001Tom, can you hear me? >> Yes, I can. >> We can hear you, too. >> Can you hear me? Cool. Good afternoon. This is W. This is the uh Wednesday, August 6, 2025 policy committee meeting. Call to order. Miss Shope, can you do the roll call, please? >> Yes. Juan Romero, Tom Henkins >> here, >> and Brian Nichols >> here. >> All members are present except Juan Romero. >> Thank you. Could I get an approval of the agenda? >> So moved. >> I'll second. Any discussion hearing? None. All those in favor say I. I >> I motion carried. >> Next item 1D, approval of minutes. Could I get approval of the minutes for the uh July 31st meeting? >> Move. >> I'll second. Any discussion? Hearing none. All those in favor say I. >> I.
002Motion carried. Mrs. Show, do we have any public comment tonight? >> No, I do not have anybody here for public comment. >> Okay, thank you. Okay, our first policy review item is 3A453.1 emergency nursing services. So, uh, Mrs. and >> it's all yours. >> Hi. So, yes, I have some policies that I wanted to bring forward. We are looking to add stock albuterol to our um district. So, we So, in doing so, I wanted to update some of our policies that we had on file that correlate with that um update. So, um start with the emergency nursing services code 453.1. Um, so for you guys, do you guys kind of want me I know you have a copy in front of you. Do you want me just to kind of go over the changes and
003why I've made them or that would be great. I I'll have a I have one question I guess going for at the beginning is are these are these necessitate are these changes necessitated by state law mo or mostly your experience like from your experience? um both because the for the stock up it is a change in the law that just recently happened this past school year. Okay. >> Um so that anything that pertaining to that is going to be because of the state law update. Um however there are some things because of um issues we've had in the district that we wanted to provide some more clarity just so that it there's a clear understanding for all. >> Okay. Thank you. Go ahead. >> Okay. So first change on this policy is under staff responsibilities
004and for this again just wanted to provide some more clarity on who is doing what so that way staff know to who they should be contacting whether it's a school nurse a health room assistant or um if those questions should be directed towards me. So um just for clarity for 1A I put develop update and maintain health related policies, protocols and procedures um and with evidence and research standards of care and input from the medical advisor associated committees and boards. And then for B um provide professional development and skills training to school health staff who support student um health needs. Okay, >> I did cross off um the rest of B and then D just because those are kind of redundant. It's it goes back to what's already in B with the update. 4F, ensure
005compliance with district emergency medical response team, which is our MERT team procedures and annual building MERT team drills. enforce state and federal education and health laws, including the nurse practice act as it relates to the delivery of health services and the educational setting, train, schedule, and oversee school nursing clinical practice to ensure they are evidence-based and applied according to the laws, regulations, and rules that govern school nursing practice. Could >> Could you pause just a second? >> Port member Hankens, I just want to check in and make sure that you're you're able to hear. Okay. >> Your responsibility. >> Yes, I can. I will have a question when you get to it. Thank you. Thank you. >> Okay. And then for the responsibilities of the school nurse, um K, provide nursing services employing nursing judgment
006and critical thinking to provide medical treatment procedures and medication administration. And then L provide remote triage to unlic unlicensed assistive personnel such as health room assistants and designated staff. um under the responsibilities of principal. Um for G kind of expanded that and added um to designate a person in charge of emergency care at each school sponsored activity and inform the school nurse so training may occur and added during the planning phase of the activity in at least two weeks in advance. Overnight activities required notification to the school nurse at least four weeks in advance. And then um and the reasoning for that is because we were having staff inform um health staff, you know, like a week in advance for some of these overnight activities, not realizing that, you know, they are already planning for
007like about four field trips a day. And then those overnight field trips, we may not have information on those students in regards to what they're taking at home. And if they are taking medications at home, we do need to coordinate that with the provider and with the teachers to do train additional training and get additional paperwork so that we can make sure they have everything in place um according to the law and so that they can have it. Um K ensure purchases purchases of first aid supplies are submitted in a timely manner. We were having a little bit of issues getting those supplies ordered and we just want to make sure that buildings are aware of that responsibility and that principles help oversee that. Um, responsibilities of the health room assistant. G report to the
