Nursing (10)
4193 MEDICATION POLICY
References: Utah Code Ann. §26-41-101, et. seq.
Utah Code Ann. §53G-9-501, et. Seq.
1) PURPOSE AND PHILOSOPHY
Weber School District seeks to ensure all students are safe at school. It is the intent of Weber School District that all students who need medication at school are able to receive such medication, and that the administration of medication to students complies with state and federal law. The policy also ensures immunity from liability for authorized personnel.
2) POLICY
It is Weber School District’s policy to allow medication to be administered at school under certain conditions. Personnel and students may store, carry, and/or administer medication in accordance with the procedures set forth in this policy. School personnel will not honor Do Not Resuscitate Orders at school or school activities.
3) DEFINITIONS
a) Prescription medications: a pharmaceutical drug that legally requires a medical prescription to be dispensed.
b) Over-the-counter medication: any medication that can be purchased without a prescription from a licensed medical provider. This includes alternative, herbal, or homeopathic substances.
c) School personnel: any person, 18 years or older, who is employed by Weber School District and assigned to a school in the district.
d) School sponsored activity: an activity, field trip, class, program, camp, or clinic that is sponsored by Weber School District
e) Seizure rescue medication: a medication, prescribed by a prescribing health care professional, to be administered as described in a student's seizure rescue authorization, while the student experiences seizure activity.
4) ADMINISTRATION OF MEDICATION BY SCHOOL PERSONNEL
a) All arrangements for school personnel to administer medication at school are to be made only with the school principal or designated personnel.
b) In addition to the specific procedures for certain medications set forth in the Procedures attached to this Policy, prescription and/or over-the-counter medication may be administered to a student by school personnel only if:
i) The student’s parent or legal guardian has provided a completed, current, signed and dated “Authorization of School Personnel to Administer Medication” form [http://wsd.net/docman-list/documents/nursing-1/health-care-plans/medications/611- medication-administration-authorization-form/file] providing for the administration of medication to the student during regular school hours (This request must be updated at the beginning of each school year (within the 1st ten school days) and whenever a change is made in the administration of medication); AND
ii) The student’s licensed medical provider has also signed and dated the “Authorization of School Personnel to Administer Medications” form stating the name, method of administration, dosage, and time to be given, the side effects that may be seen in the school setting from the medication, and a statement that administration of medication by School Personnel during the school day is medically necessary; AND
iii) The medication is delivered to the school by the student’s parent/guardian, or authorized adult. A one week’s supply or more is recommended; AND
iv) The medication is in its original container, clearly labeled with the student’s name and dose. Prescription medication must be properly labeled by a pharmacy. Medication improperly labeled on the container cannot be accepted and/or administered to the student.
c) The side effects of a medication shall determine if the drug is appropriate to delegate its administration to school personnel. Any medication with known, frequent side effects that can be life threatening shall not be delegated. Medications that require the student’s heart rate, blood pressure, or oxygen saturation to be obtained before, during, or after administration of the drug shall not be administered by school personnel.
d) Narcotic pain medication may not be brought to school, kept at school, nor administered by school personnel.
e) All medications (both prescription and over-the-counter) specified in a student’s IEP, Health Care Plan, or 504 accommodation plan will be administered as outlined in the relevant plan.
f) Administration of medication by school personnel may be discontinued by the school at the school’s discretion any time after notification to the parent/guardian.
i) Discontinuation of administration of medication by school personnel is appropriate under either of the following circumstances:
(1) The parent/guardian has been non-compliant with this Policy; or
(2) The student has been non-compliant with this Policy by refusing medication repeatedly or continued resistance to respond to school personnel for administration of medication at the appointed time
ii) If a student has a 504 or an IEP, the school’s determination to discontinue administration of medication for the above reasons may only occur after meeting with the student’s parent/legal guardian.
g) School personnel will not be required to administer medical cannibas or any derivative thereof, or CBD oil, lotion, or other form of CBD product, to students at school. Students who wish to bring and self-administer CBD products containing zero amounts of THC to school must allow school personnel to store the CBD product in a locked health medication drawer.
5) STUDENT SELF- ADMINISTRATION OF MEDICATION AT SCHOOL
a) If a student’s parents and medical provider sign and return the appropriate individualized health care plan, and if applicable, associated medical orders, any student with the requisite maturity and competency, as determined by the health plan team or 504 team, may possess and self-administer the following:
i) inhalers
ii) epinephrine auto-injectors
iii) diabetes medication
b) Except for what is provided in 5)a), students in grades kindergarten through grade 6 may not possess or self-administer any other medications. Students needing medications described in 5)a)i) through iii) must have an individualized health care plan.
c) In addition to 5)a), students in grades 7 through 12 may possess and self-administer medication under the following circumstances:
i) The student may only carry one day’s dosage of medication, excluding narcotics; and
ii) The student has the requisite maturity and competency as determined by the health plan team or 504 team; and
iii) For 5)a)i) through iii), a student must also have an individualized health care plan.
d) Students who possess medication not prescribed, or medication not properly labelled, or in Elementary school, medication not listed in 5)a)i) through iii) may be subject to discipline according to policy 5200.
