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A. General Provisions.

All School personnel have responsibilities in connection with injuries and emergencies occurring in school and at school-sponsored events, which may be classified as follows:  (1) administering first aid; (2) summoning medical assistance; (3) notifying administration; (4) notifying parents; and (5) filing accident/injury reports.

Students who are too ill to remain in class shall report to the nurse or other designated person.  In case of accidents, students are to be sent directly to the nurse’s office.

School personnel must use reasonable judgment in handling injuries and emergencies.  Caution should be exercised not to minimize or maximize any injury or illness.  All personnel will understand the proper steps to be taken in the event of an injury or emergency.

At least one other person on staff, aside from the school nurse, shall have current first aid and cardiopulmonary certification (CPR).  If the school nurse or licensed practical nurse is not available, the person(s) who have current first aid and CPR certification is authorized to administer first aid and CPR as needed.

The school will obtain at the start of each school year emergency contact information of parents or legal guardian for each student and staff member.

B. Emergency Medical Treatment.

The school physician, school nurse, or specially trained staff members shall assist in the treatment of injuries or emergency situations. Such individuals have the authority to administer oxygen in case of a medical emergency, if available and if appropriate.  This authorization extends to administering oxygen to students without prior notification to parents/guardians.

The school nurse or other designated personnel may administer other medications to students in emergency situations, provided such personnel has all training as is required by law.  Such medication may also be administered in emergency situations if a student's medical action plan has been filed and updated with the school district to the extent required by law.  The district will maintain all necessary records relative to the emergency administration of medication and will file all such reports as may be required.

C. Supply and Administration of Asthma-Related Medication and Epinephrine.

The school nurse may maintain a supply of asthma-related rescue medication and the emergency medication epinephrine. Additionally, the school physician, school nurse, or specially trained staff members may also administer epinephrine to any student in case of a medical emergency, if appropriate.  This authorization extends to administering epinephrine without prior notification to parents/guardians. The school nurse or other designated personnel may administer or make available to self-administer a bronchodilator, spacer, or nebulizer to a student who has been diagnosed with asthma for use in emergency or other situations as determined by the school nurse.

Each school shall have an epinephrine auto-injector available for emergency administration, if practicable.  

Designated assistive personnel shall complete an anaphylaxis training in accordance with RSA 200:44-a.

D. Accident Report.

For significant injuries, the staff person witnessing the event must fill out an accident report, which must be submitted to administration so that administration is informed and a basis is established for the proper processing of insurance claims and remediation if necessary.

E. Student Accident Insurance.

The District makes it possible for parents to subscribe to student accident insurance at low rates.  This program is offered each year during September. The District does not provide student accident insurance.

F. Naloxone/Narcan and Opioid Antagonists.

The Board authorizes the District to obtain, store and administer naloxone/Narcan and/or other opioid antagonists for emergency use in schools.

The school nurse or other properly trained staff member may administer such medication in emergency situations.  Opioid antagonists will be available during the regularly scheduled school day.  They may be available at other times at the discretion of the Superintendent.

The Superintendent and/or their designee is authorized to procure such medication on behalf of the District.

All such medication will be clearly marked and stored in a secure space in the school nurse's office or other appropriate location.  Such medication will be locked at all times except when needed for administration.  The school nurse is responsible for storing the medication consistent with the manufacturer's instructions.

Local law enforcement and emergency medical service personnel will be notified if such medication is administered by the District.

Records related to the administration of such medication shall be made and maintained by the school nurse.  The school nurse will follow other first aid reporting protocols, as may be determined by other Board policy or administrative directive.

Legal References:

RSA 200:40, Emergency Care

RSA 200:40-a, Administration of Oxygen by School Nurse

RSA 200:44-a, Anaphylaxis Training Required

RSA 200:54, Supply of Bronchodilators, Spacers or Nebulizers

RSA 200:55, Administration of Bronchodilator, Space or Nebulizer

Ed 306.04(a)(21), Emergency Care For Students And School Personnel

Ed 306.12, School Health Services 

New Hampshire Student Board Association Code JLCE

Revised: 10/22/2018; 06/27/22

First Reading Policy Committee: 06/15/22

Second Reading and BOSC Adoption: 06/27/22