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Pre-service Requirement: None specified.
Professional Development Requirement: None specified.
Pre-service Requirement: Board of Nursing Administrative Code 610-X-6-.06 (2004) allows registered or licensed practical nurses to delegate specific tasks to selected unlicensed assistive personnel who have attended a minimum 12-hour course of instruction that includes a Board of Nursing approved curriculum and has demonstrated competency in performing the task. Students may also self-administer prescription medication provided certain requirements are met.
The State Board of Education/Alabama Board of Nursing Curriculum to Teach Unlicensed School Personnel How to Assist with Medications in the School Setting (2007) (no link available) outlines the responsibilities of school nurses which includes ensuring that the medication assistant has successfully completed an Alabama Board of Nursing approved medication assistant training program, training specific to the school district and local school, and has received student-specific instruction.
Professional Development: None specified.
Pre-service Requirement: The Rules and Regulations from the State Board of Education governing Public School Student Services (1999) require all non-certified students services personnel to have an in-service training regarding the district's Student Services Plan and appropriate training by certified personnel to perform the tasks assigned, such administering medication.
Code 6-17-102 (1977) requires all public elementary and secondary schools to employ at least one person who is certified by the American Red Cross or deemed qualified by the Arkansas Department of Education to administer emergency first aid to be on school grounds during normal school hours.
Professional Development: None specified.
Pre-service Requirement: None specified.
Professional Development: None specified.
Pre-service Requirement: Education Code 49423 (2005) and California Code of Regulations, Title 5, Division 1, Chapter 2, Subchapter 3, Article 4.1 604 (2003) allows designated school personnel to administer medication to pupils as allowed by law. The Guidelines for the Management of Asthma in California Schools (2004) recommends that school nurse train and supervise all designated staff providing health care services to students with asthma in school.
Professional Development Requirement: None specified.
Pre-service Requirement: Statute 12-38-132 (2003) allows any registered nurse to delegate any task included in the practice of professional nursing".
Professional Development: Medication Administration in the Schools (2010) recommends unlicensed personnel complete a state-approved medication-training course.
Pre-service Requirement: Statute 10-212a-2 (2010) state that “the board of education shall determine who shall administer medications in a school – a licensed nurse or, in the absence of such licensed nurse, qualified personnel for schools.”
Professional Development: Statutes Section 10-212a-3 (2010) requires each Board of Education which allows qualified personnel for schools, in the absence of a school nurse, to administer medications to students to provide training to designated qualified personnel for schools in the safe administration of medications at least annually.
Pre-service Requirement: Per the Nurse Practice Act (1921), only licensed nurses may administer medications. The only exception applicable to schools is on approved school field trips, as outlined in Administrative Code 14:817 (2003) which allow personnel to assist a student with medication with prior parental written consent, approval of the school nurse, and proper training. The personnel may also administer a prescribed medication for a life-threatening event.
Professional Development: Administrative Code 14:817 (2003), pursuant to the Nurse Practice Act, requires school personnel to complete a Board of Nursing approved training course designed by the Board of Education in order to assist with the administration of medication on field trips. School personnel are not required to participate in this activity.
Pre-service Requirement: Statute 1006.062(1) (2012) requires each district school board to include in its approved school health services plan, a procedure to provide training by a licensed health professional for school personnel designated by the school principal to assist students in the administration of prescription medication.
Professional Development: Code 64F-6.004 requires that all employees who staff school health rooms to be currently certified in first aid and cardiopulmonary resuscitation by a nationally recognized certifying agency.
Pre-service Requirement: The School Health Nurse Resource Manual (2001) recommends that student health assistants/clinic workers have a minimum of a high school diploma. A certificate in a health related field is preferred.
Professional Development: The School Health Nurse Resource Manual (2001) recommends non-nursing personnel who are expected to administer medications at school receive in-service training on district policy and procedures on the subject.
Pre-service Requirement:
Professional Development: None specified.
Pre-service Requirement: Code 280.23 (2005) states that The board of each public school district and nonpublic school shall not require non-administrative personnel to perform any special health services or intrusive non-emergency medical services for students unless the non-administrative personnel are licensed or otherwise qualified and have consented to perform the services".
281 IAC 41.404(1-2) and 281 IAC 41.404(3) requires each local school board or authority in charge of an accredited nonpublic school to adopt policies allowing licensed registered nurses, physicians, and persons who have successfully completed a training program to administer medications, per Codes 124.101, 147.107, 155A.4(2), 657 IAC 8.32.
