{"id":727,"date":"2022-03-21T21:54:13","date_gmt":"2022-03-21T21:54:13","guid":{"rendered":"https:\/\/sites.sandiego.edu\/cpil-blog\/?p=727"},"modified":"2022-03-21T21:54:13","modified_gmt":"2022-03-21T21:54:13","slug":"board-of-registered-nursing-issues-declaratory-decision-with-precedential-effect-on-administration-of-medicinal-cannabis-to-students","status":"publish","type":"post","link":"https:\/\/sites.sandiego.edu\/cpil-blog\/2022\/03\/21\/board-of-registered-nursing-issues-declaratory-decision-with-precedential-effect-on-administration-of-medicinal-cannabis-to-students\/","title":{"rendered":"Board of Registered Nursing Issues Declaratory Decision with Precedential Effect on Administration of Medicinal Cannabis to Students"},"content":{"rendered":"<h3>By Hamdy M. Masri<\/h3>\n<p>At its February 16, 2022 <a href=\"https:\/\/www.youtube.com\/watch?v=n231yWbcrdU\">meeting<\/a>, the Board of Registered Nursing (BRN) unanimously voted to adopt a declaratory decision with precedential effect pursuant to section 11425.60 of the Government Code that \u201ca registered nurse does not commit misconduct subject to disciplinary action when the nurse administers medicinal cannabis to a qualified patient student on a school campus pursuant to a physician\u2019s care plan.\u201d<\/p>\n<p>Section 11425.60 provides that a declaratory decision with a precedential effect is a unique administrative power \u201cthat contains a significant legal or policy determination of general application that is likely to recur.\u201d It is \u201cnot rulemaking\u201d and \u201cnot subject to judicial review\u201d and is therefore exempt from traditional rulemaking and adjudicatory procedures.<\/p>\n<p>As set forth in the Board\u2019s <a href=\"https:\/\/perma.cc\/4N6X-C5E8\">agenda item<\/a>, the law firm of Atkinson, Andelson, Loya, Ruud &amp; Romo first presented this question of policy to the Board on September 17, 2021, on behalf of their client Nevada Joint Union High School District.<\/p>\n<p>The applicant is a public school district that employs registered nurses and presented the question to the Board as a matter of the nursing scope of practice. A high school student enrolled in the Applicant District has a diagnosed severe seizure condition. The student\u2019s physician recommended the use of cannabis as maintenance and rescue medication. The physician\u2019s care plan requires the school\u2019s nurse to regularly administer a CBD\/THC tincture and a THC intranasal spray as needed. The student is a qualified patient under section 11362.5, of the Health and Safety Code, entitled the Compassionate Use Act of 1996, which exempts qualified patients and their primary caregivers from criminal statutes prohibiting the possession and administration of cannabis. According to the petition, there is no specific law or regulation arising under the Nursing Practice Act that prohibits an RN from administering medicinal cannabis pursuant to a physician\u2019s treatment plan, regardless of the location of the administration.<\/p>\n<p>At the Board\u2019s November 30, 2021 <a href=\"https:\/\/www.youtube.com\/watch?v=Kga7-88WY9Q\">meeting<\/a> (Agenda Item 6.0), it received the petitioner\u2019s formal request pursuant to section 1264, Title 1 of the CCR. The Nursing Practice Committee chair, Elizabeth Woods, presented a<a href=\"https:\/\/drive.google.com\/file\/d\/1WwLoXA7yzV6MESbw8t48X9F4n0osrmTv\/view?usp=sharing\"> memo<\/a> to the Board, containing the request, as well as the Board\u2019s Nursing Education Consultants\u2019 informal response to the firm. After discussion, the Board made an initial determination to proceed pursuant to Government Code section 11465.10 et seq. On December 30, 2021, the Board sent a <a href=\"https:\/\/perma.cc\/TLB9-97KR\">Notice of Declaratory Decision Proceeding<\/a> to all interested parties and began an open comment period that ended on January 24, 2022.<\/p>\n<p>As defined by regulation, a declaratory decision is a written opinion containing a statement of undisputed fact and a determination of issues relating to the application of a state agency rule, regulation, order, statute, or administrative decision as it applies to a situation in which the agency has primary jurisdiction. California Code of Regulations, title 1, section 1260. These decisions are used by agencies to provide guidance on the application of statute or regulation to a specific question presented and have precedential power. If a similar question arises in the future, a licensee may look to the Board\u2019s decision as a precedent to rely upon.<\/p>\n<a class=\"synved-social-button synved-social-button-follow synved-social-size-32 synved-social-resolution-single synved-social-provider-facebook nolightbox\" data-provider=\"facebook\" target=\"_blank\" rel=\"nofollow\" title=\"Follow us on Facebook\" href=\"https:\/\/www.facebook.com\/CPILUSD\" style=\"font-size: 0px;width:32px;height:32px;margin:0;margin-bottom:5px;margin-right:5px\"><img loading=\"lazy\" decoding=\"async\" alt=\"Facebook\" title=\"Follow us on Facebook\" class=\"synved-share-image synved-social-image synved-social-image-follow\" width=\"32\" height=\"32\" style=\"display: inline;width:32px;height:32px;margin: 0;padding: 0;border: none;box-shadow: none\" src=\"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-content\/plugins\/social-media-feather\/synved-social\/addons\/extra-icons\/image\/social\/circle\/64x64\/facebook.png\" \/><\/a><a class=\"synved-social-button synved-social-button-follow synved-social-size-32 synved-social-resolution-single synved-social-provider-twitter nolightbox\" data-provider=\"twitter\" target=\"_blank\" rel=\"nofollow\" title=\"Follow us on