There are forms that need to be filled out if a student is prescribed medication (including prescription, over-the-counter, and other types of medications). Additionally reports must be made if student has a serious allergy and needs an epinephrine self-injector.
Review the over-the-counter medications available through the Health Center.
The Deerfield Academy medication policy has been developed to ensure the health and safety of all of our students. Per Massachusetts State Law, The Deerfield Academy Health Center must be notified of all student medications, including prescription, over-the-counter (OTC), and other types of medications, such as herbs, homeopathic and otherwise. The Medication Policy is also located in The DA Handbook for your review. Please complete this form.
Over-the-Counter (OTC) Medications: Includes all Non-Prescription Medications, herbal and nutritional supplements
The Health Center provides small amounts (usually 1-2 day supply) of routine OTC medications for our students 24/7 based on their presenting symptoms, medical history, reported allergies, our clinical evaluation, and the orders of the School Physician. Please review the OTC and Stock prescription medication formulary on the right side of this page.
The Health Center is open 24/7 during the school year and students are encouraged to drop by for any medical needs, questions or concerns they or their parents might have.
In addition, boarders may also have a small amount of FDA approved OTC medication in their room for the treatment of minor discomforts such as headache, menstrual cramps, cough, and stomach ache.
It is the parent’s responsibility to instruct and ensure their child knows how to properly self-administer OTC medication that their child has in their possession while at school that was not supplied by the Health Center. It is the student’s responsibility to inform their parents of any OTC medication they plan to purchase during the school year so that their parent may review the instructions and ensure their child takes it properly. If the parent has any concerns or questions about their child properly taking an OTC medication they should not send it to school with their child and instead have the child come to the Health Center as needed to receive OTC medication from our formulary.
A Medication Order Form does not have to be completed for OTC medications.
All medication in a student’s possession must be in English and be in the original manufacturer’s container.
Students may not share their medication.
Prescription Medications:
Please note: any student who takes a prescription medication that is a controlled substance (i.e.. a narcotic, tranquilizer or stimulant) or for a psychological condition (also known as a psychotropic medication) such as for ADD/ADHD, Depression, Anxiety or Bipolar Disorder must receive those medications through the Health Center and adhere to and submit an additional and separate policy called the Deerfield Academy Psychotropic Medication Policy. If your child takes a psychotropic medication, please email our medication nurse, Ms. Caryn Gardner, for further details and instructions regarding this separate policy.
It is the parent’s responsibility to instruct and ensure their child knows how to properly take their prescription medication before sending them to boarding school. If a parent has any concern about a student’s ability to safely self-administer their medication they should ask their prescribing physician whether it is necessary for the child to take the medication while at boarding school. Additionally, parents may also reach out to the Health Center about supplying and dispensing the medication through the Health Center. Please understand that the Health Center wishes to be a resource for all our students and while it is our responsibility to dispense and administer medications safely, it is not the Health Center’s responsibility to make certain a child is taking their medications daily. Parents may always call the Health Center to ask how often a prescription medication supplied by the Health Center has been picked-up or taken by their child.
A Medication Order Form must be completed by a licensed prescriber for each prescription medication and submitted to the Health Center at the beginning of each academic year and during the year if the dose or frequency of the medication has changed. This form must be resubmitted at the beginning of each school year even if the dose and frequency of the medication has not changed from the previous year.
With parent approval and after a Medication Order Form has been submitted to the Health Center, self- administered non-psychotropic medications may be prescribed at and brought from home.
Medications that are ordered through the Health Center (i.e. psychotropic medications, antibiotics prescribed for a student by the Health Center for an acute illness) will be filled through the school-designated pharmacy unless it is after hours when an alternative pharmacy will be used. Your child’s insurance information will be shared with these pharmacies for billing purposes and parents are responsible for co-pays and other costs not covered by insurance.
If your child will be taking a prescription medication while at Deerfield Academy, an account with an associated credit card must be set up with the school designated pharmacy to pay for cost of medications not covered by insurance. Failure to do so may result in delays in your child receiving medications. To set up an account call Big Y Pharmacy in Greenfield, Massachusetts at 413-774-3858, say your child is going to Deerfield Academy and you wish to set up an account for them. If there are any questions ask for Lee Kimball, the pharmacy manager.
Psychotropic medications are used for a variety of conditions. The most common psychotropic medications used in boarding schools fall into the following categories but please understand that the below list of examples is not exhaustive. While not all psychotropic medications are controlled substances and not all controlled substances are primarily psychotropic in nature, there is significant clinical overlap; therefore, for completeness and simplicity the regular use of both these classes of medications will be covered by what is labelled as the Psychotropic Medication Policy. If you are unsure whether your child’s medication is covered by Deerfield Academy’s Psychotropic Medication Policy please call our medication nurse, at 413-774-1600.
All students with a medical condition requiring the self-administration of an injectable medication must abide by the following policy in order to be allowed to use such medication while attending Deerfield Academy.
