School Nursing and Health - Training Tools

Medication Administration

Rules & Guidelines

• Colorado Medication Administration Guidelines (August 2019 PDF)
• Colorado Rules for Administration of Medications (1 CRR 301-68 updated 5/2020)
• SB033 - OTC Medication
• SB 21-056 Fact Sheet Concerning Administration of Medical Marijuana at School (8/2021 PDF)

Medication Administration Training of Unlicensed Administrative Personnel (UAP) 

1. The school nurse must register with Healthy Child Care Colorado to access medication administration course materials.
   • ​Register to become a Trainer (click on "Join the Hub")
2. UAP takes course either in person or online (at school nurse's discretion) and prints certificate.
   • School Staff Online Course Access Information on COTrain (PDF)
   • Preschool & Child Care Staff Online Course Access on PDIS (Exiting CDE)
3. School nurse verifies competency of UAP to administer medication and School Nurse delegates the task of medication administration.

Position Statements

• National Association of School Nurses:  Position Statements on Medication and Delegation (Exiting CDE)
• American Academy of Pediatrics: Policy Statement - Guidance for the Administration of Medication in School

Nursing Procedures and Delegation

• Delegation in Colorado
• Nursing Procedure Sheets from Children's Hospital
  • ​Seizure/ Epilepsy Emergency Meds
  • Tube Feeding
  • Ventilator/ Trachesotomy/ G-Tube/ Suctioning

Emergency Care

• Colorado Emergency Guidelines
  • Colorado Emergency Guidelines for Schools (2016 PDF)
• CPR/ AED/ First Aid
  • CPR & AED in Rules & Regulations Governing Schools (section 6.13)
  • First Aid and CPR Clarification (CDPHE)
  • CPR for Coaches (HB 14-2176) 
  • ​Colorado Good Samaritan Act for CPR and AED
  • AED Position Statement - American Academy of Pediatrics (PDF)
  • AED Implementation Guide - American Heart Association (PDF) 
  • AED Resources - American Heart Association
  • School Medical Emergency Response Plan (DOC)
• Naxolone/  Drug Overdose
  • Naxolone Standing Orders & Information (CDPHE)
  • Colorado Naloxone Resources Available for School Districts & Toolkit (exiting CDE)
  • NASN Position Statement: Naxolone in the School Setting (NASN)
  • Naxolone in Schools Toolkit (NASN)
• Weather-Related Emergencies
  • Child Care Weather Watch - Wind Chill and Heat Index Chart (PDF) 
  • Heat Safety - National Weather Service 
  • Heat-Related Illnesses (CDC)
  • Extreme Heat (CDC)
  • Winter Weather (CDC)
• Wildfire
  • Air Quality Colorado &  AirNow.gov
  • Air Quality and Outdoor Activity Guidance for Schools (AirNow.gov PDF)
  • Fire Incident Information System (InciWeb)
  • Helping Children After a Wildfire: Tips for Parent & Teachers (NASP)
  • Wildfires:  What Parents Need to Know (Healthychildren.org)
  • Wildfire Smoke and COVID-19 (CDC)

Common Chronic Conditions Training

• Common Chronic Conditions Training (PPT-PDF)
• Common Chronic Conditions Training Presentation Guide (PDF)

Standard Precautions Course

This course covers the use of standard precautions.  It focuses on child care learning settings, but personnel working in school settings will also find this course relevant.  It addresses standard precautions, the prevention and control of infectious diseases, and the role of immunizations for children and care providers.

• Upon completion of all online modules, user must print their completion certificate and have it signed by school nurse or Child Care Health Consultant to indicate that their site-specific exposure control plan was reviewed, unless they meet the exemptions from this rule.
• Course Access:  Standard Precautions, Including Prevention and Control of Infectious Diseases and Immunizations Course (Will need to create login for CoTrain system. Course ID# 1089426)  

Asthma Course for UAPs

Asthma Training for Unlicensed Assistive Personnel (UAP) - Applying Best Practice Asthma Care in Schools: A Standardized Statewide Approach

Free online 2-hour course for UAPs

The objectives of the course are:

• Encourage parents/guardians to complete the Asthma Intake form and communicate its completion to the school nurse.
• Implement the green (required pre-treatment), yellow and red zones of the Colorado Asthma Care Plan.
• Administer and coach for accurate technique for administration of a quick relief medication using a MDI plus spacer.

Enroll in UAP course HERE

Also see information about our Asthma Training for School Nurses on the Professional Development Page

Food Allergy Training

• Allergy Safe Kids Colorado Staff Online Training
• Food Allergies:  Keeping Students Safe and Included (FARE course for school staff)
• Get Trained - Epinephrine Administration (NASN) 

Epilepsy/ Seizure Training

• Seizure Training for School Personnel - 75 min (Epilepsy Foundation)
• Seizure Training for School Nurses - 2.75 hours (Epilepsy Foundation)
• Seizure Medication Administration Procedures
• Children's Hospital Colorado: How to Give Midazolam Video