26B-4-409.  Authority to obtain and use an epinephrine auto-injector or stock albuterol.

(1)  A qualified adult who is a teacher or other school employee at a public or private primary or secondary school in the state, or a school nurse, may obtain from the school district physician, the medical director of the local health department, or the local emergency medical services director a prescription for:

Terms Used In Utah Code 26B-4-409

  • Anaphylaxis: means a potentially life-threatening hypersensitivity to a substance. See Utah Code 26B-4-401
  • Asthma action plan: means a written plan:
(a) developed with a school nurse, a student's parent or guardian, and the student's health care provider to help control the student's asthma; and
(b) signed by the student's:
(i) parent or guardian; and
(ii) health care provider. See Utah Code 26B-4-401
  • Asthma emergency: means an episode of respiratory distress that may include symptoms such as wheezing, shortness of breath, coughing, chest tightness, or breathing difficulty. See Utah Code 26B-4-401
  • Epinephrine auto-injector: means a portable, disposable drug delivery device that contains a measured, single dose of epinephrine that is used to treat a person suffering a potentially fatal anaphylactic reaction. See Utah Code 26B-4-401
  • Health care provider: means an individual who is licensed as:
    (a) a physician under Title 58, Chapter 67, Utah Medical Practice Act;
    (b) a physician under Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
    (c) an advanced practice registered nurse under Section 58-31b-302; or
    (d) a physician assistant under Title 58, Chapter 70a, Utah Physician Assistant Act. See Utah Code 26B-4-401
  • Local health department: means the same as that term is defined in Section 26A-1-102. See Utah Code 26B-1-102
  • Pharmacist: means the same as that term is defined in Section 58-17b-102. See Utah Code 26B-4-401
  • Pharmacy intern: means the same as that term is defined in Section 58-17b-102. See Utah Code 26B-4-401
  • Physician: means the same as that term is defined in Section 58-67-102. See Utah Code 26B-4-401
  • Qualified adult: means a person who:
    (a) is 18 years of age or older; and
    (b) 
    (i) for purposes of administering an epinephrine auto-injector, has successfully completed the training program established in Section 26B-4-407; and
    (ii) for purposes of administering stock albuterol, has successfully completed the training program established in Section 26B-4-408. See Utah Code 26B-4-401
  • Qualified stock albuterol entity: means a public or private school that employs, contracts with, or has a similar relationship with a qualified adult who is likely to have contact with another person who may experience an asthma emergency. See Utah Code 26B-4-401
  • State: when applied to the different parts of the United States, includes a state, district, or territory of the United States. See Utah Code 68-3-12.5
  • Stock albuterol: means a prescription inhaled medication:
    (a) used to treat asthma; and
    (b) that may be delivered through a device, including:
    (i) an inhaler; or
    (ii) a nebulizer with a mouthpiece or mask. See Utah Code 26B-4-401
    (a)  epinephrine auto-injectors for use in accordance with this part; or

    (b)  stock albuterol for use in accordance with this part.

    (2) 

    (a)  A qualified adult may obtain an epinephrine auto-injector for use in accordance with this part that is dispensed by:

    (i)  a pharmacist as provided under Section 58-17b-1004; or

    (ii)  a pharmacy intern as provided under Section 58-17b-1004.

    (b)  A qualified adult may obtain stock albuterol for use in accordance with this part that is dispensed by:

    (i)  a pharmacist as provided under Section 58-17b-1004; or

    (ii)  a pharmacy intern as provided under Section 58-17b-1004.

    (3)  A qualified adult:

    (a)  may immediately administer an epinephrine auto-injector to a person exhibiting potentially life-threatening symptoms of anaphylaxis when a physician is not immediately available; and

    (b)  shall initiate emergency medical services or other appropriate medical follow-up in accordance with the training materials retained under Section 26B-4-407 after administering an epinephrine auto-injector.

    (4)  If a school nurse is not immediately available, a qualified adult:

    (a)  may immediately administer stock albuterol to an individual who:

    (i)  has a diagnosis of asthma by a health care provider;

    (ii)  has a current asthma action plan on file with the school; and

    (iii)  is showing symptoms of an asthma emergency as described in the student’s asthma action plan; and

    (b)  shall initiate appropriate medical follow-up in accordance with the training materials retained under Section 26B-4-408 after administering stock albuterol.

    (5) 

    (a)  A qualified entity that complies with Subsection (5)(b) or (c), may obtain a supply of epinephrine auto-injectors or stock albuterol, respectively, from a pharmacist under Section 58-17b-1004, or a pharmacy intern under Section 58-17b-1004 for:

    (i)  storing:

    (A)  the epinephrine auto-injectors on the qualified epinephrine auto-injector entity’s premises; and

    (B)  stock albuterol on the qualified stock albuterol entity‘s premises; and

    (ii)  use by a qualified adult in accordance with Subsection (3) or (4).

    (b)  A qualified epinephrine auto-injector entity shall:

    (i)  designate an individual to complete an initial and annual refresher training program regarding the proper storage and emergency use of an epinephrine auto-injector available to a qualified adult; and

    (ii)  store epinephrine auto-injectors in accordance with the standards established by the department in Section 26B-4-411.

    (c)  A qualified stock albuterol entity shall:

    (i)  designate an individual to complete an initial and annual refresher training program regarding the proper storage and emergency use of stock albuterol available to a qualified adult; and

    (ii)  store stock albuterol in accordance with the standards established by the department in Section 26B-4-411.

    Renumbered and Amended by Chapter 307, 2023 General Session