Angela Anderson, president of the Kansas School Nurse Organization, told the Practice Committee of the Kansas Board of Nursing that her group has revised its draft medication administration guidelines for schools to reflect recent legislative changes and updated best practices.

Anderson said the organization expanded its guidance on stock emergency medications after recent law changes and practitioner input. "We made some changes because of the laws where pharmacists don't have to oversee those kits anymore," Anderson said. She told the committee the packet adds stock epinephrine guidance and moves albuterol guidance into the stock-medication section; it also adds naloxone and links directly to the enabling bill language in the document.

The draft distinguishes student‑specific emergency medications from stock medications: student‑specific emergency medication should remain controlled but accessible so a student’s medication can be given if a nurse is not immediately available, while stock medications (epinephrine, albuterol, naloxone) should be available to any trained staff for emergency use. Anderson said the draft also updates resources and form templates, and incorporates the KSBN delegation grid (2020 version) currently known to the organization.

The committee asked the presenters to add or clarify guidance about medication administration through gastrostomy tubes (commonly called "Mickey buttons") and related pump-infused fluid boluses. A committee member noted the route is a common pediatric administration method and asked the organization to address device use, cleaning, and delegation documentation. Anderson said the team had not yet fully addressed that topic, acknowledged it as an oversight and agreed to include it in the next revision.

The committee and Anderson agreed the organization will provide a revised draft for the Committee’s June 10 meeting and aim to have materials available for the organization's July conference on July 22. Anderson said the packet now includes direct links to the legislative bill (HB 2547) that the organization cited as expanding language to permit stock albuterol in schools. Dr. Paul Turan (referenced by Anderson as a reviewer) recommended moving the albuterol section to the stock medication area; Anderson credited that advice in the reorganization.

The committee and presenters also discussed practical next steps: staff will check for additional resources already posted on the Board’s website, the organization will solicit further peer review (including from Ruth Humbert), and committee members offered to review the revised packet ahead of the June meeting.

No formal committee vote was recorded on the guidelines during this meeting; next steps are continued drafting and a return presentation in June.