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Self-medication Agreement (Including Inhalers) Student Name: Date of Birth: Grade: Students who are developmentally and/or behaviorally able, will be allowed to self administer prescription and nonprescription
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How to fill out medication use in schools

01
Ensure you have all necessary information about the student's medication, including the name, dosage, and administration instructions.
02
Obtain the appropriate medication authorization form, which is typically provided by the school or school district.
03
Complete the medication authorization form accurately and provide any additional required documentation, such as a doctor's note or prescription.
04
Safely store the medication in its original packaging, properly labeled with the student's name.
05
Follow the specified storage guidelines for the medication, such as storing it in a locked cabinet or refrigeration if necessary.
06
Establish a schedule for administering the medication and ensure that the authorized personnel are aware of the schedule.
07
Administer the medication according to the instructions provided, ensuring proper dosage and any necessary precautions.
08
Maintain clear documentation of each instance of medication administration, including the date, time, dosage, and any observed side effects or complications.
09
Regularly review and update the medication authorization form as needed, particularly if there are any changes in the medication or dosage.
10
Communicate effectively with the student's parents or guardians regarding any concerns, changes, or incidents related to medication use.

Who needs medication use in schools?

01
Students who require medication during school hours due to a medical condition or prescribed treatment.
02
Students with chronic illnesses, such as asthma, diabetes, or seizures, that may require medication intervention.
03
Students who have allergies and require medication, such as epinephrine for severe allergic reactions.
04
Students with special needs or disabilities who require medication for maintaining their health and well-being.
05
Students on long-term medication regimens that need regular administration to ensure continuity of treatment.
06
Students who experience temporary health conditions, such as recovering from surgery, and need medication for a limited duration.
07
Students with psychiatric or behavioral conditions, such as ADHD or anxiety disorders, that require medication as part of their management plan.
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