Epinephrine Policies, Protocols and Reporting
The resources on this page have been developed by the Epinephrine Policies and Protocols Workgroup, a collaboration of representatives of the National Association of School Nurses (NASN), the American Academy of Pediatrics (AAP) and the National Association of State School Nurse Consultants (NASSNC).
The goal of this workgroup is to support school nurses in their important task of implementing policies and protocols that will help ensure the timely treatment of anaphylaxis in their schools. Although the training and assessment abilities of a registered school nurse are the gold standard for identifying and treating all anaphylaxis in the school building, a nurse is not always available. New laws are being implemented throughout the country enabling select non-licensed school staff to recognize and treat first time anaphylaxis and, as non-licensed staff DO NOT HAVE THE TRAINING TO MAKE ASSESSMENTS, training non-licensed staff to recognize and treat first time anaphylaxis requires extensive and well thought out training, supported by sound policies and protocols.
Sample School District Policies – Comprehensive Anaphylaxis School Policy
Students at risk for anaphylaxis benefit from a school district policy that coordinates a planned response in the event of an anaphylactic emergency. The outline for a sample policy and links to policies can be found below. These policies relate to the care and response to anaphylaxis and address the use of epinephrine in the school setting. For a full food allergy management plan, see the CDC’s document, Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs.
State laws and nurse practice acts differ from state to state, so each school district and each school nurse must ensure before enacting any policy that it is consistent with applicable state laws and regulations, including those governing delegation.
Sample School Protocol - The Care of the Student Experiencing Anaphylaxis
A sound protocol guides the emergency response that school nurses direct in the school setting. The sample protocol offered here has been created as a template to guide the creation of a tool that can be adapted for your school district, consistent with your state law. Prior to use, these protocols must be vetted by school physician or designee according to school district health procedures.
When school personnel, other than healthcare professionals, use this protocol, they must be thoroughly trained by a school health professional with an evidence-based training that includes their specific role in the school emergency protocol, identification of anaphylaxis, and how to administer an epinephrine autoinjector. This training should be more extensive than general staff or delegate training and should include a face to face and hands on component. Tools to augment staff trainings are linked below.
State laws and nurse practice acts differ from state to state, so each school district and each school nurse must ensure before enacting any protocol that it is consistent with applicable state laws and regulations, including those governing delegation.
Sample Epinephrine Administration Reporting Tool
It is vital that school nurses collect data related to the care that they provide, including administration of emergency medication. While some states require reporting, it is important to document epinephrine administration data for school records to promote quality improvement, risk management and national reporting purposes (when requested).
This Epinephrine Policies & Protocols Project was sponsored by Mylan Specialty
Page Published November 2014