Directive to Administrators (Specify which administrators) WAD (Wednesday) Publication Date WAD Notice Number No. of Pages All Administrators WAD Title (Limit to 4-6 Words) May 6, 2015 Date Due (if applicable) 1 of 5 Not Applicable After Medication Retrieval from Schools From Kim Coates Title Executive Director, School Health Programs, SFCSD Signature Inform: ( x ) Certificated Staff ( x ) Classified Staff ( x ) Parents ( ) Post on Bulletin Board Other Administrative Directive N/A May 30, 2015 Telephone 415-242-2615 MEDICATION RETRIEVAL FROM SCHOOLS WHAT: All unused, discontinued, or outdated medication must be returned to student s parent/guardian at the end of the school year. WHO: WHY: The School Administrator must designate a school staff member to coordinate the return or disposal of unused medication. CA Ed Code and CA Code of Regulations requires that medication is returned to parent or legal guardian where possible; such medication that cannot be returned to the pupil s parent or legal guardian is disposed of by the end of the school year in accordance with the applicable law. HOW: a) Parents/guardians must be notified two weeks prior to the end of school (by May 16) to retrieve the medication at the school. (Parent/guardian letters are attached) To ensure parent/guardian contact, it may be necessary to notify the parent/guardian by phone. b) Notification for the 2015-2016 school year Please attach blank Medication Forms and Emergency Care Plans so that forms can be completed by the parents/guardians and health care providers during the summer for 2015-16 school year. Forms can be downloaded from the School Health Manual, now on the SFCSD website at http://www.healthiersf.org/resources/shm-sectionb.php and http://www.healthiersf.org/resources/shm-sectionc.php. c) Medication that is RETURNED must be documented in the following manner: Document return of medication to parent/guardian on the student s medication log The log should indicate the name of the medication and the return date The parent/guardian receiving the medication should sign the medication log The school staff member returning the medication to parent/guardian should also sign the medication log Administrative Directive
MEDICATION RETRIEVAL FROM SCHOOLS CONTINUED IF THE PARENT/GUARDIAN DOES NOT CLAIM THE MEDICATION Do not give medication to the student to bring home Do not dispose of unclaimed medication in the trash/toilet/recycle bin Medication should be brought to the San Francisco Safe Medicine Disposal Location near your school (see attached list of Safe Medicine Disposal Locations) Follow this procedure for disposal of medication via the Safe Medicine Disposal Locations: Medication to be disposed of must be witnessed by another school staff member as it is put into an envelope and sealed. Documentation on the medication log must include: o Date of disposal o Medication name o Method of disposal (name of Safe Medicine Disposal Location) o Source for instructions of disposal method o Signatures of the person disposing of the medication and the witness to the disposal o Signature of Safe Medicine Disposal location staff member receiving the envelope Please contact the Nurse of the Day at School Health Programs, SFCSD, at 415-242-2615 if there are any questions. Attached Documents: 1) Safe Medicine Disposal Locations San Francisco 2) Request for Retrieval of Medication (English, Spanish, Chinese) Approved Kevin Truitt Associate Superintendent, Student, Family and Community Support Department Signature SAN FRANCISCO UNIFIED SCHOOL DISTRICT WEEKLY ADMINISTRATIVE DIRECTIVE (WAD)
