118.29(1)(b)
(b) “Drug" means any substance recognized as a drug in the official U.S. pharmacopoeia and national formulary or official homeopathic pharmacopoeia of the United States or any supplement to either of them.
118.29(1)(bg)
(bg) “Drug product" means a specific drug or drugs in a specific dosage form and strength from a known source of manufacture.
118.29(1)(bm)
(bm) “Epinephrine auto-injector" means a device used for the automatic injection of epinephrine into the human body.
118.29(1)(c)
(c) “Health care professional" means a person licensed as an emergency medical technician under
s. 256.15, a person certified as a first responder under
s. 256.15 (8) or any person licensed, certified, permitted or registered under
chs. 441 or
446 to
449.
118.29(1)(dm)
(dm) “Nonprescription drug product" means any nonnarcotic drug product which may be sold without a prescription order and which is prepackaged for use by consumers and labeled in accordance with the requirements of state and federal law.
118.29(1)(e)
(e) “Practitioner" means any physician, dentist, optometrist, physician assistant, advanced practice nurse prescriber, or podiatrist licensed in any state.
118.29(2)
(2) Authority to administer drugs; civil liability exemption. 118.29(2)(a)(a) Notwithstanding
chs. 441,
447,
448, and
450, a school bus operator validly authorized under
ss. 343.12 and
343.17 (3) (c) to operate the school bus he or she is operating, any school employee or volunteer, county children with disabilities education board employee or volunteer or cooperative educational service agency employee or volunteer authorized in writing by the administrator of the school district, the board or the agency, respectively, or by a school principal, any private school employee or volunteer authorized in writing by a private school administrator or private school principal, and any tribal school employee or volunteer authorized in writing by a tribal school administrator or tribal school principal:
118.29(2)(a)1.a.a. Except as provided in
subd. 1. b., may administer any nonprescription drug product which may lawfully be sold over the counter without a prescription to a pupil in compliance with the written instructions of the pupil's parent or guardian if the pupil's parent or guardian consents in writing. If the nonprescription drug product is supplied by the pupil's parent or guardian, the nonprescription drug product shall be supplied in the original manufacturer's package, and the package must list the ingredients and recommended therapeutic dose in a legible format.
118.29(2)(a)1.b.
b. May administer a nonprescription drug product to a pupil in a dosage other than the recommended therapeutic dose only if the request to do so is accompanied by the written approval of the pupil's practitioner.
118.29(2)(a)2.
2. May administer a prescription drug to a pupil in compliance with the written instructions of a practitioner if the pupil's parent or guardian consents in writing; the prescription drug is supplied in the original pharmacy-labeled package; and the package specifies the name of the pupil, the name of the prescriber, the name of the prescription drug, the dose, the effective date, and the directions in a legible format.
118.29(2)(a)2m.
2m. Except for epinephrine administered under
subd. 2., may use an epinephrine auto-injector to administer epinephrine to any pupil who appears to be experiencing a severe allergic reaction if, as soon as practicable, the school bus operator, employee or volunteer reports the allergic reaction by dialing the telephone number “911" or, in an area in which the telephone number “911" is not available, the telephone number for an emergency medical service provider.
118.29(2)(a)2r.
2r. Except for glucagon administered under
subd. 2., may administer glucagon to any pupil who the school bus driver, employee, or volunteer knows is diabetic and who appears to be experiencing a severe low blood sugar event with altered consciousness if, as soon as practicable, the school bus operator, employee, or volunteer reports the event by dialing the telephone number “911" or, in an area in which the telephone number “911" is not available, the telephone number for an emergency medical service provider.
118.29(2)(a)3.
3. Subject to
sub. (4m), is immune from civil liability for his or her acts or omissions in administering a nonprescription drug product or prescription drug to a pupil under
subd. 1.,
2.,
2m., or
2r. unless the act is in violation of
sub. (6) or the act or omission constitutes a high degree of negligence. This subdivision does not apply to health care professionals.
