Medication in original labeled container. We encourage parents to give medications before or after school whenever possible. American Nurses Association (ANA). 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). Medication Administration in Schools (Revised February 2017) By NASN Profile posted 03-13-2017 13:19 1 Like . A Medication Administration Form enables your child to receive his prescribed medicine at school, as soon as possible. Retrieved from http://www.aft.org/sites/default/files/ae_spring2016school-nursing.pdf, McNaughton, D.B., Cowell, J., & Fogg, L. (2014). 3 Fewer school nurses leads to greater medication errors. (2011). Medication Administration in the School Setting, Better Health. Building strong children: Why we need school nurses in schools. Americans with Disabilities Amendment Act (ADAA) of 2008 (2009), 42 U.S.C. U.S. Government Printing Office (GPO) Electronic Code of Federal Regulations (e-CFR). Medication Administration Basics 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. Manage incident, accident and injury reports for employees, students, and visitors, using any web-enabled device. Adaptation and feasibility of a communication intervention for Mexican immigrant mothers and children in a school setting. To administer any prescribed medication, require a written statement from the parent and the … They include: The Controlled Substances Act, 21 U.S.C. Affordable and GHS compliant. Medication Administration at School Whenever possible and appropriate, families and physicians are encouraged to schedule medications to be given at home under parental supervision. Part 104. The nurse will also maintain a medication administration record for each student who receives medication during school … 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. Role of the school nurse in providing school health services (Policy Statement). 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). When there is a need for a student to receive medication in school, safe and proper administration is essential. 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. Recommendations to reduce medication errors in non-healthcare settings. Depending on the illness, trained staff will respond accordingly. For the past 17 years, Lucinda has developed and implemented a wide variety of school health and safety programs. 18/05/2020 Scope. Errors in medication administration are the most common medical errors (Cloete, 2015). Caring for our children: National health and safety performance standards; Guidelines for early care and education programs, (3rd ed.). Process. 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. Both prescription and non-prescription (over the counter) medications must have a signed consent … Elk Grove Village, IL: American Academy of Pediatrics; Washington, DC: American Public Health Association. 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). Hundreds of courses, written by experts. Medication at School Giving a student medication at school is not always as simple as sending pills to the school nurse. Suggested citation: National Association of School Nurses. As the health leader in the school setting, the school nurse promotes current evidence-based practices so students requiring medication during the school day can safely have their needs met and remain in school ready to learn (Maughan, 2016). 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. 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. What happens, for instance, if a child requires ongoing prescription medication repeatedly throughout the school day? The administration of medication by non-nursing school staff, when allowed, should be addressed (Ryan et al., 2013). Retrieved from: http://www.nccmerp.org/recommendations-enhance-accuracy-administration-medications, Ryan, J.B., Katsiyannis, A., Losinski, M., Reid, R., & Ellis, C. (2014). Asthma medication adherence among urban teens: A qualitative analysis of barriers, facilitators and experiences with school-based care. Medication Administration in Missouri Schools, 2020 is a revision of the Medication Administration in Missouri Schools, 2005. 5.2 Implementation Date. 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). 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 SafeSchools Training System simplifies staff and student training. This website uses cookies to ensure you get the best experience on our website. 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). Better Learning. For example, delegation and training are often specifically noted in states’ NPAs. Reducing medication errors in nursing practice. Silver Spring, MD: Author. These policies and procedures shall be consistent with federal and state laws including state nurse practice acts, rules, regulations, and any other laws that may apply, as well as standards and established safe, evidence-based information (Ryan et al., 2013; Bobo, 2014). Silver Spring, MD: Author. This is a secure Staff Intranet content page and cannot be viewed by the public. 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. As more students with chronic conditions enter school systems each year, awareness of the factors which can promote and support their academic success increases. Topics covered include components of medication orders for schools, safe and proper medication management in schools, basic procedures for administering medication and special situations regarding giving medication to students. All position statements from the National Association of School Nurses will automatically expire five years after publication unless reaffirmed, revised, or retired at or before that time. SafeSchools is a federally registered trademark of Vector Solutions. 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. American Academy of Pediatrics (AAP). (2016, June). She also provides community and school level trainings for the California Department of Education and other state and national organizations regarding School Safety Issues, Crisis Response Planning, Bullying and Harassment Prevention, School Nursing Practices, and Coordinated School Health Programs. Silver Spring, MD: Author. Nursing Standard, 29(20), 50-59. 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. ANA’s principles for delegation by registered nurses to unlicensed assistive personnel (UAP). 