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Allergy | Anaphylaxis Management | Epinephrine

Pursuant to Education Law §921-a, both public and non-public schools may choose to provide and maintain epinephrine on-site and permit volunteer
school personnel to be trained to administer epinephrine on-site to a student or staff member in an instructional facility per
Commissioner's regulation §136.6 who appears to be in anaphylaxis, regardless of history of severe allergic reaction. Legislation has expanded the
definition of epinephrine devices to include all types of delivery devices (e.g., nasal sprays). Commissioner’s regulations and all resources
are in the process of being updated to reflect this change.

The amendment requires schools that choose to carry stock epinephrine on site and trained unlicensed personnel to provide all teachers 
with written informational material created and approved by the Commissioner of Health on using epinephrine.  

The NYSDOH materials are not available yet. In the interim, schools are encouraged to use each epinephrine manufacturer's website to access the required information on the use and type of stock epinephrine auto-injector they have on site. 

NYSED Guidelines

Guidelines for Managing Allergies and Anaphylaxis in Schools (NYSED 4/2024)
This guidance provides school districts with the information to establish an anaphylaxis policy, setting forth guidelines and procedures to be followed for both the prevention of anaphylaxis and to be used during a medical emergency resulting from anaphylaxis. 

Guidelines for Medication Administration in Schools (NYSED 2022)
Provides a framework for developing policies and procedures for medication administration in public and non-public schools as defined in state law and regulation. Contains information on Epinephrine training requirements.

Non-Patient Specific Standing Order and Protocol Guidelines (12/2024)
Practice Alerts from the NYS Office of Professions. Describes requirements for non-patient-specific orders, anaphylaxis, and EAI recording and reporting protocol.

NYSED Memos

Clarification about Administering Immunizations and Anaphylactic Agents by RNs using Non-Patient Specific Orders & Protocols (NYSED 10/3/01)
Provides information on the ability of an LPN to administer epinephrine in an emergency situation.

Provisions of Law Concerning the Administration of Immunizations & Anaphylactic Agents by RNs Utilizing Non-Patient Specific Orders & Protocols (NYSED 2/27/01)
Provides specific requirements on documentation, retention, and reporting of incidents to EMS and the persons' health care provider.

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Page Updated 1/22/26