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Board reviews proposed rule to let trained school staff administer intranasal seizure rescue medication
Summary
Department staff described a Board of Nursing–reviewed training and a proposed rule that would let nurses delegate administration of intranasal seizure rescue medication (midazolam/versed or diazepam) to trained unlicensed personnel in schools and extracurricular settings.
Department staff presented a proposed administrative‑code change that would allow nurses to train and delegate the administration of emergency intranasal seizure rescue medication to non‑licensed school employees, coaches or volunteers in locations where a school nurse may not be available.
Presenters described the medication delivery as an "auto‑injector" intranasal formulation intended to replace older rectal administration of diazepam (Diastat). Staff said the Board of Nursing has reviewed a task‑force training curriculum for administering the nasal rescue medication and is completing its approval; once Board of Nursing approval is complete and the department finalizes the rule, the department expects to allow delegation under the regulation.
The department framed the change as a safety measure for events where a nurse is not present (after‑school events, practices, athletics). Staff said training would be required, the curriculum was developed by a multi‑agency task force and the department will include the delegation language in rule only after Board of Nursing approval.
Board members responded positively to the safety intent and asked for clarifying language in the rule and implementation schedule; staff said they expect the delegation framework to be in place after Board of Nursing sign‑off and the department's rulemaking process.
