Who provides this training? Are there any requirements? The parents/guardians and the doctor go through the medication curriculum with the student.

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1 AL AK AZ AR Student, if they have a chronic condition school nurse or school administrators The student, if their parent/guardian authorizes them to. Trained school personnel can also administer Students with a pre-existing condition can carry and selfadminister their medication. In the case of an emergency, a trained school employee may administer medication. The student, school nurse, and trained staff. The student with a chronic condition has to be educated in the medication curriculum. For school staff, they must complete a 12 course of instruction. The student must be trained in administering the medication. School personnel must complete a training program that teaches them how to recognize symptoms and how to administer the medication. The parents/guardians and the doctor go through the medication curriculum with the student. The training for school personnel comes from the Alaska Department of Health and Social Services. The state plans to have an anaphylaxis preparedness program put in place and schools will need to get Any one over the age of 18 can get a prescription for and purchase epinephrine in an emergency situation. Schools are able to have an emergency stockpile. Schools are able to have an emergency stock of The student is able to carry their medication and their parents/guardians can also give some to the school. The schools are also allowed to have emergency stockpiles. 1 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014

2 CA CO CT The student can selfadminister. The school nurse and staff can only help if they are trained or if the student has written authorization from their parent or guardian. trained School Staff The school personnel must be able to recognize the symptoms of anaphylaxis, know how the medication is stored, how to notify emergency services and the child's parents, and how to perform CPR. The school personnel must be able to recognize the symptoms of anaphylaxis, know how the medication is stored, and how to notify emergency services and the child's parents DE Student and a School Nurse To assist with administering medications, the personnel would need to complete a Board of Nursing approved training course. Superintendent of Public Instruction The Board of Education Delaware Department of Education Schools can decide whether or not they want to have an emergency stockpile. The school nurse is able to obtain a prescription. For students who have a known diagnosis, their parents may provide the school with medication to store. Schools are also able to obtain epinephrine straight from the manufacturers. Schools are allowed to have an emergency stockpile of Bill is not yet passed into law regarding having an emergency stockpile of Schools must have documentation about where their medication is stored and how they should reach it in case of an emergency. For students who have a known diagnosis, their parents may provide the school with medication to store. Medications will be stored according to the Commissioner of Consumer Protection's requirements. Stored in original container. 2 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014

3 DC FL GA HI ID School Staff Student (if the parents give Student (if the parents give Student (if the physician gives Student (each school will have their own policy on other people who can administer medication) Personnel must complete a medication administration training program A specific protocol for these situations will be determined for each school by a licensed physician. The training includes how to recognize the symptoms of anaphylaxis and how to administer The school personnel must be able to recognize the symptoms of anaphylaxis, know how the medication is stored, and how to notify emergency services and the child's parents. The Mayor of Washington D.C. Licensed physician Each local board of education School may purchase from a wholesale distributer. Schools may obtain a stockpile of There is no law or bill regarding having an emergency stockpile of Licensed physicians can prescribe the schools with Schools may also enter into an arrangement with manufacturers or epinephrine to get a lower price on medication. Medication will be stored in a locked, secure location. Students with a known diagnosis may also carry their own medication. 3 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014

4 IL IN IA KS KY LA Student (if the parents give. If the student experiencing a reaction does not have an existing condition, only the school nurse can administer physician give consent) or School Nurse, trained School Staff School Nurse, Student (if the physician gives School Nurse, trained School Staff School Staff Staff must be educated in recognizing the symptoms of anaphylaxis and how to administer the medication. Schools will have a written response plan for students experiencing anaphylaxis. A health care provider who is licensed or certified in Indiana can provide this training. A registered nurse or licensed physician. A physician can prescribe epinephrine for schools/districts. Schools can obtain and fill a prescription for There is no law or bill regarding having an emergency stockpile of Schools can consult with a pharmacist to obtain an epinephrine kit. Schools can obtain a stockpile of emergency A licensed physician can prescribe epinephrine in a school's name. Locked, secure location. The epinephrine will be stored in a safe place where only school personnel will have access. Stored in the school office and the school cafeteria. 4 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014