Professional Development: 281 IAC 41.404(1-2) and 41.404(3) requires each local school board or authority in charge of an accredited nonpublic school to adopt policies and procedures for a medication administration course, periodic update, and maintain a school record of successful completion of a school medication administration course.
Pre-service Requirement: None specified.
Professional Development: None specified.
Pre-service Requirement: Per Sec 10-22.21b, school nurses and non-certified registered professional nurses registered nurses are the only non-administrative personnel who may be required to administer medication to students.
Professional Development: Not applicable.
Pre-service Requirement: Code 34-30-14-4 (1998) requires a school employee to receive training "appropriate for providing the service" from a licensed practitioner or registered nurse. Before the employee can provide the service, the school must keep on file a written statement from the practitioner or nurse indicating that the employee has received the training.
Professional Development: No state policy.
Pre-service Requirement: Statute 65-1124 (2000) states that the performance of nursing procedures in a school setting when delegated by a licensed professional nurse, in accordance with the rules and regulations of the board, is not prohibited.
Regulations 60-15-101 to 60-15-103 (1998) of the Nurse Practice Act allows a registered nurse to delegate selected nursing tasks or procedures to unlicensed personnel so long as they are supervised. The nurse is required to orient and instruct the unlicensed person in the performance of the nursing task and procedure, and must also put in writing the procedure and the identity of the delegate. Regulation 60-15-104 (1998) also allows unlicensed personnel to administer certain medications under supervision of a registered professional nurse. Further specifics can be found within these regulations.
Professional Development: Professional development is required with delegation of a nursing task.
Pre-service Requirement: KRS 156.502 (2002) allows for the delegation of school health services by a physician or advanced registered nurse or registered nurse (service must be one that could be delegated by the physician or nurse within his/her scope of practice). The school employee who is delegated by the physician or nurse to perform the health service must be trained and receive written approval by the delegating health professional. Such employees who have been properly delegated and trained will be granted liability protection. Statute 156.501 (2002) requires the Department of Education to establish standardized protocols and guidelines for training said designated, non-medical school personnel.
Professional Development: None specified.
Pre-service Requirement: RS 17:436.1 (2001) allows a registered nurse and/or licensed medical physician to determine that the administration of medication can be safely performed by and delegated to someone who has received documented training and competence. According to LAC 28:929 (2001), at least 2 employees designated by the principal at each school must receive not less than 6 hours of training in the administration of medication.
Professional Development: No state policy.
Pre-service Requirement: None specified.
Professional Development: None specified.
Pre-service Requirement: The Maryland State School Health Guidelines, The Role of the School Nurse (2005), as well as the Maryland Nurse Practice Act, Regulations 10.27.11.03, 10.27.11.04 (2004), and 10.27.11.05 (1994) requires a registered nurse to determine delegation of nursing services with supervision over the individual performing the nursing function, as also mentioned in State Board of Education Regulation 13A.05.05.13 (1995). Certified Nursing Assistants in Schools Health Services Programs are required to take a 100-hour course, per Regulation 10.39.02.07, and be certified through the Board of Nursing. In addition, unlicensed personnel are required to take a 20-hour training specific to medication administration. Upon successful completion of the 20 hour medication administration training, the unlicensed personnel are certified by the Maryland Board of Nursing as a certified medication technician. Regulation 10.39.04.04 , 10.39.04.05, 10.39.04.06 outline these requirements.
State Board of Education Regulation 13A.05.05.08 (1995) requires the principal, in consultation with the designated health services professional, to identify school personnel who shall receive in-service training in providing recommended services for students with special needs.
Professional Development: State Board of Education Regulation 13A.05.05.09 (1991) requires at least one adult, other than the designated school health services professional and the school health services aide, to be certified in both the Red Cross' First Aid and CPR programs.
Pre-service Requirement: Statute Title 20-A 254 (2001) requires the commissioner of the department of education to adopt administration of medication rules for public schools, which include the training of unlicensed personnel to administer medication. The statute further requires schools to allow students to carry their own emergency medications (asthma inhaler and epipen) with parental permission, physician approval, and school nurse verification of competency according to Chapter 40 (2005), the Medication Administration Rule.
Professional Development: Statute Title 20-A 254 stipulates that unlicensed personnel must receive training in order to be allowed to administer medication.
Pre-service Requirement: MCL 380.1178a (2002) requires the department of education to provide a model local policy that addresses the type and amount of training required for persons administering medication to students at school.
Professional Development: No state policy.
Pre-service Requirement: No specific state policy; however, Statute 148.171 (1999) allows licensed professional nurses to delegate nursing functions to other nursing staff.
