Student Health Services

Medication Policy, Procedure and Consent

Prescriptions medications: Required MD and parent signatures and must be kept in the office.

Over the counter medications can be given with only a parent signature as long as they are within the therapeutic dose range for the age and weight of your child. Lowest effective dose is preferred.
HS and Transitional students can self-carry over the counter medications only if they are responsible, have only a travel size amount, and do not share their medication with any other students. Parent and student signatures are required on the self-carry form. All prescription medications must be kept in the office.

Parent responsibilities regarding medications at school

If at all possible, please arrange for your student to have their medication taken outside of the time they are in school. If a student needs to take medication during school hours, per state law, there are guidelines that must be followed before this can occur. Medication administration in schools is governed by Wis. Stat. sec. 118.29.

Parent responsibilities:

1. I understand that prescription medications require BOTH a physician and parent/guardian signature.
2. I understand that all medications should be delivered to the school by parent/guardian, and will be supplied in a properly labeled container. Extra prescription labeled bottles can be obtained from your pharmacy upon request for when a dose needs to be divided between home and school.
3. I understand that over-the-counter (non-prescription) medications may be administered at school with just a parent signature, only if it is being administered per the therapeutic dosage recommendations listed on the original packaging per age/weight of the child.
4. This order is in effect for this year unless otherwise indicated. A new order is required at the start of each school year and ends on the last day of summer school.
5. If there are any changes to this medication during the school year, I will notify the school.
6. I understand that when the medication at school is no longer needed, an adult will pick up the remaining medication. It will not be sent home with the student unless it's a rescue medication such as an EpiPen or Inhaler. If the medication is not picked up by a parent it will be properly disposed of according to medication safety guidelines. 
7. I agree to hold the Lodi School District, it employees and agents who are acting within the scope of their duties harmless in any and all claims arising from the administration of this medication at school.
8. I request and authorize that this medication(s) be administered at school by school personnel. This will include trained personnel who are NOT registered nurses.
9. The only students who will be allowed to self –carry and administer over-the-counter medications at school are  Lodi High School, and Transitional Students with the permission to self –carry medication form on file at the school office.
10. All prescription medication must be brought into the office by an adult. Some of these medications are controlled substances that must be carefully monitored and kept in the office for administration. 
11. Inhalers, glucagon and epinephrine auto injectors are prescription medications that maybe carried by a student with a medical need. Having a supply in the office is also highly recommended to provide the school with the resources we need to care for the student in an emergency situation. 
12. Students at the High School and Transition Students may be permitted to carry a travel size (less than 50 TABS) supply of an over-the-counter medication and self administer only if a self-carry form is on file at the school.

These policies exist for the safety of our students. We greatly appreciate your cooperation.

Please call with any questions.

• All medication forms are to be renewed on an annual basis. Any prescription medication needs the provider's signature along with the parent/guardian signature. Any over the counter medication requires a parent/guardian signature. If the over the counter medication is over the therapeutic dose that is prescribed on the label then the school will need a providers medication order. /all medication must be in their original container to be accepted. //a responsible adult will need to drop of any medication needed to be kept in the school office. 
   

• Parent Responsibilities:

  • Prescription medication requires both a physician and parent/guardian signature.
  • Over-The- Counter medication will only need a parent/guardian signature as long as it is within the therapeutic dose listed on the medication packaging. 
  • All medications should be delivered to the school office by parent/guardian.
  • Parent/Guardian will supply the medication in the original container. Extra prescription labeled bottles can be obtained from your pharmacy upon request for when a dose needs to be divided between home and school.
  • Medication forms are only good for the school year. 
  • Parent/Guardian will update the school if there are any changes in medication that needs to be made at school.
  • If a medication is no longer needed at school then it's the parent/guardian responsibility to pick up the remaining medication at school. Medication will not be sent home with the student unless it's rescue medication such as an EpiPen or Inhaler. If medication is not picked up by the parent/guardian it will properly be disposed of according to the medication safety guidelines. 

• Forms: 

  • Medication form for Grades 4K to 8
  • Formulario de consentimiento para medicamentos for Grados 4k-8
  • Medication form for Grades 9-12
  • Formulario de consentimiento para medicamentos for Grados 9-12
  • Allergy or anaphylaxis emergency plan- English
  • Allergy or anaphylaxis emergency plan- Spanish
  • Asthma Action Plan - English
  • Asthma Action Plan - Spanish
  • Diabetic Medical Management Plan
  • Seizure Action Plan - English
  • Seizure Action Plan - Spanish

• Lodi Health history form or 4k-5k
• Student Immunization record - English
• Student Immunization Record - Spanish
• Medication form for Grades 4k-8

• Childhood Communicable Diseases: This chart was created and is maintained by the Wisconsin Department of Health Services for school based communicable disease.
   
• Respiratory Viruses: From the Wisconsin Department of Health that offers information regarding respiratory viruses that impact the health of students, families and community. 
   
