Medicine Administration in School
Administration of Medications Per Texas Education Code
According to Section 22.052, Education Code, any medication administered to a
student in a Texas school must have a written request/authorization from the
student’s parent or legal guardian and must “appear…to be in the original container
and…be properly labeled.”
- 1. A WFISD Prescription Medication/Treatment Request Form (499-131) is completed and signed by the physician and parent/guardian. Medication cannot be given in the school health clinic until the form is correctly completed. This form is required for each prescription medication and a new form is required each school year.
- 2. Medication must be brought to the school in a pharmacy-labeled bottle that contains the child's name, name of the medication, physician's name and instructions on how and when the medication is to be given. 3. A parent/guardian or designee, over the age of 18, not including the student, is to bring all medications (prescription and over-the-counter) to the school health clinic. If clinic hours of operation are not convenient, arrangements may be made with the health clinic staff or campus principal/designee to receive the medication. 4. Prescription medications must be counted in the presence of the parent/guardian/designee to verify the number of tablets/capsules. Both clinic staff and parent/guardian/designee must sign the form (499-132/132A) to verify receipt of the medication.
- 1. Over-the-counter (OTC) medications can be given only if a WFISD Non-prescription (OTC) Medication Authorization Form (499-185) is completed and signed by the parent/guardian. 2. OTC medication must be in the original, unopened, container and will be administered according to the printed package directions for use. Requests to alter the dosage and/or frequency of OTC medications must be accompanied by a physician's written note stating the dosage and frequency the medication is to be given (fax may be accepted). 3. A parent/guardian or designee, over the age of 18, not including the student, is to bring all medications (prescription and over-the-counter) to the school health clinic. If clinic hours of operation are not convenient, arrangements may be made with the health clinic staff or campus principal/designee to receive the medication. 4. Pre-K - 3rd Grade: No OTC medication will be given before 11 AM or after 1 PM to students in these grades, unless school clinic personnel is notified by the parent/guardian (by phone or written note). This is to prevent accidental over-medication of these young children.
Self-Administration of Asthma Medication (Inhalers)
"Self-administration" is defined as the student consuming medication in the manner directed by the licensed prescriber without additional assistance or direction. Self-administration of asthma medication (inhalers) is allowed by the Texas Education Code, Section 38.013, effective September 1, 2004. Texas Education Code, Section 38.013. SELF-ADMINISTRATION OF PRESCRIPTION ASTHMA MEDICATION BY STUDENTS. In this section:
1. “Parent” includes a person standing in parental relation.
2. “Self-administration of prescription asthma medicine” means a student’s discretionary use of prescription asthma medicine.
A student with asthma is entitled to possess and self-administer prescription asthma medicine while on school property or at a school-related event or activity if:
1. The prescription asthma medicine has been prescribed for that student as indicated by the prescription label on the medicine;
2. The self-administration is done in compliance with the prescription or written instructions from the student’s physician or other licensed health care provider; and
3. A parent of the student provides to the school:
(A) A written authorization, signed by the parent, for the student to self-administer prescription asthma medicine while on school property or at a school-related event or activity; and (B) A written statement from the student’s physician or other licensed health care provider, signed by the physician or provider, that states: (i) that the student has asthma and is capable of self-administering the prescription asthma medication; (ii) the name and purpose of the medicine; (iii) the prescribed dosage for the medicine; (iv) the times at which or circumstances under which the medicine may be administered; and (v) the period for which the medicine is prescribed. (C) The physician’s statement must be kept on file in the office of the school nurse of the school the student attends or, if there is not a school nurse, in the office of the principal of the school the student attends. (D) This section does not: (i) Waive any liability or immunity of a governmental unit or its officers or employees; or (ii) Create any liability for or a cause of action against a governmental unit or its officers or employees.
For a student to be allowed to self-administer their inhaler, WFISD Form # 499-131 (front & back-inhaler section) must be completed. This form must be signed by both the physician and the parent/guardian. WFISD School Health Services recommends keeping a “back-up” inhaler in the clinic; however, this is at the parent’s discretion.