New Hampshire - Chronic Conditions—allergy plan: Policy requirement

Policy Or Plan Requirements
Policy Type: 
statute; regulation

State law addresses allergy plan.

New Hampshire Revised Statutes Annotated 200:42 Posession and Use of Epinephrine Auto-Injectors Permitted

A pupil with severe, potentially life-threatening allergies may possess and self-administer an epinephrine auto-injector if the following conditions are satisfied:

I. The pupil has the written approval of the pupil's physician and, if the pupil is a minor, the written approval of the parent or guardian. The school shall obtain the following information from the pupil's physician:

  • (a) The pupil's name.

  • (b) The name and signature of the licensed prescriber and business and emergency numbers.

  • (c) The name, route, and dosage of medication.

  • (d) The frequency and time of medication administration or assistance.

  • (e) The date of the order.

  • (f) A diagnosis and any other medical conditions requiring medications, if not a violation of confidentiality or if not contrary to the request of the parent or guardian to keep confidential.

  • (g) Specific recommendations for administration.

  • (h) Any special side effects, contraindications, and adverse reactions to be observed.

  • (i) The name of each required medication.

  • (j) Any severe adverse reactions that may occur to another pupil, for whom the epinephrine auto-injector is not prescribed, should such a pupil receive a dose of the medication.

New Hampshire Revised Statutes Annotated 200:43 Use of Epinephrine Auto-Injector

Immediately after using the epinephrine auto-injector during the school day, the pupil shall report to the nurse's office or principal's office to enable the nurse or another school employee to provide appropriate follow-up care.

New Hampshire Revised Statutes Annotated 200:44 Availability of Epinephrine Auto-Injector

The school nurse or, if a school nurse is not assigned to the school building, the school principal shall maintain for a pupil's use at least one epinephrine auto-injector, provided by the pupil, in the nurse's office or in a similarly accessible location.

New Hampshire Revised Statutes Annotated 200:44-a Anaphylaxis Training Required

II. Not later than January 1, 2017, the department of education, in consultation with the New Hampshire School Nurses' Association, shall develop and make available to all schools guidelines for the management of students with life-threatening allergies. The guidelines shall include, but not be limited to implementation of the following by a school nurse:education and training for designated unlicensed assistive personnel on the management of students with life-threatening allergies, including training related to the administration of an epinephrine auto-injector; procedures for responding to life-threatening allergic reactions; the development of individualized health care plans and allergy action plans for every student with a known life-threatening allergy; and protocols to prevent exposure to allergens. Not later than September 1,2017, each school district, under the direction of a school nurse, shall implement a plan based on the guidelines developed pursuant to this section for the management of students with life-threatening allergies enrolled in the schools under its jurisdiction, and make such plan available to the public.

New Hampshire Administrative Rules Ed 311.02 Medication During School Day

(b) Any pupil, who is required to take during the school day a medication prescribed by a licensed physician, advanced registered nurse practitioner, licensed physician's assistant or dentist, shall have a school nurse either assist the student to take the medication or administer the medication.

(c) This duty may also be undertaken by a RN or LPN under the direction of the school nurse.

(d) The school nurse may delegate the administration of medications, if appropriate to others pursuant to RSA 326-BNurse Practice Act and Nur 404.

(e) Asthma inhalers and epinephrine auto injectors may be possessed by a student and self-administered in accordance with RSA 200:42 through RSA 200:47.

(f) If the school nurse is not available the building principal or designee may assist students in taking required medications by:

  • (1) Making such medications available to the student as needed;

  • (2) Observing the student as he/she takes or does not take his/her medication; and

  • (3) Recording whether the student did or did not take his/her medication.
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