Stock Meds

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What kind of OTC meds do you stock in your unit?

Does your state and district policy allow stock OTC meds?

Illinois' Guidelines: http://www.dhs.state.il.us/chp/ofh/SchoolHealth/pdf/MedGuide2000.PDF

Parents provide the sealed bottle of OTC medication with the provider order.

Example of a district policy: http://district125.k12.il.us/docs/med_policy.pdf

NASN Medication Position Statement:

http://www.nasn.org/Default.aspx?tabid=230

None except calamine lotion (for which we have the school physician's order) because in Massachusetts all meds, including OTC and even cough drops required a physician's written order, written parental consent and to be provided by the family.

I am a school nurse in Massachusetts also and we have standing MD orders for Tylenol, Ibuprofen, antibiotic ointment, Hydrocortizone ointment, Solarcaine, Betadine,sterile eyewash. We have a permission sheet that parents must sign for their children to receive these products. Also, we have standing MD orders to give Benadryl, epipens, and oxygen in an emergency. All these are supplied by the town.

Specializes in Retired - ER, School Health, Quality, Case Managem.

I am a Mass School Nurse -- new to school nursing!! I am looking for info from MA school nurses. I am searching for the Mass Law that specifies exactly what is needed to give OTC meds in the public school setting. Currently my school's policy is: written MD order and written parent permission (for both RX and OTC).

From what I've researched, MA DPH 105 CMR 210.005 (D) (2) (b) states "over the counter " meds follows the Board of Registration in Nursing's protocols regarding administration of OTC meds in school.

MA BORN state "...RN may administer OTC's to students in MA schools based on portocols which have been developed in collaboration with the school department's duly authorized prescriber, provided that the appropriate school administrative authority allows the use of such protocols."

Does this mean that if my school physician develops protocols (standing orders) and the superintendent approves them , then the school nurse (me) can give certain OTC meds?? We already have standing orders for epi pen for students w/ new onset anaphylaxis and a ONE TIME dose of tylenol for fever over 100 or severe headache (with parent permission).

Any help would be appreciated!!

Enlighten me , please!!

Contact your State school nurse consultant:

List of all state's consultant's:

http://lserver.aea14.k12.ia.us/SWP/tadkins/nassnc/NASSNC_members.html

Massachusetts:

Anne Sheetz

School Nurse Consultant/Director School Health Service

Massachusetts Department of Health, Fifth Floor

250 Washington St., Boston, MA 02108

e-mail: [email protected]

phone: 617-624-6018 | fax: 617-624-6062

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