Professional Development: No specific state policy; however, Statute 148.171 requires a licensed professional nurse to supervise and teach other nursing personnel.
Pre-service Requirement: The Missouri State Board of Nursing, in their Utilization of Unlicensed Health Care Personnel, states that registered nurses may assign, delegate, and supervise specific nursing activities to unlicensed personnel. Registered professional nurses are required to adequately supervise and monitor the activities delegated and evaluate the unlicensed personnel's performance.
Revised Statute 167.621 (1993) prohibits any school employee from being required to administer medication or medical services for which he/she is not qualified.
Professional Development: The Missouri State Board of Nursing, in their Utilization of Unlicensed Health Care Personnel, states that registered nurses may teach unlicensed health care personnel in the performance of specific nursing care tasks.
Pre-service Requirement: None specified.
Professional Development: None specified.
Pre-service Requirement: None specified.
Professional Development: None specified.
Pre-service Requirement: Statute 115C-307 (2000) allows any teacher or school employee, when given authority by the board of education or its designee, to administer any drugs or medication prescribed by a doctor upon written request of the parents. Public school employees are further protected from liability of civil damages for providing medical care or from refraining to perform such act unless.
Professional Development: No state policy.
Pre-service Requirement: None specified.
Professional Development: None specified.
Pre-service Requirement: Statute 71-6725 (no date available) and 92 NAC 59-004 (no date available) require medication aides to meet minimum competencies for properly and safely administering medication and successfully pass a competency assessment, detailed in-depth in both laws. School staff members are not required to take a course.
Professional Development: Rule 92 NAC 59-004 requires medication aides to be assessed no less than every three years in the required competencies.
Pre-service Requirement: State Board of Education Rule Ed 311.02 (1996) allows the principal or designee to assist students in taking required medications by making them available as needed and by observing the student as he/she takes or does not take the medication. RSA 200:31 (1997) allows a school board to employ a licensed practical nurse or certified nursing assistant to work under the direct supervision of the school registered nurse.
Professional Development: None specified.
Pre-service Requirement: State Board of Education Administrative Code N.J.A.C. 6A:16-2.1 requires each district board of education to develop and adopt written policies and procedures for the administration of medication to students and staff, which shall be developed in consultation with the school physician.
Pre-service Requirement: 16.12.5.9 NMAC, Medication Aides - a person must be 18 years of age, be a high school graduate or complete a GED, provide documentation of a minimum of 6 months health care experience working at the board approved agency within the last year, successfully complete a board-approved program for the preparation of medication aides, complete the required application form and provide proof of current CPR certification.
Section 22-10A-3.A NMSA 1978, any person providing health care and administering medications or performing medical procedures in a public school shall hold a valid license or certificate from the department authorizing the person to perform that function.
Professional Development: 16.12.5.9 NMAC (2005) requires medications aides to obtain 16 clock hours within the 2 year renewal period.
Pre-service Requirement: None specified.
Professional Development: None specified.
Pre-service Requirement: Education Law 6902 (no date available) does not allow unlicensed personnel to administer medications. However, response to an emergency situation is permitted under Education Law 6908 and Education Law 6527.
Professional Development Requirement: Commissioner's Field Memo: Training of Unlicensed Individuals in the Injection of Glucagon in Emergency Situations (2004) allows unlicensed personnel to administer prescribed glucagon in emergency situations so long as they have been trained by a registered professional nurse. Use of Epinephrine Auto-Injector Devices in the School Setting (2002) allows unlicensed personnel to administer prescribed epinephrine in emergency situations as long as they have been appropriately trained by a licensed professional.
Pre-service Requirement: None specified.
Professional Development: None specified.
Pre-service Requirement: Statute 70-1-116.2 (1982) allows an administrator or designated school employee to administer nonprescription and prescription medication.
Professional Development: None specified.
Pre-service Requirement: ORS 339.869 (1997) requires the State Board of Education to adopt rules for the administration of medications by trained school personnel.
Professional Development: None specified.
Pre-service Requirement: Pennsylvania has no specific policy on the administration of medication by unlicensed personnel. The Department of Education requires schools to develop their own policies and procedures for the administration of medication and for emergency care per 022 PA Code 12.4. The state notes, however, that it is the opinion of the Department of Health that, since there is no delegatory language in the Nurse Practice Act, school nurses may not delegate medication administration to non-licensed personnel.
Professional Development: No state policy.
Pre-Service Requirement: No state policy.
