(a) General provisions. Every public school district board of education that elects to stock epinephrine injectors pursuant to the provisions of 70 O.S. § 1-116.3(B) shall adopt a policy and establish procedures to ensure safe administration of anaphylaxis medicine to a student in the event an emergency occurs while the student is attending school or participating in authorized school-sponsored activities on public school grounds. The State Board of Education shall adopt a model policy which is made available to school districts for this purpose.

Document provides guidance to school administrators, school nurses, teachers, and other staff members on the care of students with special health care needs during the school day.

Guidelines address the school nurse's role in managing care of students with chronic health conditions, including reviewing and updating emergency care plans for students with asthma, seizures, or diabetes, and other school health incidents.

A. Notwithstanding the provisions of Section 1-116.2 of this title, the board of education of each school district shall adopt a policy on or before September 1, 2008, that permits the self-administration of inhaled asthma medication by a student for treatment of asthma, the self-administration of anaphylaxis medication by a student for treatment of anaphylaxis and the self-administration of replacement pancreatic enzymes by a student for treatment of cystic fibrosis. The policy shall require:

• 1. The parent or guardian of the student to authorize in writing the student's self-administration of medication;
• 2. The parent or guardian of the student to provide to the school a written statement from the physician treating the student that the student has asthma, anaphylaxis or cystic fibrosis and is capable of, and has been instructed in the proper method of, self-administration of medication;
• 3. The parent or guardian of the student to provide to the school an emergency supply of the student's medication to be administered pursuant to the provisions of Section 1-116.2 of this title;
• 4. The school district to inform the parent or guardian of the student, in writing, that the school district and its employees and agents shall incur no liability as a result of any injury arising from the self-administration of medication by the student; and
• 5. The parent or guardian of the student to sign a statement acknowledging that the school district shall incur no liability as a result of any injury arising from the self-administration of medication by the student.

A diabetes medical management plan shall be developed for each student with diabetes who will seek care for diabetes while at school or while participating in a school activity. The plan shall be developed by the personal health care team of each student. The personal health care team shall consist of the principal or designee of the principal, the school nurse, if a school nurse is assigned to the school, the parent or guardian of the student, and to the extent practicable, the physician responsible for the diabetes treatment of the student.

A. In accordance with the diabetes medical management plan of a student, a school shall permit the student to attend to the management and care of the diabetes of the student, which may include:

• 1. Performing blood glucose level checks;
• 2. Administering insulin through the insulin delivery system used by the student;
• 3. Treating hypoglycemia and hyperglycemia;
• 4. Possessing on the person of the student at any time any supplies or equipment necessary to monitor and care for the diabetes of the student; and
• 5. Otherwise attending to the management and care of the diabetes of the student in the classroom, in any area of the school or school grounds, or at any school-related activity.

B. Each school shall provide a private area where the student may attend to the management and care of the student's diabetes.

Rubric recommends that schools track students with chronic health conditions with known conditions and offer disease-specific education for all such students and families.

Manual addresses the school nurse's role in managing care of students with chronic health conditions, including reviewing and updating emergency care plans for students with asthma, seizures, or diabetes, and other school health incidents.