Section 071-40-3 - REQUIRED TRAINING OF UNLICENSED SCHOOL PERSONNEL TO ADMINISTER MEDICATIONA. Any unlicensed school personnel who administer medication to a student in a school setting must be trained in the administration of medication before being authorized to carry out this responsibility. Following the initial training, a training review and information update must be held at least annually for those staff members authorized to administer medications.B. The training must be provided by a registered professional nurse or physician.C. The training on administration of medication must include the following components: i. Current laws and school policies related to medication administration,ii. Resources available to staff regarding medication administration,iii. Basic anatomy of routes of medication (ex. gastro-intestinal route, lung, ear, eye, and nose),iv. Basic classification of medications,v. Common medications with side effects,vi. How to read a medication label,vii. How to document medications administered and medication errors,viii. The five rights of medication administration (right student, right medication, right dose, right time, and right route),ix. Procedure/protocols for administering medication(s),x. Signs and symptoms of anaphylaxis,xi. Signs and symptoms of adverse effects,xii. Responding to emergencies,xiii. Working with parents, andxiv. Protecting the confidentiality of student health information.D. The trainer shall document the training and the competency of school personnel trained. Based upon the documentation of training and competency of unlicensed personnel to administer medication, the school nurse shall make a recommendation to the Superintendent concerning the authorization of such persons to administer medication to students. For unlicensed school personnel that may hold separate certification or training in medication administration, the trainer may determine an abbreviated training is sufficient based on their current knowledge and skill level. This is to be documented with the training and competency.E. Training for the purposes of administering medication for a field trip need not include all components listed in 3C at the discretion of the school nurse. The training should be sufficient for the safe administration of the needed medication. This training is considered appropriate for the specific field trip/off-campus event.F. School personnel trained in the administration of fluoride as part of the Oral Health Program in the Bureau of Health, are exempt from this rule for the administration of fluoride.05-071 C.M.R. ch. 40, § 3