Health Services

If your child takes medication for any reason, please complete the correct forms and bring them to the school office.  All medications must be in an unopened container with the original label.  A parent or guardian must deliver the medications; please do not send the medications with your child.

A separate form needs to be completed for each medication, plus an allergy management, asthma management, or seizure management plan if applicable.

Medication Request/Consent Form 

Health Management Plan Forms:

Allergy Management Plan Form

Asthma Management Plan Form

Seizure Management Plan Form

State law requires all public and private school students to present written evidence of immunization against certain diseases within 30 days of admission.  The current age/grade specific requirements are available from schools and the Oak Creek Health Department.  These requirements can be waived only if a properly signed health, religious or personal conviction waiver is filed with the school.  

Use this form to provide the date(s) of immunization(s) OR claim a waiver.  See Step 4 for the waiver portion of the form. 

Student Immunization/Waiver

Call the Oak Creek Health Department at (414) 766-7950 or the Franklin Health Department at (414) 425-9101 with any questions.

Students might occasionally need to take medication during the school hours.  In accordance with Board Policy 4330, Administration of Medication/Emergency Care,  parental and physician/health care provider permission must be obtained before prescription drugs may be administered at school.  The parent must sign the form in order for over-the-counter medication or prescribed to be administered.  The parent/guardian must provide the school with the completed Medication Administration Permission Form prior to any medication being administered. Cough drops are the only exception to the rule, and it would require a note from parents allowing the students to use them. 

Parent(s) should provide only enough medication for use at school, not the entire prescription.  It must be in a labeled bottle from the pharmacy or original “over the counter” package.  If it is not in the original package or does not have the pharmacy label on it, the medication will not be given.  Parents/physicians/health care providers shall inform the school of possible side effects of the medication.

Parents need to drop off and pick up any medication bottles in the school office.

The prescribed medication shall be kept in a safe, locked place at school.  The label on the bottle shall contain the name and telephone number of the pharmacy, the student’s identification, name of the health care provider, name of the drug, and the dosage to be given.  Students taking the medication shall be supervised by designated school personnel at a time conforming to the indicated schedule.

Students may carry and self-administer their inhalers, EpiPens, or insulin in school or at school activities (with the completed medication administration form on file at the school) to prevent or control their identified health care needs.  The school will call 911 when an EpiPen, Glucagon, or seizure medication is used. 

Health Management Plan Forms:

Allergy Management Plan Form

Asthma Management Plan Form

Seizure Management Plan Form

All students may carry and use contact lens solution(s) without signed permission.

All medications remaining at the school at the end of the school year in June must be taken home by an adult.  The only exception is inhalers, which will be sent home with each student.  If medications are not picked up by one week after the last day of school in June, they will be destroyed unless the parent/guardian instructs the school otherwise.  Two staff members shall dispose of the “left-over” medication, and both staff shall document the disposal on the student’s medication administration record.

Protocol for Emergency Administration of Albuterol In School

The Oak Creek Franklin School District Board of Education recognizes asthma is a chronic, life-threatening condition. Over 4.6 million children in the United States have asthma, including Wisconsin. Asthma is a leading cause of hospitalization of children and is responsible for 10.5 million missed school days every year. Students with an asthma diagnosis prescribed a quick-relief inhaler are strongly encouraged to self-carry and administer their medication, if appropriate.

Students who are unable to self-carry and self-administer their medication should bring an inhaler to school and follow the alternate procedure outlined by the school nurse, student’s parent/guardian, and health care provider.

Under this policy, the school board shall allow the school health program, in coordination with the school administration, to provide bronchodilators to students experiencing an asthma episode or are experiencing respiratory distress.

Definitions

For the purposes of this policy, the following definitions have the following meanings:

1) “Bronchodilators” mean any medication used for the quick relief of asthma symptoms (i.e., coughing, wheezing, shortness of breath, and difficulty breathing). This type of medication is inhaled orally by a premeasured single dose of albuterol or albuterol sulfate delivered by a nebulizer (compressor device); or by a pressured metered dose inhaler used to dilate the airways during respiratory distress.

2) “School Nurse” means a registered nurse (RN) licensed by the state board of nursing, working in the school and meeting any additional state criteria.

3) “Asthma” means a chronic lung disease that inflames and narrows the airways. It causes recurring periods of coughing, wheezing, chest tightness, and shortness of breath. For the purpose of this policy, “asthma” also includes “reactive airway disease” commonly referred to as RAD.

