If your student takes any medication, please read the important information below + contact Nurse Lucania prior to retreat to discuss details. 👉 This authorization form, along with all medications needed at retreat (in their original, current container with a pharmacy label) must be turned in to Nurse Lucania no later than Monday, August 18.
Administration of Medication at Retreat
Students are not allowed to bring medications to retreat unless all self-medicating forms have been returned to the school nurse for approval. If a student is required to take medication during the retreat, only the school nurse or nurse-trained, Unlicensed Assistive Personnel (UAP) will administer the medication. The medication will be administered in compliance with the regulations that follow:
Prescription Medications
Prescription medications cannot be administered on the retreat without the HHCA Prescription Medication Authorization Form, which must be signed and dated by both the physician and parent and turned into Nurse Lucania no later than Monday, August 18. This includes epi-pens and inhalers. All students with allergies requiring epi-pens, inhalers or seizures MUST have an Action Plan Form signed by the physician and uploaded. Please only send the amount needed for the retreat. The medication and form should then be packaged in a large Ziplock bag for transportation.
medication authorization form due 8/18
🩺 OTHER IMPORTANT INFORMATION:
Several HHCA students have life-threatening nut allergies. 🚨 Peanuts, nuts, and nut-products are strictly prohibited on retreat. This includes food/snack items packed for the bus ride to and from the retreat. Please be conscientious in the selection of snacks your child brings to retreat so we can eliminate the chance of these students being exposed to nut allergens.
Emergency Medication (Life-threatening Situations)
Medication will be administered by the school nurse, or by other school personnel trained by the school nurse (UAP), to students who have a history of serious allergic reactions or health conditions, which may require specific medication(s) for certain life-threatening circumstances. All Epi-Pen’s, inhalers and lifesaving medications that are currently stored in the clinic will accompany the student on retreat.
Over-the-Counter Medications (OTC)
- Stock over-the-counter medications are available to students on the retreat and can be given with parental consent (given in Magnus Health Portal). Stock medications available on the retreat include Ibuprofen, Acetaminophen, Tums, and Benadryl.
2. Any non-stock OTC medications requested by the parent or guardian to be given to the student requires written parental permission as well as the medication. Written permission MUST include:
a. Child’s Name
b. Name of Medication
c. Dosage
d. Purpose of Medication
e. Time to be Administered
f. Route of Medication
✔️ Parents are responsible for picking up medications and packaging from the clinic following the retreat.
✔️ The school nurse, under exceptional circumstances, retains the discretion to reject requests for administration of medication. A log of administered medications will be maintained.
🙋Questions?
Reach out to Nurse Lucania.
