Kansas school-nurse medication guidelines updated to add G‑tube care and resources; committee asks for albuterol clarification

The Kansas School Nurses presented revised medication-administration guidelines to the Kansas Board of Nursing Practice Committee, adding a section on enteral (g‑tube) medication administration and links to external resources, and the committee discussed wording changes to reflect recent state law and practical details for emergency inhaled bronchodilator use.

The presentation, offered as unfinished business during the committee meeting, covered edits placed in the draft guideline packet (presenters said the g‑tube material appears on the packet page identified as page 29). Tara Harmon Moore and Angela Anderson, representing the Kansas School Nurses (presenters), told the committee they added step‑by‑step methods, supply lists and safety considerations and inserted links to resources from Missouri’s Show Me Help project for videos and training.

Board members pressed the presenters to align the document’s wording with Kansas law. "When I was looking at this...there is Senate Bill 287 specific for ... consent and medication administration in school," Board member Melissa said, asking that language presenting national recommendations be changed where Kansas requires consent. The presenters agreed to review and revise wording so the draft does not imply optional consent where state law mandates it.

Committee members also asked for practical details on stock albuterol kept for emergency use. Board member Greg asked whether the guideline addresses form — metered‑dose inhaler (MDI) with spacer or nebulized albuterol — and precautions for sharing multidose devices among students. The presenters said the law anticipates metered‑dose inhalers for stock use and that they would draft language explaining spacer use, single‑use mouthpieces, cleaning/sterilization of spacers and disposal of nebulizer tubing. "We can write that up," a presenter said, and the committee directed the presenters to email the revised language to committee staff for review before the next meeting.

Committee members also flagged editorial and provenance items in the packet: a listing of original reviewers includes Diane Glenn, who is no longer on the Board of Nursing; the presenters said that name was left as historical and offered to relabel the section as "original reviewers." The group requested that the Kansas State Board of Nursing (KSBN) be listed on the revision page after committee approval. The presenters said their organization had not engaged outside legal counsel for the draft but that the document had incorporated existing laws and recent policy changes (including the addition of stock naloxone and approval of albuterol for school use cited in the packet).

No formal vote or regulatory action was taken on the guideline itself at the meeting. Instead, the committee asked the presenters to email the requested clarifications, including: revising any sections that conflict with Kansas statutory consent requirements; adding an appendix note listing screenings expressly permitted under Senate Bill 287; clarifying the albuterol stock protocol (MDI vs. nebulizer) and sterilization/one‑time‑use instructions for spacers or tubing; and modifying reviewer/attribution lines. Committee staff indicated the committee would review the emailed revisions and place a final version on a future agenda for formal action.

The presenters said the draft will remain a resource for Kansas school nurses and acknowledged the committee’s request to ensure accuracy with state law before distribution.

For now, the board recorded no formal adoption; it approved routine meeting minutes and consent items earlier in the session.