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 who is licensed under s.
441.06 or who holds a multistate license, as defined in s.
441.51 (2) (h), issued in a party state, as defined in s.
441.51 (2) (k), 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.
118.29 History
History: 1983 a. 334;
1985 a. 146 s.
8;
1985 a. 218;
1987 a. 14,
399;
1989 a. 56,
102,
105;
1991 a. 103;
1997 a. 164;
1999 a. 56,
126;
2001 a. 16,
83;
2007 a. 130;
2009 a. 160,
302;
2011 a. 86,
260;
2017 a. 12,
29,
135;
2021 a. 130,
218.
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. 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)(bm)
(bm) “Prefilled syringe” means a device that is approved by the federal food and drug administration, that contains a dose of epinephrine, and that is used for the manual 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 or prefilled syringe if all of the following are true:
118.292(1r)(a)
(a) The pupil uses the epinephrine auto-injector or prefilled syringe 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 or prefilled syringe under sub.
(1r).
118.292(2)(b)
(b) Any person as a result of a pupil possessing or using an epinephrine auto-injector or prefilled syringe under sub.
(1r).
118.292 History
History: 2011 a. 85;
2021 a. 218.
118.2925
118.2925
Life-threatening allergies in schools; use of epinephrine. 118.2925(1)(a)
(a) “Administer" means the direct application of an epinephrine auto-injector or prefilled syringe 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)(fm)
(fm) “Prefilled syringe” means a device that is approved by the federal food and drug administration, that contains a dose of epinephrine, and that is used for the manual injection of epinephrine into the human body to prevent or treat a life-threatening allergic reaction.
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 or prefilled syringe 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 or prefilled syringes 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. 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 or prefilled syringe to a pupil to self-administer the epinephrine auto-injector or prefilled syringe 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 or prefilled syringe 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 or prefilled syringe 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 or prefilled syringe. If the pupil or other person does not have a prescription for an epinephrine auto-injector or prefilled syringe, or the person who administers the epinephrine auto-injector or prefilled syringe does not know whether the pupil or other person has a prescription for an epinephrine auto-injector or prefilled syringe, the person who administers the epinephrine auto-injector or prefilled syringe 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 or prefilled syringe under sub.
(4) (a) is independent of the authorized possession and use of an epinephrine auto-injector or prefilled syringe under s.
118.292 (1r).
118.2925(4m)(b)
(b) The authority to administer an epinephrine auto-injector or prefilled syringe under sub.
(4) (b) and
(c) is independent of the authority to administer an epinephrine auto-injector under s.
118.29 (2) (a) 2. and
2m. 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 or prefilled syringes, are not liable for any injury that results from the administration or self-administration of an epinephrine auto-injector or prefilled syringe 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;
2021 a. 23,
218.
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.
118.293(1)(am)3.
3. He or she is practicing within the scope of his or her credential.
118.293(1)(c)
(c) “Youth athletic activity" means an organized athletic activity in which the participants, a majority of whom are under 19 years of age, are engaged in an athletic game or competition against another team, club, or entity, or in practice or preparation for an organized athletic game or competition against another team, club, or entity. “Youth athletic activity" does not include a college or university activity or an activity that is incidental to a nonathletic program.
118.293(2)
(2) In consultation with the Wisconsin Interscholastic Athletic Association, the department shall develop guidelines and other information for the purpose of educating athletic coaches and pupil athletes and their parents or guardians about the nature and risk of concussion and head injury in youth athletic activities.
118.293(3)(a)(a) At the beginning of a season for a youth athletic activity, the person operating the youth athletic activity shall distribute a concussion and head injury information sheet to each person who will be coaching that youth athletic activity and to each person who wishes to participate in that youth athletic activity. No person may participate in a youth athletic activity unless the person returns the information sheet signed by the person and, if he or she is under the age of 19, by his or her parent or guardian.
118.293(3)(b)1.1. Notwithstanding par.
(a), a public or private school is not required to distribute an information sheet to a pupil enrolled in the school who wishes to participate in a youth athletic activity operated by the school during a school year, and a pupil enrolled in the school may participate in that youth athletic activity without returning an appropriately signed information sheet for that activity, if the pupil has returned an appropriately signed information sheet for another youth athletic activity operated by the school during the same school year.
118.293(3)(b)2.
2. Notwithstanding par.
(a), a private club is not required to distribute an information sheet to a person who wishes to participate in a youth athletic activity operated by the private club, and a person may participate in that youth athletic activity without returning an appropriately signed information sheet for the activity, if the person has returned an appropriately signed information sheet to the club within the previous 365 days.
118.293(4)(a)(a) An athletic coach, or official involved in a youth athletic activity, or health care provider shall remove a person from the youth athletic activity if the coach, official, or health care provider determines that the person exhibits signs, symptoms, or behavior consistent with a concussion or head injury or the coach, official, or health care provider suspects the person has sustained a concussion or head injury.
118.293(4)(b)
(b) A person who has been removed from a youth athletic activity under par.
(a) may not participate in a youth athletic activity until he or she is evaluated by a health care provider and receives a written clearance to participate in the activity from the health care provider.
118.293(5)(a)(a) Any athletic coach, official involved in an athletic activity, or volunteer who fails to remove a person from a youth athletic activity under sub.
(4) (a) is immune from civil liability for any injury resulting from that omission unless it constitutes gross negligence or willful or wanton misconduct.
118.293(5)(b)
(b) Any volunteer who authorizes a person to participate in a youth athletic activity under sub.
(4) (b) is immune from civil liability for any injury resulting from that act unless the act constitutes gross negligence or willful or wanton misconduct.
118.293(6)
(6) This section does not create any liability for, or a cause of action against, any person.
118.293 History
History: 2011 a. 172;
2013 a. 93.
118.2935
118.2935
Sudden cardiac arrest; youth athletic activities.
