Details for student self-administration of medication Sample Clauses

Details for student self-administration of medication. In all cases and at any time, the principal/delegate may disallow student self-administration for health and/or safety reasons. Student name Date of birth • I confirm that the student is confident, competent and can safely administer the right dose of their own medication at the right times. • I confirm that the student can store their medication securely. • I authorise school staff to contact the prescribing health practitioner, health team or pharmacist (as listed on the medication’s pharmacy label or in other relevant medical authorisation) for the purpose of seeking specific advice or clarification on the administration of this medication by this student. Health condition 🞏 Asthma - secondary school students only 🞏 I approve for the student to self-administer their asthma medication. NOTE: The school will need a copy of the student’s Asthma Action Plan if it varies from the standard asthma first aid response Health condition I seek approval from the principal/delegate for the student to self-administer: 🞏 Asthma 🞏 their asthma medication (following a current action plan/health plan) 🞏 Anaphylaxis 🞏 their adrenaline auto-injector (following a current action plan/health plan) 🞏 Diabetes 🞏 their medication (following a current health plan) 🞏 Cystic fibrosis 🞏 their medication (following a current health plan) 🞏 Other 🞏 their medication (following a current health plan) Parent/carer/student signature Date Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at xxxxx://xxx.xxx.xxx.xxx.xx/pp/administration-of-medications-in-schools-procedure to ensure you have the most current version of this document. Enrolment Agreement This enrolment agreement sets out the responsibilities of the student, parents or carers and the school staff about the education of students enrolled at Yeppoon State High School.
Sample 1
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