Conn. Agencies Regs. § 10-212a-10

Current through November 7, 2024

Section 10-212a-10 - Administration of medication in school readiness programs and before- and after-school programs

For school readiness programs and before- and after-school programs run by local or regional boards of education and municipalities which are exempt from licensure by the Office of Early Childhood pursuant to subdivision (1) of subsection (b) of Section 19a-77 of the Connecticut General Statutes:

(a) the local or regional board of education shall develop policies and procedures, to be reviewed on an annual basis, for administration of medication in these programs, with input from the school medical advisor or a licensed physician and school nurse supervisor. These policies shall include:

(1) determination of the level of nursing services needed to ensure the safe administration of medication within these programs including additional school nurse staffing required based on the needs of the program and the program's participants;

(2) who may administer medication and whether a licensed nurse is required on-site;

(3) the circumstances under which self medication by students is permitted;

(4) the policies and procedures to be followed in the event of a medication emergency or error;

(5) a requirement that local poison control center information is readily available at these programs;

(6) the procedure to be followed in the event of a medication emergency or error and the individuals or facilities to be contacted in such event; and

(7) the person responsible for decision making in the absence of the nurse.

(b) Administration of medications shall be provided only when it is medically necessary for participants to access the program and maintain their health status while attending the program.

(c) Except as provided in subsection (e) of Section 10-212a-2 of the Regulations of Connecticut State Agencies, no medication shall be administered in these programs without:

(1) the written order of an authorized prescriber; and

(2) the written authorization of a parent or guardian or an eligible student.

(d) In the absence of a licensed nurse, only directors or directors' designees, lead teachers or school administrators who have been properly trained may administer medications to students as delegated by the school nurse or other registered nurse. Training for directors or directors' designees, lead teachers or school administrators in the administration of medications will be provided according to subsections (a) to (c), inclusive, of Section 10-212a-3 of the Regulations of Connecticut State Agencies.

(1) Directors or director's designee, lead teachers and school administrators may administer oral, topical, intranasal or inhalant medications;

(2) Cartridge injector medications may be administered by a director or director's designee, lead teacher or school administrator only to a student with a medically-diagnosed allergic condition which may require prompt treatment to protect the student against serious harm or death;

(3) Investigational drugs or research or study medications may not be administered by directors or director's designee, lead teachers, or school administrators; and

(4) All controlled drugs currently listed in schedules II through V of the Regulations of Connecticut State Agencies, Sections 21a-243-8 to 21a-243-11, inclusive, of the Regulations of Connecticut State Agencies may be administered in school readiness programs and before- and after-school programs pursuant to the local or regional board of education policy.

(e) If, according to the local or regional board of education procedures, self medication is allowed in the programs, then the programs must follow the procedures in Section 10-212a-4 of the Regulations of Connecticut State Agencies.

(f) All medications in before- and after-school and school readiness programs shall be handled and stored in accordance with the provisions of subsection (a) to (k), inclusive, of the Regulations of Connecticut State Agencies. Where possible, a separate supply of medication shall be stored at the site of the before- or after-school or school readiness program. In the event that it is not possible for the parent or guardian to provide a separate supply of medication, then a plan shall be in place to ensure the timely transfer of the medication from the school to the program and back on a daily basis.

(g) Documentation shall be completed and maintained on forms provided by the local or regional board of education, as follows:

(1) a separate administration of medication record for each student shall be maintained in the program;

(2) administration of a medication with a cartridge injector shall be reported to the school nurse at the earliest possible time but not later than the next school day;

(3) all other instances of the administration of medication shall be reported to the school nurse according to the student's individual plan or at least on a monthly basis;

(4) the administration of medication record shall be submitted to the school nurse at the end of each school year and filed in or summarized on the student's cumulative health record according to local or regional board of education policy.

(h) supervision of the administration of medication in before- and after-school and school readiness programs shall be conducted in accordance with the provisions of subdivisions (1) to (6), inclusive, of subsection (a) of Section 10-212a-7 of the Regulations of Connecticut State Agencies.

Conn. Agencies Regs. § 10-212a-10

Adopted effective October 7, 2010; Amended August 17, 2015