O'Dell Christine, O'Hara Kathryn
Comprehensive Epilepsy Management Center, Montefiore Medical Center, Bronx, NY, USA.
J Sch Nurs. 2007 Jun;23(3):166-9. doi: 10.1177/10598405070230030701.
The purpose of this study was to determine school nurses' knowledge of state and school district policies, their experience regarding the administration of rectal diazepam gel in the school, and the perceived benefits and barriers of providing this treatment. Four hundred nineteen nurses responded to a survey conducted during the National Association of School Nurses Annual Meeting. Seventy-one (18%) nurses surveyed had administered rectal diazepam gel in a school setting, while 54 (13%) nurses reported that either their state practice act or school district prohibited them from giving rectal medications in the school. Medication administration benefits, such as early intervention for treatment of acute seizure emergencies, were noted. Barriers were also identified, with lack of privacy as the most frequently listed. Scope of practice as it pertains to administering medication in the school and the extent to which delegation of duties can be used in the situation of administering rectal medication in a seizure emergency remain issues for school nurses.
本研究的目的是确定学校护士对州和学区政策的了解程度、他们在学校管理直肠用地西泮凝胶的经验，以及提供这种治疗的感知益处和障碍。419名护士对在全国学校护士协会年会上进行的一项调查做出了回应。接受调查的71名（18%）护士曾在学校环境中管理直肠用地西泮凝胶，而54名（13%）护士报告称，他们所在州的执业法案或学区禁止他们在学校给予直肠用药。记录了药物管理的益处，如对急性癫痫紧急情况进行早期干预治疗。也发现了一些障碍，其中缺乏隐私是最常提到的。与在学校给药相关的执业范围以及在癫痫紧急情况下管理直肠用药时职责委托的可使用程度，仍然是学校护士面临的问题。
