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J GF GB A St u de nt Self - A dmi nis tra tio n of Me dic ati on s ( Se e JGF GB ) J GF GB AT h e self - a d mi ni s t r a t i o n o f me di cati on i s a l l o we d fo r e l i gibl e s t ud ent s i n gr a des K - 1 2 . As us ed i n t his p ol i c y m e d i c a t i o n mea ns a me d i c i ne for t he r eat me nt o f ana ph yla xis or ast h ma i n c l ud i n g , b ut n ot l i mited t o , a n y me dic i ne d ef i ne d i n c urre nt f ede r a l r e gula t i o n as an i n hal ed br on ch o di l a t or or aut o - injectable epi ne phr i ne . S e l f - a d mi nistr a t i on i s t he s t ud ent’ s dis cre t i o nar y us e of a n appr o ved me dic a t i on f or whi ch t he s t ud ent has a pr esc r i pt i on or writt en d i r e c t i o n f ro m a h ealt h care pro vid er . A s u sed i n t his p ol i cy h eal t h car e pr o vi der mea ns a p h ys i c i a n l i cen se d t o p r ac t i ce me d i c i ne an d sur ger y; an ad van ce d r e gi s t er e d nu r se pr actit i o ner , or a l i cen se d ph ysi c i a n a s s i s t a nt w ho h as a ut horit y t o p r es cr i b e dr u gs un der t he s up er visi on of a r e spo nsi ble ph ysic i an . S tu de nt Eli gib ilit y A n e l i gi ble s t ud ent sh a l l mee t a l l t he f ol l o w i n g r eq uire me nt s : A w r i t t e n s t a t e me nt f r o m t h e s t u de nt’ s he a l t h car e pr o vi der s t a t i n g t he na me an d pu rp ose o f t he me dica t i o n/ s ; T h e pre scri be d dos a ge; T h e t i me t he me dic a t i on i s t o be r e gul ar l y ad mi ni s t er ed; A n y ad di t i on a l sp ecial c i r c u mst anc es u nde r w hic h t he me dia t i o n i s t o be a d mini s t er ed; T h e l en g t h o f t i me fo r w hic h t he me dic a t i on i s pr es cr i b ed; T h e s t ud ent sh a l l a l s o de mo nst r a t e t o t he h ealt h c are pr o vi de r or t he pr o vi de r ’ s d esign e e an d t he s ch oo l nur se o r t he nu r se ’ s d esi gn ee t he s ki l l l eve l ne ces sar y t o u se t he me d i ca t i o n a nd a n y d e vice t h a t i s nec ess ar y t o a d mi nist er t h e me dic a t i on a s p r es cr i bed . In t h e a bs enc e of a s ch ool n urse , t he sc ho ol s h a l l d esi gn a t e a p ers on wh o i s t r a i ne d t o witne s s t h e de mo ns t r a t i on . A u th ori zatio n R eq uire d T h e h ealt h car e p ro vi der sh a l l pr epa r e a w r i t t e n t r eat me n t pl a n for ma n a gin g t h e s t ud ent’ s as t h ma or a na phyl a xis e pis od es a nd f or me dic a t i o n u se b y t he s t ud ent d urin g s c ho ol ho urs . T h e s t u de nt’ s p are nt o r gu ar dia n shall a nn uall y c o mp l e t e an d su b mit t o t he scho ol an y w r i t t en d ocume n t a t i o n r e qu i r e d b y t he sc ho ol , i n c l u di n g t he t r e a t me nt plan p r ep are d b y t he s t u de nt’ s h ealt h care p ro vid er . Per mi s s i on for ms sh a l l be u pd a t e d du r i n g enr ol l me nt . E mp l o yee Immu n it y A l l t eac her s r es po nsib l e f or t h e s t ude nt’ s s up er visi on s hall be n ot i f i ed t hat p er mi s s i o n t o car r y me d i c a t i o n