Ohio - Chronic Conditions: Policy requirement

Area: 
Policy Or Plan Requirements
Policy Type: 
Statute
Summary: 

State law addresses plans for managing chronic conditions.

Ohio Revised Code 3313.7112 Diabetes Care.

(B)(2) Not later than fourteen days after receipt of an order signed by the treating practitioner of a student with diabetes,the board of education or governing authority shall inform the student's parent, guardian, or other person having care or charge of the student that the student may be entitled to a 504 plan regarding the student's diabetes. The department of education shall develop a 504 plan information sheet for use by a board of education or governing authority when informing a student's parent, guardian, or other person having care or charge of the student that the student may been titled to a 504 plan regarding the student's diabetes.


Ohio Revised Codes 3313.719 Food allergy protection policy.

The board of education of each city, local, exempted village, and joint vocational school district and the governing authority of each chartered nonpublic school shall establish a written policy with respect to protecting students with peanut or other food allergies. The policy shall be developed in consultation with parents, school nurses and other school employees, school volunteers, students, and community members.


Ohio Revised Code 3313.7110 Procurement of epinephrine autoinjectors for public schools.

(A) The board of education of each city, local, exempted village, or joint vocational school district may procure epinephrine autoinjectors for each school operated by the district to have on the school premises for use in emergency situations identified under division (C)(5) of this section by doing one of the following:

  • (1) Having a licensed health professional authorized to prescribe drugs, acting in accordance with section 4723.483, 4730.432 or 4731.96 of the Revised Code, personally furnish the epinephrine autoinjectors to the school or school district or issue a prescription for them in the name of the school or district;
  • (2) Having the district's superintendent obtain a prescriber-issued protocol that includes definitive orders for epinephrine autoinjectors and the dosages of epinephrine to be administered through them. A district board that elects to procure epinephrine autoinjectors under this section is encouraged to maintain, at all times, at least two epinephrine injectors at each school operated by the district.

(B) A district board that elects to procure epinephrine autoinjectors under this section shall require the district's superintendent to adopt a policy governing their maintenance and use. Before adopting the policy, the superintendent shall consult with a licensed health professional authorized to prescribe drugs.

(C) The policy adopted under division (B) of this section shall do all of the following:

  • (1) Identify the one or more locations in each school operated by the district in which an epinephrine autoinjector must be stored;
  • (2) Specify the conditions under which an epinephrine autoinjector must be stored, replaced, and disposed;
  • (3) Specify the individuals employed by or under contract with the district board, in addition to a school nurse licensed under section 3319.221 of the Revised Code or an athletic trainer licensed under Chapter 4755. of the Revised Code

Ohio Revised Code 3313.7110 Procurement of epinephrine autoinjectors for public schools.

(c)(3) who may access and use an epinephrine autoinjector to provide a dosage of epinephrine to an individual in an emergency situation identified under division (C)(5) of this section;
(4) Specify any training that employees or contractors specified under division (C)(3) of this section, other than a school nurse or athletic trainer, must complete before being authorized to access and use an epinephrine autoinjector;
(5) Identify the emergency situations, including when an individual exhibits signs and symptoms of anaphylaxis, in which a school nurse, athletic trainer, or other employees or contractors specified under division (C)(3) of this section may access and use an epinephrine autoinjector;
(6) Specify that assistance from an emergency medical service provider must be requested immediately after anepinephrine autoinjector is used;
(7) Specify the individuals, in addition to students, school employees or contractors, and school visitors, to whom adosage of epinephrine may be administered through an epinephrine autoinjector in an emergency situation specified under division (C)(5) of this section.


Ohio Revised Code 3313.7112 Diabetes care.

(B)(1) Each board of education or governing authority shall ensure that each student enrolled in the school district or chartered nonpublic school who has diabetes receives appropriate and needed diabetes care in accordance with an order signed by the student's treating practitioner. The diabetes care to be provided includes any of the following:

  • (a) Checking and recording blood glucose levels and ketone levels or assisting the student with checking and recording these levels;
  • (b) Responding to blood glucose levels that are outside of the student's target range;
  • (c) In the case of severe hypoglycemia, administering glucagon and other emergency treatments as prescribed;
  • (d) Administering insulin or assisting the student in self-administering insulin through the insulin delivery system the student uses;
  • (e) Providing oral diabetes medications;
  • (f) Understanding recommended schedules and food intake for meals and snacks in order to calculate medication dosages pursuant to the order of the student's treating practitioner;
  • (g) Following the treating practitioner's instructions regarding meals, snacks, and physical activity;
  • (h) Administering diabetes medication, as long as the conditions prescribed in division (C) of this section are satisfied.

Ohio Revised Code 3313.718 Possession and use of epinephrine autoinjector to treat anaphylaxis.

