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Administration of Medication to Students


Only medication prescribed by a legal prescriber* will be administered during the time the student is at school. A district medication administration permission form must be fully completed and signed by the parent/guardian before medication can be administered. Over the counter medications must also be authorized by a legal prescriber, including supplements and natural remedies.** Requests to administer experimental, off-label supplements, herbal, alternative, complementary and homeopathic medications, including all forms of essential oils, are evaluated and approved for administration on a case-by-case basis in consultation with the school nurse. There will also need to be communication with the prescriber, as well as documented research, information, resources and other sources to support the safe and effective administration at school. The school will have the right to contact the prescriber’s office to confirm or clarify medication instructions.


All medication will be supplied to the school in the original container, properly labeled, and will be administered only by the school nurse or other personnel who have successfully completed a state-approved medication administration course. It is strongly recommended that a parent/guardian or responsible adult bring medications to the school. Students who have demonstrated competence in administering their own medications may self-administer their medication with approval of the parent/guardian, prescriber and the school nurse. By law, students with asthma or other airway constricting conditions may self-administer their medication with approval of their parents and prescriber regardless of competency. A written medication administration record will be on file at school and retained for five years. All medication will be stored in a secure area in the health office unless an alternate location is approved by the school nurse. Medication records will be kept confidential.

*Legal Prescriber – Physician, dentist, podiatrist, licensed physician assistant, advanced registered nurse practitioner.


** Middle and High School students, in accordance with Health Services protocols for common complaints of pain, may have limited, over-the-counter medication with written parental consent.

Legal Reference: *

Code of Iowa 124.101, 147.107, 155A.4,152.1, 280.23, 280.16
Education [281]—14, 41.404
Iowa Administrative Code Pharmacy [657]— 8.32 (124, 155A)
Iowa Administrative Code Nursing Board [655]—6.2(152)
District Health Services Protocols

  • Approved: 10-11-93 Approved: 10-11-93
  • Reviewed: 07-15-96 Reviewed: 07-15-96
  • Revised: 01-12-98 Revised: 01-12-98
  • Reviewed: 01-11-99 Reviewed: 01-11-99
  • Revised: 01-10-05 Revised: 01-10-05, 05-24-10, 02-24-14, 01-14-19
  • Documents: 605.3b

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