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Lower Merion School District



LMSD Policy 210 regarding medications has been revised in compliance with changes in regulations from the Pennsylvania Department of Health and the Pennsylvania Department of Education. Policy 210 (medication) in its entirety is available on the district website. The School Nurse is available to assist you with the Medication Policy and procedures. Some important points of the policy are summarized below.

  1. Form LM 28c (Medication Administration Request and Consent Form) must be completed by the Licensed Prescriber and the parent/guardian before any medication (prescription or “over the counter”) may be administered by Responsible Personnel. Medication orders can be accepted via fax or electronically from a Licensed Prescriber and may be on the prescriber’s letterhead instead of form LM 28c if they contain all of the required information listed in form 28c and the parent/guardian has provided written authorization for the administration of medication. The medication order must include:
    • Student’s name
    • Name, signature and phone number of the Licensed Prescriber
    • Name of the medication
    • Route and dosage of the medication
    • Frequency and time of administration of the medication
    • Date of the medication order and discontinuation date if any
    • Specific directions for administration if necessary
    • Potential adverse reactions or contraindications with other medications (prescribed or “over the counter”) taken by the student
  2. Students may carry and self-administer specific emergency medications such as Epipen®, “rescue” type asthma inhalers and medication for diabetes only if both LM 28c (Medication Administration Request and Consent Form) and form LM 28d (Permission to Carry and Permission to Carry and Self-Administer Emergency Medication) have been completed by the parent/guardian and Licensed Prescriber. The forms must specify the need for the student to carry and self-administer the medication. PA regulations now require that parent, Licensed Prescriber and School Nurse all agree that the student is competent to carry and self-administer the emergency medication.  Students who self-administer emergency medications must notify the School Nurse following each use.
  3. All medications (prescription and “over the counter”) must be provided to the school in the original pharmacy labeled container or original container for “over the counter” medications. Additional information regarding medications
  4. All medications (prescription and “over the counter”) must be brought to school by the parent/guardian. No more than a 30 day supply for any medication will be stored at school with the exception of emergency medication which may be stored until the end of the school year or until the medication has expired or has been discontinued (whichever comes first).  Parents/guardians are responsible for noting expiration and refill dates of medications and providing medication to the school. Expired medication will not be administered.
  5. Changes in dosage/frequency require an updated form LM 28c and LM 28d (if applicable). Medication forms must be updated annually and for any changes in dosage/frequency etc.
  6. Medication must be picked up by the parent/guardian at the end of the school year or upon the discontinuation of the administration of the medication, whichever is earlier. Medication that is not picked up will be discarded.
  7. High School students may carry and self-administer no more than two doses of the following medications in their original containers:
    1. Acetaminophen (Tylenol)
    2. Ibuprofen (Advil)
    Permitted over-the-counter medications may not be self-administered in the presence of Responsible Personnel or school staff. The District assumes no responsibility for OTC medications that are self-administered.

When to Keep Your Child at Home

It is important to maintain a healthy environment in the classroom for the health and safety of all students. The following symptoms may indicate communicable illness. Your child should be kept at home if any of these occur:

  1. Fever of 100 degrees or more within the past 24 hours
  2. Rash (unless determined to be non-communicable by physician)
  3. Vomiting and/or diarrhea within the past 24 hours
  4. Yellow or green drainage from the eyes or nose
  5. Excessive coughing

The student experiencing any of the contagious conditions listed below will be readmitted to school after 24-48 hours of appropriate therapy. A note from the licensed health care provider may be required.

  1. Strep throat, scarlet fever, impetigo, ringworm, pinworm, conjunctivitis (pinkeye) staph/strep skin infections including MRSA etc.
  2. Chickenpox (Varicella): May return six days after the last crop of vesicles and vesicles must be completely crusted.
  3. Hepatitis A, Meningitis: Require a physician’s note to return to school.

Please note that the district follows the recommendations of and cooperates with the Montgomery County Health Department and the Pennsylvania Department of Health in matters of communicable illnesses. Health Care providers are required to report certain illnesses to the Health Department. The Health Departments have the authority to exclude a student(s) from school for communicable illness. The Health Departments also have the authority to exclude students who are unimmunized or partially immunized** during outbreaks of communicable illness.