Delegation of nursing procedures and medication in school is fraught with legal and ethical concerns for the school nurse. Because nurses may be responsible for coordinating care for several school buildings, delegation of nursing care and medication administration has occurred out of necessity. Nurse Practice Acts in some states, but not all, allow for delegation of medication to unlicensed assistive personnel. This article explores Glucagon® delegation laws in the United States and presents an argument against such delegation in states where Nurse Practice Acts do not allow for delegation of medication to unlicensed assistive personnel.
American Nurses Association and National Association of School Nurses (2005). School nursing: Scope and standards of practice. Silver Spring, MD: Nursesbooks.org.
4.
American Nurses Association and the National Council of State Boards of Nursing. (2005). Joint statement on delegation. Retrieved fromhttps://www.ncsbn.org/Joint_statement.pdf
5.
BloomB.DeyA. N.FreemanG. (2006). Summary Health Statistics for U.S. Children: National Health Interview Survey, 2005. National Center for Health Statistics. Vital Health Statistics, 10, 1–84.
6.
CanhamD. L.BauerL.ConcepcionM.LuongJ.PetersJ.WildeC. (2007). An audit of medication administration: A glimpse into school health offices. The Journal of School Nursing, 23, 21–27.
ClarkeW.JonesT.RewersA.DungerD.KlingensmithG. J. (2009). Assessment and management of hypoglycemia in children and adolescents with diabetes. Pediatrics Diabetes,
10:134–145.
9.
Dewitt-ParkerC. (2009). New Jersey State Legislature: Prescribing diabetes management in the schools?New Jersey State School Nurses Association Newsletter, 4–5.
Family Education Rights and Privacy Act, 20 U.S.C.A. 1232g, regulations at 34 C.F.R.
12.
FarrisK. B.McCarthyA. M.KellyM. W.ClayD.GrossJ. N. (2003). Issues of medication administration and control in Iowa schools. Journal of School Health, 73, 331–337.
13.
FiccaM.WelkD. (2006). Medication administration practices in Pennsylvania schools. The Journal of School Nursing, 22, 148–155.
McCarthyA. M.KellyM. W.ReedD. (2000). Medication administration practices of school nurses. Journal of School Health, 70, 371–376.
16.
National Association of School Nurses. (2006, June). Position statement: School nurse role and management of the child with diabetes in the school setting. Retrieved fromhttp://www.nasn.org
National Association of School Nurses (2010). (Healthy children learn better! School nurses make a difference 201003)Healthy children learn better! School nurses make a difference. Retrieved fromhttp://www.nasn.org/portals/0/about/2009_press_room_faq.pdf
19.
National Association of School Nurses & American Nurses Association (2005). School Nursing: Scope and standards of practice. Washington, D.C.: American Nurses Publishing.
National Council of State Boards of Nursing. (2005). Position paper: Working with others. Retrieved fromhttps://www.ncsbn.org/Working_with_Others.pdf(Nevada Diabetes Association For Children And Adults 20100713 Recommendations for management of children with diabetes in school) (National Council Of State Boards Of Nursing 199708 five rights of delegation).
O’DellC.O’HaraK. (2007). School nurses' experience with administration of rectal diazepam gel for seizures. The Jounal of School Nursing, 23, 166–169.
28.
PriceJ. H.DakeJ. A.MurnanJ.TelljohanS. K. (2003). Elementary school secretaries' experiences and perceptions of administering prescription medication. Journal of School Health, 73, 373–379.
29.
TelljohanS. K.PriceJ. H.DakeJ. A.DurginJ. (2004). Access to school health services: Differences between full-time and part-time nurses. The Journal of School Nursing, 20, 176–181.
30.
TetuanT. M.AkagiC. G. (2004). The effects of budget, delegation, and other variables on the future of school nursing. The Journal of School Nursing, 20, 352–358.
31.
WagnerV. M.RosenbauerJ.GrabertM.HollR. W. (2007). Severe hypoglycemia, metabolic control, and diabetes management in young children with type I diabetes using insulin analogs- a follow-up report of a large multicenter database. European Journal of Pediatrics, 167, 241–242. DOI:10.1007/s00431-007-0446-7.
