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Epinephrine Auto-Injectors (aka EpiPens) - Member Alert SB 1266 - May 2016

See Member Alert for further information

Section 49414 of the Education Code is amended to read:  School districts, county offices of education, and charter schools shall provide emergency epinephrine auto-injectors to school nurses or trained personnel who have volunteered pursuant to subdivision (d), and school nurses or trained personnel may use epinephrine auto-injectors to provide emergency medical aid to persons suffering, or reasonably believed to be suffering, from an anaphylactic reaction. 

ANNUAL NOTICE:

A school district, county office of education, or charter school shall distribute a notice at least once per school year to all staff that contains the following information: 

  • A description of the volunteer request stating that the request is for volunteers to be trained to administer an epinephrine auto-injector to a person if the person is suffering, or reasonably believed to be suffering, from anaphylaxis, as specified in subdivision (b) of .
  • A description of the training that the volunteer will receive pursuant to subdivision (d) of Section 49414 of the Education Code.
TRAINING:

“Volunteer” or “trained personnel” means an employee who has volunteered to administer epinephrine auto-injectors to a person if the person is suffering, or reasonably believed to be suffering, from anaphylaxis, has been designated by a school, and has received training pursuant to subdivision (d) of Section 49414 of the Education Code.

Each public and private elementary and secondary school in the state may designate one or more  volunteers  to receive initial and annual refresher training, based on the standards developed pursuant to subdivision (e), regarding the storage and emergency use of an epinephrine auto-injector from the school nurse or other qualified person designated by an authorizing physician and surgeon. 

Training established pursuant to this subdivision shall include all of the following:

  • Techniques for recognizing symptoms of anaphylaxis.
  • Standards and procedures for the  storage, restocking,  and emergency use of epinephrine auto-injectors.
  • Emergency followup  procedures, including calling the emergency 911  telephone  number and contacting, if possible, the pupil’s parent and physician.
  • Recommendations on the necessity of instruction and certification in cardiopulmonary resuscitation.
  • Instruction on how to determine whether to use an adult epinephrine auto-injector or a junior epinephrine auto-injector, which shall include consideration of a pupil’s grade level or age as a guideline of equivalency for the appropriate pupil weight determination.
  • Written materials covering the information required under this subdivision.
  • Training established pursuant to this subdivision shall be consistent with the most recent Voluntary Guidelines for Managing Food Allergies In Schools and Early Care and Education Programs published by the federal Centers for Disease Control and Prevention and the most recent guidelines for medication administration issued by the department.
  • A school shall retain for reference the written materials prepared under subparagraph (F)  of paragraph (2) of Section 49414 of the Education Code.
PRESCRIPTION:  SIA can obtain prescriptions for member districts

A qualified supervisor of health at a school district, county office of education, or charter school shall obtain from an authorizing physician and surgeon a prescription for each school for epinephrine auto-injectors that, at a minimum, includes, for elementary schools, one regular epinephrine auto-injector and one junior epinephrine auto-injector, and for junior high schools, middle schools, and high schools, if there are no pupils who require a junior epinephrine auto-injector, one regular epinephrine auto-injector.  A qualified supervisor of health at a school district, county office of education, or charter school shall be responsible for stocking the epinephrine auto-injector and restocking it if it is used.  If a school district, county office of education, or charter school does not have a qualified supervisor of health, an administrator at the school district, county office of education, or charter school shall carry out the duties specified in paragraph (1) of Section 49414 of the Education Code.

The EpiPen4Schools® program, offered by Mylan Specialty, the marketer and distributor of EpiPen® (epinephrine) and EpiPen Jr® (epinephrine) Auto-Injectors, was developed to help improve access to epinephrine in the event a person experiences a life-threatening allergic reaction (anaphylaxis) in the school setting.  The program offers four FREE EpiPen® or EpiPen Jr® Auto-Injectors to qualifying public and private kindergarten, elementary, middle and high schools in the U.S. Requirements to qualify for this offer include having a valid prescription. In the event that the free supply is used to respond to an allergic emergency (anaphylactic event), qualifying schools are eligible to receive a replenishment order of EpiPen® or EpiPen Jr® Auto-Injectors prior to their annual eligibility date at no additional cost.  For more information visit https://www.epipen4schools.com/

FORMS:  sia can place ORDERS for member districts

‚ÄčNotification for Volunteers
Volunteer Indemnity Acknowledgment
Emergency Response Report
EpiPen4Schools Replenishment Form

Additional Resources: 

National Assn of School Nurses -  https://www.nasn.org/ToolsResources/FoodAllergyandAnaphylaxis/GetTrained/AdditionalResources