IM Versed at school

[Mahalo00]

We have a new student that started on Monday. This child has an order for IM Versed for use with a seizure that lasts over 3 minutes. I am the only nurse in the district (Illinois) and am housed about 12 minutes from the school that the child is attending. Even if I were housed at her school I would not be comfortable giving IM Versed at school. I spoke with the Neurologist's nurse and she stated that he will not order rectal Diastat for the child.

Does anyone have any experience with this?

[wtbcrna, MSN, DNP, CRNA]

Yes I agree with you wtb, but I would think there would need to be alot of training if an unlicensed person is going to have to use it in this situation, and there needs to be one or two specific people trained then they need to be trained continually and trained what to do in the event of an adverse reaction so that if the nurse isnt available they'll know how to handle it, thats all.

I have to admit that using unlicensed person to administer IM meds is scary. I really think that if this what this child needs then a school nurse needs to be there the entire time, and the school should pay for it just like they do for any other special needs child.