CBD administration in schools - thoughts?

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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?

Specializes in school nursing, ortho, trauma.

medical marijuana has been permitted by legislation passed and previous legal cases, however it's not anything i've had to contend with. CBD, however i am not sure of. In schools here we are not supposed to give anything that does not have FDA approval. This means that with the exception of a few medications that contain the compounds, it's a no. No to the stuff bought in the drug store, no the stuff bought from Aunt Stacy's on-line party and a hard pass to the stuff bought at the gas station mini-mart.

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Specializes in School Nursing, Ambulatory Care, etc..

Asked my supervisor for our policy -

Not only can we not administer at school, it cannot be administered on school property, even by a parent.

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

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

Is it because it is sched 1?

"Off label use indicates that the medication is being used in a way not specified in the FDA’s approved packaging label, or insert. All prescription drugs marketed in the U.S. have an FDA-approved label."

Intranasal midazolam is "experimental" and therefore off-label for treatment of seizures because no head-to-head comparison to rectal diastat has been done. Do I prefer the idea of intranasal midazolam? You bet!!! Does it make me twitchy to think about giving it because it's off-label for this particular use? You bet!!

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Specializes in school nursing.
11 minutes ago, BunnyBunnyBSNRN said:

Asked my supervisor for our policy -

Not only can we not administer at school, it cannot be administered on school property, even by a parent.

Makes sense actually. Until it is fully legalized, I could see this being the norm for public schools.

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Specializes in school nursing.
2 minutes ago, ruby_jane said:

"Off label use indicates that the medication is being used in a way not specified in the FDA’s approved packaging label, or insert. All prescription drugs marketed in the U.S. have an FDA-approved label."

Intranasal midazolam is "experimental" and therefore off-label for treatment of seizures because no head-to-head comparison to rectal diastat has been done. Do I prefer the idea of intranasal midazolam? You bet!!! Does it make me twitchy to think about giving it because it's off-label for this particular use? You bet!!

Totally get it!!! Thanks for that.

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Specializes in Home Health,Dialysis, MDS, School Nurse.

CBD is not legal in my state at all. So I won't be worrying about it for awhile.

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There are CBD tinctures that are 100% legal in all 50 states and contains no THC. There would be no reason for them not to give it. But they probably need to be educated about it before they'd allow it. Check out hempworks.com they sell one of the best CBD products.

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Specializes in School Nursing, Ambulatory Care, etc..
9 minutes ago, sweetiepeas said:

There are CBD tinctures that are 100% legal in all 50 states and contains no THC. There would be no reason for them not to give it. But they probably need to be educated about it before they'd allow it. Check out hempworks.com they sell one of the best CBD products.

From my district policy/guideline:

"The Maryland Medical Cannabis Commission (MMCC) has specified that minors under the age of 18 are required to have a Caregiver 21 years of age or older - a parent or legal guardian ONLY - who is registered with the Commission."

"The caregiver is responsible to provide medical cannabis to the minor student. The School Nurse is not a legally recognized Caregiver, and as such, cannot administer cannabis products."

Also, while medical cannabis products are legal in the state of Marylad, they are prohibited in public places and federal buildings. The MD Dpeartment of Ed has stated a public school qualifies as a public place.

This is reason enough for me to not administer it.

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Specializes in ICU/community health/school nursing.
47 minutes ago, sweetiepeas said:

There are CBD tinctures that are 100% legal in all 50 states and contains no THC. There would be no reason for them not to give it. But they probably need to be educated about it before they'd allow it. Check out hempworks.com they sell one of the best CBD products.

Yes, there is every reason not to give them. What am I giving? How does it work? How will I know that it works? What are the side effects? How do I even know what's in it - is the manufacturer regulated in any way?

A nurse will ask him/herself all those questions, because his/her BON requires this of a nurse. Does hempworks.com feel like sponsoring a double-blind trial? I'd love to see data.

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I attended a training on the use of Marijuana while breastfeeding called "Breastfeeding and Bongs" last week. ?

I've also attended many trainings related to use in hospice.

Marijuana (Cannabis) use, whether it is THC or CBD, has not been studied well in children regarding potential positive uses. The issues for kids and babies in utero is the brain.

There are some links between marijuana use of pregnant moms and babies who don't meet developmental milestones at the appropriate times and an increase in behaviorial problems.

THC can affect parts of the brain having to do with ability to remember, multitask, and pay attention.

I just don't think we have enough scientific information at this time to say it is safe for kids to use medications made from cannabis.

Our local policy is no, we don't allow use of products made from cannabis (CBD or THC) on campus.

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Specializes in School Nursing.
On 4/9/2019 at 8:32 AM, BluebellRN said:

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.

I haven't seen any yet, at least legally lol, but it's good to know that we are protected if it should ever be prescribed to a student.

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Specializes in pediatrics, School LVN.

It's pretty easy right now. It is legal in California, but since it is not legal federally and since we do receive federal funding, federal law trumps state law. Fortunately, we haven't had any inquiries or requests...yet.

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