State mandated change. Effective August 2024. Administration of OVER-THE-COUNTER medications during the school day REQUIRE a medical provider AND parent/guardian signature. This includes but is not limited to: Ibuprofen or acetaminophen, oral or topical allergy medication, cough suppressant, insect bite or first aid ointment.*
Prescription and over the counter medication may be administered at school if the following apply:
1. Approved authorization forms are on file for medication to be administered. A new completed form is required
each school year. Request to Administer Medication Form
2. Medication must be provided by the parent or guardian. No medication is provided by the school except for those
on the standing orders along with naloxone for suspected opioid overdose, and/or epinephrine in case of a
possible anaphylactic reaction.
3. Medication must be kept in the school clinic or in a locked cabinet in a self-contained classroom, and administered
by the school nurse, health assistant, or trained school employee.
4. No medication will be sent home with a student. Parents/Guardians must pick up all medications whether
prescription or over-the-counter.
5. All prescription medication must be properly labeled in English in a prescription bottle/box with the student’s
name, medication name, directions for dispensing the drug and written and signed by a physician licensed to
practice in the United States. Over-the-counter medication (including cough drops) must be in the original
container with the label intact and non-expired. All medications need a physician signature and a parent/guardian
signature. Any change in dosing will require a new order accompanied by physician signature and
parent/guardian signature. NO MEDICATION WILL BE GIVEN WITHOUT A PARENT/GUARDIAN AND
PHYSICIAN SIGNATURE.
6. Controlled medication will be counted by the school nurse or the health assistant upon arrival at school and
documented as to the number of pills received. Medication must be delivered by the parents/guardians.
7. Medication prescribed or requested to be given three times a day or less will not be given at school unless a
specific time of administration during school hours is prescribed by a physician.
8. A student may be allowed to self-administer inhaled asthma medication, an Epi-pen, pancreatic enzymes, or
diabetes treatment ONLY if the following conditions have been complied with:
a. Written permission from the physician allowing the student to self-medicate or treat
b. The nurse has counseled the parent and the student on the school’s inability to monitor the student’s
health condition during the school day while self-medicating or treating.
c. The student complies with all campus safety policies.
9. No district employee will administer herbal substances, anabolic steroids or dietary supplements except as
provided in RRISD Policy: FFAC (local). Herbal substances or dietary supplements may be administered as
prescribed by a physician if it is required by the IEP or Section 504 plan of a student with a disability. Medication
must be provided by the student's parent or guardian.
***In accordance with the Nurse Practice Act; Texas Administrative Code, Section 217.11, the Registered Nurse
and the Licensed Vocational Nurse have the responsibility and authority to refuse to administer medications that,
in the nurse’s judgment, are contra-indicated for administration to the student.***