Policy 7521

Students with Life-Threatening Health Conditions

Students come to school with diverse medical conditions which may impact their learning as well as their health. Some of these conditions are serious and may be life-threatening. As a result, students, parents, school personnel, and health care providers must all work together to provide the necessary information and training to allow children with chronic health problems to participate as fully and safely as possible in the school experience. All students within the District with known life-threatening conditions will have an Emergency Care Plan (ECP).

Life-Threatening Conditions

For those students with chronic life-threatening conditions the District must work cooperatively with the parent(s) and the healthcare provider(s) to:

  • a) Immediately develop an ECP for each at risk student to ensure that all appropriate personnel are aware of the student’s potential for a life-threatening reaction;
  • b) Provide training by licensed medical personnel (e.g., registered professional nurse) for all adults in a supervisory role in the recognition and emergency management of a specific medical condition for specific students;
  • c) Obtain specific medical-legal documents duly executed in accordance with New York State law; appropriate health care provider authorization in writing for specific students that includes the frequency and conditions for any testing and/or treatment, symptoms, and treatment of any conditions associated with the health problem; and directions for emergencies;
  • d) Secure written parent permission and discuss parental responsibility that includes providing the health care provider’s orders, providing any necessary equipment, and participation in the education and co-management of the child as he or she works toward self-management;
  • e) Allow supervised students to carry life-saving medication in accordance with relevant laws, regulations, and procedures.

In addition, the District will:

  • f) Provide training for transportation, instructional, food service, or physical education staff, as appropriate, in the recognition of an anaphylactic reaction;
  • g) Have standing emergency medical protocols for all school nurses;
  • h) As permitted by New York State law, maintain stock supplies of life-saving emergency medications such as epinephrine auto-injectors for use;
  • i) Allow the school registered nurse, nurse practitioner, or physician to train unlicensed school personnel to administer emergency epinephrine via auto-injector, or emergency glucagon, to students with both a written provider order and parent or person in parental relation consent during the school day, on school property, and at any school function. Such training will be done in accordance with specifications outlined in the Commissioner’s regulations;
  • j) Ensure that building-level and District-wide school safety plans include appropriate accommodations for students with life-threatening health conditions.

Emergency Medication

Epinephrine Auto-Injectors (EAIs)

*The District has entered into a collaborative agreement with the District physician in order to provide and maintain EAIs on-site in its instructional facilities. This agreement allows for trained school employees, who have completed a New York State Department of Health (NYSDOH) course, to administer EAIs to any student or staff member who demonstrates symptoms of anaphylaxis, regardless of whether such person has a prior history of severe allergic reactions. The District will ensure that it has sufficient EAIs available to ensure ready and appropriate access for use during emergencies and will immediately report every use of an EAI in accordance with the collaborative agreement to the District physician.  The collaborative agreement, as defined in Public Health Law Section 3000-c, is required for the District to permit trained school employees to administer stock EAIs to students and staff members who do not have a patient-specific order for such medication.