Twitter\" href=\"https:\/\/twitter.com\/cpilusd\" style=\"font-size: 0px;width:32px;height:32px;margin:0;margin-bottom:5px\"><img loading=\"lazy\" decoding=\"async\" alt=\"twitter\" title=\"Follow us on Twitter\" class=\"synved-share-image synved-social-image synved-social-image-follow\" width=\"32\" height=\"32\" style=\"display: inline;width:32px;height:32px;margin: 0;padding: 0;border: none;box-shadow: none\" src=\"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-content\/plugins\/social-media-feather\/synved-social\/addons\/extra-icons\/image\/social\/circle\/64x64\/twitter.png\" \/><\/a>","protected":false},"excerpt":{"rendered":"<p>By Hamdy M. Masri At its February 16, 2022 meeting, the Board of Registered Nursing (BRN) unanimously voted to adopt a declaratory decision with precedential effect pursuant to section 11425.60 of the Government Code that \u201ca registered nurse does not <a class=\"more-link\" href=\"https:\/\/sites.sandiego.edu\/cpil-blog\/2022\/03\/21\/board-of-registered-nursing-issues-declaratory-decision-with-precedential-effect-on-administration-of-medicinal-cannabis-to-students\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1013,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[132994,137846],"tags":[134363,132996,136725,138034,134361,5725,138035,305],"coauthors":[132864],"class_list":["post-727","post","type-post","status-publish","format-standard","hentry","category-board-of-registered-nursing","category-rulemaking-board-of-registered-nursing","tag-board","tag-brn","tag-cannabis","tag-declaratory-decision","tag-nurse","tag-nursing","tag-school-nurse","tag-students"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Board of Registered Nursing Issues Declaratory Decision with Precedential Effect on Administration of Medicinal Cannabis to Students - Consumer Protection Policy Center - Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sites.sandiego.edu\/cpil-blog\/2022\/03\/21\/board-of-registered-nursing-issues-declaratory-decision-with-precedential-effect-on-administration-of-medicinal-cannabis-to-students\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:locale\" content=\"en_US\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:type\" content=\"article\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:title\" content=\"Board of Registered Nursing Issues Declaratory Decision with Precedential Effect on Administration of Medicinal Cannabis to Students - Consumer Protection Policy Center - Blog\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:description\" content=\"By Hamdy M. Masri At its February 16, 2022 meeting, the Board of Registered Nursing (BRN) unanimously voted to adopt a declaratory decision with precedential effect pursuant to section 11425.60 of the Government Code that \u201ca registered nurse does not Continue reading &rarr;\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sites.sandiego.edu\/cpil-blog\/2022\/03\/21\/board-of-registered-nursing-issues-declaratory-decision-with-precedential-effect-on-administration-of-medicinal-cannabis-to-students\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:site_name\" content=\"Consumer Protection Policy Center - Blog\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"article:published_time\" content=\"2022-03-21T21:54:13+00:00\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"author\" content=\"Katie Gonzalez\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" class=\"yoast-seo-meta-tag\" \/>\n\t<meta name=\"twitter:data1\" content=\"Katie Gonzalez\" class=\"yoast-seo-meta-tag\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" class=\"yoast-seo-meta-tag\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" class=\"yoast-seo-meta-tag\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2022\/03\/21\/board-of-registered-nursing-issues-declaratory-decision-with-precedential-effect-on-administration-of-medicinal-cannabis-to-students\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2022\/03\/21\/board-of-registered-nursing-issues-declaratory-decision-with-precedential-effect-on-administration-of-medicinal-cannabis-to-students\/\"},\"author\":{\"name\":\"Katie Gonzalez\",\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/#\/schema\/person\/fdc87a266320b80c7a790bdc2a17df69\"},\"headline\":\"Board of Registered Nursing Issues Declaratory Decision with Precedential Effect on Administration of Medicinal Cannabis to Students\",\"datePublished\":\"2022-03-21T21:54:13+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2022\/03\/21\/board-of-registered-nursing-issues-declaratory-decision-with-precedential-effect-on-administration-of-medicinal-cannabis-to-students\/\"},\"wordCount\":529,\"commentCount\":0,\"keywords\":[\"board\",\"BRN\",\"cannabis\",\"declaratory decision\",\"nurse\",\"nursing\",\"school nurse\",\"students\"],\"articleSection\":[\"Board of Registered Nursing\",\"Rulemaking\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/sites.sandiego.edu\/cpil-blog\/2022\/03\/21\/board-of-registered-nursing-issues-declaratory-decision-with-precedential-effect-on-administration-of-medicinal-cannabis-to-students\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2022\/03\/21\/board-of-registered-nursing-issues-declaratory-decision-with-precedential-effect-on-administration-of-medicinal-cannabis-to-students\/\",\"url\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2022\/03\/21\/board-of-registered-nursing-issues-declaratory-decision-with-precedential-effect-on-administration-of-medicinal-cannabis-to-students\/\",\"name\":\"Board of Registered Nursing Issues Declaratory Decision with Precedential Effect on Administration of Medicinal Cannabis to Students - 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