Minnesota Guidelines for Medication Administration in Schools - May 2005

(Updated: September 2005)

Maternal and Child Health Section graphic of an outline of a parent with a child in the middle of the outline of Minnesota.

Support from the Literature with Selected Annotations for the Minnesota Medication Administration Guidelines for Schools.

R 338.10101 to R 338.10705, Michigan Nurse Practice Administrative Code. (n.d.) Lansing: Michigan Department of Consumer and Industry Services.

Recommendations for individual diabetes care plan guidelines. (n.d.). Retrieved August 16, 2002, from http://www.nchealthyschools.org/nchealthyschools/htdocs/Diabetes%20Final%20Report%2012_10_02.pdf.

Report side effects of herbal medicine. (7-31-2002). Associated Press. Retrieved 8-01-02 from

Research Alert: Mayo Clinic study examines frequency of Attention-Deficit/Hyperactivity Disorder (AD/HD). (2002). Rochester: Mayo Clinic.

Incidence of attention deficit hyperactivity disorder (ADHD) was at 7.5%, according to the Mayo Clinic. Estimates in prior studies ranged from 1-20%. This study was more stringent: the criteria required both a clinical diagnosis of ADHD and medical and school records. Some previous studies only included a single teacher questionnaire or lay diagnostic interview. The results should help determine how many children in the United States have ADHD and how many should expect treatment.

Reutzel, T., Patel, R., & Myers, M. (January/February 2001). Medication management in primary and secondary schools. Journal of the American Pharmaceutical Association (Wash), 41,1: 67-77.

This is a literature review describing the complexity of the topic of medication management in schools. It did not address specific types of medications. It concluded by pointing out that pharmacist and pharmacy schools are an untapped resource that could partner with school nurses to help provide drug information, education, and training.

Revised Code of Washington 28.A.210.260: Public and private schools – administration of oral medications by – immunity from liability – discontinuance, procedure. (1990). Retrieved September 17, 2001, from the Washington State Legislature.

Revised Code of Washington 28.A.210.270: Public and private schools – administration of oral medications by – conditions. (1994). Retrieved September 17, 2001, from the Washington State Legislature.

RN Scope of Practice. (n.d.). Retrieved August 15, 2002, from http://pr.mo.gov/boards/nursing/RNSCOP1.pdf.

Ricciuti, J. S. (2000). Report on the National Summit on Medical Errors and Patient Safety Research. Medscape Pharmacists. 1,2. Retrieved November 20, 2002, from http://www.medscape.com/viewarticle/408569.

Roberts M., & DuPaul G. Role for School Psychologists Evaluating Medication Effects for Students with Attention Deficit/Hyperactivity. National Association of School Psychologists Communiqué. 28,6. Retrieved June 20, 2002, from http://www.nasponline.org/publications/cq286ADDMeds.html.

Rosenfeld, J. (March 1998). EDLAW, Inc. Briefing Paper: Is your school educating students or practicing medicine? EDLAW, Inc VII, 1-8.

The authors described a court case involving a school district and parents of an attention deficit hyperactivity disorder (ADHD) student. The school district’s policy directed that medications not be administered during school hours when dosages exceeded those recommended as maximums in the Physicians Desk Reference, as can happen with a high dose of Ritalin prescribed by a physician. The school attempted to make accommodations for the family to give medication outside the school day, but the family sued the school under discrimination acts. The courts ruled that the school did not discriminate against the child on the basis of disability. After describing the rulings of the court, the author added personal commentary, disagreeing with the court decision. The author questioned the qualifications and rights of a school board to review prescriptions and dosages and to even not follow a physician’s order for medication.

Ross, S. (1999). The clinical nurse specialist’s role in school health. Clinical Nurse Specialist, 13(1), 38-32.

Rowland, A.S., Mach, D.M., Stall one, L., Natal, A.J., Bowleg, M., & Sander, D.P. (February 2002). Prevalence of Medication Treatment for Attention Deficit-Hyperactivity Disorder Among Elementary School Children in Johnston County, North Carolina. American Journal of Public Health. 92, 2: 231-234.

Roy, A. (1992). Attitude of Children Towards Medication and Health in Urban and Rural Schools of Tamil Nadir. Indian Journal of Pediatrics, 59: 239-247.

Rules of Department of Health and Senior Services, Division 30 – Division of Health Standards and Licensure, Chapter 84 – Training Program for Nursing Assistants. (2001). Retrieved August 15, 2002, from http://www.sos.mo.gov/adrules/csr/current/19csr/19c30-84.pdf.

Rules of Department of Health and Senior Services, Division 45 – Division of Mental Retardation and Developmental Disabilities, Chapter 3 – Care and Habilitation. (2001). Retrieved August 15, 2002, from http://www.sos.mo.gov/adrules/csr/current/9csr/9c45-3.pdf.

Rules of the Ohio Board of Nursing, Chapters 4723-1 to 4723-22. (n.d). Columbus. Ohio Board of Nursing.


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