008school nurse immediately any deviations in protocols or when a protocol is not in place for a situation so they can assess and give direction. >> I have a I have a question before we go forward back to item K 3K. So, do we have one supplier for first aid or do we have multiple suppliers and and who may they be? >> Uh, we do have multiple suppliers. So, we kind of go where they have we can get the most for what we're paying. >> Okay, great. Thank you. >> Can I ask a question? Do you think a timely manner is going to be is that going to be specific enough? Is there going to be issue with that? >> Um, we we there could be an issue with that. I guess we could change it
009too. >> That's a that that actually that's actually a good point that >> I just feel like when when we bring this out of committees, people are going to have a question about what does that mean? >> Yeah. Right. I agree. >> I and I don't know how you I don't have a suggestion because that's tough. You know, I would say, you know, within 48 hours. I don't know what's a timely manner. >> Well, I think I think we have to re rely on your experience. What's what's make sure we give a enough time but not >> like 72 hours. >> I would say within um a fiveday business days would be sufficient >> within five business days. >> Yes. >> So it would read ensure purchases of first aid supplies are submitted within five
010business days. >> Thanks. >> Thank you. board member Henus, are you good with that? >> Um, well, I just want to go back a step. Who is the female is asking questions? I don't have my Chromebook in front of me. >> Sorry, it's Missy Beavers. >> Okay. And Okay. So, that's I respect that. Um, what I'm wondering is these changes that are being proposed in this policy and I understand that the admin academy calibration is being presented on Thursday. >> Mhm. >> And I know this has to go from here to the board. These are kind of vital issues. Is there a way that we can, you know, if if if it comes out of committee that we can make this so at least the building PS and APS know of these different changes that
011we are making to the present policy. >> I was just going to say so the nurses do meet um at the beginning of the school year with all staff and kind of go over like expectations. So that is a time that they would be able to put this into their presentation in regards to the expectations. >> Well to clarify u this is the f this Tom this is the first reading so we'll have another reading in the policy committee meeting and I'm assuming we're probably going to have an emergency or special meeting here in the next week. Uh so that would be the second reading and then it has to go to the full board. But hopefully we can get that done. So, this goes is on the September 19th board meeting for final for
012final reading approval. >> Does that make sense? >> Board member Henkins. >> I'm sorry, Brian. You mean August 19th, not September 19th? >> A Yes, August 19th. Right. >> Correct. Okay, good. So, we're all good to instill this before the start of school season. Thank you. >> You're welcome. >> Right. I think your responsibilities of a teacher number five. >> Yes. Okay. Responsibilities of the teacher. E. Inform the school nurse of all upcoming field trips or school sponsored activities. They will be overseeing at least two weeks in advance for day activities and four weeks in advance for overnight activities. And then that kind of just feeds into the making sure that staff or nurse health staff are promptly aware. And then for responsibilities of all staff would be um or B notify parents, guardians of
013student illness or injury as necessary when designated by a school nurse. We do really want to make sure that they are having students who are not feeling well check in with the school nurse. We have had staff in the past kind of bypass that and then we're not aware. We can't identify those trends in classrooms. So just making sure that it's clear that um they should only be doing that if if asked to do that. And then for E, keep all health information confidential unless it is a need to know in order to keep students and staff safe. Coordinate with the school nurse on when to share information. Um and then going on to emergency information. Um just updating that because we do use electronic emergency contact cards and um information. So, I just wanted
014to change it so that this reads reads emergency information instead of card because it's not necessarily a card anymore. And then D, health rooms uh three buildings will purchase required first aid supplies. Again, just providing some more clarity there. Moving on to F, emergency care at school sponsored activities. Just adding CPR and first aid certification are not required for one-day events or field trips. Um, just wanted to provide that clarity. So although they are going to be trained for you know medication administration and what our first grade aid protocols are they don't necessarily need to do the certification which is a lengthy course um which would be difficult for us to provide for all school staff and then in G uh for administration emergency medication um just adding an emergency situation um parent school nurse
