*Note: All links on this page are set to automatically open in a new tab.*

Applying for an MCSR

NOTE: Your school entity must have an active School Health Controlled Substance Registration (MCSR) in order to delegate medication administration to unlicensed school personnel.

• MDPH SHS MCSR Registration Guidance Document (PDF)
• MDPH School Health Office Staffing Spreadsheet (PDF)
  • Day School Staffing Spreadsheet Example (PDF)
  • Residential School Staffing Spreadsheet Example (PDF)
• MDPH School Health Services MCSR Signature Page (2025) (PDF)

SHIELD courses that the RNs are required to take for MCSR approvals:

• An Introduction to Medication Administration and Delegation in MA Schools 
  • (AUDIT) An Introduction to Medication Administration and Delegation in MA Schools - Completion of the audit version is accepted for MCSR approvals. However, only a participation certificate is provided (no ANCC credit). 
• Managing a Medication Administration and Delegation Program in MA Schools

Medication Delegation to Unlicensed School Personnel

NOTE: Your school entity must have an active School Health Controlled Substance Registration (MCSR) in order to delegate medication administration to unlicensed school personnel.

• BORN: Five Rights of Delegation | Mass.gov
• Drug Control Program Notice: Massachusetts Controlled Substance Registration for School Nurse Delegation Programs (6/30/2020) (PDF) 
• National Guidelines for Nursing Delegation (2019) from the NCSBN and ANA

Training Unlicensed School Personnel

Training Resources:

• Medication Administration for Unlicensed Assistive Personnel Course (~1 hour to complete)
  • Note: Completion of this course is not an MCSR application requirement.
• UAP Course Memory Jogger (For UAPs, PDF) 
• Checklist for Nurses: Reference Tool (For School Nurses, PDF)

Medication-Specific Training Materials:

Reporting to MDPH

• Epinephrine Administration Report Form
• Opioid Antagonist Administration Report Form
• School Health Medication Error Report Form to report to MDPH any error that required medical care or ongoing assessment 
  • For further guidance, see the School Health Medication Error Report Guide.

Regulations and Guidance

• 105 CMR 210.000: The Administration of Medications in Public and Non-Public Schools (PDF)
• Application of 105 CMR 210.000 to Field Trips (PDF)
• 105 CMR 700 Implementation of Controlled Substances Regulation (PDF)
• MGL Ch 71, Sec 54B Administration of Medications in School Settings and Self-Administration
• MGL Ch 94C Controlled Substances Act
• Joint Advisory: Medication Administration in Private Approved Special Education School Residential Programs (ASERPs) (PDF)
• Homeopathic Pharmacopoeia of the United States (HPUS)
• Massachusetts Board of Registration in Medicine (BORIM) - Physician License Verification Site
• Medication Administration in Schools and Athletic Trainers (PDF)

BORN Advisory Rulings and Alerts

• AR 92-05: Medication Administration of Over the Counter Drugs (PDF)
• AR 9324: Accepting, Verifying, Transcribing and Implementing Prescriber Orders (DOCX)
• AR 9401: The Role of the Licensed Nurse in the Department of Public Health Medication Administration Program (DOCX)
• AR 9803: Delegation to Unlicensed Assistive Personnel (DOC)
• BORN: Recent news & announcements | Mass.gov 
• Five Rights of Delegation | Mass.gov

Sample Medication Forms and Materials

• Sample Parent/Guardian Letter (PDF)
• Sample Parent/Guardian Authorization for Prescription Medication Administration (PDF)
• Sample Medication Order Form (PDF)
• Sample Medication Administration Daily Log (PDF)
• Sample Medication Administration Plan (PDF)