epipen4schools® Survey Combined Analysis: A Comprehensive Assessment of Anaphylaxis in Us Schools

White, Martha V.; Hogue, Susan; Odom, Dawn; Cooney, Darryl; Bartsch, Jennifer; Goss, Diana; As,; Hollis, Kelly; Herrem, C.; Silvia, Suyapa

doi:10.1542/peds.141.1_meetingabstract.183

Cited by 1 publication

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“…However, one-fifth of schools had no existing guidelines or standing orders, thus raising concerns for emergency medication administration in the absence of these necessary tools (Ficca & Welk, 2006). Delayed treatment for anaphylaxis at school is common, largely a result of school personnel who did not follow emergency protocols and called the student's family first for guidance (Morris et al, 2011;Powers et al, 2007;White et al, 2016). The prevention of a fatal event is contingent on the rapid recognition of symptoms and the prompt intervention of emergency medication (epinephrine).…”

Section: Emergency Medication Administration Practicesmentioning

confidence: 99%

Medication Administration Practices in United States’ Schools: A Systematic Review and Meta-synthesis

Lowe

Gerald

Clemens

et al. 2021

The Journal of School Nursing

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Schools often provide medication management to children at school, yet, most U.S. schools lack a full-time, licensed nurse. Schools rely heavily on unlicensed assistive personnel (UAP) to perform such tasks. This systematic review examined medication management among K-12 school nurses. Keyword searches in three databases were performed. We included studies that examined: (a) K-12 charter, private/parochial, or public schools, (b) UAPs and licensed nurses, (c) policies and practices for medication management, or (d) nurse delegation laws. Three concepts were synthesized: (a) level of training, (b) nurse delegation, and (c) emergency medications. One-hundred twelve articles were screened. Of these, 37.5% (42/112) were comprehensively reviewed. Eighty-one percent discussed level of training, 69% nurse delegation, and 57% emergency medications. Succinct and consistent policies within and across the United States aimed at increasing access to emergency medications in schools remain necessary.

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