015is unavailable an employee or volunteer who is trained by the school nurse and designated by the building principal Um just wanted to add that clarity that the principles are assigning the school nurses are training those staff members in order to give this and then also towards the end there um adding on that short acting bronco dilator to student diagnosed with asthma or students experiencing respiratory distress as stated in the school district of bloit standing orders. Again that's just adding in that stock albuterol that we are hoping to get added on. Um however 911 may not need to be called when administering a short acting bronco dilator and trained staff should follow the protocol just because with our other medications they they are required to call 911 but with the short acting albol it would not
016be necessary for them to call 911 unless they're not improving or other things are not in our standing orders. Any questions? >> Board member board member Hankkins, do you have any other qu questions? >> Um, I have a question, but it's kind of off topic and I'll reserve it till we get through this part. >> Okay. Um, Mrs. Bilius, I noticed the cross ref one of the cross references is 722.1 accident reports. Accident reports. Does any of this potentially And I did not look. So, does any of this change the accident reports at this point? >> It does not. No. >> Okay. Okay. Good. >> Okay. For President Johnson, do you have any questions by any chance? No. Okay. Board member Henkins, do you have any other question? >> Oh, yes. I think Yeah. Yeah.
017I'd just like to ask um and I'm not sure and I again I plead ignorance. Where is the district on Narcan and and where are we with that and and uh as far as the health thing is how is it available? How is it instituted if it even is? Just enlighten me if you could please. >> Uh sure. So a few years back we implemented having stock um Narcan in our buildings. Um they're with our stock emergency medications. Uh we have standing orders that are signed by our medical advisor for that. We get free Narcan for all of our buildings. Thank you so much >> and everyone that needs >> sorry >> and for once it wasn't me. Um, so >> it's rubbing off. It's rubbing off on her. [Music] >> Serious. >> How about
018early mornings? Real early. Anyway, >> excuse me. Um, so every I'm sorry. So everyone is aware, everyone that needs to know, >> everyone who's trained >> trained is a it knows exactly where the Narcan is and it's >> correct. >> Available quickly. Okay. Correct. Very good. Very good. >> I saw a video online, not to not to go away from this, but it is on this. I saw a video just the other day of a police officer pulling over a car and he exposed to fentinel and it was painfully slow before they got the narcan to him. He survived but it was >> it was on video and it was you know it was it was scary for me watching. I can't even imagine what it was like being there. So >> and we do
019practice drills twice a year in all our buildings too for those different scenarios. >> And we get trained annually. >> Yep. >> Okay. So >> Okay. If there are any other questions, I would take a motion to approve this for uh to the policy committee for second reading. >> Let me say that again. >> I I second. I'm sorry I couldn't get off mute. Second. >> Okay. Thank you. First and second. Is there any additional discussion here? Hearing none. Any uh all those in favor say I. >> I. Motion carried two. >> Okay. The next item is policy uh 3B policy 453.4 administering medication to students. Go ahead, Mrs. Pillian. >> Okay. So, again, just following some of those changes on that previous doc as well. So, administering of non-prescription medication for students in grades
0206 through 12 who will be self-caring and administering requires the written instruction and consent of students, parent, and guardian. A request to administer non-prescription medication and dosage other than recommended therapeutic dose on the manufacturer label must be accompanied by the written approval of a licensed practitioner. A licensed provider order with written parent consent is required for all non-prescription medication to be administered by staff. Um this update is is coming. They recently put out best practices for medication administrations in schools and that was the guidelines that you know we really should be having a medical provider um order those prescriptions that we staff are giving especially because they can better monitor like trends and you know we have that permission then to talk to the provider if there are concerns about um how often a student
021might be taking this medication or some underlying um health condition that we might be aware of or thinking about. >> Okay. A question. Why did we change it from 3K to six? Do you know? >> Because before we were giving the medication. So now that we're changing it to just 12 through 6 through 12 if they're a um because they're self-caring. So we wouldn't want a threeare self-caring administering. >> Okay. Thank you. Mhm. And then in that next paragraph, um, without written approval, oh, so for the safety and protection of all students, substances that are not United States Food and Drug Administrator approved will not be administered in the school setting without written approval by a licensed provider, prescription label, and written parent consent. If the drug is being used for um as an off
