TITLE XV
EDUCATION

Chapter 200-N
EPINEPHRINE ADMINISTRATION IN POSTSECONDARY EDUCATIONAL INSTITUTIONS AND INDEPENDENT SCHOOLS

Section 200-N:1

    200-N:1 Definitions. –
In this chapter:
I. "Anaphylaxis" means a rapidly progressing, life-threatening allergic reaction that can occur following exposure to certain allergens, most commonly, but not limited to, foods, insect stings, medications, and latex. Signs and symptoms of anaphylaxis include, but are not limited to, difficulty breathing, coughing, throat clearing, altered heart rhythms, hives, redness or blotches on the skin, nausea and vomiting, low blood pressure, shock, and loss of consciousness. Failure to treat these symptoms promptly, with epinephrine, may result in serious consequences up to and including death.
II. "Independent school" means a school which is governed by a board of trustees or other officials who are not publicly elected. An independent school shall not include a chartered public school established pursuant to RSA 194-B, but shall include a private school as provided in Ed 401.01(d).
III. "Licensed campus medical professional" means any of the following individuals who are employed by or have contracted with a postsecondary educational institution or an independent school and are designated by the postsecondary educational institution or independent school to serve in such a capacity:
(a) A physician licensed under RSA 329.
(b) A physician assistant licensed under RSA 328-D.
(c) An advanced practice registered nurse or registered nurse who is licensed under RSA 326-B.
IV. "Member of the campus community" means an individual who is a student, faculty member, or staff member of a postsecondary educational institution or an independent school.
V. "Trained designee" means a member of the campus community trained by a licensed campus medical professional in the emergency administration of auto-injectable epinephrine.

Source. 2015, 45:1, eff. July 17, 2015. 2016, 42:1, eff. July 2, 2016.

Section 200-N:2

    200-N:2 Emergency Administration of Epinephrine; Policies and Guidelines. –
I. A postsecondary educational institution or independent school accredited to operate in this state may develop a policy in accordance with this chapter and guidelines issued under RSA 200-N:4 for the emergency administration of auto-injectable epinephrine to a member of the campus community for anaphylaxis when a licensed campus medical professional is not available.
II. Such policy shall include:
(a) Permission for a trained designee to do the following:
(1) Administer auto-injectable epinephrine to a member of the campus community for anaphylaxis when a licensed campus medical professional is unavailable.
(2) When responsible for the safety of at least one member of the campus community, carry in a secure but accessible location a supply of auto-injectable epinephrine that is prescribed under a standing protocol from a health care provider who is licensed in New Hampshire and whose scope of practice includes the prescribing of medication.
(b) Provisions that a licensed campus medical professional has responsibility for training designees in the following:
(1) The administration of auto-injectable epinephrine.
(2) Identification of an anaphylactic reaction and indications for when to use epinephrine.
III. Each postsecondary educational institution and independent school that develops a policy under this chapter shall designate a licensed campus medical professional.
IV. A licensed campus medical professional may:
(a) Establish and administer a standardized training protocol for the emergency administration of epinephrine by trained designees.
(b) Ensure that trained designees have satisfactorily completed the training protocol.
(c) Obtain a supply of auto-injectable epinephrine under a standing protocol from a physician licensed under RSA 329.
(d) Control distribution to trained designees of auto-injectable epinephrine.

Source. 2015, 45:1, eff. July 17, 2015. 2016, 42:1, eff. July 2, 2016.

Section 200-N:3

    200-N:3 Requirements for Trained Designees. –
An individual shall comply with the following requirements in order to act as a trained designee:
I. Be at least 18 years of age.
II. Have or reasonably expect to have, responsibility for at least one other member of the campus community as a result of the individual's employment.
III. Have satisfactorily completed the standardized training protocol established and administered by a licensed campus medical professional in accordance with guidelines developed under RSA 200-N:4.

Source. 2015, 45:1, eff. July 17, 2015.

Section 200-N:4

    200-N:4 Department of Health and Human Services Guidelines. – The commissioner of the department of health and human services shall establish guidelines for the development of a policy by a postsecondary educational institution or an independent school for the emergency administration of epinephrine to a member of the campus community for anaphylaxis when a licensed campus medical professional is not available. The guidelines shall address issues including, but not limited to, the responsibilities of the postsecondary educational institution or independent school, the licensed campus medical professional, and the trained designee for the emergency administration of epinephrine. The commissioner shall disseminate the guidelines to the president of each postsecondary educational institution or head of an independent school.

Source. 2015, 45:1, eff. July 17, 2015. 2016, 42:1, eff. July 2, 2016.

Section 200-N:5

    200-N:5 Storage of Epinephrine. –
I. A postsecondary educational institution or independent school may fill a prescription for auto-injectable epinephrine and store the auto-injectable epinephrine on the campus if a licensed health care provider whose scope of practice includes the prescribing of medication writes the prescription for auto-injectable epinephrine for the postsecondary educational institution or independent school.
II. The postsecondary educational institution or independent school shall store the auto-injectable epinephrine in an unlocked safe location in which only postsecondary educational institution or independent school personnel have access.
III. A health care provider who is licensed in this state and whose scope of practice includes the prescribing of medication may write a prescription, drug order, or protocol for auto-injectable epinephrine for the postsecondary educational institution or independent school.
IV. A pharmacist licensed under RSA 318 may dispense a valid prescription, drug order, or protocol for auto-injectable epinephrine issued in the name of a postsecondary educational institution or an independent school.

Source. 2015, 45:1, eff. July 17, 2015. 2016, 42:1, eff. July 2, 2016.

Section 200-N:6

    200-N:6 Immunity From Civil Liability. –
I. A licensed campus medical professional who acts in accordance with this chapter shall not be liable for civil damages for any act or omission committed in accordance with this chapter unless the act or omission constitutes gross negligence or willful misconduct.
II. A trained designee who administers auto-injectable epinephrine in accordance with this chapter shall not be liable for civil damages resulting from the administration of auto-injectable epinephrine under this chapter unless the act or omission constitutes gross negligence or willful misconduct.
III. A licensed health care provider who writes a prescription, drug order, or protocol under this chapter is not liable for civil damages resulting from the administration of auto-injectable epinephrine under this chapter unless the act or omission constitutes gross negligence or willful misconduct.
IV. A licensed pharmacy, whether with a physical presence or doing business though mail order, that fulfills a prescription, drug order, or protocol under this chapter is not liable for civil damages resulting from the administration of auto-injectable epinephrine under this chapter unless the act or omission constitutes gross negligence or willful misconduct.

Source. 2015, 45:1, eff. July 17, 2015.

Section 200-N:7

    200-N:7 Applicability. –
Nothing in this chapter shall be construed to:
I. Permit a trained designee to perform the duties or fill the position of a licensed campus medical professional.
II. Prohibit the administration of a pre-filled auto-injector of epinephrine by a person acting under a lawful prescription.
III. Prevent a licensed health care provider from acting within the individual's scope of practice in administering auto-injectable epinephrine.
IV. Establish a standard of care under which a postsecondary educational institution or an independent school would have a duty to employ or contract with a licensed campus medical professional or to establish guidelines for the emergency administration of epinephrine. Except as set forth in RSA 200-N:6, a postsecondary educational institution or an independent school shall not be held liable for any act or omission related to the availability or nonavailability of epinephrine for emergency administration on campus.

Source. 2015, 45:1, eff. July 17, 2015. 2016, 42:1, eff. July 2, 2016.