School Nursing and Health - Training Tools

Medication Administration

Rules & Guidelines

Colorado Medication Administration Guidelines (August 2019 PDF)
Colorado Rules for Administration of Medications (1 CCR-301 68)
Chapter 13 - Rules and Reguations Regarding the Delegation of Nursing Tasks (3 CCR 716-1, start on page 81)
SB 17-033 - OTC Medication
SB 21-056 Fact Sheet Concerning Administration of Medical Marijuana at School (8/2021 PDF)
Stock Epinephrine - see Allergy/Anaphylaxis Rules & Guidelines

Medication Administration Training (MAT)

Follow these steps for Medication Administration Training and delegation by school nurse:

The school nurse registers on the Healthy Child Care Colorado website to access Medication Administration Training course materials.
- The school nurse must register to access the materials. Use the blue "Apply" button to apply to join the CCHC Center.
- After access granted, the school nurse can log in to acccess the faciliator guide, materials, forms, and resources.
- The school nurse reviews the training and uses the resources for training and delegation of Unlicensed Administrative Personnel (UAP).
The UAP takes the MAT course either in person or online (at school nurse's discretion) and prints certificate.
- School Staff Online Course Access Information on COTrain (exiting CDE)
- Preschool & Child Care Staff Online Course Access on PDIS (exiting CDE)
- For in person training, the school nurse uses materials accessed through the Healthy Child Care Colorado CCHC Center.
The school nurse verifies competency of the UAP to administer medication and the school nurse delegates the task of medication administration.

Position Statements

Emergency Care

Colorado Emergency Guidelines
- Colorado Emergency Guidelines for Schools (2022 PDF)
CPR/ AED/ First Aid
- CPR & AED in Rules & Regulations Governing Schools (section 6.13)
- CPR for Coaches (1 CCR 301-96)
- CPR for Bus Drivers (1 CCR 301-26 5.01(i))
- CPR Training for High School Students (SB 23-023)
- First Aid and CPR Clarification (CDPHE)
- CDPHE Compliance Guidelines for Schools (CDPHE)
- CPR Directives/ Do Not Attempt to Resuscitate (Resources on Special Needs page)
- Colorado Good Samaritan Act for CPR and AED (exiting CDE)
- AED Position Statement - American Academy of Pediatrics (PDF)
- AED Implementation Guide - American Heart Association (PDF)
- AED Resources - American Heart Association (exiting CDE)
- School Medical Emergency Response Plan (DOC)
Naloxone/ Drug Overdose
- Naloxone Standing Orders & Information (CDPHE)
- Colorado Naloxone Resources Available for School Districts & Toolkit (exiting CDE)
- NASN Position Statement: Naloxone in the School Setting (NASN)
View Disaster Planning Resources on our Health Services Page

Nursing Procedures and Delegation

Delegation in Colorado (taking to Legal Information page)
Guidance on Delegation for School Nurses (PDF)
Nursing Procedure Sheets from Children's Hospital
- Seizure/ Epilepsy Emergency Meds
- Tube Feeding
- Ventilator/ Trachesotomy/ G-Tube/ Suctioning
Training & Delegation Resources for School Nurses (2022 PDF)

Common Chronic Conditions Training

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) (exiting CDE)

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