Ross J C, Foreman C M
J Sch Health. 1983 Dec;53(10):589-93. doi: 10.1111/j.1746-1561.1983.tb01116.x.
The development of medicines, state and federal laws requiring the enrollment and mainstreaming of handicapped students and the use of behavior modifying drugs has resulted in more requests by parents to have medication administered to their children during school hours. The problem in schools without immediate access to nurses is to accommodate students who need medication while at the same time avoid the dangers that are inherent in administering medication to children. The purpose of this investigation was to determine what guidelines are being followed in Ohio schools on the storage and administration of prescribed medication. Policies and regulations on the administration of medication, solicited from a random sample of Ohio school districts, were found to be not in keeping with pertinent legislation, litigation and recommended procedures. The investigation of the sample districts revealed enough inadequacies to suggest that: 1) many Ohio school districts need formal policies and regulations in the administration of medication; and 2) Ohio school districts having policies and regulations in the administration of medication should seriously consider eliminating whatever inadequacies exist for the safety and well-being of students and staff. A sample board policy statement, regulations for administering prescription and nonprescription medication in schools, a request form and a model statute designed to protect the employee from tort liability as a result of ordinary negligence in the administration of medication were developed in keeping with the findings of this study and are recommended for consideration as models by school districts nationwide.
药品的研发、要求残疾学生入学并融入主流教育的州和联邦法律,以及行为修正药物的使用,导致越来越多的家长要求在学校上课时间给孩子用药。在没有护士随时提供帮助的学校,问题在于如何照顾需要用药的学生,同时避免给儿童用药所固有的风险。这项调查的目的是确定俄亥俄州的学校在储存和管理处方药方面遵循哪些指导方针。从俄亥俄州学区的随机样本中获取的用药管理政策和规定,被发现与相关立法、诉讼及推荐程序不符。对样本学区的调查揭示了足够多的不足之处,表明:1)许多俄亥俄州学区在用药管理方面需要正式的政策和规定;2)在用药管理方面有政策和规定的俄亥俄州学区,应认真考虑消除存在的任何不足之处,以保障学生和教职员工的安全与福祉。根据本研究的结果,制定了一份样本董事会政策声明、学校管理处方药和非处方药的规定、一份申请表以及一项旨在保护员工因用药管理中的普通疏忽而免于侵权责任的示范法规,并建议全国各学区将其作为范例加以考虑。