The document outlines guidelines for medication back-ups at Baltimore County Public Schools. It states that medication back-ups are employees trained by the school nurse to administer prescribed medications in the nurse's absence. It provides instructions that back-ups must follow the six rights of medication administration and have a pharmacy labeled bottle and healthcare provider's order to give any medication to a student. Back-ups can administer oral medications, inhalers, and epinephrine auto-injectors if trained, but not discretionary medications, injections, or medications via nebulizer without proper documentation.