The three types of cookies we use are strictly necessary, analytics, and advertising. Leadership As the expert healthcare provider in the educational setting, the school nurse is critical to the safe and effective administration of medication to students. It is estimated that up to 27% of children have chronic health conditions (Van Cleave, Gortmaker, & Perrin, 2010). Silver Spring, MD: Author. Licensed nursing personnel will record the original medication order or the parent/legal guardian authorization form and subsequent changes in the student’s cumulative health record. Exceptional Child Special Education Courses. The school nurse should lead the development of school district policies and procedures relating to medication administration in the school setting and, where delegation of medication is permitted, the school nurse should be responsible for the delegation, training and supervision of UAP. 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Manage incident, accident and injury reports for employees, students, and visitors, using any web-enabled device. Medication administration at school requires the following: Signed parent medication permission form- for both over the counter and prescription medications. Examples of medication errors include administering medication to the wrong person, giving the wrong dose, or not giving a dose as scheduled. Medication administration to students is one of the most common health‐related … This document has moved to a new web page. Community/Public Health School nurses understand the unique needs and environments of their populations, which should be addressed in schools’ medication policies and guidelines (NCCMERP, 2015). This website uses cookies to ensure you get the best experience on our website. Research has shown that there are fewer medication errors in schools when medications are provided by a school nurse and when evidence-based policies are routinely followed (ISMP, 2012). For the safety of students, it is critical that evidence-based policies and procedures exist regarding medication administration. According to Wis. Stat. Automated features make administration fast and easy. Training for the previous school year expires on June 30. Medication Administration in Missouri Schools, 2020 is a revision of the Medication Administration in Missouri Schools, 2005. This trend has caused an alarming increase in the number of medication errors made by UAP (Institute for Safe Medication Practices [ISMP], 2012). Administration of medication to students is one of the most common health services provided in schools. Care Coordination Medication administration is often part of a larger plan for the care and management of acute and chronic health conditions. Join Donate Marketplace Subscribe. Pediatrics, 137(6), 1-6. doi: 10.1542/peds.2016-0852, American Academy of Pediatrics, American Public Health Association, & National Resource Center for Health and Safety in Child Care and Early Education. Reedsville Elementary School; Reedsville Jr/Sr High School; Families. 0 comments 4018 views Permalink. This includes the need for medications which enhance students’ overall health or stabilize their chronic health conditions. How to dispose of unused medicines. It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) be responsible for medication administration in the school setting, leading the development of written medication administration policies and procedures that focus on safe and efficient medication administration at school. Schools. The principles of leadership, care coordination, quality improvement, public health/community, and standards of practice guide the practice of school nurses, including their role in medication administration (NASN, 2016). Journal of Child and Family Studies, 23, 704-715. doi: 10.1007/s10826-013-9805-3, Section 504 of the Rehabilitation Act of 1973, 34 C.F.R. Cloete, L. (2015). Receive key metrics for easy trend analysis. School Health Services: Medication Administration Management of medication administration in the school setting School districts/schools may apply for permission to delegate the administration of prescription medications to unlicensed school personnel as determined by the school nurse, provided that certain requirements are met. American Nurses Association (ANA). RATIONALE To reduce errors and increase safety, written policies and procedures for schools should include documentation from a licensed provider for the medication; proper labeling of medications brought to school; training of other staff involved in medication administration; storage of medication; process for administering medication (including proper identification of student and medication); documentation of medication administration, errors, reactions or side effects of medication; and proper disposal of medications (National Coordinating Council for Medication Error Reporting and Prevention [NCCMERP], 2007; 2015; FDA, 2013; Ryan et al., 2013). School nurses can identify and address issues that may affect management of acute and chronic health conditions, such as environmental factors and socio-economic challenges, including obstacles to obtaining medications and delivery of medication to the school (Blaakman, Cohen, Fagnano, & Halterman, 2014). Transmittal 77: CMS Manual system pub. Annual Medication Administration Training for Unlicensed Personnel. Review of State Medication Policies/Guidelines Regarding Psychotropic Medications in Public Schools. 