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School Policies
Ontario Pupils with Special Medical Care Needs and/or Emergency Medical Care Needs (1999-12-2) Pupils whose medical condition requires the taking of medication shall be afforded the opportunity to do so by the school in a discreet and reasonable fashion. The school's assistance in this regard shall be indirect wherever possible and based on a written parental request for such assistance. When the administration of medication to a pupil in the elementary or secondary school requires direct school staff involvement, it shall be the responsibility of the principal or designate assuming that there is a need for the school's direct involvement in the administration of the medication. The medication is prescribed by a physician with specific references made to dosage, frequency, possible side effects, storage and disposal requirements. Written consent of the parents for the administration of the medication shall be obtained. All medications will be clearly labeled and held in a safe and accessible location known to all staff. Any pupil whose need for regular medical treatment requires the provision of school facilities for such treatment shall be accommodated by the school in every reasonable way. A Medical Treatment Information and Consent Form signed by a licensed physician and signed by the parent/guardian shall be requested by the school principal. Where the school staff are voluntarily participating in the delivery of medical treatment, training as required shall be provided and the necessary practical and financial considerations in accomplishing this training shall be the responsibility of the school system. When a pupil's regular medical treatment is delivered on the school's premises, it shall be the responsibility of the principal to ensure that said treatment is provided by a person qualified or deemed qualified under the Regulated Health Profession Act. A file of medication instructions and/or medical procedures, and arrangements, and a log of administration is to be retained in an appropriate place as determined by the principal. Medical and/or Physical Assistance--Provision within the School School is required to act as a parent would. They are not expected to act as medical professionals. Principals shall ensure that all staff are aware of children with diabetes in their school and provide assistance in accordance with the Blue Water School District Board Policy and procedures and the Ministry of Education and Training Policy Program Memorandum #81 (1985) Brant Haldiman Norfolk Catholic District School Board Policy 291 Administration of Medication to Students Section 9. Requests for the administration of insulin injections require the completion of Form A. If the pupils are of an age, as determined by a physician, to self-administer these injections, the physician and/or parent/guardian should indicate on the medical form that the pupil is competent to self-administer his/her medication. Schools may supervise students during their blood sugar checks, record the findings, and also provide a secure storage area for the insulin and syringes as well as safe disposal for the used needles. Schools may contact the Brant Health Unit/Haldiman Norfolk Health Unit and have a nurse invited to a staff information session. If pupils require assistance with the administration of insulin injections, the parents shall request their physician to Contact the Community Care Action Center and leave a standing order for a particular child who has a real need for a nurse to come to the school and administer the lunch time injection. Parents shall be expected to inform the school of the signs and symptoms indicating problems. All staff should be shown a photo of the student (especially at the elementary level) and informed of the possible symptoms. District School Board Ontario North East Health Support Services Policy (Policy Code 2.1.9) Staff is to act in "loco parentis". They must take some action supportive of student's well-being. "High risk students", such as those with Type 1 diabetes, should be brought to the attention of all staff members. Emergency treatment plans and photographs should be posted with the permission of the student's parent/guardian. A copy of this plan shall be filed in the student OSR and left in the documentation file when the student is transferred to another school. The pupil is strongly encouraged to wear proper identification (ie. Medic alert bracelets) at all times and is responsible for providing or replacing in advance, supplies or equipment and training for any treatment required in a life-threatening situation. When supplies or equipment are entrusted to the Principal, they shall not be used until instructions have been received in writing from the parent/guardian or qualified medical authority. Authorized personnel shall, tot he best of their ability, administer or assist the student to self-administer a treatment. Greater Essex County District School Board Administration of Medication by Board Personnel (2001-11-01) While educators and support staff should not be involved in administering medication to students in school, for some pupils there may be an exception to this rule. Responsible and safe procedures are required where it has been deemed by a qualified medical practioner, that the administration of medication to a pupil at school is a necessary component of the student's well-being at school. Appropriate consent must be received from the student's attending medical practioner. Administration of Prescribed and Emergency Medication--Elementary and Secondary The administering of prescribed routine medication to student will only occur at the written request of the parent/guardian and upon the prescription of the attending physician that the prescribed routine medication has been prescribed for used during school hours. The principal has the primary responsibility for the administration of the medication but may designate the task to an employee. It is understood that the staff person is administering the medication under the principle of "in loco parentis" and not as a health professional. A signed authorization form, indicating parent request to administer prescribed routine medication by school personnel, as attached to this procedure is to be updated and submitted annually, and when changes occur, by the parent to the school principal prior to the administration of prescribed routine medication. The authorization Form 1, as attached to the guideline includes the medication prescribed, special