Insulin administration

  1. I'm not a school nurse but I saw this on the news and it made me wonder. A local school district is reassigning some of its school nurses because "only RNs can administer insulin" so they're needed in schools with diabetics. I am an LPN but I was administering insulin and every long-term care facility I've been in has LPNs do AccuChecks and administer insulin, even sliding-scale, without a problem. Is this particular district just being over the top, or have I missed something my entire career?
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    About T-Bird78

    Joined: Oct '12; Posts: 792; Likes: 1,172
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    Specialty: 6 year(s) of experience

    7 Comments

  3. by   lifelearningrn
    Perhaps it's a district policy? In the real world, anyone can be trained to administer insulin.
  4. by   Blue_Moon
    It's a state law where I work-no one but an RN can administer insulin in the school system. I know other state's school systems can use trained aides. Depends on state laws.
  5. by   Rubor
    In my state insulin administration cannot delegated. I'm referring to drawing up the insulin old school.
  6. by   Bob Loblaw
    In my state insulin is a high risk med and need another RN verification before administration.
  7. by   Wave Watcher
    Our district has a policy that staff can be trained to give insulin if nurse is not in building.

    (I don't agree with policy)
  8. by   AdobeRN
    In Texas we can designate an "Unlicensed Diabetic Care Assisant". They go thru a brief training and I check them off on their skills - after that they are allowed to assist with the diabetics if needed.
  9. by   Spidey's mom
    Quote from Wave Watcher
    Our district has a policy that staff can be trained to give insulin if nurse is not in building.

    (I don't agree with policy)
    Me either. I'm in a quandary right now because my last day as the school nurse is coming up, they have not found a replacement (they've know for 1.5 years), and they want me to train the aide who has been helping with this student to give insulin. There will be no RN to back them up. The aide checks blood sugars and monitors him on the playground and gives glucose if needed and has been trained for glucagon . . . but not insulin.

    I already went off on a mini-rant about lay people doing medical things on another school nurse thread so I won't do it here. But the teachers and other staff at schools in CA are not happy.

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