Outline of the state of Guam

Chronic Conditions

Chronic Conditions

State law addresses plans for managing chronic conditions.

17 Guam Code Annotated 9A102 General Policy.

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.

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17 Guam Code Annotated 9A103. Definitions.

(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.

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17 Guam Code Annotated 9A301 Student Self-Administration and Possession of Medications.

(a) The Superintendent shall permit the self-administration of medications by a student with a condition requiring prescribed medication if the student's parent or guardian:

  • (1) provides a written authorization to the school for the student to self-administer prescribed medication; and
  • (2) provides a written statement from the student's health care practitioner that the student has a condition requiring prescribed medication and has been instructed in self-administration of the student's prescribed medications to treat the condition. The statement shall also contain the following information:
  • (A) the name and purpose of the medication;
  • (B) the prescribed dosage;
  • (C) the route of administration;
  • (D) the frequency or precise times in which the medication may be administered;
  • (E) the circumstances under which the medication may be administered; and
  • (F) the length of time for which the medications are prescribed
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SOP 1700-004 Asthma Management at Schools

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

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