While the rules were signed into legislation last November, additional guidance is coming, according to a BON representative.
Many Texas school districts such as Lake Travis ISD and Eanes ISD have already implemented the changes for the 2024-25 school year.
The details
Per the changes, a physician, podiatrist or dentist note along with parent or guardian authorization is required in order for school nurses to administer over-the-counter medications to a student.
An Aug. 19 BON news release stated the board ensures all licensed nurses in the state abide by the Nursing Practice Act. Administering over-the-counter medication without a valid order falls outside the scope of professional nursing practices.
“The Board recognizes that requiring a parent to provide an order from a student’s provider for seemingly innocuous over-the-counter medications can be burdensome,” the release stated. “The Board is consulting with the Texas School Nurses Organization and other relevant stakeholders to develop guidance that aligns with legal standards and practical considerations. Not all over-the-counter medicines and treatments are without risks, depending on the child’s specific condition.”
EISD lead nurse Leslie Boldrick said some over-the-counter medications that require authorization include:
- Acetaminophen
- Ibuprofen
- Eye drops
- Antibiotic ointment
- Reflux medication
LTISD lead nurse Jennifer Ennis said the district has a request for medication administration form, which must be completed before a student receives any medication. EISD also requires an authorization form.
In the event that a student needs medication during the day but does not have the proper authorization in place, parents or guardians are contacted first for permission, then emergency contacts if they are unavailable, Ennis said.
Ennis added that district nurses have a list of free- or reduced-cost clinics for families who may want to have access to over-the-counter medication at school but do not have access to a health care provider.
In EISD, Boldrick said the district has standing orders for emergency medications and some over-the-counter medications that parents can opt in for during enrollment, such as rash creams, antihistamines and ointments. Otherwise, all other medications must have a signed physician form.