(B) Notwithstanding section 3313.713 of the Revised Code or any policy adopted under that section, a student of a school operated by a city, local, exempted village, or joint vocational school district or a student of a chartered nonpublic school may possess and use an epinephrine autoinjector to treat anaphylaxis, if all of the following conditions are satisfied:

  • (1) The student has the written approval of the prescriber of the autoinjector and, if the student is a minor, the written approval of the parent, guardian, or other person having care or charge of the student. The prescriber's written approval shall include at least all of the following information:
    • (a) The student's name and address;
    • (b) The names and dose of the medication contained in the autoinjector;
    • (c) The date the administration of the medication is to begin;
    • (d) The date, if known, that the administration of the medication is to cease;
    • (e) Acknowledgment that the prescriber has determined that the student is capable of possessing and using the autoinjector appropriately and has provided the student with training in the proper use of the autoinjector;
    • (f) Circumstances in which the autoinjector should be used;
    • (g) 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;

Ohio Revised Code 3313.718 Possession and use of epinephrine autoinjector to treat anaphylaxis.

(B) Notwithstanding section 3313.713 of the Revised Code or any policy adopted under that section, a student of a school operated by a city, local, exempted village, or joint vocational school district or a student of a chartered nonpublic school may possess and use an epinephrine autoinjector to treat anaphylaxis, if all of the following conditions are satisfied:

  • (1) The student has the written approval of the prescriber of the autoinjector and, if the student is a minor, the written approval of the parent, guardian, or other person having care or charge of the student. The prescriber's written approval shall include at least all of the following information:
    • (h) Any severe adverse reactions that may occur to the child using the autoinjector that should be reported to the prescriber;
    • (i) Any severe adverse reactions that may occur to another child, for whom the autoinjector is not prescribed, should such a child receive a dose of the medication;
    • (j) At least one emergency telephone number for contacting the prescriber in an emergency;
    • (k) At least one emergency telephone number for contacting the parent, guardian, or other person having care or charge of the student in an emergency;
    • (l) Any other special instructions from the prescriber.

Ohio Revised Code 3313.716 Possession and use metered dose inhaler or dry powder inhaler to alleviate asthmatic symptoms.

(A) Notwithstanding section 3313.713 of the Revised Code or any policy adopted under that section, a student of a school operated by a city, local, exempted village, or joint vocational school district or a student of a chartered nonpublic school may possess and use a metered dose inhaler or a dry powder inhaler to alleviate asthmatic symptoms, or before exercise to prevent the onset of asthmatic symptoms, if both of the following conditions are satisfied:

  • (1) The student has the written approval of the student's physician and, if the student is a minor, the written approval of the parent, guardian, or other person having care or charge of the student. The physician's written approval shall includeat least all of the following information:
    • (a) The student's name and address;
    • (b) The names and dose of the medication contained in the inhaler;
    • (c) The date the administration of the medication is to begin;
    • (d) The date, if known, that the administration of the medication is to cease;
    • (e) Written instructions that outline procedures school personnel should follow in the event that the asthma medication does not produce the expected relief from the student's asthma attack;
    • (f) Any severe adverse reactions that may occur to the child using the inhaler and that should be reported to the physician;
    • (g) Any severe adverse reactions that may occur to another child, for whom the inhaler is not prescribed, should sucha child receive a dose of the medication;
    • (h) At least one emergency telephone number for contacting the physician in an emergency;

Ohio Revised Code 3313.716 Possession and use metered dose inhaler or dry powder inhaler to alleviate asthmatic symptoms.

(A) Notwithstanding section 3313.713 of the Revised Code or any policy adopted under that section, a student of a school operated by a city, local, exempted village, or joint vocational school district or a student of a chartered nonpublic school may possess and use a metered dose inhaler or a dry powder inhaler to alleviate asthmatic symptoms, or before exercise to prevent the onset of asthmatic symptoms, if both of the following conditions are satisfied:

  • (1) The student has the written approval of the student's physician and, if the student is a minor, the written approval of the parent, guardian, or other person having care or charge of the student. The physician's written approval shall includeat least all of the following information:
    • (i) At least one emergency telephone number for contacting the parent, guardian, or other person having care or charge of the student in an emergency;
    • (j) Any other special instructions from the physician.

Ohio Revised Codes 3313.7113 Procurement of inhalers by board.

(B) The board of education of each city, local, exempted village, or joint vocational school district may procure inhalers for each school operated by the district to have on the school premises for use in emergency situations identified under division (D)(5) of this section. A district board that elects to procure inhalers under this section is encouraged to maintain, at all times, at least two inhalers at each school operated by the district.
(C) A district board that elects to procure inhalers under this section shall require the district’s superintendent to adopt a policy governing their maintenance and use. Before adopting the policy, the superintendent shall consult with a licensed health professional authorized to prescribe drugs, as defined in section 4729.01 of the Revised Code.

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