What are off-limit medications for school setting?

[pineappleupsidedowncake]

I had a parent try to have me administer prednisolone to her child. The prescription was once a day for 5 days and the reason was for an asthma exacerbation. However, for several reasons, we decided that she should administer this medication at home. I'm still new to school nursing and so I have never considered what sorts of medications should be "off-limits." Would you ever administer a new medication such as prednisolone at school? And what are some other medications which you would not administer? 

[Emmy59]

On 3/4/2021 at 11:12 AM, NutmeggeRN said:

Yeeps...when I worked in af family practice, we couldn't even do them unless a provider was there. Definite hard no for me!

Yep,  had a friend getting allergy shots for several months without problems. Then 1 day she got up to leave,  fainted, ended up intubated and spending several days in the hospital. Those shots are nothing to fool around with. 

[k1p1ssk, BSN, RN]

If a parent is ever asking me to do something that seems unnecessary, I usually ask them to provide me with a doctor's note giving a medical justification for why it needs to be done in school. And "because its more convenient" is not a medical reason.

FWIW, I've never heard of allergy shots being done outside of a provider office

[AdobeRN]

3 hours ago, k1p1ssk said:

FWIW, I've never heard of allergy shots being done outside of a provider office

I have had a couple of requests over the years to administer allergy shots either by parents of students or other staff members - I have always declined. No way would I take on that responsibility. 

I went through the whole allergy shot thing for years with my own kid and there were a few times my kid had severe reactions and had to use the epipen/emergency medication for it.  While for the most part we were always lucky (if you can call it that) to have the reaction while in the doctors office there was one time about 45 minutes after we left the office that I had to administer the Epipen for a reaction to the injections- not fun, very scary.