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Schools and early years settings must have a policy and procedures in place for the administration of medication. Retrieved from https://www.ada.gov/pubs/adastatute08.htm#12102, Blaakman, S.W., Cohen, A., Fagnano, M. & Halterman, J. S. (2014). Americans with Disabilities Amendment Act (ADAA) of 2008 (2009), 42 U.S.C. © 2020 Vector Solutions. 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 in the School Setting, Better Health. 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. (2011). Cloete, L. (2015). Administration of medications in schools --- Current Procedure --- Version Number. 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). Medication Administration at School Whenever possible and appropriate, families and physicians are encouraged to schedule medications to be given at home under parental supervision. Medication Administration in Schools (Revised February 2017) By NASN Profile posted 03-13-2017 13:19 1 Like . This trend has caused an alarming increase in the number of medication errors made by UAP (Institute for Safe Medication Practices [ISMP], 2012). 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. This is a secure Staff Intranet content page and cannot be viewed by the public. Nursing Standard, 29(20), 50-59. (2015). 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). Caring for our children: National health and safety performance standards; Guidelines for early care and education programs, (3rd ed.). Affordable and GHS compliant. (2010). 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. (2017). 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). Silver Spring, MD: Author. 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 … 100-07 state operations provider certification. 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. 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. Reedsville Elementary School; Reedsville Jr/Sr High School; Families. Lucinda Mejdell-Awbrey, RN, MA, has served students as a Credentialed School Nurse and School Administrator for over 30 years. 0 comments 4018 views Permalink. American Nurses Association (ANA). 1 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. Medication administration at school requires the following: Signed parent medication permission form- for both over the counter and prescription medications. 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. Retrieved from http://www.nccmerp.org/recommendations-reduce-medication-errors-non-health-care-settings, National Coordinating Council for Medication Error Reporting and Prevention. This allows the child to attend school safely, parents feel supported and staff feel confident in … Dynamics of obesity and chronic health conditions among children and youth. (2004). 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. 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. Building strong children: Why we need school nurses in schools. 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 802 2135 Dana Avenue STE 300Cincinnati, OH 45207. Recommendations to enhance accuracy of administration of medications. FDA Consumer Health Information (2013). Part 104. 3 Retrieved from http://ismp.org/Newsletters/consumer/Issues/20120301.asp, Maughan, E. D. (2016, Spring). Medications, when administered and used appropriately, can improve student health but may be harmful if administered incorrectly. This includes the need for medications which enhance students’ overall health or stabilize their chronic health conditions. Retrieved from: http://www.nccmerp.org/recommendations-enhance-accuracy-administration-medications, Ryan, J.B., Katsiyannis, A., Losinski, M., Reid, R., & Ellis, C. (2014). (2016). All rights reserved. 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. 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. 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). 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. KDE Medication Administration Training Program PowerPoint (Regular and Emergency) Journal of Asthma, 51(5), 522-529. doi: 10.3109/02770903.2014.885041. 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. The School Health Program is a statewide program to support workforce development for school nurses and others working with students in the school setting. SafeSchools is a federally registered trademark of Vector Solutions. To administer any prescribed medication, require a written statement from the parent and the … American Academy of Pediatrics (AAP). 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). Training for the 2020-2021 school year should be completed on or after July 1, 2020. Retrieved from http://www.fda.gov/downloads/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/UnderstandingOver-the-CounterMedicines/ucm107163.pdf, Individuals with Disability Education Improvement Act (IDEIA). Hundreds of courses, written by experts. In a school: 1. inhalers for asthma and cartridge injectors for life-threatening allergies require 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). Depending on the illness, trained staff will respond accordingly. Medication Administration at School Parents and Health Services staff work together to provide safe medication administration to students, if needed, during the school day. Administration of medication to students is one of the most common health services provided in schools. Retrieved from https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R77SOMA.pdf, Van Cleave, J., Gortmaker, S.L., & Perrin, J.M. 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. Elk Grove Village, IL: American Academy of Pediatrics; Washington, DC: American Public Health Association. ANA’s principles for delegation by registered nurses to unlicensed assistive personnel (UAP). 2. Medication administration to students is one of the most common health‐related activities performed in school. As more students with chronic conditions enter school systems each year, awareness of the factors which can promote and support their academic success increases. Errors in medication administration are the most common medical errors (Cloete, 2015). 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). 300.154. 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). 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. A new Medication Administration form must be re-submitted each school year and any time there is a change made to the original prescription. Review of State Medication Policies/Guidelines Regarding Psychotropic Medications in Public Schools. psychotropic medications and controlled substances. Principles for practice: Nursing delegation to unlicensed assistive personnel in the school setting. Care Coordination Medication administration is often part of a larger plan for the care and management of acute and chronic health conditions. 228. Whenever possible, medication should be administered outside of school hours. COVID Exposure and Symptom Guide for Parents; Medication Administration 118.29, Wisconsin school personnel and volunteers must be trained and found competent before administering certain medications to students. 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 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. Options for training are outlined below. Suggested citation: National Association of School Nurses. Better Learning. We encourage parents to give medications before or after school whenever possible. 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). 12. Receive key metrics for easy trend analysis. Fewer school nurses leads to greater medication errors. Annual Medication Administration Training for Unlicensed Personnel. 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. The SafeSchools Training System simplifies staff and student training. There are a number of issues surrounding what meds a school can administer to students. 5.2 Implementation Date. For the safety of students, it is critical that evidence-based policies and procedures exist regarding medication administration. The three types of cookies we use are strictly necessary, analytics, and advertising. 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. 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