Self-Medication Procedures

Students with Asthma, Cystic Fibrosis, Diabetes and Hypersensitivity to insect bites or food may require special procedures.  They often require life saving medications or procedures that can be taught to the student so that they can become self-sufficient.  Because these chronic conditions affect the student for his/her lifetime, it is in the student’s best interest to become self-sufficient in managing his/her medication and/or health procedures as soon as possible.  The goal of the District is to facilitate these students in practicing self-medication and self-care so long as the following criteria are met.

Asthma

  • In accordance with Florida Statute 1002.20, an asthmatic student shall be able to carry a metered dose inhaler on self while in school.
  • Each student must have a completed School Asthma Action Plan on file stating that the student has been trained by his/her healthcare provider to use a hand held inhaler and/or a nebulizer for the treatment of asthma.
  • The healthcare provider must write on the School Asthma Action Plan that the student may carry his/her inhaler on his/her person depending on the student’s age and ability.  Medication must be labeled with the student’s name.
  • The assigned school nurse (on-site or on-call) should demonstrate to the appropriate school staff the proper procedure for administering a dose of medication from an inhaler or nebulizer should the student be incapable of self-administering.
  • If a student requires therapy from an inhaler or nebulizer machine during school hours, the healthcare provider must state the student has been trained on how to properly use the device. The School Asthma Action Plan must state the number of puffs to be inhaled or the amount of medication to be used in the nebulizer machine. The student may use the inhaler anywhere in the school. The student must use the nebulizer in the health room.  The assigned school nurse should demonstrate the proper use of the nebulizer to the appropriate school staff who may have to provide assistance to the student.

Cystic Fibrosis

  • Florida Statute 1002.20 was amended to allow students with CF to carry and self-administer a prescribed pancreatic enzyme supplement while in school,
    participating in school-sponsored activities, or in transit to and from school or school-sponsored activities if the school has been provided with authorization from the student’s parent and prescribing practioner.
  • Each student must have a completed Authorization for Medication/Treatment form on file stating that the student has been trained by his/her healthcare provider to use self-administer a pancreatic enzyme supplement for the treatment of Cystic Fibrosis.

Diabetes

  • Florida Statute 385.203 includes provisions affecting students with diabetes in Florida public schools. In accordance with Section 504 of the Rehabilitation Act of 1973 and the Individuals with Disabilities Education Act (IDEA) of 1990, students with diabetes shall be able to manage their own diabetic care in school (e.g., blood glucose checks, insulin administration, carbohydrate counting, etc.) as approved by their healthcare provider and parent/guardian.
  • Each student must have a completed Diabetes Medication Authorization/ Treatment Form and an Insulin Pump Medication Authorization/Treatment Form (if using insulin pump) on file. These forms will state if the student is able to independently monitor blood glucose levels and administer insulin, if the student needs supervision to perform these tasks, or if the tasks must be done for the student.
  • The healthcare provider must also indicate the time the blood glucose level should be tested and the corrective action to be taken.
  • A Registered Nurse is required to provide in-service the school staff, including food service employees and bus drivers, on the signs and symptoms of hyperglycemia and hypoglycemia and the appropriate treatment for each situation. Even if a student is able to self check his/her glucose levels and administer insulin staff need to receive training to assist the student should an emergency arise.

Daily Diabetic Log

Parent and School Responsibilities for Diabetic Students

Diabetic Emergency Care Plan

Hypersensitivity

  • In accordance with Florida Statute 1002.20, students with extreme hypersensitivity to insect and bee stings and certain foods that are potentially life threatening are given the right to carry and self-administer epinephrine while in school, attending school functions and on the bus if exposed to their specific life-threatening allergens.
  • A student with extreme hypersensitivity to an allergen must have a completed Authorization for Medication/Treatment form on file stating that the student has been trained to use the self-injecting emergency kit. The kit should always be in a place immediately accessible by the student or responsible adults as well as any other instructions that must be done as part of the emergency care for this student. It is preferable for a student to perform self-injection because this can be a life long problem.
  • The on-site or on-call school nurse is to be notified to set up an immediate training program for staff who have contact with the student, especially the classroom teacher, physical education teacher, principal designee for administering medications, the bus driver and any special teacher who works with the student.
  • Training should include symptoms of allergic reaction and anaphylaxis, immediate emergency measures, how to administer emergency injection, calling 911 and parent, side effects of epinephrine, and the importance of monitoring the student until help arrives.
  • Maintain a list of students with severe allergic reactions. Copies of this list should be given to all teachers, administrative school staff and the school nurse/healthcare designee.