118.29(2)(b)
(b) Subject to
sub. (4m), any school district administrator, county children with disabilities education board administrator, cooperative educational service agency administrator, public, private, or tribal school principal, or private or tribal school administrator who authorizes an employee or volunteer to administer a nonprescription drug product or prescription drug to a pupil under
par. (a) is immune from civil liability for the act of authorization unless it constitutes a high degree of negligence or the administrator or principal authorizes a person who has not received the required training under
sub. (6) to administer a nonprescription drug product or prescription drug to a pupil.
118.29(3)
(3) Emergency care; civil liability exemption. Any school bus operator validly authorized under
ss. 343.12 and
343.17 (3) (c) to operate the school bus he or she is operating and any public, private, or tribal school employee or volunteer, county children with disabilities education board employee or volunteer, or cooperative educational service agency employee or volunteer, other than a health care professional, who in good faith renders emergency care to a pupil of a public, private, or tribal school is immune from civil liability for his or her acts or omissions in rendering such emergency care. The immunity from civil liability provided under this subsection is in addition to and not in lieu of that provided under
s. 895.48 (1).
118.29(4)
(4) Written policies. Any school board, county children with disabilities education board, cooperative educational service agency or governing body of a private school whose employees or volunteers may be authorized to administer nonprescription drug products or prescription drugs to pupils under this section shall adopt a written policy governing the administration of nonprescription drug products and prescription drugs to pupils. In developing the policy, the school board, board, agency or governing body shall seek the assistance of one or more school nurses who are employees of the school board, board, agency or governing body or are providing services or consultation under
s. 121.02 (1) (g). The policy shall include procedures for obtaining and filing in the school or other appropriate facility the written instructions and consent required under
sub. (2) (a), for the periodic review of such written instructions by a registered nurse licensed under
s. 441.06 or in a party state, as defined in
s. 441.50 (2) (j), for the storing of nonprescription drug products and prescription drugs, and for record keeping, including documenting the administration of each dose, including errors.
118.29(4m)
(4m) Applicability to tribal school employees. The immunity under
sub. (2) applies to a tribal school employee, administrator, or volunteer only if the governing body of the tribal school has adopted a written policy that complies with
sub. (4).
118.29(5)
(5) Exemption. No employee except a health care professional may be required to administer a nonprescription drug product or prescription drug to a pupil under this section by any means other than ingestion.
118.29(6)(a)(a) Notwithstanding
sub. (2) (a) 1. to
2r., and subject to
pars. (b) and
(c), no school bus driver, employee, or volunteer may administer any of the following nonprescription drug products or prescription drugs unless he or she has received training, approved by the department, in administering these nonprescription drug products and prescription drugs:
118.29(6)(a)1.
1. A nonprescription drug product or prescription drug product that must be injected into a pupil.
118.29(6)(a)2.
2. A nonprescription drug product or prescription drug product that must be inhaled by a pupil.
118.29(6)(a)3.
3. A nonprescription drug product or prescription drug product that must be rectally administered to a pupil.
118.29(6)(a)4.
4. A nonprescription drug product or prescription drug product that must be administered into a nasogastric tube.
118.29(6)(a)5.
5. A nonprescription drug product or prescription drug product that must be administered into a gastrostomy tube.
118.29(6)(a)6.
6. A nonprescription drug product or prescription drug product that must be administered into a jejunostomy tube.
118.29(6)(b)
(b) This subsection does not apply to health care professionals.
118.29(6)(c)
(c) The training required under
par. (a) need not be approved by the department when the training is completed by a school bus driver that transports only pupils enrolled in a private school, an employee of a private school, or a volunteer in or for a private school.
118.291
118.291
Asthmatic pupils; possession and use of inhalers. 118.291(1g)(a)
(a) “Asthma" means a chronic inflammatory disease of the airways, characterized by airway obstruction, which is at least partially reversible and which manifests as increased bronchial responsiveness to a variety of stimuli.
118.291(1g)(b)
(b) “School" includes a public, private, and tribal school.
