Would you support a state law that allows schools to buy epinephrine with a doctor's prescription (written for the school, not for an individual person) in order to keep a stock supply of epinephrine in case of a systemic allergic reaction occurring in a student or school employee who does NOT have a standing order stating "give epinephrine for such-and-such symptoms" from a specific physician?
Some states, such as Kansas and California, have passed laws in the last two years that allow ANY school employee, not necessarily the school nurse, to give "unassigned" epinephrine from the school STOCK SUPPLY to a student or school employee who is anaphylaxing. California requires that if the school employee is not a nurse, the employee must be "adequately trained" in giving epinephrine (that would take about 4 minutes), but Kansas does not require documentation of a training section. I am trying to get a law passed in Georgia similar to the Kansas and California laws passed.
Most states, such as Georgia, do not have this law allowing a school to keep unassigned/stock epinephrine in the school infirmary for use on somebody who does not have a specific standing order from a physician. Therefore, in Georgia, in the case of the 50% of fatalities from insect sting that occur during the FIRST anaphylactic episode, the nurse would not be allowed to give epinephrine to prevent that fatality, because:
1) the nurse is not allowed to administer epinephrine to a student or school employee without a standing order
2) there would be no stock epinephrine that she could use
3) If she used epinephrine that was dedicated to another student, she would be breaking the rules, and there is the theoretical (albeit very low) chance that the student who has an Epi-Pen dedicated to him in the infirmary, that student could have anaphylaxis himself that day.
What are the downsides to changing to allowing nurses, and non-nurse personnel, to give stock epi to a person who does not have a standing order? I see very small downside, and much upside.