The Nevada Community School District seeks to provide a safe environment for
students, staff, and visitors who are at risk of potentially life-threatening incidents including severe
allergic reactions, respiratory distress and opioid overdose. Therefore, it is the policy of the District to
annually obtain a prescription for epinephrine auto-injectors, bronchodilator canisters and spacers and
opioid antagonists from a licensed health care professional, in the name of the District, for
administration by a school nurse or personnel trained and authorized to administer to a student or
individual who may be experiencing an anaphylactic reaction, respiratory distress or acute opioid
overdose.

Procurement and maintenance of supply:  The District shall stock a minimum of the following for
each attendance center:
• One pediatric dose and one adult dose epinephrine auto-injector;
• One pediatric and one adult dose bronchodilator canister or spacer;
• One dose of opioid antagonist.

The supply of such medication shall be maintained in a secure, dark, temperature-controlled location in
each school building.

The school nurse shall routinely check stock of medication and document in a log monthly:
• The expiration date;
• Any visualized particles; or
• Color change.

The employee shall be responsible for ensuring the District replaces, as soon as reasonably possible, any
logged epinephrine auto-injector, bronchodilator canister or spacer, or opioid antagonist that is used,
close to expiration, or discolored or has particles visible in the liquid.

Training:  A school nurse or personnel trained and authorized may provide or administer any of the
medications listed in this policy from a school supply to a student or individual if the authorized
personnel or school nurse reasonably and in good faith believes the student or individual is having an
anaphylactic reaction, respiratory distress or opioid overdose. Training to obtain a signed certificate to
become personnel authorized to administer an epinephrine auto-injector, bronchodilator canister or
spacer, or opioid antagonist shall consist of the requirements established by law.

Authorized personnel will be required to provide a procedural skills demonstration to the school nurse
demonstrating competency in the administration of stock epinephrine auto-injectors, bronchodilator
canisters or spacers and opioid antagonists to retain authorization to administer these medications if the
following occur:
• Failure to administer an epinephrine auto-injector, bronchodilator canister or spacer, or opioid
antagonist to a student or individual by proper route, failure to administer the correct dosage, or
failure to administer an epinephrine auto-injector, bronchodilator canister or spacer, or opioid
antagonist according to generally accepted standards of practice (“medication error”); or
• Accidental injection of an epinephrine auto-injector into a digit of the authorized personnel
administering the medication (“medication incident”).

Reporting:  The District will contact emergency medical services (911) immediately after a stock
epinephrine auto-injector, bronchodilator canister or spacer, or opioid antagonist is administered to a
student or individual. The school nurse or authorized personnel will remain with the student or
individual until emergency medical services arrive.

Within 48 hours, the District will report to the Iowa Department of Education:
• Each medication incident with the administration of stock epinephrine; bronchodilator canister
or spacer, or opioid antagonist;
• Each medication error with the administration of stock epinephrine, bronchodilator canister or
spacer, or opioid antagonist; or
• The administration of a stock epinephrine auto-injector, bronchodilator canister or spacer, or
opioid antagonist.

As provided by law, the District, Board, authorized personnel or school nurse, and the prescriber shall
not be liable for any injury arising from the provision, administration, failure to administer or assistance
in the administration of an epinephrine auto-injector, bronchodilator canister or spacer, or opioid
antagonist provided they acted reasonably and in good faith.

The superintendent may develop an administrative process to implement this policy.


Legal Reference:  Iowa Code §§ 135.185; .190; 279.8.

281 IAC 14.3

Cross Reference: 507.2  Administration of Medication

Approved: August 1, 2022

Reviewed:

Revised: