Epi Pen Administration by Delegates for Extra Curricular Activities

1. Submit to the nurse the Emergency Medical Orders and Health Care Plan for Significant Allergic Reaction form completed by the physician, parent and student.  .
2. It is the student’s responsibility to have one dose of the oral antihistamine and an Auto Inject Epinephrine in his/her possession at all times for self administration or use by the delegate.  The student must keep the medication in an easily accessible location (ie: purse, backpack, gym bag) and alert the delegate assigned to the after school activity as to the exact location of the medication. The after hours delegate will not be in possession of an extra dose.
3. It is recommended that an additional dose of the oral antihistamine and one Auto Inject Epinephrine Pen be stored in the nurse’s office if provided by the parent.
4. The coach/advisor will not be responsible for reminding the student to carry the Auto Inject Epinephrine/Antihistamine.

It is the parent/guardian’s responsibility to provide all necessary documentation and medications and to contact the school nurse to report the student’s participation in any after school activities such as sport teams, music ensembles or clubs.  The nursing staff will alert the coach or advisor and provide training for the administration of the Auto Inject Epinephrine.