Courtnage L
J Sch Health. 1982 Nov;52(9):543-8. doi: 10.1111/j.1746-1561.1982.tb04036.x.
The increased use of medication in school systems and the broadened responsibility of educators for the medical/health related needs of students have created a number of concerns. Examples of issues facing school personnel include liability risks, designation of persons to administer medication and drug management procedures to safeguard students receiving drugs during the school day. A review of the literature indicates a paucity of legal documents and policies regarding the use of medication in schools. This study investigates existing state laws, regulations, attorneys general opinions and guidelines concerning the management of medication in the school system. The results show that: (a) the majority of states do not have legislation, regulations or other directives with force of law; (b) major policy statements found most often in legal documents were designated persons permitted to administer drugs, physician's approval, parent's authorization and liability; and (c) many states have apparently deferred policy making to the schools, and have developed state department guidelines to assist local school officials. The major policy and guideline statements may be considered as recommendations for adoption by states wanting to establish responsibility for policy making at the state and local school level.
学校系统中药物使用的增加以及教育工作者对学生医疗/健康相关需求责任的扩大引发了诸多担忧。学校工作人员面临的问题包括责任风险、指定给药人员以及保障学生在学校期间用药的药物管理程序。文献综述表明，关于学校用药的法律文件和政策匮乏。本研究调查了关于学校系统药物管理的现行州法律、法规、总检察长意见和指导方针。结果显示：(a) 大多数州没有具有法律效力的立法、法规或其他指令；(b) 法律文件中最常出现的主要政策声明是允许给药的指定人员、医生批准、家长授权和责任；(c) 许多州显然已将政策制定工作交给学校，并制定了州部门指导方针以协助当地学校官员。主要的政策和指导方针声明可被视为希望在州和地方学校层面确立政策制定责任的州采用的建议。
