“Self-administration of prescription medication” means a student’s discretionary use of prescription asthma or anaphylaxis medication, or both.
Any student with asthma or anaphylaxis, or both, may possess and self-administer prescription medication while on school property or at a school-related event or activity if
(1) the prescription medication has been prescribed by a physician or other licenses health care provider for that student as indicated by the prescription label on the medication;
(2) the self-administration is done in compliance with the prescription or written instructions from the student’s physician or other licensed health care provider; and
(3) the parent/guardian of the student provides to the school, on a form provided by the school:
(a) written authorization, signed by the parent/guardian, for the student to self-administer prescription medication while on school property or at a school-related event or activity;
(b) a written statement, signed by the parent/guardian, in which the parent releases the school district and its employees and agents from liability for an injury arising from the student’s self-administration of prescription medication while on school property or at a school-related event or activity unless in cases of wanton or willful misconduct;
(c) a written statement from the student’s physician or other licensed health care provider, signed by the physician or provider and which shall be kept on file in the office of the school nurse, that states:
(i) the student has asthma or anaphylaxis or both, and is capable of self-administering the prescription medication;
(ii) the name and purpose of the medication;
(iii) the prescribed dosage for the medication;
(iv) the times at which or circumstances under which the medication may be administered; and
(v) the period for which the medication is prescribed.
(4) If any student uses the medication in a manner other than prescribed, the student may be subject to disciplinary action by the school; however, the disciplinary action may not limit or restrict the student’s immediate access to the medication.
(5) The parent/guardian (or student, if 18 years old or older), authorizes the school nurse to inform appropriate school employees (i.e., instructors, teacher aides, school administrators, activity supervisors, bus drivers who would have a need to know) that the student may self-administer medication.
(6) The parent/guardian gives permission for the student to have the prescription medication with the student while on school property or at a school-related activity or event.