022label, the order must include the parent has been informed of the off label use and of the use for which the drug has been approved by the FDA. And that is just legal language that's in our state statutes. So um and then going on students with diabetes may possess and self-administer medications to man manage their insulin. Dependent health condition with written approval of a licensed practitioner and a parent guardian in order to self-administer. Proper self-administration must be confirmed by the school nurse before the student can self-administer. Um, we've just noticed issues with students who may not be administering their medication like they should be and then that kind of causes issues if they start going really low or really high. So, we just want to confirm that the student is able to do it independently
023before we let them go ahead and do that in the school setting alone. Um, any student that shares their medication with another student or has a safety plan in place will not be allowed to possess medication without written permission from the building administer. And that again is just for safety reasons. since we don't if you know students have a a history of sharing the medications we just don't want that incident to occur again. >> I have a question about the the the large paragraph that's been removed uh recommended for deletion. So could you fill us? >> Yeah, I pretty much condensed that because we had a long lengthy of how we were giving that app. So it's not changing anything. We're still going to have that stock EPY. It's just it kind of I condensed
024it with all of our stock medications. So we have stock epi narcan and again the albuterol hopefully. >> Okay. Thank you. >> Mhm. So um and again that's summarized in this next paragraph here. It says every effort will be made to ensure two doses of all stock medications are available at designated school buildings. Stock medication must remain on school grounds and will not be taken off campus. For example, on field trips. stock medication protocols will be approved by the medical adviser in collaboration with the director of school health. Um, and then in that next paragraph, uh, again, it just kind of is redundant on stuff that's already in that previous paragraph. Um, I did just add as required per Wisconsin state 18.296, um, which is the statute where it addresses the stock medications in school
025buildings. And then also in that next paragraph, instead of putting school nurses, um I did include health care professionals who are authorized and trained to administer medications because um school nurses are not immune from civil liability, but neither are any other health staff professionals. So I just wanted to make sure that was clear and again that's just legal language. And that is the changes for this one. Board member Henkins, do you uh do you have any additional questions or thoughts on uh this policy? >> It's just a thought or comment or a question and I'm assuming um that these have been approved by Mrs. bevers and administration otherwise wouldn't be you know as far as pupil services and uh so they approve all this and so we're uh admin the top exec admin they approve
026all of this changes too it's been vetted by them >> yes >> is that is that correct >> that's correct >> this is Mrs. That's correct. >> Okay. Thank Thank you, Missy. >> You're welcome. >> Okay. Any other board member board for President Johnson? Nothing. Okay. Um I will uh take a motion to approve the revisions and labor policy 4531 administering medication to students to the policy committee for second reading. >> So moved. >> I'll second. Any additional discussion hearing? None. All those in favor say I. >> I. Motion carried. Move. Moved for the second reading. >> Oh, so moved. We're good with that. Okay. The next uh policy is 3C453.4 rule one administ administering medication procedures. Go ahead Mrs. Pavilius. >> Okay. Um so just some changes again to administering medications. This again kind
027of follows the changes that were made in the previous one. Um just talking about a school administer will authorize in writing any school employee or volunteer to administer prescription um that should read or non-prescription medication to students. So then or um non-prescription should not be crossed off. I apologize >> non non-prescription shouldn't be c uh scratched. >> Correct. >> Okay. >> So it should read prescription or non-prescription medication to students in compliance. Correct. >> Okay. >> Um, delegation by nurse is not required as people are assigned and authorized by the school administered to be trained by the school nurse and are not student specific. Um, that just goes to some legal language. I just wanted to make sure it was clear. Um, and here it says who are authorized to administer medications to students by