6) SCHOOL RESPONSIBILITIES
a) Each school in Weber School District will comply with the following obligations under this Policy regarding administration of medication to students at school:
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Nurses Resources
Documents and Forms
Asthma Training Forms
| # | Name | Size | Downloaded |
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| 1 |  Side by Side MDI Transition Guide with Pic | 1.3 MB | 1176 times |
| 2 | Asthma Questionnaire | 207.74 KB | 19 times |
| 3 |  Asthma Inhaler Checklist | 104.18 KB | 1219 times |
Bite Forms
| # | Name | Size | Downloaded |
|---|---|---|---|
| 1 | Nursing Protocol for Human Bite Incident at School | 434.58 KB | 1093 times |
| 2 | Human Bite Parent Notification | 148.55 KB | 875 times |
Field Trip Forms
| # | Name | Size | Downloaded |
|---|---|---|---|
| 1 | Medication Procedures for Fieldtrips | 54.23 KB | 953 times |
| 2 | Field Trip Medication Worksheet | 32.84 KB | 1063 times |
Head Injury Forms
| # | Name | Size | Downloaded |
|---|---|---|---|
| 1 | Parent Notification of Head Injury Signs and Symptoms- Spanish | 174.91 KB | 251 times |
| 2 | Parent Notification of Head Injury Signs and Symptoms- English | 585.13 KB | 149 times |
| 3 | Head Injury Parent Notification - Spanish | 25.08 KB | 130 times |
| 4 | Head Injury Parent Notification - English | 92.67 KB | 350 times |
| 5 | Head Injury Flowchart | 205.34 KB | 321 times |
Vision Forms
| # | Name | Size | Downloaded |
|---|---|---|---|
| 1 | Vision Symptoms Questionnaire | 880.5 KB | 919 times |
| 2 | Vision Screening Opt Out Form | 143.68 KB | 964 times |
| 3 | Vision Screening Guidelines | 2.82 MB | 1996 times |
| 4 | Vision Referral Form Spanish | 88.42 KB | 130 times |
| 5 | Vision Referral Form | 893.78 KB | 934 times |
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Asthma
Asthma# Name Size Downloaded 1 Asthma Questionnaire - Spanish65.4 KB 1647 times 2 Asthma Questionnaire 2020107.23 KB 912 times 3 Asthma AP 6 4 20 ADA fillable1.07 MB 693 times 4 Asthma Action Plan Locked by Claudia Streuper 3 years ago509.23 KB 1924 times
Diabetes
Diabetes
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| 1 | Pcmc diabetes action plan | Empty | 0 times |
| 2 | Insulin Administration in School (PCMC 2014) | 40.63 KB | 974 times |
| 3 | Hypoglycemia and Hyperglycemia Care Plan | 340.89 KB | 2006 times |
| 4 | DMMO 7 12 17 | Empty | 0 times |
| 5 | DMMO 6 1 20 ADA fillable | 291.69 KB | 500 times |
| 6 | Diabetic Management Tips | 36.08 KB | 1718 times |
| 7 | Diabetic management | Empty | 0 times |
| 8 | Diabetes Questionnaire - Spanish | 40.98 KB | 1846 times |
| 9 | Diabetes IHP ADA 8 3 17 | Empty | 0 times |
| 10 | Diabetes IHP 6 1 20 ADA fillable | 283.41 KB | 487 times |
| 11 | Diabetes Emergency Action Plan - UDOH 6-2020 | 267.05 KB | 487 times |
| 12 | 2020 Diabetic Medical Management Plan | 165.82 KB | 85 times |
Allergies
Allergies# Name Size Downloaded 1 Medical Special Meal Request 2019544.51 KB 524 times 2 Food Allergy History Form223.29 KB 2556 times 3 Epi-pen Procedures1.17 MB 2277 times 4 AAP Allergy and Anaphylaxis Emergency Action Plan60.2 KB 1642 times 5 AAEAP 6 2 20 ADA fillable250.16 KB 534 times
Medications
Medications
| # | Name | Size | Downloaded |
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| 1 | WSD Medication Error or Adverse Reaction Reporting Form 2022 | 9.58 KB | 59 times |
| 2 | Weber School District Medication Administration Check List | 91.08 KB | 72 times |
| 3 | Medication policy and procedures 2016 | Empty | 0 times |
| 4 | Medication error adverse reaction form | Empty | 0 times |
| 5 | Medication Error Adverse Reaction form | 9.58 KB | 1685 times |