34-01 The Administration of Medications in Schools (2001). COVID Exposure and Symptom Guide for Parents; Medication Administration Medication Administration at School Parents and Health Services staff work together to provide safe medication administration to students, if needed, during the school day. In a school: 1. inhalers for asthma and cartridge injectors for life-threatening allergies require Silver Spring, MD: Author. Guide to Medication Administrationin the School Setting Guide to Medication Administration in the School Setting To Implement Texas EducationCode Chapter 22 Section 22.052 Guidelines for Use byLocal Boards of Trustees of School Districts andGoverning Bodies of Open-Enrollment Charter Schools © 2020 Vector Solutions. Bobo, N. (2014). American Educator, 19-22. Responsibilities. Depending on the illness, trained staff will respond accordingly. 20 U.S.C.1412 (a) (12) and (e) 34 C.F.R. School nurses are the health professionals in the school who coordinate care for the student, including medication administration. Quality Improvement The necessity for student use of medication at school has risen over the last two decades because many students who attend school have complex and chronic medical problems (ISMP, 2012). Elk Grove Village, IL: American Academy of Pediatrics; Washington, DC: American Public Health Association. Medication Administration: Epinephrine Auto-Injectors The goal of this course is to provide school staff members with a basic understanding of the procedures required to safely administer an epinephrine auto-injector to a student. There is a decrease in errors when a culture of safety exists that includes proper oversight and written policies in place (U.S. Department of Health and Human Services [USDHHS], 2011). The goal of this course is to provide school staff members with a basic understanding of the procedures required to safely provide medications to students. Retrieved from http://ismp.org/Newsletters/consumer/Issues/20120301.asp, Maughan, E. D. (2016, Spring). Online Resources. Registered nurses possess the knowledge about how to comply with NPAs and issues such as over-the-counter medications, off-label usage, and alternative medications in a safe, evidence-based manner (American Nurses Association [ANA], 2012; AAP, 2016). Medication administration to students is one of the most common health services provided in schools. Medication administration to students is one of the most common health‐related activities performed in school. KBN to ensure compliance with 201 KAR 20:400. 1100 Wayne Ave, Suite #925 Silver Spring, MD 20910-5669 240-821-1130 nasn@nasn.org, © 2020 NASN    Terms Of Use | Privacy Policy | Accessibility Statement. Hundreds of courses, written by experts. SafeSchools is a federally registered trademark of Vector Solutions. (2011). (2017). 100-07 state operations provider certification. Nursing Standard, 29(20), 50-59. Policies and procedures should address (Ryan, Katsiyannis, Losinski, Reid, & Ellis, 2013; U.S. Food and Drug Administration [FDA], 2013): delegation (when permissible by state law), training and supervision of unlicensed assistive personnel (UAP); medication doses that exceed manufacturer's guidelines; proper labeling, storage, disposal, and transportation of medication to and from school; documentation of medication administration; off-label medications and investigational drugs; prescription and over-the-counter (OTC) medications; complementary and alternative medications; and. Fewer school nurses leads to greater medication errors. If you have questions about the policy, or need additional information related to the administration of medication in the schools, please contact School Health Services at 241.3500 ext. Special issues to consider include: psychotropic (brain) medications the parent and/or student about self-administration of medications administration of medications all school-sponsored events including out-of-school activities delegation of authority to administer medicationscritical issue is over-the-counter (OTC) and homeopathic remedies Stay connected and prevent crises before they occur with our tip reporting system. Well-written policies and procedures will enable schools to fulfill their obligations to provide health-related services to all children, including those with special healthcare needs under the Individuals with Disabilities Education Improvement Act (2004) and Section 504 of the Rehabilitation Act (1973) as amended through the Americans with Disabilities Amendment Act [ADAA] in 2008. Medication Administration in Schools (Revised February 2017) By NASN Profile posted 03-13-2017 13:19 1 Like . KRS 156.502, the delegation is only valid for the current school … (2012). Retrieved from http://www.healthybeveragesinchildcare.org/resources/CaringForOurChildren_NationalHealthandSafetyStandards.2011.pdf. ANA’s principles for delegation by registered nurses to unlicensed assistive personnel (UAP). NASN School Nurse, 31(1), 45-53. doi: 10.1177/1942602X15618644, National Coordinating Council for Medication Error Reporting and Prevention. The school nurse is responsible to oversee medication administration in schools to ensure that medications are administered safely. The administration of medication by non-nursing school staff, when allowed, should be addressed (Ryan et al., 2013). Lucinda Mejdell-Awbrey, RN, MA, has served students as a Credentialed School Nurse and School Administrator for over 30 years. Recommendations to reduce medication errors in non-healthcare settings. Building strong children: Why we need school nurses in schools. 300.154. Medication in original labeled container. Retrieved from https://legcounsel.house.gov/Comps/Individuals%20With%20Disabilities%20Education%20Act.pdf, Institute for Safe Medication Practices. administration of any medication, prescription or OTC, the school is required to obtain a “written, current, and unexpired request” from a LHP prescribing within the scope of his or her prescriptive authority for the administration of that medication (RCW 28A.210.260). Retrieved from https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R77SOMA.pdf, Van Cleave, J., Gortmaker, S.L., & Perrin, J.M. Silver Spring, MD: Author. Medications, when administered and used appropriately, can improve student health but may be harmful if administered incorrectly. Please accept the use of cookies or manage your cookie settings. 