JLCD: Administering Medicines to Students

Medication may not be administered to students while at school unless such medicine is given to them by the school nurse acting under specific written request of the parent or guardian and under the written directive of the student’s personal physician. Delegation is limited to the following instances:

  1. Administration of epinephrine for the limited purpose of permitting unlicensed, properly trained school personnel to administer epinephrine (by autoinjector) to students with a diagnosed life-threatening allergic condition when a school nurse (RN) is not immediately available, provided that the conditions defined in 105 CMR 210.100 are met; and
  2. For field trips. Field trips include unique, one-time events that are not part of the regular school schedule and involve travel from the school site. Registration is for the limited purpose of permitting the delegation of prescription medications to unlicensed, properly trained, responsible adults for students on field trips and short-term special school events, when a nurse (RN) is not available and provided that the conditions defined in 105 CMR 210.100 are met

No one but the school nurse, and those others listed in the medication administration plan acting within the above restriction, may give any medication to any student.

The school district will, through the district nurse leader, register with the Dept. of Public Health and train staff in the use of Epi-pens.

Following consultation with the school nurse, students who fall into the following exceptions may self-administer medications:

  1. Students with asthma or other respiratory diseases may possess and administer prescription inhalers.
  2. Students with cystic fibrosis may possess and administer prescription enzyme supplements.
  3. Students with diabetes may possess and administer glucose monitoring tests and insulin delivery systems.
  4. Students with life-threatening allergies may possess and administer medications using an Epi-pen.

MSC first vote: 11/26/13
MSC second vote: 12/19/13