Professional Development: Rules and Regulations for School Health (2009) requires schools to provide training for school personnel who might administer an epinephrine autoinjector in a case of anaphylaxis. For administration of glucagon, Section 19.4.3.1 of the Rules and Regulations for School Health (2009) require prior authorization by a parent or legal guardian for non-certified staff to voluntarily assist in emergency administration.
Pre-service Requirement: Nurse Practice Act Codes 40-33-42 (2004) and 91-1.A (2004) state, "An advanced practice registered nurse, registered nurse, or licensed practical nurse is responsible for the delegation and supervision of nursing tasks to unlicensed assistive personnel. Tasks that may be assigned to unlicensed assistive personnel must be stated in the employers' policies, and the employer shall verify the training of this personnel and their competencies to perform the tasks." This policy is supported and expounded upon by the Position Statement - The Practice of Nursing in a School Setting (2001).
Professional Development Requirement: Nurse Practice Act Codes 40-33-42 and 91-1.A state, "An advanced practice registered nurse, registered nurse, or licensed practical nurse is responsible for the delegation and supervision of nursing tasks to unlicensed assistive personnel. Tasks that may be assigned to unlicensed assistive personnel must be stated in the employers' policies, and the employer shall verify the training of this personnel and their competencies to perform the tasks". This policy is supported and expounded upon by the Position Statement - The Practice of Nursing in a School Setting.
Pre-Service Requirement: Statute 13-33A-1 (1993) requires the registered school nurse to be responsible for training and supervising any school employee who has been granted the duty of assessing and implementing services for special-needs students, administering medications, or performing specialized health care procedures.
Pre-service Requirement: Code § 49-5-415 (2006) allows public and nonpublic school boards to permit an employee or person under contract to the board to assist in the self-administration of medications.
Professional Development: Code § 49-5-415 (2006) allows school personnel who volunteer, and who have been properly trained by a registered nurse or contracted by the LEA, may administer glucagons in emergency situations to a student based on that student’s individual health plan (IHP). Code § 68-140-510 (1983) is not specific to school settings, it does allow the department of health to approve and coordinate a training course in the administration of epinephrine injections for lay individuals 18 years of age or over in emergency situations.
Pre-service Requirement: Code 53A-11-601 (1988) requires local boards to have adopted policies on the designation of school employees who may administer medication and the training of designated employees for those schools who do provide for the administration of medication.
Professional Development: None specified.
Pre-service Requirement: The Manual for the Training of Public Employees in the Administration of Medication requires unlicensed school personnel who are expected to help administer medications at school to have training regarding state and local school division policy and procedures for administering medication. Code 22.1-274 E (1999) states that for schools with instructional and administrative staff of fewer than 10, and having at least one student diagnosed as having diabetes, at least one employee must have been trained in the administration of insulin and glucagon. All other school buildings with instructional and administrative staff of ten or more must have at least two employees so trained.
Professional Development: The Virginia Center for School Safety, in collaboration with the Department of Education, provides professional development opportunities to school division personnel in violence, gang, and bullying prevention. Code 22.1-274 E requires school boards with school buildings with an instructional and administrative staff of fewer than ten to have at least one employee with certification in CPR & within the last 2 years, received training in emergency care and CPR. All other school buildings with an instructional and administrative staff of ten or more must have at least two employees so trained.
Pre-service Requirement: None specified.
Professional Development: None specified.
Pre-service Requirement: None specified.
Professional Development: None specified.
Pre-service Requirement: Statute 118.29 (2011) states a school bus operator validly authorized to operate the school bus he or she is operating, any school employee or volunteer, county children with disabilities education board employee or volunteer or cooperative educational service agency employee or volunteer authorized in writing by the administrator of the school district, the board or the agency, respectively, or by a school principal may administer over-the-counter drug products to a pupil in compliance with written instruction and consent from the parent or guardian, certain prescription drugs such as epinephrine and glucagon without written consent or order but based on symptoms of anaphylaxis or hypoglycemia respectively, and prescription drugs in compliance with instructions from a physician and written consent from the parent or guardian, as long as training requirements are met.
Professional Development: All staff approved to administer medication must receive department approved medication administration training.
Pre-service Requirement: Board Policy 2422.7 (2004) minimally requires training in handling and disposal of body fluids, basic first aid, CPR, and confidentiality for those school employees who provide basic and/or specialized health care by a certified school nurse. Further specialized training is required as applicable to an employee's duties, including the administration, storage, documentation, and reporting of medications as allowed by Board Policy 2422.8 (2004).
Professional Development: Non-certified personnel are required to be retrained every two years, per Board Policy 2422.7.
Pre-service Requirement: None specified.
Professional Development: None specified.