| 6 | Medication Check-in Disposal Form | 116.33 KB | 1959 times |
| 7 | Medication Administration Authorization Form | 86.59 KB | 3015 times |
| 8 | Daily Medication Recording Form 6 15 17 | Empty | 0 times |
| 9 | 2021 22 Medication Calendar Locked by Claudia Streuper 1 month ago | 190.54 KB | 309 times |
| 10 | 2020 Medication Policy | 1.82 MB | 796 times |
Seizure
Seizure
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| 1 | Seizure Parent Questionnaire Form | 191.3 KB | 1844 times |
| 2 | Seizure Medical Management Orders 2020 | 151.95 KB | 540 times |
| 3 | Seizure Log Form | 67.37 KB | 2119 times |
| 4 | Seizure Guidelines 2020 | 3.89 MB | 717 times |
| 5 | Seizure Emergency Action Plan 2020 | 155.84 KB | 700 times |
Health Care Plan
Health Care plans
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| 1 | Health Care Plan Initiative Form | 55.54 KB | 1963 times |
G-Tube Feeding
G-tube Feeding
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| 1 | Tube Feeding Physician Orders Form | 74.55 KB | 2147 times |
| 2 | G-tube Dislodgement at School Procedures | 88.15 KB | 2289 times |
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Suicide Resources
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| 1 | Warning Signs of Suicide | 55 KB | 1811 times |
| 2 | Talking with your Child about Suicide | 50.19 KB | 2019 times |
| 3 | Prepare Funeral | 44.14 KB | 1537 times |
| 4 | How Children understand Death | 55.19 KB | 1697 times |
| 5 | Help Students Deal | 31.76 KB | 1749 times |
| 6 | Frequently Asked Questions About Youth Suicide | 799.45 KB | 1464 times |
| 7 | Dealing with the Empty Desk | 43.31 KB | 2661 times |
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Board Policy
Immunizations of Students 4191
Documents & Forms
Immunizations requirements
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| 1 | Usiis permission form spanish | Empty | 0 times |
| 2 | USIIS permission form in Spanish | 69.96 KB | 64 times |
| 3 | Usiis permission form english | 123.71 KB | 340 times |
| 4 | SeventhGradeImmReq 2018 SP | Empty | 0 times |
| 5 | SeventhGradeImmReq 2018 Eng | Empty | 0 times |
| 6 | Seventh Grade Entry 2022 2023 Spanish | 118.4 KB | 72 times |
| 7 | Seventh Grade Entry 2022 2023 English with covid info | 242.3 KB | 124 times |
| 8 | KindergartenImmReq 2018 SP | Empty | 0 times |
| 9 | KindergartenImmReq 2018 Eng | Empty | 0 times |
| 10 | Kindergarten Entry Req 2022 2023 Spanish | 387.84 KB | 78 times |
| 11 | Kindergarten Entry Req 2022 2023 English | 263.83 KB | 83 times |
| 12 |  Inadequate Immunization Notice | 49.5 KB | 2259 times |
| 13 | Immunization Exclusion Notice-Spanish | 27.29 KB | 958 times |
| 14 | Immunization Exclusion Notice-English | 25.19 KB | 1833 times |
| 15 | Conditional Enrollment Notice-Spanish | 17.15 KB | 895 times |
| 16 | Conditional Enrollment Notice-English | 16.92 KB | 1066 times |
Published in
Nursing
|
NURSE |
MONDAY |
TUESDAY |
WEDNESDAY |
THURSDAY |
FRIDAY |
|
Jamie Abney, BSN, RN
Fax 801-629-7664 |
North Ogden Elementary 9 am -2 pm 801-452-4309 |
Green Acres 9 am -2 pm 801-452-4420 |
North Ogden Elementary 9 am -2 pm 801-452-4309 |
Green Acres 9 am -2 pm 801-452-4420 |
Off |
|
Pam Ballif, RN
Fax 801-629-7641 |
Fremont 801-452-4000 |
West Weber 801-452-4280 |
Work Day |
Silver Ridge 801-395-5618 |
Off |
|
Debbie Campbell, MSN, RN
Fax 801-629-7642 |
Valley Elementary 801-476-4187 |
Snowcrest 801-476-5378 |
South Ogden Jr High 801-452-4472 |
Valley Elementary 801-452-4187 |
South Ogden Jr. High 801-452-4472 |
|
Mindy Coombs, MSN, RN
Fax 801-629-7644 |
Off
|
West Haven 801-452-4978 |
Work Day |
Plain City 801-452-4226 |