801; The Uniform Controlled Substances Act of 1994, 21 U.S.C. 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). § 12101-12102. Medication administration in schools (Position Statement). American Educator, 19-22. All state schools Purpose. FDA Consumer Health Information (2013). OSPI Bulletin No. Stay connected and prevent crises before they occur with our tip reporting system. Online Resources. 228. All school personnel and volunteers must complete a Basic Medication Administration Principles course either through Option 1 or Option 2. Review of State Medication Policies/Guidelines Regarding Psychotropic Medications in Public Schools. 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. Medication Administration at School Parents and Health Services staff work together to provide safe medication administration to students, if needed, during the school day. KRS 156.502, the delegation is only valid for the current school … The school nurse should be responsible to oversee medication administration in schools to ensure that medications are administered safely. 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. 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. 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 (2004). For the safety of students, it is critical that evidence-based policies and procedures exist regarding medication administration. 0 comments 4018 views Permalink. 20 U.S.C.1412 (a) (12) and (e) 34 C.F.R. (2017). There must be communication and collaboration between parents, providers, and schools regarding each student’s medication that describes what is to be given, the purpose, frequency, and side effects of the medication (NCCMERP, 2007; American Academy of Pediatrics, American Public Health Association, & National Resource Center for Health and Safety in Child Care and Early Education, 2011). 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). 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). A new Medication Administration form must be re-submitted each school year and any time there is a change made to the original prescription. (2011). This trend has caused an alarming increase in the number of medication errors made by UAP (Institute for Safe Medication Practices [ISMP], 2012). School nurses are the health professionals in the school who coordinate care for the student, including medication administration. 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 Lucinda Mejdell-Awbrey, RN, MA, has served students as a Credentialed School Nurse and School Administrator for over 30 years. © 2020 Vector Solutions. Training for the previous school year expires on June 30. e-Toolkit, Collaboration to Support Students with Chronic Health Conditions, Naloxone Use in the School Setting: The Role of the School Nurse, CLAS in School Nursing: An HHS & NASN Webinar, Mental Health Training Intervention for Health Providers in Schools (MH-TIPS), APNA Transitions in Practice Certificate Program, Skills-Based Approach to Managing Chronic Health Conditions, Opioid Overdose Awareness and Prevention Program: A Model for School Health, Care Coordination for Students with Diabetes, Partnership Building to Support Students Manage Chronic Health Conditions, School Nurse Interventions to Promote Healthy Weight: You Can Make a Difference, Demonstrating the Relationship Between School Nurse Workload and Student Outcomes, Increasing Teen Immunizations, You’ve Got the Power, Building and Leading Effective Coalitions for School Nurses, Anaphylaxis and Epinephrine Connection Cards, Clinical Conversations for Food Allergy Management, Nursing Infection Control Education Network, Private, Independent, and Parochial School Nurses, Behavioral/Mental Health of Students, The School Nurse’s Role in, Bullying and Cyberbullying – Prevention in Schools, Prevention and Treatment of Child Maltreatment – The Role of the School Nurse, Chronic Absenteeism, School Nurses - An Integral Member of the School Team Addressing, Chronic Health Conditions (Students with): The Role of the School Nurse, Concussions - The Role of the School Nurse, Diabetes Management in the School Setting, Do Not Attempt Resuscitation (DNAR) - The Role of the School Nurse, Education, Licensure, and Certification of School Nurses, Electronic Health Records: An Essential Tool for School Nurses to Keep Students Healthy, Environmental Health in the School Setting: The Role of the School Nurse, Healthy Communities - The Role of the School Nurse, IDEIA and Section 504 Teams - The School Nurse as an Essential Team Member, Use of Individualized Healthcare Plans to Support School Health Services, LGBTQ Students: The Role of the School Nurse, Overweight and Obesity in Children and Adolescents in Schools - The Role of the School Nurse, Patient Protection and Affordable Care Act: The Role of the School Nurse, Reimbursement for School Nursing Services, Restraints, Seclusion and Corporal Punishment in the School Setting - The Use of, The Role of the 21st Century School Nurse, Role of the Licensed Practical Nurse/Licensed Vocational Nurse in the School Setting, School Based Health Centers, The Complementary Roles of the School Nurse and, School Nurse Workload: Staffing for Safe Care, School-sponsored Before, After, and Extended School Year Programs – The Role of the School Nurse, School-sponsored Trips - The Role of the School Nurse, School Violence - The Role of the School Nurse, Skin Cancer, Prevention of due to Ultraviolet Ray Exposure - The Role of the School Nurse, Supervision and Evaluation of the School Nurse, Telehealth, The Role of School Nursing in, Transition Planning for Students with Healthcare Needs, Unlicensed Assistive Personnel: Their Role on the School Health Services Team, Whole School, Whole Community, Whole Child: Implications for 21st Century School Nurses, Position Brief - Emergency Use of Stock Albuterol for the Student with Known Asthma in the School Se, Position Brief - Wearable Medical Technology in Schools – The Role of the School Nurse, Position Brief - Human Trafficking-Implications for 21st Century School Nurses, Position Brief - Safe and Humane Treatment of Refugee and Immigrant Children, Position Brief - Climate Change Impacts on Child Health, Position Brief - Student Healthcare Access - A Right and Not A Privilege, Position Brief - Eliminate Racism to Optimize Student Health and Learning, NASN Elmer Hawkins Affiliate Membership Recruitment Scholarship. Retrieved from http://www.ecfr.gov/cgi-bin/text-idx?SID=4c6c861d1f28c519a11f862302cbbb1a&mc=true&node=pt34.1.104&rgn=div5, U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services. All rights reserved. School medication policies and procedures must be in accordance with all applicable laws, including nurse practice acts (NPA). Retrieved from http://www.fda.gov/downloads/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/UnderstandingOver-the-CounterMedicines/ucm107163.pdf, Individuals with Disability Education Improvement Act (IDEIA). Exceptional Child Special Education Courses. (2012). Pharmacy label or doctor's written prescription for prescription medications. 