P.O. BOX 2120




April 29, 2005




Division Superintendents



Jo Lynne DeMary

Superintendent of Public Instruction



Possession and Self-Administration of Auto-Injectable Epinephrine by Students in Public Schools.


The 2005 session of the Virginia General Assembly amended Sections 8.01-226.5:1 and 22.1-274.2 of the Code of Virginia by adding auto-injectable epinephrine by students in public schools to the asthma medications that a student may self-administer.


Effective July 1, 2005, local school boards shall develop and implement policies permitting a student with a diagnosis of anaphylactic reaction to possess and self-administer auto-injectable epinephrine during the school day or school-sponsored activities, or while on a school bus or other school property. The policies shall include the following information:


        Written consent of the parent that the student may

self-administer auto-injectable epinephrine and that

the student has demonstrated the ability to safely and

effectively administer the auto-injectable


        Written notice from the students primary care provider, medical specialist, licensed physician, or licensed nurse practitioner that:

           Identifies the student

           States that the student has a diagnosis of

anaphylactic reaction

           States that the student has approval to self-

administer prescribed auto-injectable epinephrine

           Specifies the name and dosage of the medication

and the frequency in which it is to be

administered and the circumstances which may

warrant the use of auto-injectable epinephrine

           States that the student has demonstrated the

ability to administer auto-injectable epinephrine

safely and effectively


As is the case for possession and self-administration of asthma medications, an individualized health care plan must be developed for the student. In addition, an emergency care plan also must be developed, including symptoms of anaphylactic reaction. A registered professional school nurse must provide training for appropriate school staff in the use of auto-injectable epinephrine as outlined in the Manual for the Training of Public School Employees in the Administration of Medication, issued by the Virginia Department of Education.


Before any limitations or restrictions are imposed on the students ability to possess and self-administer the auto-injectable epinephrine, or permission to possess and self-administer auto-injectable epinephrine is granted, a consultation must occur with the parent. Permission to possess and administer auto-injectable epinephrine shall be effective for one school year. Self-administration of auto-injectable epinephrine must be consistent with the purposes of the Virginia School Health Guidelines and the Specialized Health Care Procedures Manual, jointly issued by the Virginia Departments of Health and Education.


Disclosure or dissemination of information pertaining to the health condition of a student must comply with Sections 22.1-287 and 22.1-289 and the federal Family Education Rights and Privacy Act of 1974, which govern the disclosure and dissemination of information contained in student scholastic records.


Should you have any questions, please contact Gwen P. Smith at (804) 786-8671 or email at