A National Review of State Laws for Stock Epinephrine in Schools
Bibliographic Data
| ID | 21354151 |
|---|---|
| Authors | Anna Volerman (0000-0002-7406-1098, University of Chicago, 5841 S Maryland Avenue, MC 2007 Chicago IL 606037, corresponding author), Claire Brindley (0000-0002-5478-3974, University of Chicago, 5841 S Maryland Avenue, MC 2007 Chicago IL 60637), Nancy Amerson (Illinois Department of Public Health 535 W. Jefferson St Springfield IL 62761, corresponding author), Tiffanie Pressley (Illinois Department of Public Health 535 W. Jefferson St Springfield IL 62761), Nikki Woolverton (Illinois Department of Public Health 535 W. Jefferson St Springfield IL 62761, corresponding author) |
| Year | 2022 |
| Volume | 92 |
| Issue | 2 |
| Pages | 209-222 |
| Publication date | 2022-02-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of School Health (JOURNAL) |
| Journal identifiers | ISSN: 0022-4391 • E-ISSN: 1746-1561 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/josh.13119 |
| PMID | 34825371 |
| OpenAlex | W3215797019 |
| Language | EN |
| Citations received | 3 |
| References cited | 11 |
BACKGROUND: Anaphylaxis is a life-threatening allergic reaction with significant risk for children with allergies. Access to potentially life-saving medication is critical for these children. This review aims to describe state laws and policies guiding stock epinephrine in schools for allergic or anaphylactic events and detail recommendations for best practices. METHODS: This paper is a comprehensive review of the 50 states and the District of Columbia's (DC) laws and policies for stock epinephrine at schools for children in pre-kindergarten through 12th grade. RESULTS: All 50 states and DC allow undesignated epinephrine in schools to use for allergic or anaphylactic reactions. A key difference arises in whether states allow (N = 37) or mandate (N = 14) that schools stock epinephrine. States exhibit differences in the body responsible for developing stock epinephrine policy (N = 48), along with stakeholders responsible for developing procedures (N = 30) and implementing them (N = 19). Differences also exist in state epinephrine procurement, administration, training, and liability. CONCLUSIONS: This review of stock epinephrine laws and policies highlights the significant variation in state legislation despite widespread adoption. Only one-quarter of states mandate that schools have stock epinephrine available for emergency use, underscoring need for a more unified approach with consistent guidelines, comprehensive training, and possible funding for implementation.
Allergy · Anaphylaxis · Anesthesia · Business · Environmental health · Epinephrine · Family medicine · Legislation · Mandate · Political science · Stock (firearms) · Allergic Rhinitis and Sensitization · Drug-Induced Adverse Reactions · Food Allergy and Anaphylaxis Research · Law · Medicine
| Citations per year | 0.75 |
|---|---|
| Citation span | 2022 - 2024 (3) |
| Highly cited | No |