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Granbury ISD updates after Board of Nursing guidance on over-the-counter medicines
Summary
SHAC members were briefed on an August Board of Nursing rule that limited school nurses’ ability to administer over-the-counter medications without a doctor’s order; Granbury ISD contacted families and many obtained prescriptions, and lead nurse Kylie Ozuna said the change has improved follow-up with primary care providers.
The SHAC host informed members that the Texas Board of Nursing issued guidance in August restricting school nurses from giving over‑the‑counter medications without a doctor’s order. As a result, Granbury ISD reached out to parents who had provided OTC medications and most families either obtained prescriptions from their clinicians or chose to discontinue keeping OTC medicines at school.
Kylie Ozuna, the district’s lead nurse, said the change has had positive effects on student health care coordination. “It’s been really great…because they’re getting that follow-up care with our PCPs,” Ozuna said, adding that in some cases underlying health issues are now being addressed instead of temporarily masking symptoms.
The district maintains a standing physician order with Dr. O’Carroll that allows administration of Benadryl in designated circumstances, and staff are working with local providers to support families who need prescriptions for routine OTC items such as acetaminophen or ibuprofen.
Next steps: SHAC members noted the importance of communicating the change to parents and ensuring primary care follow-up; the district will continue to coordinate with community clinicians to streamline prescriptions or alternatives for student care.
