PROTOCOL FOR ADMINISTERING OVER-THE-COUNTER MEDICATIONS
The school nurse may administer medications approved by the school physician/standing orders. This list does not include Tylenol, Ibuprofen, or Tums. Orders are written for Benadryl/Epipen if a student or staff was to present with an unknown allergic reaction. Administration would involve full assessment by the school nurse and administered per protocol.

The school physician shall write a general medication order for the above medications.

Written permission shall be obtained from the parent or guardian for the student to receive these medications. This permission shall be renewed each school year in writing.

The school nurse shall assess the student for contributing factors to symptoms before administering the medication. Whenever possible, alternatives to medication shall be attempted before administering medication. (e.g. rest, food, ice, etc.)

Parents shall be notified of oral over-the-counter (OTC) medication use in grades pre-K – 5. In grades 6 –12 (Minors), parents shall be notified of excessive use of OTC medications (more than 5 times per month.).

The school nurse reserves the right to refuse to administer any OTC medication.

Resources:
Board of Registration in Nursing. (June 3, 1992) Policy for the Administration of Over-the-Counter Medications. Boston: The Commonwealth of Massachusetts.
Goodman, I. F., & Sheetz, A. H. (Eds.). (2007). The Comprehensive School Health Manual. Boston, MA: Massachusetts Department of Public Health
ADOPTED: August 19, 2014