staff medication

[joy09]

One of the nurses at school gives allergy shots to a custodian. I have also known other nurses to give B12 shots, whatever. I will not do this again unless I check with administration for a policy and require a physician note. Any experience with practice or policy?

[luvschoolnursing, LPN]

I think with allergy shots, a reaction can happen at any time. I would be uncomfortable giving them at school without emergency medication available.

[bergren]

Is staff health part of the school nurse job description?

Is there a doctors order?

Can it be administered privately? (could kid's walk in?)

Does the school's insurance cover administering injections to staff?

Is the med administration is recorded on a med administration sheet in a chart for only that individual?

Can the staff teachers records be protected with HIPAA level security? (They are not covered by FERPA like the students)

If the above are a yes, ....

.....unless you have a crash cart, emergency plan, and a policy that states injection, including allergy shots can be administered to staff in the school, and a way to bill for it ......

...don't.

If the person went to their providers office, which has the crash cart emergency plan and is paying out the wahzoo for the insurance to cover it, they would pay for the visit. Why would a nurse risk their license and put the school in a risk of liability for free?

Hormone shots are less risky and I would not administer them to a teacher in a work situation either unless all the above is in place, part of the school nurse role and job description is occ health, and I could bill their insurance.