118.291(1r)
(1r) While in school, at a school-sponsored activity or under the supervision of a school authority, an asthmatic pupil may possess and use a metered dose inhaler or dry powder inhaler if all of the following are true:
118.291(1r)(a)
(a) The pupil uses the inhaler before exercise to prevent the onset of asthmatic symptoms or uses the inhaler to alleviate asthmatic symptoms.
118.291(1r)(b)
(b) The pupil has the written approval of the pupil's physician and, if the pupil is a minor, the written approval of the pupil's parent or guardian.
118.291(1r)(c)
(c) The pupil has provided the school principal with a copy of the approval or approvals under
par. (b).
118.291(2)(a)(a) No school district, school board or school district employee is civilly liable for injury to a pupil caused by a school district employee who prohibits a pupil from using an inhaler because of the employee's good faith belief that the requirements of
sub. (1r) had not been satisfied or who allows a pupil to use an inhaler because of the employee's good faith belief that the requirements of
sub. (1r) had been satisfied.
118.291(2)(b)
(b) No private school or private school employee is civilly liable for injury to a pupil caused by a private school employee who prohibits a pupil from using an inhaler because of the employee's good faith belief that the requirements of
sub. (1r) had not been satisfied or who allows a pupil to use an inhaler because of the employee's good faith belief that the requirements of
sub. (1r) had been satisfied.
118.291(2)(c)
(c) No tribal school or tribal school employee is civilly liable for injury to a pupil caused by a tribal school employee who prohibits a pupil from using an inhaler because of the employee's good faith belief that the requirements of
sub. (1r) had not been satisfied or who allows a pupil to use an inhaler because of the employee's good faith belief that the requirements of
sub. (1r) had been satisfied.
118.292
118.292
Possession and use of epinephrine auto-injectors. 118.292(1g)(a)
(a) “Emergency situation" means a situation in which a pupil reasonably believes that he or she is experiencing a severe allergic reaction, including anaphylaxis, that requires the administration of epinephrine to avoid severe injury or death.
118.292(1g)(b)
(b) “Epinephrine auto-injector" means a device used for the automatic injection of epinephrine into the human body to prevent or treat a life-threatening allergic reaction.
118.292(1g)(c)
(c) “School" includes a public, private, and tribal school.
118.292(1r)
(1r) While in school, at a school-sponsored activity or under the supervision of a school authority, a pupil may possess and use an epinephrine auto-injector if all of the following are true:
118.292(1r)(a)
(a) The pupil uses the epinephrine auto-injector to prevent the onset or alleviate the symptoms of an emergency situation.
118.292(1r)(b)
(b) The pupil has the written approval of the pupil's physician and, if the pupil is a minor, the written approval of the pupil's parent or guardian.
118.292(1r)(c)
(c) The pupil has provided the school principal with a copy of the approval or approvals under
par. (b).
118.292(2)
(2) No school board, school district, private school, or tribal school, or any employee of the foregoing, is civilly liable for an injury incurred by any of the following:
118.292(2)(a)
(a) A pupil as a result of using an epinephrine auto-injector under
sub. (1r).
118.292(2)(b)
(b) Any person as a result of a pupil possessing or using an epinephrine auto-injector under
sub. (1r).
118.292 History
History: 2011 a. 85.
118.2925
118.2925
Life-threatening allergies in schools; use of epinephrine auto-injectors. 118.2925(1)(a)
(a) “Administer" means the direct application of an epinephrine auto-injector to a person's body.
118.2925(1)(b)
(b) “Advanced practice nurse prescriber" means an advanced practice nurse who is certified under
s. 441.16.
118.2925(1)(c)
(c) “Designated school personnel" means an employee, agent, or volunteer of a school, designated by the governing body of the school, who has completed the training specified in the plan adopted by the governing body of the school in
sub. (2) (a).
118.2925(1)(d)
(d) “Epinephrine auto-injector" means a device used for the automatic injection of epinephrine into the human body to prevent or treat a life-threatening allergic reaction.