instructions, dosage, time of administering medication, method of administration, possible side effects. The signed authorization will be retained in the Medication Binder and indication of medication should be recorded on the student's O.S.R. card. It is mandatory that a daily record be kept of the time, date, dosage, and type of prescribed medication given and initialed by the person who administered the medication. This information will be retained in the Medication binder in the medication storage area. Halton Catholic School Board Diabetes Management: A Protocol for Schools This document is in word format and we were unable to find its exact location online. It was created to provide the school personnel in the Halton District School Board and the Halton Catholic School Board with information and guidelines regarding the requirements of care for students with diabetes. Please contact us if you would like a copy of this document. Hamilton-Wentworth District School Board This policy is virtually all about dealing with allergic reactions. The first section does note that the school will administer medication when prescribed by a physician. It must be required to be taken during school hours and the child must be unable to administer the medication him/herself. Hastings and Prince Edward District School Board Staff Administration of Medication The Hastings Prince Edwards District School Board will administer medication to students in school at the written request of parents> They will act in conjunction with provisions of the current Public Health Legislation to enter into an agreement with the Hastings and Prince Edward Counties Public Health Unit to provide for services under that legislation for pupils of the schools under the Board's jurisdiction. Huron-Perth Catholic District School Board Management of Students' Medical Needs in School (June 22, 2004) The school in conjunction with parents/guardians and health care professionals will develop a plan for managing the medical needs of children with chronic illnesses. The principal shall send a detailed Medical Information Form with cover letter to the parents/guardians. The principal will review the completed Detailed Medical Information Form and contact the appropriate health care professionals, if required regarding any concerns about the information provided, as well as education and training needs of school personnel. When an individualized Medical Plan is necessary, the principal shall meet with the school personnel, parents/guardians and when appropriate, health care professionals to develop the Medical Plan. When school staff are required to administer medication, or when students self-administer medication, the principal shall follow the procedures of directions outlined in the Administration of Medication Regulations Manual. Kawartha Pine Ridge District School Board In consultation with students, parents/guardians, staff and health care providers, procedures should be established to respond to individual health and medical needs. The school will work in partnership with community health care professionals and agencies to provide appropriate and required response to the student health needs. The student's dignity must be respected. The Board encourages strategies to educate the school community regarding the complexities, implications and the role of all members of the school community in supporting the medical and health needs of its students. Keewatin Patricia District School Board Administration of Medication to Students and Medical Procedures to Students in the School The parent/guardian of a high risk pupil should be strongly encouraged to have the proper identification on the student at all times (i.e. Medic Alert Bracelet) and is responsible for providing, in advance, supplies or equipment for any treatment required in a life-threatening situation. Principals shall ensure that staff members (including education assistants, itinerant and occasional teachers, bus operators, lunch supervisors and their authorized personnel) are made aware of high-risk students in the school. In sharing such information, Principals must comply with the Municipal Freedom of Information and Protection of Privacy Act. A Life-Threatening Management and Prevention Plan (Form D1 and D2) must be completed and reviewed annually for each student who is considered to be at a high risk with respect to a life-threatening situation. The Life-Threatening Management and Prevention Plan will allow the Principal, school staff, parents/guardians, bus operators and drivers to have access to procedures in order to deal with an emergency situation. The plan is developed with appropriate input from parent(s), school staff, public health nurse, and communicated to appropriate staff, bus operators and occasional teachers. When a student, who has a plan, is attending an out-trip a copy of the plan shall accompany the teacher when a class excursion occurs. Any supplies and equipment, as identified in the plan, shall be taken by the teacher. When supplies or equipment are entrusted to the Principal, they shall not be used until instructions have been received in writing from the parent/guardian or qualified medical authority. The parent/guardian or qualified medical authority will train school personnel on the administration of medication to their child. School staff shall administer or assist the student to administer a treatment. Staff who administer medication by injection to students, having been trained by a medical professional, shall have full coverage under the Board Liability Policy. The training provided will be confirmed in writing by the medical professional (and the parent/guardian). Lakehead District School Board Administration of Medication Policy The local school board is responsible for the administration of medication to students attending school during regular school hours where it is absolutely necessary on an ongoing basis. Each school shall have a Medical Emergency Management Plan for any identified student. The principal shall establish emergency procedures for conditions such as diabetes. Staff who administer medication to students, having been fully instructed by a health professional, shall have full coverage under the Board liability policy. Niagara Catholic District School Board Administration of Prescribed Medication During School Hours The request for this service and the
authorization to provide such service must be made in writing by the
