STOCKEPINEPHRINEIN WV PUBLIC SCHOOLS:

A

NEW LAW

HISTORY IN BROOKE COUNTY SCHOOLS****************************************

19 YEARS AGO

PPD TESTING

STANDING ORDERS FOR EMERGENCY

WHAT TRIGGERED THE CHANGE?

STOPPED DOING PPD TESTING

INCIDENT WITH AN EMPLOYEE

STUDENTS WITH ANAPHYLAXIS

2001

Changed

Standing Orders for Emergencies

During TB Testing

TO…

ANAPHYLAXIS – STANDING ORDERS FOR EPI-PEN (Used by School Nurses)

I. General guidelines

A. Definition

B. Purpose

C. Equipment

D. Personnel

II. Procedure

A. Determine Sx B. Administer Epipen C. CPR if necessary D. Call EMS (911), parents,

guardian, significant other E. Monitor F. Documentation/ Incident Report

Notify Board OfficeMD Signature and Date______________

HOW DO WE ACCOMPLISH THIS?

COUNTY ORGANIZATION

PUPIL SERVICES DIRECTOR

MEDICAL DIRECTOR

MEET EVERY 4-6 WEEKS

INCLUDE COUNTY HEALTH DEPARTMENT

BOARD OFFICE FUNDED

PHARMACY BIDS

ORDERS RENEWED

YEARLY2013 2014 2015 2016 2017 2018 2019 2020 2021

NEW EPINEPHRINE LAW H.B. 2729

ONCE WE HAVE APPROVAL FROM THE

WV STATE BOARD OF EDUCATION:

GET A MEDICAL DIRECTOR

STATE EPINEPHRINEPROCEDURE INTO YOUR

COUNTY

ADOPT...

MD WRITES STANDINGORDER

NOW YOU’RE ALMOST THERE….

GET COUNTY SCHOOL BOARD APPROVAL

OBTAIN BIDS FOREPINEPRINE

AND PURCHASETHROUGH

BOARD OFFICE

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

AND THERE’S MORE…

DETERMINE WHO TO DELEGATE TO

EDUCATION AND TRAINING IN

1. ANAPHYLAXIS

AND

2. EPINEPHRINE

***USE YOUR SKILLS PERFORMANCE

CHECKLIST

STORAGE

AND

DISPOSAL

DOCUMENTATIOnAND

REPORTING

INCIDENT REPORT

NURSING SICK BAY LOGUE

USE OF EPINEPHRINE AT STATE LEVEL

BOARD OFFICE

CHECK

EXPIRATION

DATES

OFTEN

!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

MOST IMPORTANTLY…

IT’S ALL ABOUT

SAVING

LIVES !!