Administration of an emergency dose medication by volunteer public school personnel
Arkansas Code § 17-87-103; Arkansas Code § 6-11-105
(a) Public school personnel may volunteer to and may be permitted to administer an emergency dose medication to a public school student who is diagnosed with an adrenal insufficiency with the authorization of the parent, legal guardian, or person standing in loco parentis of the public school student:
- (1) If the public school personnel are trained to administer an emergency dose medication using the appropriate delivery equipment;
- (2) If a public school nurse is unavailable;
- (3) At school, on school grounds, or at a school-related activity; and
(4) If the public school student’s parent, legal guardian, or person standing in loco parentis provides written authorization for the trained public school personnel to administer an emergency dose medication while the public school student is at:
- (A) A public school;
- (B) An onsite school-related activity; or
- (C) An offsite school-sponsored activity.
(b) The written authorization required in subdivision (a)(4) of this section shall be:
- (1) Valid only for the duration of the school year for which it is provided; and
(2) Renewed:
- (A) For each subsequent school year for which the parent, legal guardian, or person standing in loco parentis intends to authorize trained public school personnel to administer an emergency dose medication to his or her child; and
- (B) If the public school student transfers to another public school in this state.
(c) A parent, legal guardian, or person standing in loco parentis who provides written authorization under subdivision (a)(4) of the section shall:
- (1) Include with his or her written authorization written orders from his or her public school student’s treating physician that the public school student requires the administration of an emergency dose medication under certain conditions; and
(2) Sign an individualized healthcare plan developed by the school nurse for the public school in which his or her child with an adrenal insufficiency is enrolled that:
- (A) Outlines the plan of care for his or her child; and
- (B) Includes without limitation a description of the required care following the administration of an emergency dose medication while the public school student is at:
(i) School;
(ii) An onsite school-related activity; or
(iii) An offsite school-sponsored activity.
- (d) A parent, legal guardian, or person standing in loco parentis who provides written authorization for the administration by trained public school personnel of an emergency dose medication to his or her child shall sign a statement:
- (1) Acknowledging the public school district is not liable as a result of any injury arising from the administration of an emergency dose medication by trained public school personnel; and
- (2) Indemnifying and holding harmless the public school employees and the public school district in which his or her child is enrolled against any claims arising as a result of the administration of an emergency dose medication by trained public school personnel.
(e) Education and training on the treatment of adrenal insufficiency and adrenal crisis shall be conducted annually to public school personnel who volunteer to administer an emergency dose medication by the school nurse for the public school at which the public school personnel are employed, and shall include without limitation:
(1) General information about:
- (A) Adrenal insufficiency; and
- (B) The associated triggers;
- (2) Recognition of signs and symptoms of a public school student experiencing an adrenal crisis;
(3) The types of medications for treating adrenal:
- (A) Insufficiency; and
- (B) Crisis; and
- (4) The proper administration of medication used to treat an adrenal crisis.
- (f) The Division of Elementary and Secondary Education shall develop guidance and education for school nurses to train volunteer public school personnel as required under subsection (e) of this section.