parent and the physician specifying: Northeastern Catholic District School Board Provision of Health Support Services in School When the principal has been advised that a pupil will require medication on an on-going basis or in an emergency situation, the Principal shall obtain from the parent/guardian and the physician a completed and duly signed Authorization for Administration of Medication Form. Upon receipt of the completed form, the principal shall designate a person, other than a teacher, be responsible for supervising and administering the medication. The principal shall ensure that the physician's instructions are clear and well understood by the designated person before medication is administered. The request and authorization by the parent/guardian and the physician shall specify the medication, the dosage, the frequency and the method of administration, the dates for which the authorization applies and any side effects, outlined by the physician. The original copy of all authorization and instructions shall be maintained in the pupil's file, a copy retained by the parent, a copy by the principal and a copy by the appropriate medical personnel. When the Authorization for Provision of Health Support Services form has been duly completed and signed by the parent/guardian, the principal shall immediately contact the Community Care Access Program or the appropriate agency and give the pupil's name, home address, the parent/guardian's name, telephone number and other information pertaining to the program if requested. The principal in cooperation with the Community Care Access Coordinator and others as required, shall determine the needs of the pupil and participate in the construction of a written plan of care which will adequately meet those needs. Ottawa-Carlton
School Board Also
Policy: P.108.SCO "Care of Children with Life-Threatening Medical
Conditions" Ottawa-Carleton Catholic School Board Designated school staff will administer
medication according to the following protocol: Administration of Medication and Physical Assistance for Students See "Guidelines for the Provision of Health Support Services in Schools" found in the ADMINISTRATOR’S HANDBOOK. Rainy River District School Board Provision of Health Support Services It is understood that the employee is administering medication is operating under the principle of "in loco parentis," and not as a health professional.The school Principal, Vice Principal or designated person in charge, will implement this procedure according to the Guidelines and Procedure 4.12, Provision of Health Support Services in School Settings (Including A.I.D.S (H.I.V.) And Hepatitis B. (H.B.V.). Simcoe Muskoka Catholic District School Board Control and Administration of Medication Principals shall ensure that The Student Health Care Policy & Procedures are reviewed annually with all employees of the Board assigned to the school,a review of the procedures is conducted when a new member joins the school’s staff, and that all Occasional Staff are in-serviced regarding the Student Health Care Policy & Procedures. Parents are to be made aware of the Student Health Care Policy & Procedures at registration and at other appropriate parent meetings. A copy of the Student Health Care Police & Procedures as well as the Parental Guidelines is provided to all parents upon request or as required. An Individual Medical Plan will be developed in consultation with the principal or designate. On the appropriate form (available at the School Office) the parent/guardian shall request and authorize the administration of medication. Authorizations are valid only for the school where the student is registered and cannot be transferred to another school. Authorization for any change in medication dosage shall require the completion of a new Request and Consent for the Administration of Medication Form. The authorization must be completed and renewed at the beginning of each school year. At the secondary school level Self-Administration of Medication may be the norm for students whose medication needs do not require the development of an Individual Medical Plan. At the beginning of each semester the school will notify students, parent(s)/guardian(s) of their responsibility to inform the school when a student is self-administering medication. The principal or his/her designate will keep a record of these students in theStudent Health Care Binder. Parent(s)/guardian(s) will be contacted if the principal has concerns about the student’s ability to safely store or administer medication. Consideration shall be given for the removal of the Student Health Care Binder during a school emergency evacuation. An Individual Medical Plan may be developed at the school for students with identified medical conditions in consultation with the parent(s)/guardian(s), and when necessary, the appropriate health professionals. It will address as required responsibilities, procedures, transportation of students, storage and administration of medication. The principal will ensure that all the appropriate staff, and others who may work with the student (lunch hour supervisors, bus drivers, parent volunteers, co-op students, etc.) are in-serviced by appropriate personnel regarding the Individual Medical Plan(s) which may include the administration of medication. Each Individual Medical Plan shall be reviewed semi-annually with the school staff in September and January, or as required. All Individual Medical Plans will be updated annually or more frequently if required. The Individual Medical Plan(s) shall be placed in the Student Health Care Binder and a copy will be filed in the OSR**. The Board will provide appropriate training for the personnel responsible for the control and administration of medication in each school. The Board recognizes that specialized training may be required to protect and promote student health and safety and that training needs to be provided by qualified personnel before staff begins to work with the student. Training and in-service shall occur at the beginning of each school year and as required, in accordance with General Administrative Guidelines. Toronto District School Board requires the completion of the Medical Information Form. We were unable to find a policy specific to diabetes. We did find the statement ""if your child needs to be given special medication throughout the day, speak to the principal. Trillium Lakelands District School Board Administrative Procedure-Health Support Services Community Care Access Centre should be initiated by the Principal for any student requiring medical procedures such as insulin injections. The principal shall ensure that a medical plan is created and an Authorization for School Board Health Support Services (Appendix B) is completed for students requiring special procedures. Staff members including educational assistants, itinerant and occasional teachers, bus drivers, lunch supervisors and other authorized personnel are made aware of students with diabetes in the school by completing a Medical Care Plan (Appendix D) which will be reviewed annually for each student who has diabetes. A ‘Medically At Risk’ designation is affixed to the OSR, and noted where required on the student administration system. The parent/guardian of a pupil with diabetes should be strongly encouraged to have the proper identification on the student at all times (i.e. Medic Alert Bracelet) and if possible, directions on how to administer medications. The parent/guardian is also responsible for providing, in advance, supplies or equipment for any treatment required in a Life-Threatening situation. 