028the building administrator will receive any training approved by the um, director of school health in conjunction with the medical adviser. Okay. And >> then moving down to C, uh, the school nurse has the right to terminate authorization of medication administration by the principal. Um, that's just stating that, you know, if a nurse was assigned to train someone, however, they're not able to successfully pass that training for whatever reason. Um, we just want to make sure that we're being safe and that students are getting good care. >> Mrs. show. Did you catch Did you get that on the uh the scratch through needs to be unscratched through >> the non or nonprescription or >> nonprescription stage? >> Yes. Correct. >> Correct. >> Okay. >> Moving on to four. Um I just added in accordance with prescription
029or standing orders from practitioner trained staff or volunteers may administer a short acting bronco dilator to a people or other person who they believe in good faith is experiencing respiratory distress. Administer glucagon to any people who appears to be experiencing a severe low blood sugar event with altered consciousness. Administer an opioid agnist narcan to any people or other person who appears to be undergoing an opioid related drug overdose. administer an epi epinephrine delivery system to a pupil or other person who they in good faith believes is experienced aniflaxis regardless of whether the pupil or other person has a prescription or written parent consent. 911 must be called as soon as possible whenever administering glucagon, epinephrine or opioid agonist antagonist. And that again is just adding in that um stockout bureau and then it condensed some
030of the uh information that was in the other policy as well. Um non-prescription medication um self-administered at school in grades 6 through 12. So just updating that in addition to the previous policy. A signed request from parent guardian must be on file for at the school authorizing the student to self-possess and administer a non-prescription medication which again follows the previous policy. And then at B3 um adding a staff me uh if a non-prescription medication is requested to be administered in dosage other than the recommended therapeutic dose on the label or is intended for a staff member to administer, it must be accompanied by the written approval of a licensed practitioner. Again, that just follows what we discussed in the previous policy. Moving on to D. Uh, permission to administer medications in drug categories such as
031antioplastic, oral chemo agents, or other hazardous drugs um to be reviewed by the director of school health. Previously, it said building administrator, but it didn't seem appropriate for them to review those medications and side effects and if it's safe for us to administer to students. Moving on to E2. Uh request to administer research medication in school will be evaluated on an individual basis by the school nurse in collaboration with the director of school health and the prescribing practitioner. Uh the following materials will be required. Again, just changing that one to medical advisor because it really should be the prescribing practitioner who knows that students background to determine if that is safe for them to take. Um moving on to one regarding the protocol or study summary from the research organization as needed and then assign
032parent permission indicating knowledge and approval of research medication. Again that part is in the state statute as a requirement and then crossing off three about in regards to permission to administer medications in these drug categories may be granted upon review by the building administrator and school nurse. So that kind of is redundant from what we already previously just mentioned. Moving on to stock epi auto injection injectors. Um if an indel appears to be experiencing severe allergic reaction to strain trained staff will follow the medical advisor approved protocol. That just was a grammical grammatical change. Board >> chairman. Could I have a question please? Go ahead Hankkins. >> Um, yes. And I just want to go back to the administration of in the real life situation of being in a school setting. Who has the authority
033or can administer an EpiPen in a in an emergency or Narcan or who has I mean how how many layers does that have to go through for somebody to administer said uh emergency things? Just walk me through that please. >> Sure. So um every year we have a the principles go through their merch team which is our medical emergency response team. So like for this upcoming school year I've already given that to principles and they've already told me which staff members which usually we keep the same staff members unless for whatever reasons someone has moved on. Then they'll assign someone else to replace them and then at the beginning of the school year the nurse will make a meeting with those mer team members which does include the building admin. Um they'll have them watch
034the state required mandatory videos. Um so like for like stock epi, stock narcan and then soon to be the albuturol um on how to get those medications. Those are like about 5 minutes each for those videos that are required and then the school nurse will do a demonstration with them and then they do kind of return demonstration and then after that um they are able to give the emergency medication. So if anybody in the building was to identify a student having problems, they would call for the mer team, everybody on the mer team would go, they because we've practiced so many times, they kind of know what they're supposed to do and this it depends on which one will end up administering that. But usually they'll identify the need, grab the epi, and then someone
