JLCD – Administering Medication, First Aid, and Emergency Medical Care

I. Medication Administration

Medication shall only be administered by school personnel trained by a registered nurse and to whom the registered nurse has delegated the task of administering such medication. When prescription or nonprescription medication is administered at school, by the school nurse or other school staff designee, the following requirements shall be met:

Medication shall be in the original properly labeled container provided by the manufacturer or pharmacy. If it is a prescription medication, the student's name, name of the medication, dosage, administration route, administration time(s), name of licensed healthcare provider, and current date shall be printed on the container and/or the pharmacy/manufacturer label.
The school shall have received written permission to administer the medication from the student's licensed healthcare provider with prescriptive authority under Colorado law.
The school shall have received written permission from the student's parent/guardian to administer the medication to the student, unless the student is eighteen years old or emancipated.
The parent/guardian shall be responsible for providing the school all medication to be administered to the student, unless the student is eighteen years old or emancipated.

II. Administering First Aid, Emergency Medical Care, and Intervention to Students No treatment of injuries, except first aid response at the time of injury, shall be permitted in the schools. First aid is that immediate help given by the best qualified person at hand in case of an accident or sudden illness. The District shall endeavor to have at least one person in each school building who has special training in first aid. First aid supplies shall be kept and properly maintained in each school. In the event a student manifests serious or life threatening symptoms and immediate medical assistance is required, school personnel will obtain emergency assistance by calling 911. If staff trained in CPR/AED and first aid are available, they may take immediate measures and provide appropriate interventions pending the arrival of first responders. School personnel will then attempt to notify the student's parent/guardian regarding the medical emergency and student's current location. Once first responders arrive, any intervention and determination of care to the student will be decided by the first responders. Any person who in good faith provides emergency care or assistance without compensation at the place of the emergency or accident shall not be liable for any civil damages for acts or omissions in good faith. State law also exempts from civil liability certain health care providers who render emergency assistance in good faith and without compensation to persons injured in a competitive sport activity. No elementary student who is ill or injured shall be sent home alone, nor shall a secondary student be sent home alone unless the illness is assessed as minor and the parent/guardian has consented in advance via written or verbal communication. Treatment of injuries sustained while a student is off school grounds, is not in a District vehicle, and during events not sponsored by the District is not the responsibility of school employees. III. Use of Stock Epinephrine Auto- Injectors in Emergency Situations The District shall have a stock of epinephrine auto-injectors for use in emergency anaphylaxis events that occur on District property or during a District-sponsored event. Any administration of stock epinephrine auto-injectors to a student by a District employee shall be in accordance with applicable state law, including applicable State Board of Education rules. The District's stock supply of epinephrine auto-injectors is not intended to replace student-specific orders or medication provided by the student's parent/guardian to treat any student's allergy or related life-threatening condition. IV. Use of Opiate Antagonists in Emergency Situations To the extent state funding and supplies are available, the District shall have a stock supply of opiate antagonists to assist a person who is potentially experiencing an opiate-related drug overdose event. For purposes of this policy, an opiate antagonist means naloxone hydrochloride or any similarly acting drug that is not a controlled substance and that is approved by the Federal Food and Drug Administration (FDA) for the treatment of a drug overdose. Administration of an opiate antagonist by a District employee to an individual shall be in accordance with applicable state law. V. Miscellaneous Student possession, use, distribution, sale or being under the influence of medication inconsistent with this policy shall be considered a violation of Board policy concerning drug and alcohol involvement by students and may subject the student to disciplinary consequences, including suspension and/or expulsion, in accordance with applicable Board policy.

Cross References:	JICH – Alcohol and Other Drug Use by Students
	JLCDA – Students with Chronic or Acute Health Conditions
	JLCDB – Administering Medical Marijuana to Qualified Students on District Property
	JLIB – Student Dismissal Precautions
	JLCA – Student Health Services and Requirements
	JLCM_ – Access to District Property for Medically Necessary Treatment
	KDE – Crisis Management

Legal References:	C.R.S. § 12-255-131 (delegation of nursing tasks)
	C.R.S. § 12-255-132 (school nurses - over-the-counter medication)
	C.R.S. § 13‑21‑108 (civil immunity for persons rendering emergency assistance)
	C.R.S. § 24‑10‑106.5 (public duty of care)
	C.R.S. §22-1-119 (no liability for adverse drug reactions/side effects)
	C.R.S. § 22-1-119.1 (authorizing possession and administration of opiate antagonists)
	C.R.S. § 22-1-119.3 (student possession and administration of prescription medication)
	C.R.S. § 22-1-119.5 (Colorado School Children's Asthma, Food Allergy and Anaphylaxis Health Management Act)
	C.R.S. § 25-53-102 (requirements concerning automated external defibrillators in schools)
	C.R.S. § 22-2-135 (Colorado School Children's Asthma, Food Allergy and Anaphylaxis Health Management Act)
	C.R.S. § 13-21-108.1 (limited immunity for persons rendering emergency assistance through the use of automated external defibrillators)
	C.R.S. § 13-21-108.2 (civil immunity for health care providers who assist in sports injuries)
	C.R.S. § 13-21-108.7 (limited immunity for persons rendering emergency assistance through the administration of an opiate antagonist)
	C.R.S. § 24-10-101 et seq. (Colorado Governmental Immunity Act)
	1 CCR 301-68 (Colorado Board of Education Rules for Administration of Medications)
	6 CCR 1010-6, Rule 6.13 (requirements for health services in schools)

Adoption Date: October 15, 2007 Last Revised: October 09, 2023