FIELD TRIPS

PURPOSE
To provide a consistent and problem free

approval process for staff, the front office

and the health office
Funding approval
Principal approval
Timely communication with Transportation

To ensure student safety

Identify those students who need medication

and/or who may have special needs

Provide education to teachers (if applicable)

WHO
All Class Trips

Field trip forms (day and

overnight) should be
completed and turned
into the front and health
offices for all class trips.

Does Not Apply

To Interscholastic
Activities

REGULATION TITLE: Administering Medicine to Students

POLICY REGULATION CODE:JLCD-R

Field Trips (Not Interscholastic)

Prescription medications must be in a pharmacy container labeled with students
name, date, medication, dose, time to be taken.

Day Trips

On day trips medication may be administered by a principals designee (certified district

employee).

Parents must supply an extra prescription container to send on the field trip. If an extra
prescription bottle is not provided health office staff will send the school container, with its entire
contents, unless other arrangements are made.

Overnight Trips

On extended trips medication may be administered by a principals designee (certified district

employee). The parent must complete the Overnight Travel Emergency & Medication Form (HEA
2108).

The parent must give the medication directly to the principals designee (certified district
employee) in charge of the trip and perform any necessary teaching in regards to giving the
medication and/or specific healthcare needs.

The medication must be kept in possession of or under control of the principals designee
(certified district employee).

Exceptions:

Emergency medications allowed to be carried by the student per state law.

Birth Control and over-the-counter medication may be carried by the student with
a note from the parent directing the use and possession of the medication.

DISTRICT POLICY
Review Released Time for

Students Policy

INITIAL FORMS
HEALTH OFFICE
Certified Staff member will submit Day Field Trip Notification

to Health Office/Medication Log (HEA2101) to the health

office two weeks prior to trip.
A trip roster must be attached

School Nurse will review trip roster for students who have

medical needs.

WHERE TO FIND FORMS

TUSD Forms
Page
Transportation
This is the site the

teachers will use

Includes a
checklist for
teachers on howto

Health Services
Intranet Forms
Page
Field Trip Section

DAY
TRIPS
No Medical

Needs
Mark a line through

the medication and

log sections and write
n/a
Have certified staff

sign form and provide

first aid kit (if
needed).

N/
A
N/
A

DAY TRIPS
Medications Needed

&/or Special Health

Care Needs

If medications (daily or PRN)

are needed, complete

medication section
Nurse will perform necessary
teaching to certified staff
member
Fill out appropriate teaching forms

(medication administration, EpiPen

administration, etc)

Have certified staff sign form

Provide medications and first

aid kit (if needed) on the day of

the trip.
Send HEA2101 with teacher or
Principals designee after
instructing in how to fill out log.
When form is returned log in
medication returned.
Document FT on medication

log
Keep log in medication
binder until the end of the
year.

Give 2 puffs by mouth as needed

1
1 inhaler

0
1 inhaler

Give 2 pills by mouth at 11:30

14

12

Ex. Joe Smith

Ritalin 5mg

Give 1 pill by mouth at 12:00

Ex. Jose Ruiz

Albuterol Inhaler

Ex. Suzie Que

Bentyl 20mg

Ex. Joe Smith

Ritalin 5mg

Ex. Suzie Q

Bentyl 20mg

by mouth

oral

12:00

Mary Johnson

11:32

Mary Johnson

Special Needs/ Other Pertinent Health

Information
If a student has needs
other than medication
you can write on the
trip roster
Pertinent
information a teacher
needs
Information in
case of emergency

E
L
P
M
SA

R
E
T
ROS

OVERNIGHT
TRIPS

OVERNIGHT
TRIPS
No Medical Needs
No action needed
Return form to

teacher/principals
designee
It does not need to

be returned to the
health office after
the trip
Provide a first-aid kit

(if necessary).

OVERNIGHT
TRIPS
Medications Needed &/or

Special Health Care Needs

If medications (daily or PRN) are

needed nurse will perform

necessary teaching to certified staff
member **
May need to call parent for clarification

if what they write is not clear or if you

have other questions
Fill out appropriate teaching forms (5
rights, EpiPen administration, etc)

Provide Log(s) and instruct teacher

in how to fill out

May need to go over specific health
care needs/instructions (other than
medication) with teacher
Ex. Recent concussion
Can write this information on roster

Amoxicillin
Zyrtec

875mg Oral
10mg Oral

infection
allergies

9am and 9pm

as needed

3/18/13 3/20/13

OVERNIGHT
TRIP MEDICATION
LOG
One log for each

medication

Nurse will fill out most of top

section and have teacher sign

Parent will give medication

directly to teacher or
principals designee

Log in when received

Log out upon return

Teacher returns this form

after trip (with HEA 2108).

keep in students health folder

WHO TO CONTACT
WITH QUESTIONS
OR SUGGESTIONS
Elementary School =
Stinely

Kathy

Michelle
Bennett
Middle School =

Kathy Stinely
Monica Ibarra

High School =

Monica Ibarra
Sara Little

If you get frustrated

with the new process
just remember the
kids viewpoint:

Yay!
Field Trips every
day. What can be
better than that?