035on the team will administer the medication. >> Okay, good to know. So it's not a real lengthy thing. I mean, obviously time is of the essence. So, it I'm sure you practice that and you just told me that. So, thank you. >> We did the stock. Okay. >> I think you're on stock opioid stock short acting. >> Okay. Am I right? Yes, >> I think so, too. Five short uh stock short acting bronco dilator. So this is again just adding for us to have stock albido in the school system. So uh a stock shortact acting bronco dilator will be available in all K through2 school buildings for the health and safety of all individuals to provide bronco dilators to students experiencing an asthma episode or an experiencing respiratory distress. Stock short acting bronco dilator should
036be retrieved for use when someone is suspected of undergoing respiratory distress and does not have their own albuterol inhaler. If an individual appears to be experiencing respiratory distress, trained staff or volunteers will follow the medical advisor approved protocol for administering the short acting bronco dilator. Any school employee or volunteer who is trained to be to use short acting bronco dilators may do so to the individual experiencing respiratory distress. Individuals not improving within 20 minutes should be transported to the local emergency department by ambulance or sooner if necessary. And then also, sorry, I just wanted to go back to that question. I forgot. So, we do have additional staff that are trained too. So, like if people are are participating in extracurricular activities, whoever is organizing that extracurricular activity would also be trained on how to
037get those emergency medications in case something were to help in in their care. >> Um, moving on to >> And does this apply to the athletic fields also? >> Yes. Yep. Actually, I'm training coaches. >> Okay. Thank you. >> Ready. >> Yep. Ready. Thank you. >> Mhm. >> Um Okay. The next one is uh 6B uh self- administered medications. If a so if someone is administered nephrine, dial 911 for emergency medical service provider. Um we've had to administer to staff before. So I just wanted to change so it doesn't say like a student. So they don't think they can just not call if it was a staff member. And then students may possess and self- administer non-prescription overthe-counter medications only in grades uh expanding that to 6 through 12. And again that just follows up
038previous policy. Um for D just upgrading parent/guardian and E students authorized to possess self- administer adding diabetes to that just because many of our di students with diabetes are able to um self-care their medications. And so we just want to make sure that we are including them in that as well. Um administration of medications for field trips. Uh school sponsored activities include any school sponsored event for athletic, academic, musical, social or entertainment purposes, clubs, field trips before or after school program intended by students including any transportation to and from provided by the school regardless of whether such activity is held on school property. If a student requires medication, it is the responsibility of the staff person who is organizing the activity to ensure that the student receives the medication in compliance with the school district
039of bullet policy. So I just wanted to provide clarification so everyone um is aware what is actually considered a field trip or extra school sponsored activity. Um, we were doing this already. Again, just providing clarity. Uh, field trips, regular school day, uh, current training documentation must be on file with the district at least one week prior to the date of the field trip. Just setting expectations of when we would expect staff to be trained prior to a field trip so that we're not waiting till like the last couple of days to get that done. And then number two, staff person organizing the field trip must provide a final list of participating students to the school nurse or designate two weeks prior to the event. Um, again, just making sure that we're have enough time to
040make sure we have safety plans in place. Uh, staff organizing. Uh, there's a a typo there. The staff person organizing, if you can get that corrected. Get that. Did >> you get that, Michelle? >> Okay. >> The filter board coordinate pickup of all medications. Again, just setting expectations so we can have smooth transitions. So, one was for the one we just went through was for regular school day trips. And then this next section is for extended beyond the regular school day. So the staff person organizing the field trip must provide a final list of the participating students to the school nurse or designate four weeks prior to the event or sooner if possible. The school nurse should be included in the PL during the planning phase. And then number five, student prescribed emergency medication should
