Hawaii State Laws Affecting Diabetes Care at School
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Student-to-Nurse Ratio: Code §22.1-274
recommends there be one nurse per 1,000 students.
Requirements
for Non-Certified Personnel to Administer Medication
Pre-service Requirement: The Manual
for the Training of Public Employees in the Administration of Medication
requires unlicensed school personnel who are expected to help administer
medications at school to have training regarding state and local school division
policy and procedures for administering medication. Code §22.1-274
E (1999) states that for schools with instructional and administrative staff
of fewer than 10, and having at least one student diagnosed as having diabetes,
at least one employee must have been trained in the administration of insulin
and glucagons. All other school buildings with instructional and administrative
staff of ten or more must have at least two employees so trained.
Administration of Medications
Staff
Administration: Code §22.1-274
(1990) requires a school board to provide pupil personnel and support services,
including student health services. The Manual
for the Training of Public Employees in the Administration of Medication
states that schools and districts are required to develop their own policies
concerning the administration of medications by non-licensed
personnel.
Code §22.1-274.2
(2005) requires local school boards to develop and implement policies allowing
students to possess and self-administer inhaler medications or self-injectable
epinephrine during the school day, at school-sponsored events, or on a school
bus or property provided that written consent of the parent and written
notification by a primary care physician with instructions are given, and an
individualized health care plan is developed. Code §8.01-226.5:1
(2000) releases any school employee from liability as a result of supervising
the students self-administer asthma medication or self-injectable
epinephrine.