Documentation must be received regarding the medication from the parent and student per Deerfield Academy’s “OTC and Prescription Medication Agreement and Policy”. Please list in the comments section any history of side effects or other pertinent issues related the medication. Please attach additional pages as necessary.
At the beginning of the academic year or upon the student’s return to campus after being prescribed the medication, the student must come to the Health Center and administer the medication at least once in the presence of a Health Center medical staff member to assure appropriate use and safety. The student may be required by Health Center staff to return and administer the medication again until it is deemed they are doing so appropriately.
Safe and appropriate disposal of needles and administration devices is the responsibility or the student and family. If a sharps/biohazard disposal container is not provided by the manufacturer of the administration device, an appropriate sharps/biohazard disposal container may be obtained from the Health Center. When the sharps/biohazard disposal container is full or near full the student will bring it to the Health Center for safe disposal. At NO time may hypodermic needles or other sharps be inappropriately stored or disposed of in the student’s room or elsewhere on campus.
Please contact the Deerfield Academy Health and Wellness Center with any questions. 413-774-1600
Deerfield Academy and its Health Center wish to be a resource for students with severe allergies that potentially result in anaphylaxis. In order to minimize the risk of anaphylaxis Deerfield has the following policy:
Parents/guardians are required to:
Students prescribed an epinephrine auto-injector are required to carry it at ALL TIMES including school-sponsored trips off-campus. They should inform their resident Faculty about their allergy at the beginning of the year and let them know where their epinephrine auto-injector is located.
Parents/guardians of a child with a history of Anaphylaxis must complete this form.
At Deerfield Academy, a refrigerator in provided in each residence hall’s common room so that students can store items requiring refrigeration. We do not permit refrigerators in individual student rooms (See Rules and Expectations for Deerfield Academy Students, Section 4.11); however, occasionally there is a medical reason where an individual refrigerator should be permitted. The following is the policy to help clarify this process:
Please address any further questions to the Deerfield Academy Health and Wellness Center at 413-774-1600.
The Deerfield Academy Health Center wishes to collaborate with a student’s home physicians and other home health care providers to provide efficient, convenient and seamless care for our students. It is always best for lab work or testing ordered by a student’s primary care provider or specialist to be obtained while the student is at home; however, if this is not possible, the Deerfield Academy Health Center will attempt to facilitate these requests by obtaining the requested labs/testing at the Health Center or at another local facility. Please understand that due to the administrative and clinical burden of obtaining samples for analysis and diagnostic testing, there are certain parameters by which these requests must be made.
Any requested testing and the reasoning for the request, including diagnosis, must be submitted directly by the requesting medical provider via mail, email or fax to the Health Center. Parental consent must also be relayed either through conversation with Health Center staff, email or letter.
The Health Center will only accept such requests from a physician (MD or DO), Nurse Practitioner or Physician’s Assistant.
The Director of Medical Services will then determine if the requested testing will take place at the Health Center, a local hospital or other local medical facility.
The Deerfield Academy Health Center’s primary responsibility is the acute care needs of our students. Requests from outside providers are secondary to the immediate needs of our students and the Deerfield community. Therefore, a reasonable amount of time should be expected between when the outside medical provider makes the request and when the test is obtained. As much as we wish to accommodate and collaborate professionally with home medical providers, “same day service” should not be expected nor will it be provided. It is the responsibility of the parent and home medical provider to submit time sensitive requests at least several days before they must be obtained.
Any specialized collection material or media must be provided by the requesting physician and mailed to the Health Center by the parents or physician with what the Health Center staff deems to be clear instructions on how the specimen is to be obtained.
The Director of Medical Services reserves the right to defer responsibility for obtaining the requested testing to the parents and home care providers if he/she feels it is medically inappropriate or not possible considering the Health Center’s scope of practice and resources.
A concussion is a mild brain injury caused by a direct or indirect hit to the head causing temporary neurologic impairment. Deerfield Academy, through the Athletics Department and Health and Wellness Center, has evolved a robust program to minimize the impact of concussions on Deerfield Academy students. This policy statement outlines our overall approach to concussions, which includes efforts to:
It is normal throughout the course of adolescent development for young people to have questions or concerns regarding eating, weight, exercise, and body image. We believe it’s critical for teenagers to have access to appropriate and accurate resources in order to address these concerns. These issues can also occasionally develop into patterns of unhealthy thoughts and behaviors, in which case more robust medical and mental health support is required. In order to address the entirety of these concerns, the D.S. Chen Health and Wellness Center provides access for our students to a variety of mental, medical and nutritional resources.
Eating disorders typically develop during adolescence, have serious long term health consequences, and are potentially life-threatening. Fortunately, eating disorders are also treatable when addressed early, holistically and with the appropriate level of therapy, support and intervention. In regards to students with known or suspected eating disorders, the health center is dedicated to working with our students and their families, primary care providers and outside specialists in recognizing, evaluating and managing these conditions.
