Legal Rights of Children with Epilepsy in School & Child Care
Legal Rights of Children with Epilepsy in School & Child Care
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