7.0 Emergency Medication Administration for Life-threatening Allergic Reaction in School

• 7.1 School Nurses and Trained Persons are authorized by 1 6 Del.C. Ch. 30E to administer Emergency Medication Without an Order at School to a student in pre-K through grade 12, who is symptomatic of a life-threatening allergic reaction in the school setting.

• 7.1.1 Public School Nurses shall follow the Division of Public Health's medical emergency standing orders for allergic reactions and anaphylaxis in previously undiagnosed individuals.

• 7.1.2 Trained Persons shall follow the guidance issued by the Division of Public Health. on the administration of Emergency Medications without an order in the school setting to undiagnosed individuals.

• 7.2 The School, in consultation from the School Nurse, shall annually identify and train a sufficient number of Educators and Other School Employees to become Trained Persons.

• 7.2.1 An identified person cannot be compelled to become a Trained Person, unless training is a requirement of their position, hire, or contract.

• 7.2.2 The training shall be a program approved by the Department of Education and the Division of Public Health.

• 7.2.3 The Trained Person shall annually re-train or demonstrate competency as a Trained Person.

• 7.2.4 The School shall maintain documentation of annual training and Trained Persons and make available upon request to the Department of Education or Division of Public Health.

• 7.3 The School shall maintain current, stock Emergency Medication.

• 7.3.1 Emergency Medication shall be stored in a minimum of two secure and accessible locations in the school setting as identified by the School Nurse: one for the School Nurse and the other for the Trained Person.

• 7.4 The School shall maintain documentation of the use of Emergency Medication.

• 7.4.1 The Trained Person shall complete the Emergency Medication Administration by Trained Person Sheet on the day of the any administration and shall submit to the School Nurse.

• 7.5 The School Nurse shall submit the Emergency Medication Summary Sheet to the Department of Education and the Division of Public Health within 48 hours of the use of an Emergency Medication.

The Delaware School Nurse Manual addresses the importance of diabetes action plans and asthma action plans and provides an asthma action plan form developed by the Delaware Department of Education and the Delaware Chapter of the American Lung Association. The manual also encourages schools and districts to develop policies to address allergen exposure.