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Medication administration practices in Pennsylvania schools.

Michelle Ficca1, Dorette Welk

  • 1Department of Nursing, Bloomsburg University, Bloomsburg, PA, USA.

The Journal of School Nursing : the Official Publication of the National Association of School Nurses
|May 18, 2006
PubMed
Summary

School nurses in Pennsylvania face challenges administering student medications due to high student ratios and unclear policies. Findings highlight concerns about medication errors and legal compliance, emphasizing the need for improved school medication administration practices.

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Area of Science:

  • Pediatric Nursing
  • Healthcare Policy
  • Medication Administration Safety

Background:

  • Increasing medication administration in schools necessitates clear policies.
  • Pennsylvania's mandated school nurse to student ratio (1:1500) strains resources.
  • Current practices may lead to unlicensed personnel administering medications, violating licensing laws.

Purpose of the Study:

  • To investigate policies and practices for medication administration in Pennsylvania public schools.
  • To identify challenges faced by school nurses regarding medication management.
  • To assess understanding of legal ramifications, including the Nurse Practice Act, on delegation.

Main Methods:

  • A survey of 314 state-certified school nurses in Pennsylvania.

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  • Utilized a 71-question survey to gather data on policies and practices.
  • Analysis of responses concerning medication administration concerns and procedures.

    • Main Results:

    • School nurses express significant concern regarding medication administration issues.
    • Identified a lack of standing orders for over-the-counter (OTC) medications.
    • Increased medication errors were reported when nurses covered multiple buildings.
    • A gap in understanding the Nurse Practice Act's impact on delegation was noted.

    Conclusions:

    • There is a critical need for detailed policies and procedures for school medication administration.
    • Collaboration among stakeholders is essential for developing legally sound medication policies.
    • Addressing nurse-to-student ratios and delegation practices is crucial for medication safety.