				licensed to practice nursing only in West Virginia. County boards may consider
				allowances and reimbursement to certified school RNs and LPNs to hold a compact
				nursing license, allowing nursing practice in multiple states to support
				classroom field trips.