041be self-arried if permitted by policy or accessible to the student throughout the school sponsored event. So just providing some clarity that those medications need to be in close proximity to students while they're during their field trip for safety purposes. Um next medication storage. Um building stock emergency medications. Just correcting because we have more than just stock epi in the building. So then make sure that this applies to all emergency medications. Or >> chair. I have a question. Please >> go ahead. Oh yes. Uh questions lead to more thoughts and field trips. Are the licensed bus drivers are they I don't know if there's a representative of the field trip on every bus. Do you know if the the bus drivers have admitted are they do they go through any kind of training for these on
042the spot emergencies that happen perhaps just thinking about you know things that may happen. Uh they are not we did try that in the past. It just it was too it was just not efficient just because there was a lot of change with the bus drivers. They're not our company. So we can't really dictate how they do things. Um so we have not in the past trained our bus drivers because there are we should have our staff with the students um on those buses or if not they're right in the bus right behind them. They are aware of >> Are you saying that we do have a rep? We have a rep on each bus that is traveling around to these different events. >> No, not for the regular bus pickups or the bus drop
043offs. No, but they are aware of what students have a health condition and they they have been instructed on signs and symptoms to watch for and when to call 911. But most of our students are not carrying their medications back and forth, especially our because I'm thinking about like elementary levels because they're the ones that would be getting picked up and dropped off more. Um, they don't self-care their medications. Their medications are kept in the school building. So, it wouldn't um be there wouldn't be a reason for us to train them on how to give those emergency medications if that makes sense. Because they the students wouldn't have them. >> I agree. I'm just looking at emergency things and Durham probably has their own protocols for emergencies on the bus if a student like do
044they have Narcan on the bus if >> you know just looking at we can't look at everything that happens. >> Uh but but they have their own protocols which you approve of I I would imagine. So again, that we give them our protocols and on there it does state like if the medication is not available, which it wouldn't be, that they need to call 911 and it does tell them what signs and symptoms to watch for and then what to do, whether it's call the nurse or to call 911. >> Okay. Thank you. >> Moving on to rights and responsibilities. C. The school nurse has responsibility to review all medications along with their orders routinely and were prompted by designated school staff of changes prior to entering into the system to be administered. Again, just
045providing clarity on who um staff should be reaching out to in regard if they have a medication, a question about a student's medication >> and that's it. >> Okay. I have a question on that last paragraph along with their their orders routinely review review all medications along with their orders routinely. And what what does routinely mean? >> So routinely whenever they get our protocol is whenever they get a new medication order, our school nurse needs to review those medications. Um anytime there's a change, they need to be reviewing those medications as well. Um anytime a new medication is pill bottle is brought in they need to be reviewing those as well. >> Okay. I I I think we ought to be more specific there and and >> somebody's gonna have a question about that. >>
046Uh I think I see I think Mrs. Beaver's agreed. So >> yeah, I think somebody's going to have a somebody's going to want clarification on that. Review all medications along with their orders when prompted by designated school staff. But the only reason I someone else has said that when we were talking about this in um reviewing and then there was a a thought that that means like that's the only time they would and that's not the only time they would because they would do it more frequently than just when prompted by a staff member because they have to at you know anytime there's a new order if they have any questions or if they should be questioning the orders or it's it's frequently and I guess I don't know how to put that into words
047because they do have do anytime we have a one come in, anytime there's been a change, anytime there's a new prescription bottle coming in, and there's several times that they have to do that. Um, >> can you put when when orders change or new prescriptions that that doesn't cover it all? >> I'm trying. >> Yeah, I'm trying to think. Um, >> unless we put like as needed, I guess. But then they might say I don't know if that that would pro ask more questions of when as needed is. >> As needed can go can be a gray area, too. >> Uhhuh. [Music] when there are any changes to medication orders. >> Yeah. >> Pill bottles or prescription. I guess they're not all prescription bottles, but uh prescription labels or as needed nurse using your nursing
