UPR003526-15 Manual 2942.0 SHSM Vol I DRAFT master

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DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
AND the signature block must contain the signature and title of the person
administering the medication.
• Is this the right reason? Confirm the rational for the ordered medication.
Ask the student the reason they are taking the medication.
• Is this the right response? Document monitored response, as appropriate,
to the medication (i.e., improved peak expiratory flow rate, decreased
discomfort, improved blood glucose levels).
To further ensure safe administration of medications in the school setting,
students need to know about their medications. The cognitive level of the student is to
be considered as part of the teaching process. A student should be able to tell the
school nurse the name of their medication and why the medication has been
prescribed. Students also need to know what to do if they suspect they have been
given the wrong medication; it is appropriate for them to question the school nurse or
any adult attempting to administer medications.
Reference:
National Association of School Nurses, Position Statement, “ Medication
Administration in the School Setting”, 2012. Available at:
School Nursing A Comprehensive Text, Second Edition, 2013. Selekman, Janice,
Editor. F. A. Davis Company, Philadelphia, PA.
Schwab, Nadine C. and Gelfman, Mary H. B. (Eds.). (2001). Legal Issues In
School Health Services: A Resource for School Administrators, School Attorneys,
and School Nurses. North Branch, MN: Sunrise River Press.
F-3-3 Standing Orders
Due to the complexity and joint service provision of health care services to the
DoDEA organization, it is not feasible to provide universal standing orders for DoDEA
school nurses worldwide. An exception has been made for emergency use of
epinephrine for the treatment of anaphylactic shock experienced by a person who has
no known allergies. See Section for anaphylaxis guidelines and SHSM
Forms H-3-7, 3-7-1, 3-7-2, and H-3-8, 3-8-1 for more information. The epinephrine
standing orders must be renewed annually and signed by a physician.
F-3-4 Storage of Medications
Medications (both controlled and non-controlled) must be kept in a designated
locked container, cabinet, or closet used exclusively for medications in the school health