Epinephrine

Pursuant to Education Law §921-a, both public and non-public schools may choose to provide and maintain epinephrine auto-injectors on-site and permit volunteer school personnel to be trained to administer epinephrine via auto-injector 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.

The amendment requires schools that choose to carry stock epinephrine auto-injectors 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 auto-injectors.

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.

The Food Allergy Research & Education (FARE) webpage lists the current epinephrine devices, product information, and product use.

Allergy and Anaphylaxis Training for School Personnel (e-Learning Page)

On the e-Learning page under Website Courses is the NYSDOH-approved training webinar and resources that allow school staff to administer epinephrine to any student or staff member with signs of anaphylaxis on-site at school.   

Sample Resources 

Options Chart for Administration of Epinephrine in Schools 
Prior to administering epinephrine in the school setting, district boards of education and school governing bodies should develop policies consistent with the laws and regulations of New York state.

NYSCSH Sample Resources to Assist with Implementation

The following sample resources were created in MS Word and may be customized in consultation with district administration and counsel. The school district medical Director oversees the school health program and should be informed of any EAI programs implemented.

Resources

Epinephrine Auto-Injectors Products, Training and Administration Options For School Personnel
Learn about current epinephrine auto-injectors available on the market and find product information and training videos from Food Allergy Research & Education (FARE).

EpiPen4Schools® Program
Viatris offers four free EpiPen® (epinephrine injection, USP) or EpiPen Jr® (epinephrine injection, USP) Auto-Injectors, upon qualification, which includes having a valid prescription, to public and private kindergarten, elementary, middle, and high schools in the US. Schools may receive the authorized generic versions of EpiPen and EpiPen Jr.   

Note: The New York State Education Department (NYSED) and NYS Center for School Health (NYSCSH) do not endorse individual vendors, products, or services. Links to vendors, products, or services by trade name, trademark, or manufacturer are provided for educational purposes only.

Epinephrine Auto-Injectors Disposal

Epinephrine Auto-Injector Disposal
The FDA does not consider the epinephrine salts in epinephrine auto-injectors to be hazardous waste. Therefore, epinephrine auto-injectors should be disposed of in the same manner as other sharps.

NYS Department of Environmental Conservation (NYSDEC) Drug Safety/Disposal Website
Provides information for consumers and institutions.

NASN Resources

Allergy and Anaphylaxis
Provides resources on sample policies, protocols, and allergy/anaphylaxis management.

See Also:

Page Updated 2/12/24