I'm trying to help my wife who works as an RN in a boarding school find some answers for things going on at her school. I work in a totally different nursing field, so I thought I'd reach out to you school nurses. This is long, sorry!
Who regulates medication administration at a private boarding school that is approved as a "special education facility?" I looked on the state website and the school is listed as "approved," so I assume they'd have to follow the Department of Education regulations for medication administration, right?
There are staff at the school who are teachers, administrators, etc who are "med-certified" to pass meds when the health center is closed, but they seem to be outside their scopes more often than not. They call doctors and take verbal orders for medications for sleep, anxiety, etc. and have these medications started before a nurse even knows they were ordered, usually in the middle of the night. They are also the staff who determine whether a student needs PRN medications for anxiety during the day. Isn't this nursing assessment?
Furthermore, where does HIPAA come in to play? My wife told me she is required to type up a report everyday that includes every single visit to the health center (who, what, why, treatment, etc) and email it to the entire staff of the school (teachers, therapists, coaches, etc). There is no encryption, no need-to-know basis, just a direction that it must be sent out every night. If a parent finds out about the emails, will it be my wife on the line for the HIPAA violations since she's the one who sends them?
I could go on forever. Thanks for any insight you might have!
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I'm trying to help my wife who works as an RN in a boarding school find some answers for things going on at her school. I work in a totally different nursing field, so I thought I'd reach out to you school nurses. This is long, sorry!
Who regulates medication administration at a private boarding school that is approved as a "special education facility?" I looked on the state website and the school is listed as "approved," so I assume they'd have to follow the Department of Education regulations for medication administration, right?
There are staff at the school who are teachers, administrators, etc who are "med-certified" to pass meds when the health center is closed, but they seem to be outside their scopes more often than not. They call doctors and take verbal orders for medications for sleep, anxiety, etc. and have these medications started before a nurse even knows they were ordered, usually in the middle of the night. They are also the staff who determine whether a student needs PRN medications for anxiety during the day. Isn't this nursing assessment?
Furthermore, where does HIPAA come in to play? My wife told me she is required to type up a report everyday that includes every single visit to the health center (who, what, why, treatment, etc) and email it to the entire staff of the school (teachers, therapists, coaches, etc). There is no encryption, no need-to-know basis, just a direction that it must be sent out every night. If a parent finds out about the emails, will it be my wife on the line for the HIPAA violations since she's the one who sends them?
I could go on forever. Thanks for any insight you might have!