Question 16736 — pharmacy and medicines

Summary

Mr. Julien Limongi draws the attention of the Minister of National Education to the difficulties encountered by national education nurses in ensuring the availability of certain emergency medications within educational establishments. The national protocol on the organization of care and emergencies in schools and local public educational establishments (EPLE), established by the Official National Education Bulletin special issue no. 1 of January 6, 2000, provides that “no medication requiring a medical prescription will be held in infirmaries without a medical prescription”. However, twenty-six years after its adoption, this provision appears increasingly difficult to apply. The continued decrease in the number of national education doctors, combined with the medical desertification which affects many territories, greatly complicates obtaining prescriptions necessary for renewing stocks of emergency medications in school infirmaries. In certain departments, a very limited number of national education doctors must cover all establishments, which causes significant delays and operating difficulties. If some nurses still manage, locally, to find solutions with pharmacies, these practices remain precarious and now encounter more and more frequently the refusal, perfectly legitimate in view of the regulations in force, of pharmacists to dispense medicines subject to prescription in the absence of a prescription. This situation is particularly worrying when it concerns medications essential for the management of life-threatening emergencies, such as Ventolin, Glucagen or even adrenaline-based medications. However, national education nurses are qualified health professionals, who use these treatments only within a strictly defined framework and, when the situation requires it, in conjunction with the regulating doctor of the SAMU-Centre 15. In a context marked by the scarcity of national education doctors, the maintenance of an administrative framework unchanged for more than a quarter of a century appears less and less adapted to realities on the ground and can compromise the continuity of emergency care for the benefit of students. Consequently, he asks whether the Government is considering, in conjunction with the ministry responsible for health, updating the national protocol on the organization of care and emergencies in schools and local public educational establishments, in order to allow school nurses to have access, under conditions strictly supervised, emergency medicines necessary for the exercise of their missions and the protection of the health of students.

Machine translation from French. The official text remains authoritative.

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1. 7 July 2026

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• Julien Limongi · auteur

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