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School Stock Inhaler Statutes and Regulations in the United States: A Systematic Review*

dc.contributor.authorLowe, Ashley A.
dc.contributor.authorPhan, Hanna
dc.contributor.authorHall-Lipsy, Elizabeth
dc.contributor.authorO’Shaughnessy, Scott
dc.contributor.authorNash, Bradley
dc.contributor.authorVolerman, Anna
dc.contributor.authorGerald, Lynn B.
dc.date.accessioned2022-04-08T18:08:09Z
dc.date.available2023-05-08 14:08:07en
dc.date.available2022-04-08T18:08:09Z
dc.date.issued2022-04
dc.identifier.citationLowe, Ashley A.; Phan, Hanna; Hall-Lipsy, Elizabeth ; O’Shaughnessy, Scott; Nash, Bradley; Volerman, Anna; Gerald, Lynn B. (2022). "School Stock Inhaler Statutes and Regulations in the United States: A Systematic Review*." Journal of School Health 92(4): 396-405.
dc.identifier.issn0022-4391
dc.identifier.issn1746-1561
dc.identifier.urihttps://hdl.handle.net/2027.42/172094
dc.description.abstractBACKGROUNDChildren with asthma should have immediate access to rescue medication. Yet, <15% of children have access to this life‐saving drug while at school.METHODSA search was conducted in the all states database of Westlaw to identify which the US states, territories, and the District of Columbia have a law for K‐12 schools. Terms searched included (inhaler or asthma/s medic!) and school and (prescription or order) from conception to December 2020. Demographic data from states with and without a policy were compared. All policies were examined for the following components: (1) type of law (statute or regulation); (2) type of school (charter, private/parochial or public); (3) training requirements; (4) devices; (5) prescriptive authority/safe harbor; (6) medication requirements; and (7) mandated documentation, reporting and funding.RESULTSOur systematic search revealed 15 locations with existing laws. States with a law had a higher percentage of children under 17‐years than states without a law (p = .02). Common components described were the applicability to various types of schools, training requirements for those empowered to administer, and civil liability protections for trained school personnel.CONCLUSIONSExisting stock inhaler laws differ vastly across the United States that may impact access to stock albuterol for children at their schools.
dc.publisherWiley Periodicals, Inc.
dc.subject.otherhealth policy
dc.subject.otheralbuterol
dc.subject.otherschool
dc.subject.otherasthma
dc.subject.otheremergency medication
dc.subject.othershort‐acting beta2 agonist
dc.titleSchool Stock Inhaler Statutes and Regulations in the United States: A Systematic Review*
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelEducation
dc.subject.hlbtoplevelSocial Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172094/1/josh13142.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172094/2/josh13142-sup-0001-Supinfo.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172094/3/josh13142_am.pdf
dc.identifier.doi10.1111/josh.13142
dc.identifier.sourceJournal of School Health
dc.identifier.citedreferenceKRS § 158.832, ( 2021 ).
dc.identifier.citedreferenceDevelopment of guidance materials; development; website, IN, IC 20–34–4.5‐5 ( 2017 ).
dc.identifier.citedreferenceMedication Aide Act—Competency Assessment, NE, Neb. Admin. R. & Regs. Tit. 92, Ch. 59, § 004 ( 2020 ).
dc.identifier.citedreferenceMedication administration training program, DC, DC ST § 38–651.04 ( 2012 ).
dc.identifier.citedreferenceSupply of Bronchodilators, Spacers, or Nebulizers, NH, Rev. Stat. § 200:54 ( 2016 ).
dc.identifier.citedreferenceWriting prescriptions for and dispensing of auto‐injectable epinephrine, IN, IC 20‐34‐4.5‐3 ( 2019 ).
dc.identifier.citedreferenceAdministration of medication, DC, DC ST § 38–651.05 ( 2008 ).
dc.identifier.citedreferenceEmergency medication in schools; albuterol; epinephrine; rules; recommendations, NM, N. M. S. A. 1978, § 24–31–1 ( 2014 ).
dc.identifier.citedreferenceLiability for administration of auto‐injectable epinephrine; gross negligence or willful or wanton misconduct, IN, IC 20–34–4.5‐4 ( 2019 ).
dc.identifier.citedreferenceEmergency Response to Life‐threatening Asthma or Systemic Allergic Reactions (Anaphylaxis), NE, Neb. Admin. R. & Regs. Tit. 92, Ch. 59, Appendix A ( 2020 ).
dc.identifier.citedreferenceImmunity, NH, Rev. Stat. § 200:57 ( 2016 ).
dc.identifier.citedreferenceLiability, DC, DC ST § 38‐651.11 ( 2016 ).