5 ME MD School Nurse, trained Student (if the parents, principal and physician give trained The school personnel must be able to recognize the symptoms of anaphylaxis, know how the medication is stored, and how to notify emergency services and the child s parents. Training on how to recognize the symptoms of anaphylaxis. The Department of Education and the Department of Health and Human Services A licensed health care practitioner (such as the school nurse) who is authorized to administer autoinjectable epinephrine and who has been trained in an established protocol on how to recognize the signs and symptoms of anaphylaxis. A licensed physician, advanced practice registered nurse, or licensed physician's assistant can prescribe epinephrine in a school's name. The school nurse has the ability to obtain a prescription of Stockpiling of epinephrine is required. 5 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014

6 MA MI Student (if agreed upon by the student, parent, and school nurse), School Nurse, nurse, trained staff The training program shall include content standards and a test of competency developed and approved by the Department of Public Health in consultation with the Board of Registration in Nursing and practicing school nurses. Training will educate staff about how to administer The school nurse will train the specified personnel in how to administer certain medications. A licensed professional registered nurse The nurse can obtain a prescription for the school for a specific student. A prescriber can issue a prescription for a school board. Medication will be stored in an appropriate place depending on the student's condition and how often/how readily they will need their medication. The medication itself will stay in its original container. If all of the medication is not used, it will be returned to the parents of the student. In some cases, the additional medication may be destroyed by the school nurse. Medications should be stored under conditions that will maintain their stability, integrity, and effectiveness and will assure that the prescription drugs are free of contamination, deterioration, and adulteration. These medications should also be locked in some cabinet. 6 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014

7 MN MS MO MT Student, school nurse, trained Student (with parent authorization), School Nurse, trained Student (if they are allowed by their physician), School Nurse, School Nurse, The training must include causes of anaphylaxis, recognition of signs and symptoms of anaphylaxis, indications for the administration of epinephrine, administration, administration technique, and the need for immediate access to a certified emergency responder. A school nurse, certified emergency responder, or other health care professional. The parents may provide the school with epinephrine if necessary. Also, third parties and manufacturers may supply autoinjectors for free or at reduced prices to districts. The school nurse (through the school district) may obtain an emergency stockpile of prescribed The school nurse may obtain an emergency stockpile of prescribed if a student has a known diagnosis and is given permission to selfadminister, they can carry the autoinjectable epinephrine with them. This medication will be stored in a locked, secure, and safe location. 7 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014

8 NE NV NH NJ School Nurse, School Nurse, trained Student (with approval of physician and parent), School Nurse The staff must be aware of the procedures in place regarding medication administration and must also pass a competency assessment. Training for authorized personnel will include education on the storage and administration of School nurse shall designate employees who volunteer to administer. The health care professional designated by the school will conduct the assessment. Chief Nurse and other School Nurses Schools can obtain and fill a prescription for Schools need to have obtained and stored at least two doses of autoinjectable For students who have a known diagnosis, they must provide the school with at least one dose of their autoinjectable epinephrine for their use. There is no law or bill. Bill is not yet passed into law regarding having an emergency stockpile of The student will have a written medical plan in which the storage of the medication will be described. The medication will be stored in a safe place on school grounds where it will be readily available to the student. 8 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014

9 NM NY NC ND trained Student (with approval of physician and parent), School Nurse, Student (with approval of physician and parent), trained The school personnel must be able to recognize the symptoms of anaphylaxis, know how the medication is stored, and how to notify emergency services and the child's parents. Staff will need to complete a training course in the use of epinephrine autoinjector devices. Local school boards or governing bodies The Commissioner pursuant to the rules of the Department of Public Health A physician licensed by the North Dakota state board of medical examiners or the physician s designee. Parents can give the school extra medication. The nurse can obtain a prescription for the school for any student (non-patient specific). Parents may provide the school with backup medication. Bill is not yet passed into law regarding having an emergency stockpile of A physician can prescribe epinephrine for schools/districts. This medication will be stored in a location near the student. Each local school board or governing body shall dispose of expired emergency medication pursuant to board of pharmacy regulations or department of health rules. Medication must be stored where staff are present. 9 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014

