Hickman County Board of Education
Descriptor Code:
Issued Date:
Descriptor Term:
6.4051
08/04/25
Emergency Medication
Rescinds:
Issued:
6.4051
06/05/23
1
This policy addresses those instances when students need to receive medication in an emergency
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situation. Board Policy 6.405 addresses instances wherein students take medicine during the school
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day in non-emergency situations.
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School personnel, who volunteer, under no duress or pressure and have been properly trained by a
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registered nurse, are permitted to administer glucagon in emergency situation to a student based on
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physician's order and/or the student's Individual Health Plan (IHP). If the school nurse is on site, the
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nurse shall provide the service to the student. I
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The school nurse shall be responsible for updating and maintaining each IHP. There must be a
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parent/guardian signature on file giving permission prior to training school personnel to administer
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glucagon.
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Following are specifics relating to glucagon and diazepam. Volunteer personnel, trained by a
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registered nurse, may administer emergency medication to a student based on that student's Individual
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Health Plan (IHP) or a physician's standing order. A call to 911 will be made in the event of these
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emergencies.
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DEFINITION OF GLUAGON
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Glucagon is a hormone that helps the liver release sugar, thus increasing the level of sugar in the blood.
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It must be injected with a syringe into the body like insulin.
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WHEN TO USE GLUCAGON
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Glucagon is administered when the student has low blood sugar and is unable to take liquid or food by
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mouth because of unconsciousness or seizure activity as per a medical provider's written instructions.
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TRAINING
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1.
Review physicians' orders for glucagon and parent/guardian permission on file.
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2.
The volunteer must complete an initial in-depth diabetes-related training recognizing
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signs and symptoms of hypoglycemia and respond with student-specific interventions.
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3.
The volunteer trainee must be able to state glucagon's action and the need for its use.
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4.
The volunteer trainee must be able to state how glucagon should be prepared, the
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dosage, and side effects as well as follow-up care after the administration of glucagon.
Version Date: June 24, 2026
Emergency Medication
6.4051
1
5.
The volunteer trainee must be able to identify where glucagon will be stored (must be
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kept in a secure location away from heat and direct light) and readily available to the
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student.
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6.
The volunteer trainee will notify or delegate notification of EMS/911 personnel,
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parents/guardian, and the school nurse any time glucagon is administered to any
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student.
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7.
The volunteer trainee must document observations, administration of glucagon, and
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follow-up care on the appropriate diabetic and medication forms.
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8.
Training will be provided until competency is demonstrated, and retraining shall be
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completed on a yearly basis. Training will be documented and include a skills checklist,
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instructor's name, trainee's name, date of training, and documentation of competency of
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trainee to administer glucagon. A copy of the trainee's competency training form will be
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kept in the employee's personnel file.
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DEFINITION OF DIAZEPAM (DIASTAT)
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Diastat works to stop seizure activity by acting on brain cell interactions that inhibit the seizure
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discharges. This special formulation of diazepam is administered rectally as a gel.
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School personnel who volunteer under no duress or pressure and who have been properly trained by a
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registered nurse or employed or contracted by the Hickman County School System may administer
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anti-seizure medication, including diazepam gel to a student in an emergency situation based on the
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student's IHP. If the school nurse is available, on site, and able to reach the student within the time
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limit for administration specified in the IHP, then the school nurse shall provide this service to the
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student.
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WHEN TO USE DIASTAT
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Upon the decision of a trained volunteer to administer diazepam gel (Diastat), school officials shall
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immediately summon local emergency medical services to the school to provide necessary monitoring
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of transport to safeguard the health and condition of the student.
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Trained volunteer school personnel administering anti-seizure medications, any registered nurse who
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provides training to administer such medications, and any local board of education shall not be liable
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in any court of law for injury resulting from the reasonable and prudent assistance in the administration
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of such medications, if performed pursuant to the policies and guidelines developed by the departments
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of health and education and approved by applicable regulatory or governing boards or agencies.
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The Hickman County School System shall not assign a student with epilepsy or other seizure disorder
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to a school other than the school for which the student is zoned or would otherwise regularly attend
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because the student has a seizure disorder.
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A student's parent/guardian, who has given the student's school written authorization to administer
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anti-seizure medication, shall, in accordance with the student's IHP, notify the school administrator or
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school nurse if anti-seizure medication or prescription over-the-counter medicines are administered at a
Page 2 of 4
6.4051
Emergency Medication
1
time at which the student is not present in school. The student's IHP shall set forth with specificity the
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requirements of reporting administration of medication and for the dissemination of such information
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to volunteer school personnel trained to administer anti-seizure medication. Such notification shall be
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given after administration of medication before or at the beginning of the next school day in which the
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student is in attendance.
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TRAINING
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Prior to administration of an anti-seizure medication to a student by volunteer school personnel or a
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school nurse in an emergency situation, the student's parent/guardian shall provide:
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1.
The school with a written authorization to administer the medication at school;
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2.
A written statement from the student's health care practitioner, which shall contain the
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student's name, the name and purpose of the medication, the prescribed dosage, the
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route of administration, the frequency that the medication may be administered, and the
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circumstances under which the medication may be administered;
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3.
Prior to its date of expiration, the prescribed medication to the school is in its unopened,
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sealed package with the intact label affixed by the dispensing pharmacy.
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EMERGENCY ALLERGY RESPONSE PLAN
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The director of schools shall develop and maintain an Emergency Allergy Response Plan that meets
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state guidelines for managing students with life-threatening allergies. The Plan shall include measures
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to reduce exposure to allergens and procedures to treat allergic reactions. Components of the plan shall
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include, but are not limited to: education and training of personnel, record keeping/documentation,
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development and reviews of the allergy action plan, and protocols for classrooms and cafeterias that
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include strategies to reduce exposure to allergens.²
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Using the state food allergy guidelines plan as a guide, the direction shall also develop a process to
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identify all students with food allergies and develop and implement an Individualized Health Care Plan
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(IHCP) with an Allergy Action Plan for each specific student.³
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EPINEPHRINE³
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Each school shall maintain epinephrine, either as auto-injectors, nasal sprays, or other forms, in at least
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two (2) unlocked, secure locations including, but not limited to, the school office and the school
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cafeteria.
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In the event of such a reaction, the school nurse or other trained school personnel shall utilize
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epinephrine to respond, under a standing protocol from a physician.
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The Director of Schools/designee is authorized to seek epinephrine through a prescription written to
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Hickman County School District. Upon the issuance of the auto-injectors, the Director of Schools shall
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ensure that they are placed within each school and that any needed trainings are conducted for staff.
Page 3 of 4
Emergency Medication
6.4051
Legal References
Cross References
1. TCA 49-50-1602(b)
Medicines 6.405
2.
TCA 49-50-1602(g)
3.
Public Acts of 2026, Chapter No. 947
Page 4 of 4

## Table 1

|  | Hickman County Board of | Education |  |
| --- | --- | --- | --- |
|  | Descriptor Term: | Descriptor Code: 6.4051 | Issued Date: 08/04/25 |
|  | Emergency Medication | Rescinds: 6.4051 | Issued: 06/05/23 |