048critical thinking >> cuz sometimes it is you, you know, judgment based on like something is going on with the student that you need to check >> them routinely, you know. >> So, talk that through one more time >> along with their orders at initiation. When there's any changes to the orders or to prescription labels, a new bottle is brought, a new medication is brought in or as indicated per nursing judgment. Could you repeat that? >> Are you Are you still playing with it? >> No, I I I got it. But M was writing it down slow. Okay. with their orders with initiation of orders >> when changes to orders or prescription label or changes to prescription labels or when new prescription is brought in or using it was going to be like the >> or
049nursing thoughts let us >> hang on let us write it down and then >> okay >> nur nursing best judgment I think is what you said >> well nursing >> scripts have to be your orders, right? They just can't say. I mean, the onus is on the parent. It's all about a prescription change and it's a doctor's order thing. It's just not >> But I'm But I'm talking about when they bring it in because the parents going to bring that in. >> Yeah. >> Correct. That's on the nurses. It's actually that is a nursing our end responsibility. they even if a doctor writes an order, we have the ultimate. We have to review it because if there's something wrong with that order, like the doctor accidentally ordered too much or too little, like we have
050to know like it's in the right range that it really should be for a child of that age. And if not, we have to question it or else, you know, that's >> your license. >> That's our license that we have to question those doctor's orders. >> Okay. Well, I agree with that. Double check. I'm just saying we talk about changes. the change can't occur until someone institutes a change. >> Yes. But I think what we're talking about is um if the change if there's a change to let's say we have say the order was initially to 5 milligrams and then now they change it to 10 milligrams. So the parent brings us in the 10 milligrams. The nurse has to review it before somebody in the building can give it. So, say the the health
051room assistant was previously giving this five milligrams and now the parent brought in 10 milligrams. The nurse would still need to review that 10 milligrams before someone can go ahead and start giving that 10 milligrams. >> It's to eliminate the risk of liability. >> Yes, >> I understand all that. Thank you for clarifying to read. Okay, you ready? >> I'll sing yes to him. Hold on. >> Thank can you read my writing >> with their orders? Okay. At initiation, >> say review all medications along with their orders at initiation when changes, comma, when changes uh to orders occur, comma, when RX labels are changed or when new prescriptions are brought in or when prompted due to nursing nurs's clinical judgment. >> I'm good. I'm not that fast. Okay. >> I don't know how you do
052that. >> Hand is a little rusty. >> Okay. >> Yeah. Oh, go. Can you read? >> Yeah. >> Okay. >> She's going to read the whole sentence from >> re Well, I'll start from the beginning. Okay. Review all medications along with their orders at initiation. Comma when changes occur. Comma when prescription labels change. Comma when new prescriptions are brought in or when needed due to nurse's clinical judgment. I just need the last couple words before nurse's judgment. >> So like >> what do you have >> when new Okay. So I have add initiation when changes occur when prescription labels change when new prescriptions are brought in or when or what I say or when indicated by nurs's clinical jud judgement. >> Thank you. >> And then you'll do it'll still be the rest of that
053and when prompted by designated school staff. >> That was a tough one. >> Okay, >> Mrs. Shope, I'm relying that you got that because if I tried to write that, I can't read my writing when I write normally. So if I try to speed right, it's coral. So >> good. Thank you. >> If not, I know where to find her. >> Chairman, could you have Missy go to the microphone when she's speaking because I can't garble to me. >> Sorry. No, >> it's I I just appreciate everything you say. >> You're so kind. >> Okay. Former Henkins, do you have any questions or suggestions or >> No, I think I I got it all. Um, and I I'm in agreement. If Mrs. Beaver's in agreement, I'm good. Thank you. >> Okay. But President Johnson, have
054any questions? No. Okay. Okay. Um, I need a motion to approve the revisions and layover of policy 453.1 rule one administering administering administering medication procedures to the policy committee for second reading. >> So moved. >> I'll second. Any additional discussion hearing? None. All those in favor say I. >> I. Motion carried two zero. >> Okay. Well, thank you both for being here and for for uh taking care of this this I this isn't I know this is a critical part of of our day-to-day operations and uh you can't you can't cut corners there. That's for sure. So, thank you. I think you're keeping us keeping us safe and keeping our student population safe. So, uh thank you very much. Um next item is 4A next meeting date. Technic. Theoretically, it's scheduled for Wednesday, September the
0553rd, 2025 at 4 PM, but that could be subject to change because of our new cadence um with adding personnel or human resources to the policy committee. So, um stay tuned and um we'll we'll update you as soon as possible. Um could I get a motion to adjurnn? So move. >> I'll second. Any discussion? Hearing none. All those in favor say I. >> I. We are adjourned at 4:50. Have a good evening everybody. Thank you.