1. (a) For the purpose of this rule, “school day” means any time during the day, afternoon, or evening when a child is attending school or other school related activity.
2. (b) Any student, who is required during the school day to take a medication prescribed by a licensed physician, advanced registered nurse practitioner, licensed physician's assistant, or dentist, shall have a school nurse either assist the student to take the medication or administer the medication.
3. (c) This duty may also be undertaken by a registered nurse (RN) or licensed practical nurse (LPN), under the direction of the school nurse.
4. (d) The school nurse shall only delegate the administration of medications, if appropriate, to others pursuant to RSA 326-B and Nur 404.
5. (e) Asthma inhalers and epinephrine auto injectors may be possessed by a student and self-administered in accordance with RSA 200:42 through RSA 200:47.

6. (f) If the school nurse is not available, the building principal or designee may assist students in taking required medications by:

   1. (1) Making such medications available to the student as needed;
   2. (2) Observing as the student takes or does not take the required medication; and
   3. (3) Recording whether the student did or did not take the required medication.
7. (g) In addition to the procedures outlined in (h)-(p) below, each local school board, with the advice of the school nurse(s) and school physician if available, shall establish specific policies and procedures to give protection and controls to the matter of medications in schools.

8. (h) In order for prescription medications to be given during the school day, the school nurse shall ensure that:

   1. (1) A written statement from the licensed prescriber containing the following information be in the student's health record:

      1. a. The student's name;
      2. b. The name and signature of the licensed prescriber and contact numbers;
      3. c. The name, route, and dosage of medication;
      4. d. The frequency and time of medication administration or assistance;
      5. e. The date of the order; and
      6. f. A diagnosis, if not a violation of confidentiality;

   2. (2) There is written authorization by the parent or guardian which contains:

      1. a. The parent or guardian's printed name and signature;
      2. b. A list of all medications the student is currently receiving, if not a violation of confidentiality or contrary to the request of the parent, guardian, or student that such medication be documented; and

      3. c. Approval to have:

         1. 1. The school nurse or designee, pursuant to (d) above, administer the medication;
         2. 2. The principal or designee, pursuant to (f) above, assist the student with taking the medication; or
         3. 3. The student to possess and self-administer the medication; and

   3. (3) The authorization or other accessible documentation contains:

      1. a. The parent or guardian's home and emergency phone number(s); and
      2. b. The names of persons to be notified in case of a medication emergency in addition to the parent or guardian and licensed prescriber.
9. (i) The school nurse shall develop a system of documenting and communicating significant observations relating to prescriptions, medication's adverse reactions, and other harmful effects, to the child's parent or guardian or licensed prescriber.
10. (j) The school nurse shall develop and implement procedures regarding receipt and safe storage of prescription medications.

11. (k) All medication to be administered by school personnel shall be delivered to the school nurse or other responsible person designated by the school nurse by a parent or guardian, and the receipt of medication processed as follows:

    1. (1) The prescription medication shall be in a pharmacy or manufacturer labeled container; and
    2. (2) The school nurse or other responsible person receiving the prescription medication shall document the quantity of the prescription medication delivered.
12. (l) The medication may be delivered by other adult(s), provided that the nurse is notified in advance by the parent or guardian of the delivery, and the quantity of prescription medication being delivered to school is specified.
13. (m) All medications shall be stored in their original pharmacy or manufacturer labeled containers and in such manner as to render them safe and prevent loss of efficacy. A single dose of medication may be transferred from this container to a newly labeled container for the purposes of field trips or school sponsored activities.
14. (n) All medication to be administered by the school nurse shall be stored in a cabinet which is kept securely locked except when opened to obtain medications. Medications requiring refrigeration shall be stored in a locked box in a refrigerator maintained at temperatures of 38 degrees to 42 degrees. Emergency medications may be secured in other locations readily accessible only to those with authorization.
15. (o) No more than a 30-school day supply of the prescription for a student shall be stored at the school.

16. (p) Non-prescription medication shall be given only:

    1. (1) With the written authorization of the parent or guardian; and
    2. (2) If in accordance with school policy.

Source. #2055, eff 6-16-82; ss by #2714, eff 5-16-84; ss by #4851, eff 6-25-90; EXPIRED 6-25-96 New. #6366, eff 10-30-96, EXPIRED: 10-30-04 New. #8206, INTERIM, eff 11-18-04, EXPIRED: 5-17-05 New. #8583, eff 3-15-06; ss by #9158, eff 5-16-08; ss by #10649, eff 7-26-14; ss by #14197, eff 2-21-25