a n d s e l f - a d min i s t e r ha s be en gr a nte d . T h e sc ho ol d i s t r i c t s hall pr o vi de wr i t t e n n ot i f i cati on t o t he par ent or gu ar dia n of a s t udent t hat t he sc ho ol di s t r i c t an d i t s o f f i c ers , e mp l o ye es a nd a ge nts a r e n ot l i a ble for d a ma ge , i nj ur y or de a t h r e sul t i n g d i r e c t l y o r i ndi r ectl y f ro m t h e self - a d min i s t r a t i o n of med i cat i o n . W ai ver of Li abi lit y T h e s t u de nt’ s par ent o r gu ard i an sha l l s i gn a s t a t e me nt ac know l e d gin g t hat t he sc ho ol dis t r i c t s a nd i t s offic ers , e mp l o yee s or a gent i nc ur n o l i abi l i t y for d a ma ge , i nj ur y or de a t h r e sul t i n g d i r e c t l y o r i ndi r ectl y f ro m t h e self - a d min i s t r a t i o n o f me dic a t i o ns an d a greei n g t o r e l eas e , i nd emn i f y an d ho l d t he s ch ool s a nd i t s offic ers , e mp l o ye es a nd a ge nts , har ml ess f ro m a n d a gai nst an y c l a i ms r e l a t i n g t o t he s e l f - a d mi nistr a t i on of me d i c a t i o n a l l owe d b y t his p ol i c y . T h e par ent or guar dia n of t he s t ud ent s hall s i gn a s t a t e me nt ac kn o wle d gi n g t hat t h e s ch ool i n cu r s n o l i abil i t y for a n y i nj ur y r e sult i n g f ro m t h e self - a d min i - s t r a t i o n of med i cat i o n an d a gre e i ng t o i nd e mnif y an d ho l d t h e sch oo l , an d i t s e mp l o ye es an d a ge nts , har ml ess a gai nst a n y c l a i ms r e l a t i n g t o t he sel f - a d min i- s t r a t i o n of s uch me dic a t i on . A d diti on al R eq uire me nt s T h e s ch ool distri c t sh a l l r e qui r e t h a t an y b ac k - u p me di cati on p ro vid ed b y t he s t ude nt’ s par ent or gua rdia n be kep t a t t he s t ud en t ’ s s ch ool i n a l oca t i o n t o wh i ch t he s t ude nt h as i mme d i a t e acc ess i f t her e i s an ast h ma o r an ap h yl axi s e mer gen c y; T h e s ch ool distri c t sh a l l r e qui r e t h a t a l l n ec ess ar y a nd p er t i ne nt i nfo r mati on b e ke pt o n f i l e a t t he s t ud ent’ s s ch ool i n a l oc a t i on e asil y acc es s i bl e i f t h ere i s a n ast h ma or a na ph yla xis e me r genc y; E l i gibl e s t u de nts sh a l l b e a l l o w ed t o p os se s s an d us e ap pro ve d me d i c a t i o ns a t a n y pla ce wh ere t h e s t u den t i s su bj ect t o t he j uris dict i o n or su pervi s i on of t he sc ho ol d i s t r i c t , i t s offi cer s , e mp l o ye es or a ge nts; T h e boa rd ma y ad opt p ol i c y or ha nd bo o k l a n gua ge whi ch i mp os es a dd i t i o nal r e qu i r e men t s r e l a t i n g t o t h e self - a d mi nis t r a t i on of me d i c a t i o n a l l o wed fo r i n t hi s poli c y a nd ma y e s t abli sh a pr oce du r e f or, a nd t he co nd i t i on s un der wh i ch , t h e a ut hori zati on f or s t ud en t s e l f - a d mi nist r a t i on of me dica t i o n ma y b e r e vo ke d . A p pr o ve d: K A S B R ec o mme n d a t i o n – 6 / 04 ; 6 / 05 ; 08 / 10 ; 3 / 1 2
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