Advisory Ruling Number: 9300
The Massachusetts Board of Registration in Nursing issues this Advisory Ruling on Nursing practice pursuant to Massachusetts General Laws, chapter 30A, section 8 and chapter 112, section 80B.
Date Issued: February 24, 1993
Date Revised: September 25, 2002
Scope of Practice: Registered Nurse
To guide the practice of Registered Nurses who are employed as School Nurses.
Registered Nurses who are employed as School Nurses as part of the School Health Unit of the Massachusetts Department of Public Health are expected to practice in compliance with the Massachusetts Department of Public Health regulations at 105 CMR 210.000 in addition to being in compliance with the Boards regulations at 244 CMR 3.02, 3.05 and 244 CMR 9.03(10).
The school nurse, in consultation with the school physician and school health advisory committee, if established, shall develop policies and procedures consistent with 105 CMR 210.000 for approval by the School Committee or Board of Trustees, in consultation with the Board of Health where appropriate.
The school nurse has the responsibility to develop and manage the prescription medication administration program. There shall be clear policies and procedures approved and adopted by the School Committee or Board of Trustees, in consultation with the Board of Health as appropriate.
Domains of practice for the School Nurse include:
- Clinical Knowledge
- Nursing Process
- Children with special health care needs
- Program Management
- Collaboration within the school system
- Collaboration with community health systems
- Health education
- Professional standards
This information is provided by the Division of Health Professions Licensure within the Department of Public Health.
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