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C.U.S.D. Board Policy for Administering Medication

ADMINISTERING MEDICATION The Governing Board recognizes that students may require medication while at school. All administration of medications shall be performed in the school health office, except as modified under provisions of Board Policy 5181 (Section 504 of the Rehabilitation Act) to meet individual health-related needs. (cf. 5181 - Section 504 of the Rehabilitation Act) Before a designated employee assists in the administration of any prescribed medications to any student during school hours, the District shall have:

1. A written statement from the student’s physician detailing the method, amount and time schedules by which the medication is to be taken, and any potential side effects.

2. A written statement from the student’s parent/guardian requesting the District assist the student in taking the medication as prescribed by the physician. (Education Code 49423)

Parents/guardians shall be asked to provide a properly labeled pharmacy bottle, containing the name and telephone number of the pharmacy, the student’s identification, name of the physician, time of administration, and dosage of the medication to be given.

Designated employees shall:

1. Be responsible for the medication at school and administer it in accordance with the physician’s indicated instructions.

2. Maintain a list of students needing medication during school hours, including the type of medication, times, and dosage.

3. Maintain a log recording the student’s name and the time and date when medications were given.

4. Keep all medication in a locked drawer or cabinet.

Parents/guardians who request that a student be allowed to self-administer, monitor or treat his/her existing medical condition must make this request in writing and provide written approval by the student’s physician. Such requests require the principal’s approval and be approved by the District Nurse and Executive Director, Pupil Services, consistent with Board Policy 5162.  

BP 5162 (b) Notifications The Superintendent or designee shall inform all parents/guardians of the following requirements: (Education Code 49480) 1. The parent/guardian of a student on a continuing medication regimen from a nonepisodic condition shall inform the school principal or designee of the medication being taken, the current dosage and the name of the supervising physician. 2. With the parent/guardian’s consent, District health staff may communicate with the student’s physician regarding the medication and its effects and may counsel personnel regarding the possible effects of the drug on the student’s physical, intellectual and social behavior, as well as possible behavioral signs and symptoms of adverse side effects of omission or overdose.  

Anaphylactic Injections

1. Parents/guardians of students who may require emergency anaphylactic injections shall provide written permission for authorized staff to administer these injections.

2. Each year, school employees designated by the principal shall receive training in administering anaphylactic injections. Qualified medical personnel shall provide this training.

3. The principal or designee shall schedule in-service meetings to: a. Familiarize authorized staff with the prescribed medications and their location. b. Ensure authorized staff are competent to administer anaphylactic injections. c. Train all school personnel to recognize the symptoms of anaphylactic reactions.Physicians and parents/guardians of students who may require anaphylactic injections may be invited to attend these meetings.  

4. The principal or designee shall prepare a list of students who may need emergency anaphylactic injections. This list shall be given annually to all concerned staff.

5. All medication for injections shall be labeled with the student’s name, type of medicine, and expiration date.

6. The principal or designee shall post in the school health office a list of symptoms usually associated with anaphylactic reactions and a clear, specific procedure for administering injections in case of emergency. If authorized staff are not available at the time of an emergency, this written procedure will be followed by anyone who must administer the injection in order to save a life.

CAPISTRANO UNIFIED SCHOOL DISTRICT Board Policy 5162  adopted: August 18, 1997 San Juan Capistrano, California

Health Office

Welcome to our Health Office/Medical Forms page.  In an effort to assist parents who need forms, we have provided links so that you can download them and print them at home.  If there is a form you need that is not here, please give us a call and we will make every effort to make it available to you. The links to these forms are listed in the column on the right.

The Health Information Letter spells out many of our procedures for treating illnesses as well as when your child should stay home from school.  On the back of this form is a list of communicable diseases and information about them.

The Immunization Requirements form is simply that - a list of the requirements for immunization at each grade level.

The Over the Counter Medication form is a list of approved OTC medications that can be administered by school personnel and a form for other OTC medications/supplies that parents can supply to the health office for their child to use while at school.

The Physician's Report of Health Examination is commonly called, "the doctor's form."  All first grade students entering Capistrano Schools must have this completed by the physician.  Most students have the exam just before kindergarten.  As long as the exam is within 18 months of entering 1st grade, it is valid for the first grade requirement.

The Request to Keep Medication at School form is for both parents and the physician to complete in the event that students need to take medication while at school.  This includes both over-the-counter medication and prescription medication.  It can be for a temporary illness or a chronic condition such as asthma. 

For more information on any of these items, please contact our health tech at 234-5951.


Tdap (Required to have before the 1st day of school for 7th graders)

Lice Information

Dear Parents,

It’s that time of year when lice surface as an issue for children.  Lice is a commonly occurring nuisance, especially where children gather (sports groups, play groups, day care, sleep-overs, school, etc). If you notice your child scratching their scalp frequently, please check their scalps.  While we normally send letters to classes with lice cases, we are hoping that a school wide proactive approach will help minimize our cases.   If you need assistance, please contact your health assistant at school. 

 This is a problem that is easily treated.  Simply follow these instructions.  

  1. Examine your child’s head to be sure you know what the nits look like.  They are tiny grayish-white eggs attached to the hair, near the scalp, especially behind the ears and at the nape of the neck.  Please do this every day for a couple of weeks.
  2. Check all other family members to see if they are infested.  Any family member with evidence of head lice must also be treated.
  3. Use an effective head lice treatment that day.   Your pharmacists can recommend an effective pediculicide product.  When used as directed, it will be very effective in killing head lice. The expectation is that the student will return to school the next day.
  4. Remove the nits (lice eggs).  Because no pediculicide products kills all the eggs, it is very important to remove all traces of the nits to prevent reinfestation.  A special comb for this task is usually provided with the lice treatment product.  You may want to ask your pharmacist about a specially developed rinse that quickly releases the nits from the hair, making it quick and easy to comb out.
  5. Wash all clothes, bed linens and towels in hot water and dry on hot cycle for at least 20 minutes.  Items that cannot be safely washed, such as stuffed animals, should be dry cleaned or stored outside the home for a minimum of two weeks.
  6. Clean combs and brushes in hot, soapy water.  Water should be at least 130°F, and it is advisable to let combs and brushes soak in the hot water for 10 minutes.
  7. Vacuum everywhere to make sure your home is free of lice.  Vacuum carpets, pillows, mattresses, upholstered furniture; anything that might hold lice.  Do a thorough job and discard the vacuum bag promptly.
  8. Be sure to recheck your child in 7 – 10 days and provide proof of treatment.

Refer to Department of Health Services (DHS) Flyer A Parent’s Guide to Head Lice 

Flu Information