Kanesville Elementary 801-452-4694 |
|
Marie Evans, BS, RN
Fax 801-629-7646 |
Freedom Elementary 801-452-4116 |
Roy High 801-476-3615 |
Sandridge Jr. High 801-476-5336 |
Roy High 801-476-3615 |
Sand Ridge 801-476-5336 |
|
Leslie Farmer, BSN, RN
|
Roy Elementary 801-452-4160 |
Lakeview Elementary 801-452-4380 |
Two Rivers High School 801-476-3920 |
Roy Elementary 801-452-4160 |
Lakeview Elementary 801-452-4380 |
|
Marcia Hollingsworth, BSN, RN
Fax 801-629-7643 |
Lomond View 801-452-4780 |
NOJH 801-452-4800 |
Work Day |
Weber HIgh School 801-476-3700 |
Weber High 801-476-3700 |
|
Miriam Ito, BSN, RN
|
Municipal Elementary 801-452-4124 |
Burch Creek Elementary 801-476-5300 |
Riverdale Elementary 801-452-4540 |
Municipal Elementary 801-452-4124 |
Burch Creek Elementary 801-476-5300 |
|
Patricia Lords, BSN, RN
Fax 801-629-7648 |
Country View 801-452-4400 |
Country View 801-452-4400 |
Roy Junior 801-476-5260 |
Valley View 801-476-5200 |
Roy Junior 801-476-5260 |
|
Debra Mines, MSN, RN
Fax-801-629-7649 |
Washington Terrace/ Roosevelt 1/2 day
|
Washington Terrace 801-452-4200 |
Work Day |
Roosevelt 801-452-4520 |
TH Bell 801-452-4600 |
|
Sheila Moesinger
Fax 801-476-7654 |
Bates 9 am -1 pm 801-452-4580 |
Orchard Springs 9 am-1 pm 801-395-5650 |
Orchard Springs 801-395-5650 9 am-1 pm |
Bates 9am -1pm 801-452-4580 |
Orchard Springs 9 am -1 pm 801-395-5650 |
|
Lisa Phelps, BSN, RN
Fax 801-629-7654 |
Off |
H Guy 801-452-4140 |
Work Day |
Uintah 801 452-4980 |
Bonneville 801-452-4050 |
|
Stacie Simpson, RN
Fax 801-629-7651 |
Midland 801-476-5400 |
CPR |
Rocky Mtn. Jr. 801-476-5220 |
Hooper 801-452-4320 |
Off |
|
Meghan Smith
|
Canyonview 801-476-3978 |
Midland PS 1/2 day Bonneville PS 1/2 day |
Work Day |
Canyonview 801-476-3978 |
Canyonview 801-476-3978 |
|
Claudia Streuper, MSN, RN Nurse Supervisor
Fax 801-629-7652 |
District Office 801-476-7885 |
District Office/ North Park 801-452-4340 |
District Office 801-476-7885 |
District Office 801-476-7885 |
North Park 801-452-4340 |
|
Karen Thorsted, BS, RN, CHES, NCSN
Fax 801-629-7653 |
Wahlquist 801-452-4659 |
Farr West 801-452-4371 |
Pioneer 801-452-4570 |
Farr West 801-452-4371 |
Pioneer 801-452-4570 |
|
Janessa Whitesides, BS, RN
Fax 801-629-7645 |
Off |
Majestic 8:30 -2:30 801-452-4260 |
WIC 8:30-2:30 801-476-6500
|
Orion 8:30-2:30 801-452-4700 |
Majestic 8:30-2:30 801-452-4260 |
Table Item
*Work day activities include, but are not limited to, in-service /training, assisting other nurses,
and working at one of the assigned schools.
District Nurse Supervisor – Claudia Streuper 801-476-7885- District Nurse Secretary – Becky Simpson 801-476-7817
- Home/Hospital Teachers: – Rich Lambert 801-391-7885 and Lori Rasmussen 801-725-0804
- Rich, Roy/Fremont Cone. Shares Two Rivers
- Lori, BHS/Weber Cone. Shares Two Rivers
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5th & 6th Grade Maturation
Maturation
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| 1 |  Girls 5th grade maturation 2022 | 81.8 MB | 454 times |
| 2 | Boys 5th grade maturation 2022 | 78.21 MB | 576 times |
| 3 | 6th Maturation permission - Spanish | 73.91 KB | 1666 times |
| 4 | 6th Maturation permission | 565.06 KB | 1982 times |
| 5 | 6th Grade Social Maturation | 32.11 MB | 2151 times |
| 6 | 6th Grade Physical Maturation | 102.51 MB | 2531 times |
| 7 | 6th Grade Emotional Maturation | 37.98 MB | 2007 times |
| 8 | 5th Grade Maturation Permission | 565.06 KB | 1743 times |
| 9 | 5th Grade Maturation Permission | 12.48 KB | 1796 times |
| 10 | 5th grade girls maturation pp | Empty | 0 times |
| 11 | 5th grade boys maturation pp | Empty | 0 times |
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