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DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
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Student’s name
o
Doctor or other health care provider’s name (e.g. Physician’s assistant, nurse
practitioner)
o
Medication’s name
o
Reason for administration of the medication
o
Amount of medication to give
o
Route of administration
o
Time to give the medication
o
Date of issue
•
NOTE: if any one of the above doesn’t match, return the medication to the
sponsor/parent/guardian to take back to the clinic for corrections.
•
Prescribed over-the-counter medication not subject to a pharmacy label, the
following applies:
o
The medication is in an original container
o
The container is labeled by the sponsor/parent/guardian with the student’s
name, date of purchase, and reason for administration
o
The prescribed over-the-counter medication is accompanied by a SHSM Form
H-3-2 (Physician/Sponsor/Parent/Guardian Signatures for Medication During
School Hours) signed by the prescribing health care professional and the
sponsor/parent/guardian.
o
All medications given at school must be documented
1. On an individual medication log (SHSM Form H-3-2-1)
2. Or in the DoDEA-approved SIS
3. Documentation via an individual medication log must include:
*time the medication was given
*dose given
*route of administration
*signature of the UAP administering the medication.
The best practice is to use an individual medication log for each medication
and/or each dosage time.
When evaluating an illness or injury, observe the following guidelines:
•
Notify the principal of any major health care concerns.
•
Contact the sponsor/parent/guardian to alert the sponsor/parent/guardian to the
student’s illness or injury. If you are unable to reach the
sponsor/parent/guardian, notify the emergency contact number or the sponsor’s
commander.
•
Send the student back to class if his or her temperature is below 100˚ and no
other serious symptoms are evident. Instruct the student to return to the school
health office if he or she continues to feel bad.