Connecticut schools, licensed child day care centers, group and family day care homes and licensed youth camps cannot give a child medication without written authorization, and this joint State Department of Education and Office of Early Childhood form provides it. It combines the authorized prescriber's order with the parent's request. Page 2 is the medication administration record staff keep.
An authorized prescriber (physician, dentist, optometrist, PA, APRN or podiatrist) completes and signs the order. The parent completes the authorization, and the school nurse signs where applicable, including approval of self-administration.
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Authorization for the Administration of Medication by School, Child Care, and Youth Camp Personnel
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An authorized prescriber: a physician, dentist, optometrist, physician assistant, advanced practice registered nurse or podiatrist. The parent or guardian must also sign, and in a school the school nurse signs when applicable.
Yes, if authorized. In a school, inhalers for asthma and cartridge injectors for life-threatening allergies need authorization from the prescriber and parent only. The form's self-administration section records whether the student may self-administer and possess the medication.