8.2 Diabetes Provide staff training sessions annually by a professional in the management of diabetes (in schools where there is a diabetic student). School personnel are not responsible for giving insulin injections. Establish a Medical Care Plan that is approved by a physician, parent/guardian and the school administrator, that clearly outlines procedures to be followed in the school setting for the monitoring of insulin levels and response to a perceived emergency diabetic reaction. Where there is an Individual Education Plan (IEP), The Medical Care Plan can be attached to the IEP. Provide referral to the CCAC for assessment/support for poorly controlled or newly diagnosed diabetes. Address blood glucose monitoring/insulin concerns. Provide a safe, hygienic and private space in the school for students to perform self blood-glucose monitoring and insulin injections throughout the day. Establish procedures (with assistance of the public health department and parents) for the safe disposal of sharps, lancets and testing strips. Designate a secure, accessible and appropriate place to store insulin, blood glucose testing supplies and emergency food supplies. Upper Canada District School Board Student Health and Medical Needs Consultation with students, parents, guardians, staff and health care providers is important in establishing procedures to respond to health and medical needs. Partnerships with community health care professionals are necessary to provide appropriate response to student health needs. The Upper Canada District School Board accepts its responsibility with regard to the administration of medication to students attending school during regular school hours. In meeting its responsibilities the Upper Canada District School Board requires that practices followed in administration of medication be fully and carefully delineated to ensure the safety of our students and the legal protection of our employees. Upper Grand School District The Principal may consult with the Wellington-Dufferin-Guelph Health Unit and the Community Care Access Centre of Wellington Dufferin when establishing in-school procedures. Principals shall ensure that: a) staff members (including educational assistants, itinerant and occasional teachers, bus operators, lunch supervisors, and other authorized personnel), are made aware of high-risk students in the school. In sharing such information, Principals must comply with the Municipal Freedom of Information and Protection of Privacy Act; b) a Life-Threatening Management and Prevention Plan form 509-4 must be completed and reviewed annually for each student who is considered to be at a high risk with respect to a Life-Threatening situation. The Life-Threatening Management and Prevention Plan(s) will allow the Principal, school staff, parents, bus operators and drivers to have access to procedures in order to deal with an emergency situation. The plan will be developed with appropriate input from parent(s), school staff, public health nurse, Community Care Access Centre, and physician, and communicated to appropriate staff; including bus operators, itinerant and occasional teachers, educational assistants, and lunch supervisors and other authorized personnel, as soon as possible. The parent/guardian of a high risk pupil should be strongly encouraged to have the proper identification on the student at all times (i.e. Medic Alert Bracelet) and if possible, directions on how to administer medications. The parent/guardian is also responsible for providing, in advance, supplies or equipment for any treatment required in a Life-Threatening situation. When supplies or equipment are entrusted to the Principal, they shall not be used until instructions have been received in writing from the parent/guardian or qualified medical authority. School staff, to the best of their ability, shall administer or assist the student to administer a treatment. Waterloo Catholic District School Board Interim Diabetes Management Guidelines AP Memo APH015 Extensive guide to dealing with diabetes in schools. Highlights the importance of the school's support after initial diagnosis. Provides guidelines for emergency treatment and a good overview of diabetes care. This policy does state that teachers will not administer Glucagon. Waterloo Region District School Board The responsibility for ensuring the provision of health support services to pupils in school settings is to be shared by the Ministries of Education and Training, Health, and Community and Social Services. York Catholic District School Board Administration of Prescription Medication to Students DIABETIC INFORMATION The foregoing statements of policy and procedure do not apply to prescription medication by injection on a regular basis (e.g. diabetic condition). Most diabetics, even very young students, are capable of managing their own sugar and insulin intake. The community health nurse should be advised of these students so that health education of the student and the classroom teacher may be reinforced. Where the student is unable to self-administer the medication, it is the responsibility of the parent or guardian to make suitable arrangements for its administration by qualified medical personnel or others, excluding school staff, deemed acceptable by the parent or guardian. In appropriate cases the principal shall refer the parent/guardian to the Community Care Access Centre (CCAC).
GlucoMaître has great resources for parents of children with diabetes living in Quebec. Check out their home page or the ecole page for more information on going to school with diabetes.
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