dc.identifier.citedreferenceAdministration of auto‐injectable epinephrine; conditions, IN, IC 20–34–4.5‐2 ( 2017 ).
dc.identifier.citedreferenceStorage of medication, DC, DC ST § 38‐651.09 ( 2016 ).
dc.identifier.citedreferenceReport of administration of emergency stock medication, IN, IC 20–34–4.5‐6 ( 2017 ).
dc.identifier.citedreferenceMaintenance of records, DC, DC ST § 38‐651.08 ( 2008 ).
dc.identifier.citedreferenceAkinbami LJ, Moorman JE, Bailey C, et al. Trends in asthma prevalence, health care use, and mortality in the United States, 2001–2010. NCHS. Data Brief. 2012 ( 94 ): 1 ‐ 8.
dc.identifier.citedreferenceAkinbami LJ, Simon AE, Rossen LM. Changing trends in asthma prevalence among children. Pediatrics. 2016; 137 ( 1 ).
dc.identifier.citedreferenceYeatts K, Shy C, Sotir M, Music S, Herget C. Health consequences for children with undiagnosed asthma‐like symptoms. Arch Pediatr Adolesc Med. 2003; 157 ( 6 ): 540 ‐ 544.
dc.identifier.citedreferenceCoker TR, Kaplan RM, Chung PJ. The association of health insurance and disease impairment with reported asthma prevalence in U.S. children. Health Serv Res. 2012; 47 ( 1 Pt 2 ): 431 ‐ 445.
dc.identifier.citedreferenceLowe AA, Gerald JK, Clemens C, Gaither C, Gerald LB. Medication administration practices in United States’ schools: a systematic review and meta‐synthesis. J Sch Nurs. 2021; 10598405211026300: 21 ‐ 34.
dc.identifier.citedreferenceJohnson K. Healthy and ready to learn: School nurses improve equity and access. J Issues Nurs. 2017; 22 No. 3.
dc.identifier.citedreferenceHillemeier MM, Gusic ME, Bai Y. Rural and urban children with asthma: are school health services meeting their needs? Pediatrics. 2006; 118 ( 3 ): 1097 ‐ 1103.
dc.identifier.citedreferenceRole of the School nurse in providing School health services. Pediatrics. 2016; 137 ( 6 ).
dc.identifier.citedreferenceCanham DL, Bauer L, Concepcion M, Luong J, Peters J, Wilde C. An audit of medication administration: a glimpse into School health offices. J School Nursing. 2007; 23 ( 1 ): 21 ‐ 27.
dc.identifier.citedreferenceJohnson PE, Hayes JM. Medication use in schools. Am J Health Syst Pharm. 2006; 63 ( 13 ): 1277 ‐ 1285.
dc.identifier.citedreferenceBurris S, Hitchcock L, Ibrahim J, Penn M, Ramanathan T. Policy surveillance: a vital public health practice comes of age. J Health Polit Policy Law. 2016; 41 ( 6 ): 1151 ‐ 1173.
dc.identifier.citedreferenceCenters for Disease Control and Prevention. Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory‐Confirmed Coronavirus Disease 2019—COVID‐NET, 14 States, March 1–30, 2020. May 8th, 2020.
dc.identifier.citedreferenceMoorman JE, Akinbami LJ, Bailey CM, et al. National surveillance of asthma: United States, 2001‐2010. Vital Health Stat 3. 2012;( 35 ): 1 ‐ 58.
dc.identifier.citedreferenceCloutier MM, Baptist AP, Blake KV, et al. 2020 focused updates to the asthma management guidelines: a report from the National Asthma Education and prevention program coordinating committee expert panel working group. J Allergy Clin Immunol. 2020; 146 ( 6 ): 1217 ‐ 1270.
dc.identifier.citedreferenceGerald JK, Stroupe N, McClure LA, Wheeler L, Gerald LB. Availability of asthma quick relief medication in five Alabama School systems. Pediatr Allergy Immunol Pulmonol. 2012; 25 ( 1 ): 11 ‐ 16.
dc.identifier.citedreferenceNational Heart, Lung, and Blood Institute. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Bethesda (MD): National Heart, Lung, and Blood Institute; 2007.
dc.identifier.citedreferenceSmith C, Goldman RD. Nebulizers versus pressurized metered‐dose inhalers in preschool children with wheezing. Can Fam Physician. 2012; 58 ( 5 ): 528 ‐ 530.
dc.identifier.citedreferenceRubilar L, Castro‐Rodriguez JA, Girardi G. Randomized trial of salbutamol via metered‐dose inhaler with spacer versus nebulizer for acute wheezing in children less than 2 years of age. Pediatr Pulmonol. 2000; 29 ( 4 ): 264 ‐ 269.
