I Liheslaturan Guåhan declares that students with serious health conditions should not be prevented from receiving critical medications in the most expedient and safe manner possible. This Chapter shall be construed to facilitate unobstructed access to health services and administration of medicines, including during emergency events, for elementary and secondary school students in Guam Department of Education schools.

(a) Anaphylaxis means an allergic reaction resulting from sensitization following prior contact with an antigen which can be a life-threatening emergency. Anaphylaxis may be triggered by, among other agents, foods, drugs, injections, insect stings, and physical activity.

(b) Condition requiring prescribed medication includes any serious medical condition that requires prescribed medications, such as asthma, allergies placing the student at risk of anaphylaxis, a seizure disorder, or diabetes mellitus.

(c) Health care practitioner means a physician or other health care provider who has prescriptive authority.

(d) Health services means the provision of direct health care, including the administration of medication; the operation, maintenance, or health care through the use of medical equipment; or the administration of clinical procedures.

(e) Medications means all medicines individually prescribed by a health care practitioner that pertain to asthma or are used to treat anaphylaxis, including, but not limited to, inhaled bronchodilators and auto-injectable epinephrine; or that pertain to diabetes, including, but not limited to, Glucagon or insulin; or that pertain to a seizure disorder.

(f) School employee means an individual working in association with a Guam Department of Education school, not to include employees of charter schools, parochial schools, or Department of Defense schools.

(a) A student who has a documented life-threatening allergy shall have:

• (1) an epinephrine auto-injector provided by his or her parent or guardian in his or her possession or in the possession of the school nurse, school administrator, or his or her designee, in all school environments that the student may be in, including, but not limited to, the classroom, the cafeteria, the school bus, and on field trips; and
• (2) a written individual health care plan in place for the prevention and proactive management for the student in all school environments that the student may be in, including, but not limited to, the classroom, the cafeteria, the school bus, and on field trips. The individual health care plan required under this paragraph may be incorporated in the student's individualized education program required under Public Law 94-142, or the student's 504 plan required under Public Law 93-112.

(b) Each school is encouraged to keep an epinephrine auto-injector in a minimum of two (2) locations in the school, including, but not limited to, the school office and the school cafeteria, so that epinephrine may be administered to any student believed to be having a life-threatening allergic or anaphylactic reaction. Schools electing to keep epinephrine auto-injectors shall maintain them in a secure, accessible, but unlocked location. The provisions of this Subsection shall apply to the extent that the epinephrine auto-injectors are donated to a school, or a school has sufficient funding to purchase the epinephrine auto-injectors.

(c) Policies and Procedures. Each school electing to keep epinephrine auto-injectors shall implement policies and procedures for managing a student's life-threatening allergic or anaphylactic reaction developed and approved by the Guam Education Board.

Document provides guidelines in the management of allergies at school and school sponsored activities.

Document provides guidelines in the management of food allergies at school and school sponsored activities.

Standard Operating Procedure provides guidelines in the management of allergies at school and school sponsored activities.