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Legal Rights of Children with Epilepsy in School & Child Care

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Selected State Laws on <strong>School</strong> Medication Adm<strong>in</strong>istration <strong>in</strong>clud<strong>in</strong>g<br />

Emergency<br />

Antiepileptic Drugs (revised 2008)<br />

State<br />

What duty does a<br />

school nurse have<br />

regard<strong>in</strong>g medication<br />

<strong>in</strong><br />

school?<br />

o<br />

Can unlicensed<br />

assistive personnel<br />

(UAP)* adm<strong>in</strong>ister<br />

medication <strong>in</strong> school?<br />

Extent <strong>of</strong><br />

Nurse’s<br />

Authority to<br />

Delegate<br />

Adm<strong>in</strong>istration<br />

<strong>of</strong> Medication<br />

requires each school<br />

system to develop a<br />

Student Services Plan that<br />

provides guidel<strong>in</strong>es for its<br />

various components<br />

<strong>in</strong>clud<strong>in</strong>g school health<br />

services.<br />

<strong>of</strong> the practice <strong>of</strong> nurs<strong>in</strong>g. GA. CODE<br />

§ 43-26-3 (6), (8)(I)-(J).<br />

Each public school <strong>in</strong> this state shall<br />

permit the self-adm<strong>in</strong>istration <strong>of</strong><br />

asthma medication by a student who<br />

has asthma. GA. CODE § 20-2-774<br />

(2002).<br />

**The Georgia <strong>School</strong> Health<br />

Resource Manual (2004) states that<br />

if emergency medication (EpiPen,<br />

glucagon, diazepam) is ordered by<br />

the physician and is provided by<br />

the family, “school adm<strong>in</strong>istration<br />

and staff should be prepared to<br />

comply <strong>with</strong> the plan, per local<br />

policy,” and sets out suggested<br />

protocol for diazepam<br />

adm<strong>in</strong>istration (pp. 178-179),see<br />

http://www.gasn.org/gasn.org/files/<br />

images/chapt03_medicationadm<strong>in</strong>i<br />

stration.pdf<br />

activities to unlicensed<br />

<strong>in</strong>dividuals. See GA. CODE §§ 43-<br />

26-3 and 43-26-12.<br />

Kentucky<br />

As a school employee that<br />

meets the requirements <strong>of</strong><br />

Ky. Rev. Stat. Ann. §<br />

156.502 (a designated<br />

provider <strong>of</strong> health<br />

services), school nurses<br />

may be asked to<br />

adm<strong>in</strong>ister diazepam to<br />

students under Ky. Rev.<br />

Stat. Ann. § 158.838.<br />

Yes. Ky. Rev. Stat. Ann. §<br />

156.502(2)(c) states that, under<br />

certa<strong>in</strong> circumstances, health services<br />

may be provided by school<br />

employees who have had the<br />

responsibility delegated to them by a<br />

medical pr<strong>of</strong>essional.<br />

state law.<br />

* In the school context, UAPs typically <strong>in</strong>clude health aides, teachers, and teachers’ aides.<br />

** Signifies a law or policy explicitly or implicitly permitt<strong>in</strong>g adm<strong>in</strong>istration <strong>of</strong> emergency antiepileptic medication by<br />

UAPs. These laws and policies are noted <strong>in</strong> bold text, along <strong>with</strong> laws and polices that expressly reference<br />

diazepam rectal gel or other rectally-adm<strong>in</strong>istered medication (<strong>in</strong>clud<strong>in</strong>g those that restrict adm<strong>in</strong>istration by<br />

UAPs).<br />

2<br />

Under Ky. Rev. Stat. Ann. §<br />

156.502(2)(c), the nurse may<br />

delegate performance <strong>of</strong> a health<br />

service to a UAP.<br />

**Ky. Rev. Stat. Ann. § 158.838<br />

(2005) mandates that each<br />

school board or district have at<br />

least one qualified school<br />

employee at each school who is<br />

on duty dur<strong>in</strong>g the entire school<br />

day to adm<strong>in</strong>ister diazepam<br />

rectal gel. The UAP is not<br />

required to adm<strong>in</strong>ister the<br />

medication unless consent<strong>in</strong>g to<br />

provide health services under

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