118.2925(1)(e)
(e) “Physician" means a person licensed to practice medicine and surgery under
ch. 448.
118.2925(1)(g)
(g) “School" means a public, private, or tribal school.
118.2925(1)(h)
(h) “Self-administer" means to administer an epinephrine auto-injector to one's own body.
118.2925(2)(a)(a) The governing body of a school may adopt a plan for the management of pupils attending the school who have life-threatening allergies. If the governing body of a school does so, it shall specify in the plan the training necessary to perform the activities under
sub. (4). The governing body of a school may not adopt a plan unless it has been approved by a physician.
118.2925(2)(b)
(b) The governing body of a school that has adopted a plan under
par. (a) shall make the plan available on the governing body's Internet site or the Internet site of each school under its jurisdiction or, if an Internet site does not exist, give a copy of the plan to any person upon request.
118.2925(3)
(3) Prescriptions for schools. A physician, an advanced practice nurse prescriber, or a physician assistant may prescribe epinephrine auto-injectors in the name of a school that has adopted a plan under
sub. (2) (a), to be maintained by the school for use under
sub. (4).
118.2925(4)
(4) Use of epinephrine auto-injectors. The governing body of a school that has adopted a plan under
sub. (2) (a) may authorize a school nurse or designated school personnel to do any of the following on school premises or at a school-sponsored activity:
118.2925(4)(a)
(a) Provide an epinephrine auto-injector to a pupil to self-administer the epinephrine auto-injector in accordance with a prescription specific to the pupil that is on file with the school.
118.2925(4)(b)
(b) Administer an epinephrine auto-injector to a pupil in accordance with a prescription specific to the pupil that is on file with the school.
118.2925(4)(c)
(c) Administer an epinephrine auto-injector to a pupil or other person who the school nurse or designated school personnel in good faith believes is experiencing anaphylaxis in accordance with a standing protocol from a physician, an advanced practice nurse prescriber, or a physician assistant, regardless of whether the pupil or other person has a prescription for an epinephrine auto-injector. If the pupil or other person does not have a prescription for an epinephrine auto-injector, or the person who administers the epinephrine auto-injector does not know whether the pupil or other person has a prescription for an epinephrine auto-injector, the person who administers the epinephrine auto-injector shall, as soon as practicable, report the administration by dialing the telephone number “911" or, in an area in which the telephone number “911" is not available, the telephone number for an emergency medical service provider.
118.2925(4m)(a)(a) The authority to self-administer an epinephrine auto-injector under
sub. (4) (a) is independent of the authorized possession and use of an epinephrine auto-injector under
s. 118.292 (1r).
118.2925(5)
(5) Immunity from civil liability; exemption from practice of medicine. A school and its designated school personnel, and a physician, advanced practice nurse prescriber, or physician assistant who provides a prescription or standing protocol for school epinephrine auto-injectors, are not liable for any injury that results from the administration or self-administration of an epinephrine auto-injector under this section, regardless of whether authorization was given by the pupil's parent or guardian or by the pupil's physician, physician assistant, or advanced practice nurse prescriber, unless the injury is the result of an act or omission that constitutes gross negligence or willful or wanton misconduct. The immunity from liability provided under this subsection is in addition to and not in lieu of that provided under
s. 895.48.
118.2925(6m)
(6m) Health care professionals. Nothing in this section prohibits a health care professional, as defined in
s. 118.29 (1) (c), from acting within the scope of practice of the health care professional's license, certificate, permit, or registration.
118.2925 History
History: 2013 a. 239.
118.293
118.293
Concussion and head injury. 118.293(1)(a)
(a) “Credential" means a license or certificate of certification issued by this state.
118.293(1)(am)
(am) “Health care provider" means a person to whom all of the following apply:
118.293(1)(am)1.
1. He or she holds a credential that authorizes the person to provide health care.
118.293(1)(am)2.
2. He or she is trained and has experience in evaluating and managing pediatric concussions and head injuries.