Conditions for Administering Bronchodilators

Students diagnosed with asthma whose bronchodilator is unavailable or students without a diagnosis of asthma or who are experiencing respiratory distress shall be able to receive an emergency dose from a school-stocked bronchodilator under the following conditions:

• The student is experiencing asthma symptoms, an asthma episode (e.g., asthma attack) or respiratory distress without a diagnosis of asthma.
• The Oak Creek Franklin School District, its employees and agents, including an authorized licensed prescriber providing the standing protocol or prescription of a school bronchodilator and any pharmacist or pharmacy filling the prescription, are to incur no liability, with the exception of gross negligence, for the prescription or administration of stock bronchodilators to students with asthma or suffering from respiratory distress pursuant to [add citation to state law on stock bronchodilators].

Administering and Storing Bronchodilators

To administer and store the stock bronchodilator, the following procedures shall be followed:

• Only school nurses and designated personnel that have completed appropriate training, as designated inOak Creek Franklin School District’s protocol, shall administer the stock bronchodilator.
•  Each school shall appoint other personnel to administer the stock bronchodilator when the nurse is not available.
• All who will be administering stock bronchodilators, including the nurse and other designated personnel are required to complete the appropriate training.
• The stock bronchodilator shall be stored in a secure and easily accessible, but unlocked location known to the school nurse and all school staff designated to administer the bronchodilator in case of the nurse’s absence.
• To minimize the spread of disease, a pressurized metered dose inhaler shall be used with a disposable spacer (plastic or cardboard models) one per student and discarded at the end of the school year.
• To minimize the spread of disease, disposable tubing with mask or mouthpieces may be used with nebulizers and discarded after the student is finished using it. Nebulizer machines shall be cleaned and sanitized properly to avoid spreading infection.
• Each school shall implement a reporting system to notify parent/guardians, and if applicable, the student’s healthcare provider when the stock bronchodilator has been used by a student. Oak Creek Franklin School District may implement a recording system to document each time the stock bronchodilator has been used, and by which student.

Obtaining Stock Bronchodilator

The stock bronchodilator and appropriate medical devices needed for proper medication delivery shall be prescribed by:

• An authorized licensed prescriber. A provider may prescribe bronchodilators in the name of Oak Creek Franklin School District to be maintained for use when deemed necessary based on the provisions of this section.
• •All bronchodilators, devices and device components needed for appropriately administering the medication must be dispensed from a licensed pharmacy or manufacturer.
• Schools shall be allowed, with a valid prescription, to accept donated bronchodilators, devices and device components and seek and apply for grants to obtain funding for purchasing bronchodilators, devices and device components.
• An authorized licensed prescriber may refill any used or expired prescription in the name of Oak Creek Franklin School District to be maintained for use when deemed necessary based on the provisions of this section.
• All expired medication shall be discarded in accordance with proper procedure.

Effective Date: This policy shall take effect in full on July 1st, 2026.
 

Protocol for Emergency Administration of Epinephrine in School

The Oak Creek Franklin School District Board of Education recognizes Anaphylaxis as a potentially life-threatening medical condition occurring in allergic individuals after exposure to things such as certain foods, medicines, latex, or an insect sting. Anaphylaxis refers to a collection of symptoms affecting multiple systems in the body. The most dangerous symptoms include breathing difficulties and a drop in blood pressure or shock that are potentially fatal. Epinephrine is the drug of choice for treatment of anaphylaxis, and should be given as soon as possible at the onset of symptoms.

If there were to be a student, a staff member, or other adult who developed symptoms of anaphylaxis at school, there would be a delay before paramedics or ambulance staff could arrive. Therefore, having school staff trained in recognizing anaphylaxis and quickly giving epinephrine may be life-saving. Students who have been identified as being at risk for an allergic reaction should have their own auto-injector of epinephrine at school. However, some students or adults at school may have their first anaphylactic reaction in a school setting.

Oak Creek Franklin School District allows trained individuals under a standing order to administer auto-injectable epinephrine to a child or adult at a public school or a school-sponsored activity. OCFSD protocol describes the responsibility of all schools to stock auto-injectable epinephrine on site at school, the training required by those designated to administer epinephrine in an emergency setting, and the procedures for its administration.

