1. STOCK EPINEPHRINE IN WV PUBLIC SCHOOLS: A NEW LAW

2. HISTORY IN BROOKE COUNTY SCHOOLS **************************************** 19 YEARS AGO PPD TESTING STANDING ORDERS FOR EMERGENCY

3. WHAT TRIGGERED THE CHANGE? STOPPED DOING PPD TESTING INCIDENT WITH AN EMPLOYEE STUDENTS WITH ANAPHYLAXIS

4. 2001 Changed Standing Orders for Emergencies During TB Testing TO…

5. ANAPHYLAXIS – STANDING ORDERS FOR EPI-PEN (Used by School Nurses) I. General guidelines A. Definition B. Purpose C. Equipment D. Personnel

6. 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 Office MD Signature and Date______________

7. HOW DO WE ACCOMPLISH THIS?

8. COUNTY ORGANIZATION PUPIL SERVICES DIRECTOR

9. MEDICAL DIRECTOR MEET EVERY 4-6 WEEKS

10. INCLUDE COUNTY HEALTH DEPARTMENT

11. BOARD OFFICE FUNDED

12. PHARMACY BIDS ORDERS RENEWED YEARLY 2013 2014 2015 2016 2017 2018 2019 2020 2021

13. NEW EPINEPHRINE LAW H.B. 2729 ONCE WE HAVE APPROVAL FROM THE WV STATE BOARD OF EDUCATION:

15. GET A MEDICAL DIRECTOR

16. STATE EPINEPHRINE PROCEDURE INTO YOUR COUNTY ADOPT...

17. MD WRITES STANDING ORDER NOW YOURE ALMOST THERE….

18. GET COUNTY SCHOOL BOARD APPROVAL

19. OBTAIN BIDS FOR EPINEPRINE AND PURCHASE THROUGH BOARD OFFICE $$$$$$$$$$$$$$$$$$$$$$$$$$$$$

20. AND THERES MORE… DETERMINE WHO TO DELEGATE TO

21. EDUCATION AND TRAINING IN 1. ANAPHYLAXIS AND 2. EPINEPHRINE ***USE YOUR SKILLS PERFORMANCE CHECKLIST

22. STORAGE AND DISPOSAL

23. DOCUMENTATIOn AND REPORTING INCIDENT REPORT NURSING SICK BAY LOGUE USE OF EPINEPHRINE AT STATE LEVEL BOARD OFFICE

24. CHECK EXPIRATION DATES OFTEN !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

25. MOST IMPORTANTLY… ITS ALL ABOUT SAVING LIVES !!