CBD administration in schools - thoughts?

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Specializes in School Nurse, past Med Surge.

I'm curious about CBD use in your schools. Does your state allow it? Have you had parents ask you to give it? What are your thoughts? Our state just legalized it over the summer. I've never been asked to give it to anyone in my building but other nurses have. We have to have an Rx and it has to meet certain packaging requirements. So far we've been reluctant, just because we feel we don't know much about it - so as of now parents just give it in the morning. Does anyone have any good resources?

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Specializes in School Nurse, past Med Surge.

? I must be really curious...I posted about this back in August. Any changes in your thoughts on the subject?

Our school board doesn't have a policy as of yet, but I imagine it's coming in the not too distant future.

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Specializes in school nursing.

If it is legal, prescribed, and the doc has filled out our form for school administration, I would be fine with it. It is in the Davis drug guide under cannabidiol.

Edited to add: With that said, I don't believe cannabidiol is legal in Texas yet. Could be wrong though.

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Specializes in School Nursing, Ambulatory Care, etc..

Somewhere in the back of my memory, I feel like there was a statement issued from Health Services that said we would not administer it. I can't find it though...

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Specializes in Occupational Health.

Virginia recently passed this bill: https://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+SB1632S

It protects both students taking CBD or THC-A and the nurses who are administering. I've not yet had a parent ask about cannabis medications, but I'm sure it's coming since the legal protections are now in place.

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Specializes in School Nursing.

Our legal team chucks it up to State vs Federal and although medical cannabis is legal (and my Dad is hugely benefiting!) in my state, our district is viewing it as still illegal under federal law. Parent/trusted adult can come, take their child off of school property line, administer it themselves, and put them back on property.

I'd consult your district lawyers. They get paid much more than we do to help sift through legal jargon.

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Specializes in school nursing.
On 4/9/2019 at 8:46 AM, LikeTheDeadSea said:

Our legal team chucks it up to State vs Federal and although medical cannabis is legal (and my Dad is hugely benefiting!) in my state, our district is viewing it as still illegal under federal law. Parent/trusted adult can come, take their child off of school property line, administer it themselves, and put them back on property.

I'd consult your district lawyers. They get paid much more than we do to help sift through legal jargon.

Never thought about that! Really good point.

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Specializes in school nursing.

Oh, but also... If it were a federal issue do you think docs would rx it? I thought medical cannabis is a Schedule 1 Substance, therefore monitored by the DEA. Just a thought...

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Specializes in School Nursing.

I don' t know if this differs by state, but I attended a medical cannabis seminar geared towards school nurses that was FABULOUS last year.

At this point in time doctors DO NOT PRESCRIBE cannabis.

They "certify that this person may benefit from it."

Then you go to the dispensary and a pharmacist who specializes in cannabis reviews what your desired effects are and can RECOMMEND strains. There is a menu online that you can look at before you go if you want to know what is in stock before you go. Literally called a menu.

The purchaser is essentially who is deciding the dose/frequency they are taking.

My dad has never received a prescription. In my state a doctor can not write a prescription, simply certify that you are a candidate to benefit.

This was what the pharmacist and cannaboid researcher who ran the seminar kept explaining: Nurses following prescriptions, at this time medical cannabis has no prescription in my state, only certification.

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Specializes in school nursing.
On 4/9/2019 at 9:04 AM, LikeTheDeadSea said:

I don' t know if this differs by state, but I attended a medical cannabis seminar geared towards school nurses that was FABULOUS last year.

At this point in time doctors DO NOT PRESCRIBE cannabis.

They "certify that this person may benefit from it."

Then you go to the dispensary and a pharmacist who specializes in cannabis reviews what your desired effects are and can RECOMMEND strains. There is a menu online that you can look at before you go if you want to know what is in stock before you go. Literally called a menu.

The purchaser is essentially who is deciding the dose/frequency they are taking.

My dad has never received a prescription. In my state a doctor can not write a prescription, simply certify that you are a candidate to benefit.

This was what the pharmacist and cannaboid researcher who ran the seminar kept explaining: Nurses following prescriptions, at this time medical cannabis has no prescription in my state, only certification.

Wow, great info! Sounds like a really informative seminar as well.

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Specializes in ICU/community health/school nursing.
37 minutes ago, CanIcallmymom said:

If it is legal, prescribed, and the doc has filled out our form for school administration, I would be fine with it. It is in the Davis drug guide under cannabidiol.

Edited to add: With that said, I don't believe cannabidiol is legal in Texas yet. Could be wrong though.

In Texas the BON explicitly says I should not give an experimental medication. My district supports this in a variety of ways. The BON rarely gets explicit about what I can or cannot do so I pay attention. Because it's prescribed does not mean I can/should dose it. Even if there is no THC in the product, it may be a district decision not to allow you to store it, although I hope that a parent would be allowed to administer on campus.

I wish we'd have a few good case controlled studies on CBD - there is some interesting work around epilepsy but it's more onesies, twosies and not a head to head comparison of CBD versus other mediation.

Just my two cents.

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Specializes in school nursing.
1 hour ago, ruby_jane said:

In Texas the BON explicitly says I should not give an experimental medication. My district supports this in a variety of ways. The BON rarely gets explicit about what I can or cannot do so I pay attention. Because it's prescribed does not mean I can/should dose it. Even if there is no THC in the product, it may be a district decision not to allow you to store it, although I hope that a parent would be allowed to administer on campus.

I wish we'd have a few good case controlled studies on CBD - there is some interesting work around epilepsy but it's more onesies, twosies and not a head to head comparison of CBD versus other mediation.

Just my two cents.

Also good points. What defines experimental medicine? Just thought this pertained to medical research.

Is it because it is sched 1?

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