 The annual training to school staff of emergency administration of epinephrine and recognizing anaphylaxis should be conducted by a regulated health care professional, whose competencies include the recognition of symptoms of anaphylaxis, the procedures to follow when anaphylaxis occurs, and the administration of auto-injectable epinephrine. These regulated health care professions would include but are not limited to a licensed school nurse, a certified emergency medical technician, or a licensed athletic trainer.

The standing order for auto-injectable epinephrine should be renewed annually.  The school nurse maintains and makes available upon request an up-to-date list of those school personnel authorized and trained to administer auto-injectable epinephrine.

The auto-injectable epinephrine should be stored at room temperature and in a secure, unlocked, easily accessible location in the schools. The optimal temperature to store auto-injectable epinephrine is between 68°-77° F. (with an acceptable range of 59°-86° F). Keep epinephrine auto-injectors protected from excessive heat or cold. The auto-injectors should be covered and protected from light. If the solution is discolored or if it contains a precipitate, the auto-injector should be replaced. The epinephrine auto-injectors should be replaced before their expiration date.

Annual Training for All School Site Personnel in Recognizing Symptoms of Anaphylaxis

Each school should require that all school site personnel receive an annual training on the recognition of anaphylaxis and procedures to follow when anaphylaxis occurs or is suspected. The training on the recognition of symptoms of anaphylaxis and appropriate procedures should be conducted by a regulated health care professional, whose competencies include the recognition of the symptoms of anaphylaxis, and the procedures to follow when anaphylaxis occurs. 

Signs and Symptoms of Anaphylaxis (only a few may be present):

•  Hives, itchy rash and/or swelling about the face, body or extremities
•  Flushing and/or swelling of the face
•  Itching around the eyes, redness and swelling of the eyes, and tearing of the eyes
•  Itching and/or swelling of the lips, tongue or back of the throat
•  Itching and /or sense of tightness in the throat, hoarseness, difficulty breathing and/or swallowing
•  Itching of the outer ear canals
•  Shortness of breath, repetitive coughing and /or wheezing, chest tightness, harsh high-pitched breathing (stridor)
•  Weak pulse, low blood pressure
•  Light headedness, feeling faint, fainting, collapse
•  Nausea, abdominal cramps, vomiting
•  Distress, anxiety and a sense of dread
   

The most dangerous symptoms of anaphylaxis include breathing difficulties and a drop in blood pressure or shock that are potentially fatal. 

Have trained school personnel evaluate the person and decide if the person’s symptoms indicate possible anaphylaxis.  

Call 911 when anaphylaxis is suspected.

While the person is being evaluated for symptoms of possible anaphylaxis, obtain auto-injector epinephrine. 

Students who have been prescribed epinephrine by auto-injector and who have their own auto-injector at the school or at a school-sponsored event should use or be given their own auto-injector epinephrine.

 Obtain epinephrine from the school supply for a child or an adult who does not have a supply of their own auto-injector epinephrine.

If it is decided that the patient may have anaphylaxis, a trained and authorized person should select the appropriate dosage of auto-injectable epinephrine to administer pursuant to a standing order, and administer epinephrine via auto-injector according to the standing order (0.3mg dose if the estimated weight is 66 pounds or above; 0.15mg dose if the estimated weight is 33-66 pounds).

 When possible, have the person with suspected anaphylaxis lie down with their legs elevated until the emergency responders arrive. 

Maintain the person in a position that is most comfortable for breathing.

 If needed, repeat the epinephrine dose pursuant to a standing order if the symptoms persist and the emergency responders have not arrived.

 Once the emergency responders have arrived, inform them about the incident, the reasons for giving epinephrine, and the person’s response to the epinephrine. Give them the used epinephrine auto-injector labeled with the person’s name, date and time administered.

 Advise school health personnel and school administration of the incident.

Notify a student’s parents/guardians of the incident and ask them to promptly alert the
student’s primary care doctor of the incident.

 Fill out an accident report. Describe the event, the rationale for giving epinephrine, the person’s response to the epinephrine, who was involved in the event, the timing of notifications to emergency responders, school administration, student’s parents/guardians, 

The person who receives epinephrine may have the following side effects: moderate anxiety; apprehensiveness; restlessness; tremor; shakiness; weakness; dizziness; sweating; heart-pounding; paleness; pallor; nausea and vomiting; and/or headache.

 Even if the person improves after receiving epinephrine, he/she still needs to be taken for urgent medical evaluation since the symptoms of anaphylaxis may recur. The school and school district should review the incident involving emergency administration of epinephrine to determine the adequacy of response.