Safe Medicine Disposal Locations All drop-off sites accept these non-controlled substances: prescription medicines, over-the-counter medicines, vitamins, liquid medicines, empty inhaler cartridges, pet medicines and medicated ointments. Central Drug Store 4494 Mission St. SF, CA 94112 Charlie's 1101 Fillmore St. SF, CA 94115 Clay Medical 929 Clay St. #103 SF, CA 94108 Daniels 943 Geneva Ave. SF, CA 94112 Four Fifty Sutter 450 Sutter St. #712 SF, CA 94108 Franklin 1508 Franklin St. SF, CA 94109 Golden Gate 1844 Noriega St. SF, CA 94122 Mission Wellness 2424 Mission St. SF, CA 94110 AHF / MOMS 4071 18th St. SF, CA 94114 Post Divisadero Medical 2299 Post St. SF, CA 94115 SFPUC Southeast Community Facility 1800 Oakdale Ave. SF, CA 94124 Torgsyn Discount Inc. 5614 Geary Blvd. SF, CA 94121 Visitacion Valley 100 Leland Ave. SF, CA 94134
Safe Medicine Disposal Locations Only police stations accept controlled substances like: Vicodin, OxyContin, Percocet, Ritalin, Adderall, Xanax, and Valium. They also accept all items accepted at the pharmacies. Bayview Station 201 Williams St. SF, CA 94124 Central Station 766 Vallejo St. SF, CA 94133 Ingleside Station 1 John V. Young Ln. SF, CA 94112 Mission Station 630 Valencia St. SF, CA 94110 Northern Station 1125 Fillmore St. SF, CA 94115 Park Station 1899 Waller St. SF, CA 94117 Richmond Station 461 6th Ave. SF, CA 94118 Southern Station 850 Bryant St. SF, CA 94103 Taraval Station 2345-24th Ave. SF, CA 94116 Tenderloin Station 301 Eddy St. SF, CA 94102 Please dispose of your expired or unwanted medicines at a drop-off site near you. At a pharmacy, you can pour pills directly into the medicine drop-box, but keep liquid medicine in its original container. At a police station, hand all medicines to the officer on duty. 10/14 PLEASE SEE DB 14-072
REQUEST FOR RETRIEVAL OF MEDICATION Date Dear Parent/Guardian: In accordance with California Education Code, you are responsible for collecting your child s medication from the school at the end of the school year. Medications that remain after the last day of school will be discarded. For your convenience, we are enclosing a Medication Form and Emergency Care Plan. These forms must be completed by your child s health care provider and returned at the start of the school year if medications are to be taken at school during the 2015-2016 school year. We urge you to make an appointment with your child s health care provider during the summer. Sincerely, Principal
取 回 用 剩 藥 物 通 知 親 愛 的 家 長 / 監 護 人 : 依 照 加 州 教 育 法 令, 閣 下 有 責 任 在 學 年 終 結 前 到 學 校 取 回 子 女 用 剩 的 藥 物 如 學 年 結 束 後 還 未 被 取 回, 所 剩 藥 物 將 被 扔 掉 為 方 便 閣 下, 我 們 已 隨 函 附 上 一 份 藥 物 治 療 表 格 和 一 份 緊 急 護 理 計 劃 這 些 表 格 必 須 由 閣 下 子 女 的 醫 生 或 其 他 醫 療 保 健 提 供 者 填 妥 如 閣 下 子 女 在 2015-2016 學 年 需 要 在 校 服 藥, 請 務 必 在 新 學 年 開 始 之 際 將 表 格 交 回 學 校 我 們 呼 籲 閣 下 在 暑 假 期 間 安 排 約 見 子 女 的 醫 生 或 其 他 醫 療 保 健 提 供 者 校 長 啟 Request for Retrieval of Medication Translation Provided by SFUSD Translation Department
SOLICITUD PARA QUE RETIRE EL MEDICAMENTO DE LA ESCUELA Fecha: Estimado padre de familia o encargado: De acuerdo con el Código de Educación del Estado de California, usted es responsable de recoger el medicamento de su hijo/a, cuando finalice el año escolar. Cualquier medicina que permanezca después del último día de clases será desechada. Para su conveniencia, le adjuntamos el Formulario para la Medicación y el Plan de Emergencia del estudiante. Estos formularios los debe de completar el doctor del educando u otro proveedor de servicios médicos, y deberá devolverlos a la escuela cuando se inicie el año escolar 2015-2016. Lo instamos para que haga una cita con el doctor de su hijo/a u otro proveedor de servicios médicos durante el verano. Atentamente, Director Request for Retrieval of Medication Translation provided by SFUSD Translation Department