200 Hillvue Lane, Pittsburgh, PA 15237

PHONE: 412-366-2100


After reviewing the policy below, click to print the permission form.

Medication Administration in School Form #3450  (If your child will be carrying their inhaler or injectable epinephrine, please be sure to print both pages)
 
 
  
Medication Administration during the School Day:
 
 
While it is preferred that medication is administered outside of school hours, we recognize the need at times for administration to occur during the school day.  If your Health Care Provider deems it medically necessary for your child to take medication during the day, the following procedures must be completed:

 

1.      Written authorization from the licensed prescriber must accompany all medications.  That written authorization may come in the form of:

a.       A completed North Allegheny School District Request for Medication Administration in School Form #3450 (link above), or

b.      Written note on the licensed prescriber’s letterhead or prescription notepad.
 
2.      A parent/guardian must complete the Request for Administration of Medication in School Form #3450 for medication to be taken in school.
 
3.      The initial dose of medication must be provided prior to request of administration at school.
 
4.      All medication is to be in its original labeled container. 
 

5.      When someone other than the parent/guardian delivers medication to school:

a.      Container is to be placed in a sealed envelope.

b.      Medication is to be delivered to the health office upon student’s arrival at school.

c.       The parent assumes all responsibility for medications sent to school.
 

6.      Acceptable amounts of medication to be stored at school:

a.       One-week supply for acute (short-term) illness

b.      Thirty-day supply for chronic (long-term) conditions
 
7.      Changes in medication must be accompanied by a licensed prescriber’s written statement.  A faxed written statement with licensed prescriber’s signature will be accepted.
 

8.    In addition, for students who carry and self administer emergency medications, an order is required from a licensed prescriber indicating that it is necessary for the student to carry the medication and that the student is competent of self administration.  For student in grades 6 through 12, in lieu of a licensed prescriber statement, the nurse may make a determination that the student is competent of self administration (Form # 3450).

 
 

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