Medical Guidelines

Dear Parents,
To lessen the confusion about medication administration during school hours, I would like to inform you of the following guidelines. The state-regulated guidelines listed below will maintain a safe environment for our children while they continue their medication therapy during school hours.

Medication Guidelines

Prescription Medication to be given at school

Must be ordered by a physician, dentist, orthodontist, or Nurse Practitioner.
Prescriptions must be written on the Medication Request Form.
Prior to your child's next doctor visit, please obtain a Medication Request Form from the nurse's office. Give the form to the doctor if medications are to be prescribed.
The doctor must provide the following information as listed on the Medication Request Form:

  • student's name
  • date
  • medication name
  • dosage time
  • diagnosis
  • side effects
  • date medication is to be discontinued
  • physician's signature
If a doctor's visit is not planned, a prescription on the physician's letterhead with the above information will be accepted.
In addition to doctor's written prescription, the Medication Request Form must also be completed by a parent or guardian. This gives permission for the nurse to dispense medication to your child and informs the nurse that your are in agreement with the doctor's orders.

Medication must be brought to school in the original container.
Ask your pharmacist for a separate container labeled for school. The medication will be kept at school in a medicine cabinet located in the nurse's office. The medication should not be transported to and from school on a daily basis.

Over the Counter Medications

  • This must be ordered by a physician, dentist, orthodontist, or Nurse Practitioner. The Medication Request Form must be filled out by the physician and parent or guardian.
  • Medication must be brought to school in the original container labeled with child's name and dosage to be given.

Unacceptable Requests

  • Please do not send medication to school with an informal note requesting a teacher or staff member to dispense medication.
  • Please do not send loose medication to school in an envelope.
  • Please do not put medication in child's book bag or lunch bag with verbal instructions for child to self medication. Self medication is against state regulations. Medication has been found on classroom desks, and the cafeteria floor. Inhalers have been found in the girl's bathroom and playground unlabeled.

Allergies and Bee Stings

Please document on the Emergency Information Form whether your child is allergic. If your child is allergic, please give the school the following information:

    Does your child have a local reaction?
  • redness
  • swelling
  • itching
  • Does your child have a systemic reaction?
  • edema (swelling) of face and lips
  • wheezing, difficulty breathing
  • hives
If you and your child's physician determine that your child is allergic to bees, please send to school a completed Medication Request Form with the appropriate medication to be administered.
With medication available at school for allergic reactions, your child's discomfort and the severity of the reaction can be greatly reduced.

Food Allergy

Please document specific allergy. Provide school with doctor's order and prescribed medication should treatment be necessary.


  • Inhalers must be accompanied by a new prescription each school year.
  • Inhalers must be labeled.
  • Inhalers are not to be shared among siblings or peers.
  • All inhalers should be kept in nurse's office, with few exceptions.
  • Please consult with me if you feel your child needs to have his or her inhaler in possession throughout the school day.
  • An Asthmatic Release Form must be completed by parent and physician if child is to keep inhaler in possession throughout the school day.


  • All medications (prescription, non-prescription, cough drops) will be kept in a locked cabinet in the nurse's office, with the exception of a few inhalers as mentioned above.
  • In the nurse's absence a designated person will be assigned to dispense medications.
  • All medications must be labeled.
  • No medication will be given without a completed Medication Request Form.

Guidelines for attendance to prevent spread of illness

I would like to remind you of the following guidelines during this season to help prevent the spread of infection in our school community.

  • Your child should not come to school if he/she has had a fever in the past 24 hours.
  • If an antibiotic is prescribed by your physician, your child should be on medication for a minimum of 24 hours before returning to school (from the time of first dose).
  • Your child should not come to school after vomiting in the past 24 hours.
  • Remind children to cover their mouths when coughing or sneezing to reduce the spread of respiratory infection in the classroom. Good hand washing is always recommended to prevent the spread of germs.
  • Reinforce regular routine hand washing.
Reintroducing your child to school too early greatly increases his/her risk of contracting another illness. This compromises your child's immune system causing more missed school days.

I thank you for your cooperation and support. I look forward to seeing you in September and working with your children. Please feel free to contact me (829-0895 x14) with any questions or concerns.

Laurie Fleisher, RN, BSN
School Nurse