801; The Uniform Controlled Substances Act of 1994, 21 U.S.C. The School Health Program is a statewide program to support workforce development for school nurses and others working with students in the school setting. The SafeSchools Training System simplifies staff and student training. 2. We encourage parents to give medications before or after school whenever possible. U.S. Government Printing Office (GPO) Electronic Code of Federal Regulations (e-CFR). These responsibilities are to: Consult with school administration and school boards in the development/revision of a medication administration policy. BACKGROUND. (2012). Medication Administration at School Whenever possible and appropriate, families and physicians are encouraged to schedule medications to be given at home under parental supervision. 18/05/2020 Scope. Reducing medication errors in nursing practice. However, as many districts and schools struggle financially, it is not uncommon for students to receive medication from non-nursing school employees who have had no medical training. The school nurse is the professional with the clinical knowledge and understanding of the complex issues surrounding the safe administration of medication and the responsibility to protect the health and safety of students (AAP, 2016; ANA, 2012). Both prescription and non-prescription (over the counter) medications must have a signed consent … Medication administration in schools (Position Statement). For example, delegation and training are often specifically noted in states’ NPAs. Medication Administration Guidelines for Pennsylvania Schools for the Administration of Medications and Emergency Care These guidelines have been written to assist schools in the development and implementation of appropriate medication administration policies and procedures. Protect your district with our easily-accessible online SDS and chemical management system. 118.29, Wisconsin school personnel and volunteers must be trained and found competent before administering certain medications to students. psychotropic medications and controlled substances. (2007). Federal laws and regulations that do not expressly address, but, nonetheless impact, the administration of medication within schools deal mostly with controlled substances. 228. Overview Download the PDF of the procedure using the link under Attachments. 2135 Dana Avenue STE 300Cincinnati, OH 45207. Journal of American Medical Association, 303(7), 623-630. doi:10.1001/jama.2010.104, Acknowledgment of Authors: Elizabeth Hinkson, MSN, RN, NCSN Elaine Mauter, BSN, RN Louise Wilson, MS, BSN, RN, NCSN Annette Johansen, MEd, BSN, RN, NCSN Erin D. Maughan, PhD, MS, RN, APHN-BC, FNASN, FAAN, Review Committee: Lindsey Minchella, MSN, RN, NCSN, FNASN Bobbi Shanks, MS, BSN, RN, NCSN Resources for Supporting Information: NASN position statements: The Role of the 21st Century School Nurse (June 2016) Delegation, Nursing Delegation to Unlicensed Assistive Personnel in the School Setting (June 2014) Unlicensed Assistive Personnel: Their Role on the School Health Services Team (January 2015) School Nurse Workload: Staffing for Safe Care (January 2015) AAP: Role of the School Nurse in Providing School Health Services (2016) AAP: Guidance for the Administration of Medication in School (2009) Adopted: 1993 Revised: Revised: September 1997, June 2003, June 2011 (Amended January 2012), February 2017. Retrieved from: http://www.nccmerp.org/recommendations-enhance-accuracy-administration-medications, Ryan, J.B., Katsiyannis, A., Losinski, M., Reid, R., & Ellis, C. (2014). Recommendations to enhance accuracy of administration of medications. Medication policies and procedures should include provisions for evaluation of medication practices and policies, including reviews of documentation and occasional audits, to identify possible concerns and adjust practice or policy as needed (USDHHS, 2011). Principles for practice: Nursing delegation to unlicensed assistive personnel in the school setting. Coronavirus: CDC Guidelines for Making & Using Cloth Face Coverings, Coronavirus: Cleaning and Disinfecting Your Workplace, Coronavirus: Transitioning to a Remote Workforce, Health Emergencies: Choking and the Heimlich Maneuver, Health Emergencies: Life-Threatening Allergies, Medication Administration: Epinephrine Auto-Injectors, Return to Learn Following a Concussion: Tier 1 Classroom Supports, Severe Bleeding Response: Wound Packing and Tourniquet Use, Student Mental Health: Awareness, Intervention and Referral. Retrieved from https://www.ada.gov/pubs/adastatute08.htm#12102, Blaakman, S.W., Cohen, A., Fagnano, M. & Halterman, J. S. (2014). Self-administration of medication may be authorized by the prescriber (when applicable) and school nurse (when applicable) and must be authorized by parent/guardian in accordance with board policy. § 12101-12102. (2010). Dynamics of obesity and chronic health conditions among children and youth. Better Learning. Adaptation and feasibility of a communication intervention for Mexican immigrant mothers and children in a school setting. If the child is taken off the medication, a written note accompanied by a dated and signed physician’s order must be turned into the school. Which enhance students ’ overall health or stabilize their chronic health conditions among and! A wide variety of school Nursing, 30 ( 2 ), 103-113. doi:,! Policies/Guidelines regarding Psychotropic medications in schools ( 2001 ) of State medication Policies/Guidelines regarding Psychotropic in! 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