• Meningococcal Disease: Menigococcal disease refers to any illness caused by bacteria called Neisseria meningitidis, also known as meningococcus  [muh-ning-goh-KOK-us]. These illnesses are often severe and can be deadly. They include infections of the lining of the brain and spinal cord (meningitis) and bloodstream infections (bacteremia or septicemia)
  
  These bacteria spread through the exchange of respiratory and throat secretions like spit (e.g. by living in close quarters, kissing). Doctors treat meningococcal disease with antibiotics, but quick medical attention is extremely important. Keeping up to date with recommended vaccines is the best defense  against meningococcal disease.
  
  Meningococcal disease is spread through direct contact with respiratory and /or oral secretions from infected persons (for example, kissing or sharing drinking containers). it can develop and spread quickly throughout the body, so early diagnosis and treatment are very important. Even with immediate treatment, the disease can kill an otherwise healthy young person within hours of first symptoms. Of those who survive, up to 20 percent may endure permanent disabilities, including brain damage, deafness and limb amputations. 
  
  Lifestyle factors common among teenagers, college students and military personnel are believed to put them at increased risk of contracting meningococcal disease. These lifestyle factors include crowded living situations (for example, dormitories, sleep-away camps), active or passive smoking and irregular sleeping habits. Teens should avoid sharing eating utensils and drinking out of the same container, since infections may spread through this type of close contact.
  
  To learn more about meningococcal disease, vaccine information, and public health resources visit the following web sites.

   Resources

• Meningococcal Fact Sheet - English
• Meningococcal Fact Sheet - Spanish
• Meningococcal Fact Sheet - Hmong
• Meningococcal Vaccines for Preteens and Teens Fact Sheet - English
• Meningococcal Vaccines for Preteens and Teens Fact Sheet - Spanish
• CDC Meningitis

• Bridging Brighter Smiles, Inc. provides preventable dental care at school. Services include:
  • Oral Screenings
  • Dental Cleaning
  • Sealants
  • Fluoride Varnish Application
  • Referral Assistance

Visits are held throughout the school year. This program is open to all students in the district 4k through 12the grade.

• To enroll your student, go to enrollment.bbsmiles.org to complete an enrollment form online.
   
• For further information call Bridging Brighter Smiles at 262-896-9891 or visit the website at www.bbsmiles.org

• Food Services Form - English
• Food Services Form - Spanish

We want to keep all our students in school healthy and ready to learn. Your help is needed in this process. If your child has an illness that is contagious and can easily spread to other students it would be best for them to stay home until they feel better.

Quick guide to returning to school

Symptoms:

• FEVER:
  • A 100.0F or more then the student would need to stay home. The student would need to be fever free without fever reducing medication (i.e. Tylenol or Ibuprofen) for 24 hours before they can return to school.
     
• SORE THROATS: 
  • If the sore throat is accompanied by other symptoms such as headache, stomachache, and/or rash, he/she should contact your healthcare provider. Students being treated for strep throat may return to school after a full 24 hours of treatment with an antibiotic, and feel well enough to participate in school.
     
• RESPIRATORY Symptoms (Flu/COVID/RSV): 
  • Click here: Respiratory Virus Guidance Snapshot
  • If your student is having respiratory symptoms (and is not able to participate effectively in learning due to significant symptoms) then the student should remain home. These symptoms can include fever, chills, fatigue, cough, runny nose, and headache. If symptoms do not improve or worsen then contact you healthcare provider.
     
• VOMITING/DIARRHEA:
  • The student can return to school when they are vomit and/or diarrhea free for 24 hours. If vomiting is likely due to diagnosed reflux or is an anxiety-related symptom, contact the school nurse to discuss a plan for your student at school.
     
• PINK EYE:
  • Pink eye can be viral or bacterial. IF your student has red eye(s) and discharge then he/she will be sent home and asked to be evaluated by their healthcare provider. If a student is diagnosed with bacterial pink eye then they can return to school 24 hours or three sets of prescribed eye-drops.
     
• RASHES:
  • The following are examples of contagious skin infections that need to be seen by your healthcare provider for further treatment and clearance to return to school.
     

    • Impetigo is a contagious superficial skin infection that looks like a crusty yellowish scab or sometimes a large blister.  It can be seen anywhere on the skin but is often found around the nostrils and lips.

    • Staph Infection/MRSA are commonly seen in school-aged children.  Usually, it manifests as a pink or red, firm, very sore area.  It may or may not have a white pustule on it. 

    • Fifth’s Disease is a common viral rash that causes bright red cheeks (“slapped cheek disease”), followed by a pink, flat, lacy-appearing rash on the upper arms and tops of the thighs.  Most children feel well with Fifth’s, and once they develop the rash are no longer contagious. 

    • Hand foot and mouth is a common childhood illness that can often present with a fever, mouth sores, and skin rashes (blisters on hands and feet).

Call the healthroom if you have any questions for the nurse. 

Primary School              608.592.3855 ext. 1004
Elementary School         608.592.3842 ext. 2103
Middle School                608.592.3854 ext. 3484
High School                   608.592.3853 ext. 4484

• Columbia County  Public Health
• Medication Assistance programs
• smokefree.gov or call 1-800-QUIT-NOW
• Talk With Your Teen About E-cigarettes
• Wisconsin Wayfinder Brochure - English
• Wisconsin Wayfinder Brochure - Spanish
• Wisconsin Wayfinder Brochure - Hmong