dc.identifier.citedreferenceCastro‐Rodriguez JA, Rodrigo GJ. Beta‐agonists through metered‐dose inhaler with valved holding chamber versus nebulizer for acute exacerbation of wheezing or asthma in children under 5 years of age: a systematic review with meta‐analysis. J Pediatr. 2004; 145 ( 2 ): 172 ‐ 177.
dc.identifier.citedreferencePloin D, Chapuis FR, Stamm D, et al. High‐dose albuterol by metered‐dose inhaler plus a spacer device versus nebulization in preschool children with recurrent wheezing: a double‐blind, randomized equivalence trial. Pediatrics. 2000; 106 ( 2 Pt 1 ): 311 ‐ 317.
dc.identifier.citedreferenceGerald LB, Snyder A, Disney J, et al. Implementation and evaluation of a stock albuterol program for students with asthma. Ann Am Thorac Soc. 2016; 13 ( 2 ): 295 ‐ 296.
dc.identifier.citedreferenceLowe AA, Gerald JK, Clemens C, Stern D, Gerald LB. Managing respiratory emergencies at school: a county‐wide stock inhaler program. J Allergy Clin Immunol. 2021; 148: 420 ‐ 427.e5.
dc.identifier.citedreferenceAmerican Lung Association. Asthma Medication in Schools. 2020 Available at: https://www.lung.org/lung‐health‐diseases/lung‐disease‐lookup/asthma/living‐with‐asthma/creating‐asthma‐friendly‐environments/asthma‐medication‐in‐schools. Accessed December 29th, 2020.
dc.identifier.citedreferenceAsthma and Allergy Network (AAN). Laws to Protect Those with Asthma and Allergies. 2016.
dc.identifier.citedreferencePappalardo AA, Gerald LB. Let them breathe: a plea to pediatricians to advocate for stock inhaler policies at School. Pediatrics. 2019; 144 ( 1 ).
dc.identifier.citedreferenceMoher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta‐analyses: the PRISMA statement. BMJ. 2009; 339: b2535.
dc.identifier.citedreferenceWestlaw Next. 2020. Available at: https://legal.thomsonreuters.com/en/products/westlaw. Accessed December 29th, 2020.
dc.identifier.citedreference2010 Census: Population Density Data. 2019. Available at: https://www2.census.gov/programs‐surveys/popest/datasets/2010‐2019/national/totals/. Accessed December 29th, 2020.
dc.identifier.citedreferenceAge and Sex. 2018. Available at: https://data.census.gov/cedsci/table?q=S01&g=0100000US.04000.001&d=ACS%201‐Year%20Estimates%20Subject%20Tables&tid=ACSST1Y2018.S0101. Accessed December 29th, 2020.
dc.identifier.citedreferenceAssociation of American Medical Colleges. 2017 State Physician Workforce Data Report 2017.
dc.identifier.citedreferenceNational School Lunch Program: Total Participation. 2019. Available at: https://www.fns.usda.gov/pd/child‐nutrition‐tables. Accessed December 29th, 2020.
dc.identifier.citedreferenceNumber of public school districts, by locale code (CCD) and state: 2003–04. 2004. Available at: https://nces.ed.gov/surveys/ruraled/TablesHTML/5localedistricts.asp. Accessed December 29th, 2020.
dc.identifier.citedreferencePoverty status in the past 12 months. 2019. Available at: https://data.census.gov/cedsci/table?q=child%20poverty%20by%20state&g=0100000US.04000.001&tid=ACSST1Y2019.S1701&hidePreview=true. Accessed December 29th, 2020.
dc.identifier.citedreferenceStata. 2020. Available at: https://www.stata.com/. Accessed August 5th, 2020.
dc.identifier.citedreferenceEmergency administration of inhalers by trained personnel, AZ, A.R.S. § 15–158 ( 2018 ).
dc.identifier.citedreferencePrescription asthma inhaler or auto‐injectable epinephrine, AR, A.C.A. § 6–18‐707 ( 2019 ).
dc.identifier.citedreferenceLevalbuterol sulfate or albuterol sulfate, GA, Code Ann., § 26–4‐116.3 ( 2015 ).
dc.identifier.citedreferenceSelf‐administration and self‐carry of asthma medication and epinephrine injectors; administration of undesignated epinephrine injectors; administration of an opioid antagonist; administration of undesignated asthma medication; asthma episode emergency response protocol, IL, 105 ILCS 5/22–30 (2019).