If a student is demonstrating a concerning pattern of eating, restriction, exercise or purging, a health care provider or a counselor will discuss these concerns with the student and/or their parent/guardian so that these issues may be addressed as quickly as possible to ensure the best chance for a full recovery and prevent any long term health consequences.
Assuming the student in question is medically stable, a therapeutic plan will be developed by the health team in consultation with the student and family. It is the Academy’s expectation that the student will actively engage in and follow the provided therapeutic plan and timeline. The plan will include, but not be limited to, regular appointments with a counselor, nutritionist, nursing and health care provider.
It is important to understand that the D.S. Chen Health and Wellness Center does not provide the same level of expertise and treatment found at an eating disorder program (such as Walden or Centers for Discovery) or provided by an Adolescent Specialist (a pediatrician who is board-certified and specializes in the treatment of eating disorders). Therefore, a student known or suspected to have an eating disorder may be required by the Medical Director as a condition to remain in or return to the Academy have a full evaluation by a pediatrician board certified in Adolescent Medicine, a licensed eating disorder clinic/center, or other appropriate clinical program/facility approved by the Medical Director to clarify their diagnosis and make recommendations regarding the most appropriate course of treatment. The timing and clinical urgency of this evaluation will be determined by the Medical Director. If the need for evaluation is urgent but cannot be obtained in a timely manner, the student will require a Medical Leave until it is obtained. The family (or student if ≥ 18 years old) will be required to sign a medical release prior to their visit to any aforementioned provider or program so information—including their evaluation and recommendations—may be freely shared and communicated. If the recommendation from the specialist or program is for a level of care not compatible with the student remaining actively enrolled at Deerfield Academy and fulfilling their academic and extracurricular expectations, a Medical Leave will be necessary to allow the student to complete the entirety of their recommended treatment plan prior to their return to campus. We fully appreciate that conversations about Medical Leaves and the prospect of missing classes and campus life can bring up uncertainty and feelings of frustration. Even so, considering the serious long term and potentially fatal complications of this illness, it is far more important for a student to take the necessary time away from campus to fully establish themselves on the road to recovery as opposed to choosing a less intense and less effective route of treatment.
If a student cannot or does not comply with the treatment plan set forth by the health center, is not actively and genuinely engaged in treatment, shows evidence of mental or physical decline, or is assessed by the Medical Director to require a level of care outside the health center’s scope of practice, this is indicative that a higher level clinical evaluation and care will be necessary and a Medical Leave will most likely be required to receive appropriate care.
If a student with the above concerns is ever felt to be clinically unstable or to need inpatient hospitalization per AAP criteria (see below) or provider’s clinical assessment, health center staff will immediately contact a local hospital and/or emergency services for triage and evaluation.
From the American Academy of Pediatrics Criteria for Inpatient Hospitalization in Eating Disorders: |
· Heart Rate < 50 beats/minute; < 45 beats/min while asleep · Systolic Blood Pressure < 90 mm Hg · Orthostatic changes in pulse (> 20 beats/minute) or blood pressure (> 10 mm Hg) · Arrhythmia · Hypothermia (Temperature < 96⁰F) · < 75% ideal body weight or ongoing weight loss despite intensive management · Body fat < 10% · Refusal to eat · Failure to respond to outpatient treatment · Syncope · Serum Potassium < 3.2 mmol/L · Serum Chloride < 88 mmol/L · Esophageal tears or hematemesis · Suicide Risk · Bloody or Intractable vomiting
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The student will not be allowed to return to campus until they have been evaluated at the local hospital, have complied with and completed all recommended treatment and vital signs are stable or other reason for emergency transfer has been resolved. If the family chooses not to comply with recommended evaluation treatment then a Medical Leave will be mandated until such treatment or appropriate alternative evaluation and treatment approved by the Medical Director is obtained.
Our overriding principle at the D.S. Chen Health and Wellness Center is always to provide robust and holistic support to our student body so that they might be their healthiest selves and realize growth and success while at Deerfield Academy and beyond. Our aim, therefore, is to assess and support any student who might be struggling with disordered eating behaviors, and to help them and their families access the most effective and long-lasting treatment possible, be that on or off campus.
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References:
The Identification of Eating Disorders in Children and Adolescents; David S. Rosen and the Committee on Adolescence; Pediatrics December 2010, 126 (6) 1240-1253; DOI: https://doi.org/10.1542/peds.2010-2821
National Eating Disorder Association (NEDA) Level of Care Guidelines
Please refer to our Notice of Privacy Practices.
Congratulations! You’re now legally considered an adult. With that designation, you’re independent of authorizations previously provided by your parent/guardian on your behalf. So there are some agreements you must fill out as soon as possible. Please read and sign the below forms to remain in good standing at the Academy and to ensure continued access to the services and opportunities we provide.
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