281—14.1(256) Medication administration. Each school district, area education agency, and school shall establish medication administration policy and procedures, which include the following:
	14.1(1) A statement on administration of prescription and nonprescription medication.
	14.1(2) A statement on an individual health plan pursuant to rule 281—14.2(256) when administration requires ongoing professional health judgment.
	14.1(3) A statement that authorized persons administering medication include licensed health personnel working under the auspices of the school, such as licensed registered nurses, physicians, physician assistants, and persons to whom authorized practitioners have delegated the administration of prescription and nonprescription drugs (who have successfully completed a medication administration course). Individuals who have demonstrated competency in administering their own medications may self-administer their medication. Individuals may self-administer asthma or other airway constricting disease medication, use a bronchodilator canister or bronchodilator canister and spacer, or possess and have use of an epinephrine auto-injector with parent and physician (or physician assistant) consent on file for each school year, without the necessity of demonstrating competency to self-administer these medications. If a student misuses this privilege, it may be withdrawn. For purposes of this chapter, “self-administration” and “medication” mean the same as defined in Iowa Code section 280.16(1).
	14.1(4) A provision for a medication administration course provided by the department that is completed every five years with an annual medication administration procedural skills check completed with licensed health personnel. Licensed health personnel working under the auspices of the school who delegate medication administration within their scope of practice will conduct the course. A record of course completion will be maintained by the school.
	14.1(5) A provision that the individual’s parent provide a signed and dated written statement requesting medication administration at school.
	14.1(6) A statement that medication will be in the original labeled container either as dispensed or in the manufacturer’s container.
	14.1(7) A provision that a written medication administration record is to be on file at the school and include:
	a. 	Date.
	b. 	Individual’s name.
	c. 	Prescriber or person authorizing administration.
	d. 	Medication name and purpose, including the use of a bronchodilator canister or a bronchodilator canister and spacer or the use of an epinephrine auto-injector.
	e. 	Medication dosage.
	f. 	Administration time.
	g. 	Administration method.
	h. 	Signature and title of the person administering medication.
	i. 	Any unusual circumstances, actions or omissions.
	14.1(8) A statement that medication shall be stored in a secured area unless an alternate provision is documented.
	14.1(9) A provision for a written statement by the individual’s parent or guardian requesting the individual’s co-administration of medication, when competency is demonstrated.
	14.1(10) A provision for emergency protocols for medication-related reactions.
	14.1(11) A statement regarding confidentiality of information.
[ARC 7788C, IAB 4/17/24, effective 5/22/24]