District Of Columbia Code § 38-651.03

Medication action plan.
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A valid medication action plan shall include: Written medical authorization, signed by a licensed health practitioner, that states: The name of the student; Emergency contact information for the responsible person; Contact information for the licensed health practitioner; The name, purpose, and prescribed dosage of the medication; The frequency that the medication is to be administered; The possible side effects of the medication as listed on the label; Special instructions or emergency procedures; and In the case of self-administered medication, confirmation that the student has been instructed in the proper technique for self-administration of the medication and has demonstrated the ability to self-administer the medication effectively.
Written authorization, signed by the responsible person, that states: A trained employee or agent of the school may administer medication to the student in accordance with rules established by the Mayor; or In the case of self-administration, the student may possess and self-administer the medication at the school in which the student is currently enrolled, at school-sponsored activities, and while on school-sponsored transportation; and The name of the student may be distributed to appropriate school staff, as determined by the principal; and Written acknowledgment that the District, a school, or an employee or agent of a school shall be immune from civil liability for the good-faith performance of responsibilities under this subchapter; except, that no immunity shall extend to criminal acts, intentional wrongdoing, gross negligence, or wanton or willful misconduct.
Immediately following any changes regarding the health or treatment of the student, the responsible person shall submit to the school an amended medication action plan.
The medication action plan shall be updated at least annually, in accordance with a schedule determined by the Mayor.

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