10 OH OK OR administer epinephrine? prescribing physician), School Nurse, prescribing physician), School Nurse, trained trained these authorized Staff administrators must complete a drug administration program. There will also be written instructions that outline procedures school employees should follow in the event that the student is unable to administer the anaphylaxis medication or the medication does not produce the expected relief from the student's anaphylaxis. Department of Health's Annual School Training Program. The local board of education A health care professional Parents may provide the school with backup medication. Parents/guardians are to give the school an emergency supply of the medication. Also, the school district may obtain a prescription. The schools may maintain a minimum of two doses of autoinjectable Back-up medication may be provided by the parents. Schools can obtain an emergency stockpile of It will be stored in a locked location. Epinephrine will be stored in a secure location. Back-up medication will be stored in a secure location near the student (for those with known diagnoses). 10 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014

11 PA RI SC SD administer epinephrine? prescribing physician), and the parents can give consent to the school department or bus drivers to administer epinephrine in the case of an emergency. prescribing physician), School Nurse, from the parents and the physician) these authorized Authorized personnel will be trained in administering Training includes how to recognize the symptoms of anaphylaxis, how to administer epinephrine, and how to store Training includes how to recognize the symptoms of anaphylaxis, how to administer epinephrine, how to store epinephrine, and how to contact emergency services. The Department of Education and the Department of Health and Environmental Control A licensed health care professional Bill is not yet passed into law regarding having an emergency stockpile of There is no law or bill regarding having an emergency stockpile of A licensed physician, advanced practice registered nurse, or licensed physician's assistant can prescribe epinephrine in a school's name. Schools may also enter into an arrangement with a third party to gain reduced rates on Schools can obtain a prescription of epinephrine from an authorized health care provider. Possessed by the student throughout the day. The student will keep the medication with them throughout the day. Medication will be carried by the student and contained in its container from the pharmacist. Each school will adopt a policy regarding the storage of 11 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014

12 TN TX UT VT VA administer epinephrine? prescribing physician) and School Nurse (with consent from parents) prescribing physician), trained prescribing physician), School Nurse, trained Student (with parental trained these authorized Training includes how to recognize the symptoms of anaphylaxis, how to administer epinephrine, how to store epinephrine, and how to contact emergency services. Training includes learning how to administer School Nurse or other qualified health professional will train the staff The schools must obtain and maintain two autoinjectors or There is no law or bill regarding having an emergency stockpile of Qualified trained adults may obtain a prescription. A health care professional can prescribe epinephrine in the school's name. Stockpiling of epinephrine is required for schools. Schools may obtain a prescription for These autoinjectors must be in unlocked, secure locations including the school office and the school cafeteria. Emergency epinephrine will be kept at the school and stored. The medication will be stored in a safe place on school grounds. 12 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014

13 WA WV WI WY administer epinephrine? School Nurse, trained from a parent and physician), School Nurse, trained Student (with parent and physician consent) these authorized The training will educate staff how to administer The training will educate staff how to administer epinephrine, recognize the symptoms of anaphylaxis, how to contact emergency services and parents, and how to store Training includes how to administer different types of prescription and nonprescription drugs. The training will educate staff how to administer Schools may maintain a certain amount of autoinjectable epinephrine based on the number of students. Licensed health professionals are able to get a prescription in the school's name. The Board of Education and the Health Officer The district board Schools are able to have a stock of epinephrine for use on any student when needed. A licensed physician, advanced practice registered nurse, or licensed physician's assistant can prescribe epinephrine in a school's name. An authorized health care provider can prescribe epinephrine for schools. Epinephrine will be stored in a secure location where only authorized personnel can handle it. Medication is kept in original container. 13 National Association of School Nurses American Academy of Pediatrics National Association of School Nurse Consultants 2014