Regulation R7-53.3

A. Generally
It is the policy of Lynchburg City Schools to provide at least two (2) doses of auto-injectable epinephrine (hereinafter called ‘unassigned or stock epinephrine’) in each school, to be administered by a school nurse or employee of the school board who is authorized and trained in the administration of epinephrine to any student believed to be having an anaphylactic reaction on school premises, during the academic day.

B. Standing Orders
Standing orders are written to cover multiple people as opposed to individual-specific orders, which are written for one person. Lynchburg City Schools shall designate an authorized medical provider (MD, DO, PA, or NP with prescriptive authority) to prescribe non-student specific epinephrine for the school division, to be administered to any student believed to be having an anaphylactic reaction on school grounds, during the academic day. Standing orders must be renewed annually and with any change in prescriber.

C. Responding to Anaphylaxis
For suspected anaphylaxis without specific orders:

  1. Based on symptoms, determine that an anaphylactic reaction is occurring.
  2. Act quickly. It is safer to give epinephrine than to delay treatment (This is a life and death decision.)
  3. Determine the proper dose and administer epinephrine. Note the time.
  4. Direct someone to call 911 and request medical assistance. Advise the 911 operator that anaphylaxis is suspected and that epinephrine has been given.
  5. Document the incident and complete an incident report.
  6. Replace epinephrine stock medication as appropriate.

D. Training
Building level administration shall be responsible for identifying at least two employees, in addition to the school nurse (RN or LPN), to be trained in the administration of epinephrine by auto-injector. Only trained personnel should administer epinephrine to a student believed to be having an anaphylactic reaction.

Training shall be conducted in accordance with the most current edition of the Virginia Department of Education’s
Manual for Training Public School Employees in the Administration of Medication. Training shall be conducted annually or more often as needed.

E. Storage, Access, and Maintenance
Epinephrine should be stored in a safe, unlocked and accessible location, in a dark place at room temperature (between 59-86 degrees F). Epinephrine should not be maintained in a locked cabinet or behind locked doors. Staff should be made aware of the storage location in each school. The expiration date of epinephrine solutions should be periodically checked; the drug should be replaced if it is approaching the expiration date. The epinephrine solution should be periodically inspected through the clear window of the auto-injector.

Adopted by School Board: October 2, 2012