118.29, Wisconsin school personnel and volunteers must be trained and found competent before administering certain medications to students. KBN to ensure compliance with 201 KAR 20:400. Federal laws and regulations that do not expressly address, but, nonetheless impact, the administration of medication within schools deal mostly with controlled substances. Training and supervision of UAPs who administer medications should be done by the school nurse, and consideration of safety and school nurse workload is essential. This allows the child to attend school safely, parents feel supported and staff feel confident in … The Journal of School Nursing, 30(2), 103-113. doi: 10.1177/1059840513487217, National Association of School Nurses (NASN). 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. 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. (2015). Once a Medication Administration Authorization form is completed by the parent, student and health care provider indicating the need for the student to self-carry a medication is on file at the school, the student may carry the following medications: rescue inhaler, anaphylaxis supplies, diabetic supplies, and pancreatic enzymes. NASN School Nurse, 31(1), 45-53. doi: 10.1177/1942602X15618644, National Coordinating Council for Medication Error Reporting and Prevention. Retrieved from http://www.healthybeveragesinchildcare.org/resources/CaringForOurChildren_NationalHealthandSafetyStandards.2011.pdf. 34-01 The Administration of Medications in Schools (2001). How to dispose of unused medicines. Journal of Asthma, 51(5), 522-529. doi: 10.3109/02770903.2014.885041. 300.154. 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). Evidence indicates that school nurses can provide culturally appropriate, sensitive information for students and families regarding management of health issues, including proper use of medications (McNaughton, Cowell & Fogg, 2014). Transmittal 77: CMS Manual system pub. Medication administration to students is one of the most common health‐related … Examples of medication errors include administering medication to the wrong person, giving the wrong dose, or not giving a dose as scheduled. Medications, when administered and used appropriately, can improve student health but may be harmful if administered incorrectly. 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. 12. 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. Historically, administering medication within the school setting has been a school nurse responsibility. Principles for practice: Nursing delegation to unlicensed assistive personnel in the school setting. Join Donate Marketplace Subscribe. Training for the 2020-2021 school year should be completed on or after July 1, 2020. 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. Please accept the use of cookies or manage your cookie settings. Medication administration to students is one of the most common health services provided in schools. These responsibilities are to: Consult with school administration and school boards in the development/revision of a medication administration policy. The school nurse should lead in the development, implementation, and evaluation of medication administration policies and procedures at the school or district level. The three types of cookies we use are strictly necessary, analytics, and advertising. Medication non-adherence at school has been linked to a variety of poor educational, social/emotional and physical outcomes. Framework for 21st century school nursing practice. There are a number of issues surrounding what meds a school can administer to students. 2. sec. Retrieved from https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R77SOMA.pdf, Van Cleave, J., Gortmaker, S.L., & Perrin, J.M. (2012). Bobo, N. (2014). According to Wis. Stat. 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). The School Health Program is a statewide program to support workforce development for school nurses and others working with students in the school setting. Whenever possible, medication should be administered outside of school hours. BACKGROUND. It is estimated that up to 27% of children have chronic health conditions (Van Cleave, Gortmaker, & Perrin, 2010). These responsibilities should include: Consulting with LEA administration and/or boards in development/revision of medication administration policy . KDE Medication Administration Training Program PowerPoint (Regular and Emergency) Retrieved from https://www.ada.gov/pubs/adastatute08.htm#12102, Blaakman, S.W., Cohen, A., Fagnano, M. & Halterman, J. S. (2014). School nurses have the health expertise needed to develop, promote, and implement policies that are evidence-based; reduce errors; and increase the proper use and storage of medications in school settings (American Academy of Pediatrics [AAP], 2016; ISMP, 2012). Schools and early years settings must have a policy and procedures in place for the administration of medication. Dynamics of obesity and chronic health conditions among children and youth. psychotropic medications and controlled substances. Options for training are outlined below. 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. Child requires ongoing prescription medication repeatedly throughout the school setting enables your child to receive medication school... Psychotropic medications in schools to ensure you get the best experience on our website https: //www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R77SOMA.pdf Van! Students is one of the most common health services provided in schools -- - Current Procedure -... 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