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Forward Questions about medication delegation? Contact your Regional Consultant.
NOTE: There is now updated documentation for the medication delegation application.
EBOOK (Key Resource)This eBook outlines key information that every School Nurse needs to know about medication administration, including:
Ebook: Medication Administration in a School Setting: School Nursing Practice in Massachusetts (PDF) - updated September 4, 2024 |
BORN Advisory Rulings and Alerts
- BORN: Recent news & announcements | Mass.gov (new window)
- Five Rights of Delegation | Mass.gov (new window)
MDPH – Reporting Forms and Sample Policies
- Report Epinephrine Administration to MDPH | Mass.gov (new window)
- Medication Error Reporting:
- In all situations: complete a district-level incident report and notify the student’s caregiver.
- For guidance on submitting a medication report, see the School Health Medication Error Report Guide.
- Use the School Health Medication Error Report Form to report to MDPH any error that has resulted in a serious illness/injury requiring medical care.
- Submit a Drug Incident Report (DIR) to report drug discrepancies, suspected diversion, or tampering to the Drug Control Program and email MDPH School Health Unit at medication.delegation@mass.gov.
Medication Administration Laws, Regulations, and Guidance
- Controlled Substances Act (MGL Ch 94C) (new window)
- Massachusetts Board of Registration in Medicine (BORIM) - Physician License Verification Site (new window)
- Medication Administration in Schools and Athletic Trainers (PDF)
MDPH Medication Delegation and Administration Application Information
NOTE: Your school entity needs to have an active School Health Controlled Substance Registration (MCSR) in order to delegate medication administration to unlicensed school personnel.
- MDPH Medication Administration and Epinephrine Training Registration Guidance Document (PDF) (updated 10/2/2024)
- MDPH Application Instruction Guide: Controlled Substance Registration (MCSR) for Medication Delegation and/or Epinephrine Training (PDF) (updated 10/2/2024)
- How to Apply for a School MCSR (Video)
- Questions about submitting your application?
- Email: medication.delegation@mass.gov.
Medication Delegation to Unlicensed Assistive Personnel
NOTE: Your school entity needs to have an active School Health Controlled Substance Registration (MCSR) in order to delegate medication administration to unlicensed school personnel.
- BORN: Five Rights of Delegation | Mass.gov (new window)
- Drug Control Program (DCP) | Mass.gov (new window)
- National Guidelines for Nursing Delegation (2019) from the NCSBN and ANA (PDF)
Delegation Training Materials
For Unlicensed Assistive Personnel In-Training
- New! Medication Administration for Unlicensed Assistive Personnel Course (~1 hour to complete)
- New! UAP Course Memory Jogger (PDF)
For School Nurses
- New! Checklist for Nurses: Reference Tool (PDF)
Emergency Medications
Epinephrine
- New! Alternative Forms of Epinephrine Advisory (PDF)
Naloxone
- Bulk Purchasing of Naloxone Through the State Office of Pharmacy Services (SOPS) | Mass.gov (new window)
- Getting Naloxone from a Pharmacy or Store | Mass.gov (new window)
- Naloxone in Schools Memo - Updated on September 6, 2022 (PDF)
- Overdose & Naloxone Training Resources | Mass.gov (new window)
- Stop an Overdose with Naloxone | Mass.gov (new window)
Nurse Training Materials: Medication Administration in a School Setting
Note: These materials from the SHIELD online credit course are being made available here for review purposes only. You may access the full course for credit or to audit.
- Ebook: Medication Administration in a School Setting: School Nursing Practice in Massachusetts (PDF) - updated September 4, 2024
- Memory Jogger: Medication Administration in Schools (PDF) - updated May 20, 2024