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Bala Cynwyd Middle School


Medication in School or For Field Trips

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. All forms can be found on the district website by clicking on “Departments”, then “Health Services”. There you will find the link “Forms and Additional Resources”.

  • Form LM 28C must be completed by the Licensed Prescriber and the parent/guardian before any medication (prescription or “over the counter”) may be administered. 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 LM 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
  • Students may not carry or self-administer prescription or “over the counter” medication with the exception of specific emergency medications in compliance with regulations of the Pennsylvania Department of Health. If you would like your child to be able to take “over the counter” medications such as acetaminophen (Tylenol) throughout the school year, please ask your care provider to complete Form LM 28C. Completion of form LM 28C by licensed prescriber and parent/guardian allows nurses to administer “over the counter” medications throughout the school year when necessary to your child. Please provide a supply of the “over the counter” medication in the original container to the school nurse along with the completed form LM 28C .
  • Students may carry and self-administer specific emergency medications such as epi-pens, “rescue” type asthma inhalers and medication for diabetes only if a properly completed LM Form 28C and 28D (Permission to Carry and Self-Administer Emergency Medication) are on file and the medication order specifies the need for the student to carry and self-administer the medication. PA regulations now required that parent, 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.
  • 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 for medications

  • 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. 
  • Changes in dosage/frequency require an updated from LM 28C. Medication forms must be updated annually.
  • 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.

Please bring all emergency medications and corresponding physician orders on or before the first day of school. Students who have not submitted emergency medication and signed physician’s orders will NOT be permitted to attend field trips and after school activities until those items are received by the nurse.