|(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
(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 shall coordinate with each campus to ensure that
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
(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 is 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 Title 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 that the school
administrator develop a map to be placed in high traffic areas that
indicates the location of the unassigned epinephrine auto-injectors
on each school campus. It is recommended that the map also indicates
the locations of the automated external defibrillator (AED).
(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 that is 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.