25 Tex. Admin. Code § 40.65 - Maintenance, Administration, and Disposal of Unassigned Epinephrine Auto-Injectors
(a) A school
district, open-enrollment charter school, or private school shall obtain a
prescription from an authorized healthcare provider each year, to stock,
possess, and maintain at least one unassigned adult epinephrine auto-injector
pack (two doses) on each school campus as described in Texas Education Code
§
38.211.
(1) A school may choose to stock unassigned
pediatric epinephrine auto-injector packs, based on the need of the school's
population.
(2) A school district
or the governing body of an open-enrollment charter school or private school
may develop, as part of the policy, provisions for additional doses to be
stocked and utilized at off campus school events, or in transit to or from
school events.
(b) Each
school district superintendent, open-enrollment charter school administrator,
or private school administrator will designate appropriate school personnel to
coordinate and manage policy implementation, including training of school
personnel, and the acquisition or purchase, usage, expiration, and disposal of
unassigned epinephrine auto-injectors. Throughout the school calendar year, the
designated school personnel must coordinate with each campus to ensure the
unassigned epinephrine auto-injectors are checked monthly for expiration and
usage and the findings are documented.
(c) At least one school personnel or one
school volunteer who is authorized and trained to administer an unassigned
epinephrine auto-injector must be present on campus during all hours the campus
is open for school-sponsored activities.
(d) School personnel or school volunteers who
are trained and authorized may administer an unassigned epinephrine
auto-injector to a person who is reasonably believed to be experiencing
anaphylaxis on a school campus, or as indicated in the school's unassigned
epinephrine auto-injector policy.
(e) Local emergency medical services must be
promptly notified by the school when an individual is suspected of experiencing
anaphylaxis and when an epinephrine auto-injector is administered. If the
trained school personnel or school volunteer is the only individual available
to notify emergency medical services, the trained individual should administer
the unassigned epinephrine auto-injector before notifying emergency medical
services.
(f) The parent, legal
guardian, or emergency contact must be promptly notified by the school when an
unassigned epinephrine auto-injector is utilized on their child as soon as
feasible during the emergency response to suspected anaphylaxis. School records
of the administration of the unassigned epinephrine auto-injector and suspected
anaphylaxis must be provided to the parent or guardian of the recipient upon
request.
(g) Records relating to
implementation and administration of the school's unassigned epinephrine
auto-injector policy shall be retained per the record retention schedule for
records of public school districts found in 13 Texas Administrative Code §
7.125.
(h) Unassigned epinephrine auto-injectors
shall be stored in a secure, easily accessible area for an emergency, in
accordance with the manufacturer's guidelines. It is recommended the school
administrator develop a map to be placed in high traffic areas indicating the
location of the unassigned epinephrine auto-injectors on each school campus. It
is recommended the map also indicate the locations of the automated external
defibrillator.
(i) The school
district, open-enrollment charter school, or private school shall develop a
plan to replace, as soon as reasonably possible, any unassigned epinephrine
auto-injector used or close to expiration.
(j) Used unassigned epinephrine
auto-injectors shall be considered infectious waste and shall be disposed of
according to the school's bloodborne pathogen control policy.
(k) Expired unassigned epinephrine
auto-injectors shall be disposed of according to the school's medication
disposal policy.
Notes
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