Policies and Procedures Handbook
Created by the Resource Center
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Last Updated: 12/19/2012
Garrett County Board of Education
40 South Second Street
Oakland, MD 21550


Board Policy

Prevention and Interventions of Anaphylaxis in Students with Known and Unknown Allergies

Anaphylaxis is a sudden, severe, rapidly progressive, potentially life-threatening allergic reaction that affects multiple organ systems of the body at the same time. It is the policy of the Garrett County Board of Education to establish preventative measures to diminish the potential for anaphylaxis and provide for emergency interventions in the event of known and unknown anaphylaxis. Senate Bill 621 (SB 621), codified under Maryland Code, Education Article section 7-426.2

These measures shall include:


  1. Providing as far as practical, a safe and healthy environment. 

  2. Raising awareness about allergies and anaphylaxis among the school community and children in attendance. 

  3. Ensuring each staff member and other relevant adults has adequate knowledge of allergies, anaphylaxis and emergency procedures.

  4. Facilitating communication between all staff, students and families to ensure the well-being of children at risk for anaphylaxis. 


  1. The use of epinephrine auto-injectors to ensure the health and safety of students with known and unknown anaphylaxis. 

  2. School nurses and other school personnel to administer auto–injectable epinephrine to a student who is determined to be or perceived to be in anaphylaxis, regardless of whether the student:  (1) has been identified as having an anaphylactic allergy, as defined in Education Article § 7–426.1; or (2) has a prescription for epinephrine Code of Maryland Regulations (COMAR) 10.06.04, (COMAR) 10.11.04 and (COMAR) 13A.05.05-.07A.

  3. Training on recognizing the symptoms of anaphylaxis;

  4. Procedures for emergency administration of auto-injectable epinephrine;

  5. Proper follow-up emergency procedures; and

  6. Authorization for the school nurse to obtain and store the auto-injectable epinephrine.

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Pupil Services 472.131
Adopted 11/13/12 PL