Over the Counter Medication Consent Form
Authorization to Administer Prescribed Medication
(505) 216- 7418
The SFIS School Health Center is open Monday through Thursday from 8:00 AM to 8:00 PM and Fridays from 8:00 AM to 4:00 PM and Sundays from 4:00 PM-8:00 PM, concurrent with the school calendar. The health center hours may be subject to change. The School Health Center is located within the Student Life Center Complex.
A Supervisory School Nurse, a School Nurse, and a Medical Clerk staff the School Health Center. SFIS also has several certified School Health Assistants who provide support to students in other departments. Providers from the Indian Health Service-Santa Fe Service Unit are available to students at the School Health Center on Tuesday afternoons, Wednesday afternoons and Thursday mornings by appointment only.
MEDICAL CONSENT FOR TREATMENT
An SFIS School Health Center Medical Consent was included in your student’s registration packet along with emergency contact information, student medical history form, allergies and any medications the student is currently taking. THIS INFORMATION IS REQUIRED TO BE ON FILE. Parents must fill out this form each year at registration and submit it to the School Health Center to be kept in the student’s chart.
RETURNING TO SFIS WITH A MEDICAL NEED
If a student is returning to SFIS campus with a medical need, including taking a new prescription that needs to be administered by school staff, requiring any accommodations (example: student was seen in urgent care over the weekend and was prescribed medication, student is on crutches and needs accommodations including using elevators, etc) please bring your student to the School Health Center to discuss your student’s health issues with the School Nurse. The School Nurse will help communicate a plan to Residential and Academic programs. If you are bringing your student to campus after hours or when the School Health Center is closed, please call the School Health Center at 505-216-7418 and leave a detailed message and a School Nurse will follow up with you as soon as possible.
Santa Fe Indian School recognizes that:
1. Some students require long term medications for control of chronic medical conditions
2. Some students require short term medication for management of acute illness or infection
3. Common minor illnesses are often treated symptomatically with over the counter medications such as analgesics, antihistamines, decongestants, or antacids
In order for the School Health Center staff to administer medications for long term and or acute illness or conditions, an Authorization to Administer Prescribed Medication form is required. The provider and the student’s parent or guardian must fill out this form. It will be kept in the student’s chart in the Student Health Center. IF THIS CONSENT IS NOT COMPLETED AND SIGNED EACH YEAR BY THE PARENT/GUARDIAN AND MEDICAL PROVIDER, WE CANNOT ADMINISTER ANY PRESCRIPTION MEDICATIONS TO YOUR CHILD.
>>Helpful hint: please keep a hard copy of this form readily available. If your student is seen by a doctor when home on leave, you will need to take this form with you as it needs to be signed by the prescribing provider. All School Health Center forms are available on the SFIS Website. If you need a hardcopy of any forms please call our office and we can assist you.
A student’s parent or guardian is required to deliver the medication to the School Health Center staff with instructions as well as a provider’s notes as to why the student is on the medication. The medications must be delivered to the School Health Center in the original container labeled with the student’s name, provider’s name, name of medication, dosage, and instructions for administration. The School Health Center staff will work with the student and residential staff to ensure that medications are administered in accordance with the delivery requirements.
Additionally, in order for the School Health Center to administer over-the-counter medications to students, a "Consent for Over-the-Counter Medication " form must be filled out and signed by the parent or guardian, this was included in the registration packet. The consent form lists the over-the-counter medications the health center can provide, and each medication must be checked in order for the health center staff to administer. IF THIS CONSENT IS NOT COMPLETED AND SIGNED EACH YEAR BY THE PARENT/GUARDIAN, WE CANNOT ADMINISTER ANY OVER - THE COUNTER MEDICATIONS TO YOUR CHILD.
USE OF PRESCRIPTION NARCOTIC MEDICATIONS
The policy of SFIS is to require students who are have been prescribed medication containing narcotics such as oxycodone or hydrocodone (commonly referred to as painkillers) to stay at home while on the prescription, for the following reasons: If the student’s pain level is high enough that he/she needs narcotics, the student is likely unable to focus on schoolwork. If the student is given narcotics during school hours, the student will be impaired and unable to focus on schoolwork as well as be at a higher risk of accident or injury.
Also, there is a high risk of addiction to narcotics. If pain symptoms are not properly monitored by dorm staff, the administration of narcotics to students can contribute to this. Storage and administration of narcotics require proper legal documentation and counting procedures, which the Dorm staff will not be responsible for. Finally, these types of medications have a high rate of theft and abuse. If theft of these medications occurs on campus, a person could be charged with a felony, experience an injury while impaired, or overdose.
INDIAN HEALTH SERVICES-SANTA FE SERVICE UNIT OR CHRISTUS ST. VINCENT’S ER
If your student needs an evaluation or treatment that the School Health Center is not able to provide, the student may be referred and transported to another facility for the care needed. School Health Center staff will make every effort to contact the parent before the student is referred.
It is important that the student have a IHS-SFSU Service Agreement form and Medical History on file at the IHS-SFSU offices in order for the student to be transported to IHS-SFSU for care. Parents are required to fill out and submit this form each year at registration and SFIS staff provides it to IHS-SFSU. If it is a medical emergency, students will be transported to Christus St. Vincent’s Hospital Emergency Room. If a student is transported, parents are expected to meet their student at the facility as soon as possible.
SFIS is not responsible for transporting students to off campus appointments scheduled by parents. For all appointments at IHS-SFSU, students under the age of 14 require a parent or guardian to accompany the student.
STUDENT TOO ILL/INJURED TO GO TO CLASS
In the event a student’s illness or injury prevents them from attending school, the School Health Center staff will call the parent or guardian and request the student be taken home. Sick or injured students must be picked up by a parent or authorized adult as soon as possible. Students will not be permitted to ride public transportation home. The school nurse may require the parent or guardian to return with the student to provide a clearance from a health care provider to return to school.