Policy
The procedures for the administration of oral medication, in particular, is applied only to those services requested by the parent and prescribed by a physician or other health care professional, which must be provided during attendance at a SelfDesign learning centre, camp, in-person gathering, or with a Support Provider contracted by SelfDesign, and are as follows:
- The request for service must be made in writing by the parent/guardian, including the parent/guardian’s name, learner’s name, the physician’s name, and indicating that the medication is to be given according to authorization by the physician.
- The authorization to provide the service must be made in writing by the physician and include: the medication, the dosage, the frequency and method of administration, the dates for which the authorization applies, what to do if a dose is missed or spilled, and the possible side effects, if any.
- Determine storage and safekeeping requirements to limit access to the medication from other learners.
- When medication is administered by the educator or support providers, a Medication Administration Record must be maintained, which includes the learner’s name, date, time of provision, dosage given, and name of person administering.
- The telephone numbers of the parent and physician be readily accessible in the school.
- The medication be administered in a manner which allows for sensitivity and privacy and which encourages the learner to take an appropriate level of responsibility for his or her medication.
Authorization form
To be completed by physician or a physician’s note needs to be attached with the following information:
Childs Name: ______________________________________________________
Date: ____________________________________________________________
Medication: _______________________________________________________
Dosage: __________________________________________________________
Frequency and method of administration: _____________________
Dates for which authorization applies: _________________________
Possible effects: __________________________________________________
Protocol in case of missed/late dose: ___________________________
Storage and safekeeping of medication: _______________________
Physician Name: _________________________________________________
Physician Phone Number: _______________________________________
Physician signature: _________________________________________
Date: _________________________
Request for Medication Administration (to be completed by parent):
I, ___________________, request that my child, ___________________, receive medication at school as directed by their physician, _______________.
Parent Signature: ______________________________________ Date: ________________________ Parent contact #: __________________________________
Change Log
- Policy page updated August 22, 2022
- Last reviewed/updated August 22, 2022