Governor Brown Signs SB 1266 and AB 1667
SB 1266--Epi Pen Implementation
1) A synopsis of the bill highlighting the major roles of the school nurse related to Bill implementation
a. Requires school districts, county offices of education, and charter schools to provide emergency epinephrine auto-injectors to school nurses and trained personnel who have volunteered, as specified, and would authorize school nurses and trained personnel to use epinephrine auto-injectors to provide emergency medical aid to persons suffering, or reasonably believed to be suffering, from an anaphylactic reaction.
b. Training established pursuant to this subdivision shall be consistent with the most recent Voluntary Guidelines for Managing Food Allergies In Schools and Early Care and Education Programs published by the Federal Centers for Disease Control and Prevention and the most recent guidelines for medication administration issued by the department. http://www.foodallergy.org/document.doc?id=249
a. Techniques for recognizing symptoms of anaphylaxis
b. Standards and procedures for the storage, restocking, and emergency use of epinephrine auto-injectors
c. Emergency follow-up procedures, including calling the emergency 911 telephone number and contacting, if possible, the pupil’s parent and physician.
d. Recommendations on the necessity of instruction and certification in cardiopulmonary resuscitation.
e. Instruction on how to determine whether to use an adult epinephrine auto-injector or a junior epinephrine auto-injector, which shall include consideration of a pupil’s grade level or age as a guideline of equivalency for the appropriate pupil weight determination.
f. Requires school districts, county offices of education, and charter schools to distribute a notice requesting volunteers at least once a year.
g. Requires a qualified supervisor of health or administrator at a school district, county office of education, or charter school to obtain the prescription for epinephrine auto-injectors from an authorizing physician and surgeon, as defined, and would authorize the prescription to be filled by local or mail order pharmacies or epinephrine auto-injector manufacturers.
h. Requires epinephrine auto-injectors to be stocked and restocked by the qualified supervisor of health or administrator in accordance with specified provisions.
i. Records regarding the acquisition and disposition of epinephrine auto-injectors furnished pursuant to subdivision (a) shall be maintained by the school district, county office of education, or charter school for a period of three years from the date the records were created. The school district, county office of education, or charter school shall be responsible for monitoring the supply of epinephrine auto-injectors and ensuring the destruction of expired epinephrine auto-injectors.
Coupled with these school nurse responsibilities:
1) The California SPI (CDE) must establish minimum training standards that are reviewed every 5 years. CSNO will be working collaboratively with CDE and other entities to assist with development and dissemination of these guidelines.
2) Requires school district, county office of education, or charter school to ensure that each employee who volunteers is provided defense and indemnification by the school district, county office of education, or charter school for any and all civil liability.
3) This law authorizes a pharmacy to furnish epinephrine auto-injectors to a school district or county office of education if certain requirements are met.
Resources for School Nurses:
1. CSNO’s The Green Book: Guidelines for Specialized Physical Health Care Services in School Settings 2nd Ed. In Section 3, under Anaphylaxis contains materials to be used by School Nurses that address the required elements (a.-e.) May be accessed at :www.csno.org/store/c1/Featured_Products.html
2. Online Food Allergy Toolkit for School Nurses – The National Association of School Nurses (NASN) Online Food Allergy Tool Kit is available at www.nasn.org/ToolsResources/FoodAllergyandAnaphylaxis. This tool kit includes algorithms to enhance the school nurse’s approach to planning and care, checklists, forms, and resources.
3. How to C.A.R.E.™ for Students with Food Allergies: What Educators Should Know – This free online interactive course teaches educators how to prepare for food allergy and anaphylaxis. It is specifically designed for school personnel – administrators, nurses, teachers, and other staff – in the United States.
4. SB 1266 Frequently Asked Questions - as of September 24, 2014
AB 1667 School District TB Testing (will amend Education Code 49406 and Health and Safety Codes 121525-121555)
1) A synopsis of the bill highlighting School Nursing Implications
a. A person shall not be initially employed by a school district, or employed under contract, in a certificated or classified position unless the person has submitted to a tuberculosis risk assessment within the past 60 days, and if tuberculosis risk factors are identified, has been examined to determine if s/he is free of infectious tuberculosis by a physician and surgeon.
b. If no risk factors are identified an examination is not required.
c. If risk factors are identified the identified individual shall submit to an approved intradermal tuberculin test or other tests for tuberculosis infection that is recommended by the CDC and FDA. If the Test is positive, the test shall be followed up by an X-ray of the lungs by a qualified X-ray technician.
d. Postponement of tuberculosis testing and X-rays related to pregnancy and pregnancy termination may be extended for 60 days following the pregnancy termination.
e. Employees who have no identified risk factors or who test negative for tuberculosis infection shall be required to under tuberculosis risk assessment once every four years.
f. Employees that test positive for tuberculosis, confirmed by an X-ray, no longer need to complete the tuberculosis risk assessment.
g. After the negative tuberculosis risk assessment, the employee shall file with the district superintendent of school a certificate from the physician or surgeon.
h. A person who transfers employment from one school district to another shall be deemed to meet the requirements if that person can produce a certificate that shows s/he was found to be free of infectious tuberculosis within 60 days of initial hire. Additional language about volunteers, pre-schools, private and parochial schools and secondary education also have similar requirements.
i The state Department of Pubic Health in consultation with the California Tuberculosis Controllers Association, will be required to develop a risk assessment questionnaire to be used to conduct tuberculosis risk assessments.
65th Annual CSNO Conference Online Registration COMING Soon!!!!
CSNO is pleased to announce that the 65th Annual CSNO Conference Online registration will be coming soon. It is anticipated the Registration Process will go live early October. In the meantime, we have shared the tentative subjects or topics that will be provided during the preconference and conference experience. Please make sure that you thank our conference Sponsors and Exhibitors. They have contributed tremendously to ensure the success of our 65th Annual CSNO conference.
Step Up and Be Counted!!!
School nurses collect rich and important data. CSNO, NASN, and NASSNC are working together to develop a national uniform, standardized data set for all school nurses to collect specific data points the same way. For this initial year, School Year 2014-2015, school nurses are encouraged to collect specific data on the number of nurses in schools, the number of children with diagnosed chronic health conditions, and the disposition of children seen in the school nurse office. We invite each school nurse to Step Up Be Counted! Linda Davis-Alldritt, MA, BSN, RN, FNASN, FASHA, will be heading up the NASN, NASSNC, CSNO project and serve as California's Data Champion.
To enter Daily/Monthly Data accounting for 3 data info 1) number of students seen in health office; 2) # of students sent home; 3) # of students returned to class; and 4) # of students sent for emergency treatment/intervention