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Register to delegate the administration of prescription medications in schools

School districts/schools may apply for permission to delegate the administration of prescription medications to unlicensed school personnel as determined by the school nurse if certain requirements are met.

School Health Program

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The Details of Register to delegate the administration of prescription medications in schools

What you need for Register to delegate the administration of prescription medications in schools

School Nurse Managers

Manager of the school or district’s medication administration must take the online program: Medication Delegation in the School Setting and attend the live program: Medication Administration in Schools.

These programs are both offered through Boston University School Health Institute.

Requirements

  • Must be registered with MDPH for both delegation of medication administration and training of school staff in the administration of epinephrine via an autoinjector
  • Develop policies that are in compliance with 105 CMR 210
  • Ensure that a school nurse is on duty in the school system/school while medications are being administered by designated unlicensed school personnel and available by telephone should consultation be required
  • Provide assurance that sufficient school nurse(s) are available to provide proper supervision of unlicensed school personnel

Guidance

Guidelines for reviewing and approving applications to register for the handling, storage and delegation of medication and/or the training of unlicensed personnel to administer epinephrine via an auto-injector:

How to register Register to delegate the administration of prescription medications in schools

The school nurse manager responsible for the medication administration program in the school should mail a written request on the school's letterhead for an application for registration to:

Janet Burke
Department of Public Health
250 Washington St.
5th Floor
Boston, MA 02108

The school nurse manager responsible for the medication administration program in the school should fax a written request on the school's letterhead for an application for registration to: 

(617) 624-6062

More info for Register to delegate the administration of prescription medications in schools

Residential Public/Non-Public School Programs

(Includes off campus, on-campus, during the school day and evening/nights or weekends)

  • A programmatic approval by the School Health Unit results in the forwarding of your application to the MDPH Drug Control Program for their approval;
  • Final approval is issued by the MDPH Drug Control Program. Please visit Massachusetts Control Substance Registration (MCSR) for additional information. Registration becomes effective for one year on the issuance of a certificate by the MDPH Drug Control Program. There is an annual fee for this approval and certificate.

Day Public/Non-Public School Programs

(Includes Field Trips, Before and After School or Special Events, and During the School Day)

This registration is approved by the School Health Unit and lasts for two school years, does not require a fee, and pertains to field trips and other short-term special school events.

Training of Epinephrine Administration by Auto-injector to Students with Diagnosed Life-Threatening Allergic Conditions

This registration is approved by the School Health Unit. The registration lasts two school years and does not require a fee. Because of the numbers of children with life-threatening allergic conditions, the Massachusetts Department of Public Health and the Department of Elementary and Secondary Education strongly recommend that all schools and school districts , public and private, register with the MDPH to train unlicensed personnel to administer epinephrine by auto-injector to students with diagnosed life-threatening allergic conditions.

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Contact for Register to delegate the administration of prescription medications in schools

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