dc.identifier.citedreferenceAsthma‐related rescue medications, school nurse may be authorized by school board to maintain, procedure, MO, V.A.M.S. 167.635 ( 2012 ).
dc.identifier.citedreferenceAdministration of bronchodilator, Spacer, or NebulizerAdministration of Bronchodilator, Spacer, or Nebulizer, NH, Rev. Stat. § 200:55 ( 2016 ).
dc.identifier.citedreferenceEmergency medications in schools, NM, N.M. Admin. Code 7.30.12 ( 2015 ).
dc.identifier.citedreferenceEmergency medications in schools act, NM, N. M. S. A. 1978, § 22‐33‐4 ( 2014 ).
dc.identifier.citedreferenceInhalers for city, local, exempted village, and joint vocational school districts, OH, R.C. § 3313.7113 ( 2016 ).
dc.identifier.citedreferenceInhalers, OH, R.C. § 3314.144 ( 2016 ).
dc.identifier.citedreferenceDefinitions, DC, DC ST § 38‐651.01 ( 2020 ).
dc.identifier.citedreferenceAuthority to obtain and use an epinephrine auto‐injector or stock albuterol, UT, U.C.A. 1953 § 26–41–105 ( 2020 ).
dc.identifier.citedreferenceImmunity from liability, UT, U.C.A. 1953 § 26–41–106 ( 2020 ).
dc.identifier.citedreferenceDefinitions, UT, U.C.A. 1953 § 53G‐9‐501 ( 2018 ).
dc.identifier.citedreferenceAdministration of medication to students—prerequisites—immunity from liability—applicability, UT, U.C.A. 1953 § 53G‐9‐502 ( 2019 ).
dc.identifier.citedreferenceDefinitions. ( 2017 ).
dc.identifier.citedreferenceMaintenance and administration of epinephrine auto‐injectors and asthma medicine, ( 2019 ).
dc.identifier.citedreferenceTraining, TX, V.T.C.A., Education Code § 38.210 ( 2017 ).
dc.identifier.citedreferencePrescription of epinephrine auto‐injectors and asthma medicine, TX, V.T.C.A., Education Code § 38.211 ( 2019 ).
dc.identifier.citedreferenceNotice to parents, TX, V.T.C.A., Education Code § 38.212 ( 2019 ).
dc.identifier.citedreferenceGifts, grants, and donations, TX, V.T.C.A., Education Code § 38.213 ( 2017 ).
dc.identifier.citedreferenceRules, TX, V.T.C.A., Education Code § 38.214 ( 2017 ).
dc.identifier.citedreferenceImmunity from liability, TX, V.T.C.A., Education Code § 38.215 ( 2019 ).
dc.identifier.citedreferenceEmergency medication, IN, IC 20‐34‐4.5‐0.2 ( 2017 ).
dc.identifier.citedreferenceAdministration of medication in emergency circumstances, DC, DC ST § 38–651.06 ( 2016 ).
dc.identifier.citedreferenceEmergency administration of inhalers, AZ, A.A.C. R7‐2‐810 ( 2018 ).
dc.identifier.citedreferenceLevalbuterol sulfate policies, GA, Code Ann., § 20–2‐776.4 ( 2015 ).
dc.identifier.citedreferenceMedication Aide ActProvision of Medication, NE, Neb. Admin. R. & Regs. Tit. 92, Ch. 59, § 003 ( 2020 ).
dc.identifier.citedreferenceMedication Aide Act—Documentation, NE, Neb. Admin. R. & Regs. Tit. 92, Ch. 59, § 005 ( 2020 ).
dc.identifier.citedreferenceEnforcement, NE, Neb. Admin. R. & Regs. Tit. 92, Ch. 59, § 007 ( 2020 ).
dc.identifier.citedreferenceInhalers for chartered or nonchartered nonpublic schools, OH, R.C. § 3313.7114 ( 2016 ).
dc.identifier.citedreferenceSchool, IN, IC 20–34–4.5‐0.6 ( 2020 ).
dc.identifier.citedreferenceLevalbuterol sulfate, GA, Code Ann., § 20‐2‐776.3 ( 2015 ).
dc.identifier.citedreferenceUndesignated emergency medications in schools: epinephrine; opioid antagonists; asthma medication, IL, 23 Ill. Adm. Code 1.540 ( 2019 ).
dc.identifier.citedreferenceBronchodilators, spacers, and nebulizers in schools, NH, Rev. Stat. § 200:53 ( 2016 ).
dc.identifier.citedreferenceSelf‐administration of inhaled asthma or anaphylaxis medication—school board epinephrine injector policy, OK, 70 Okl.St.Ann. § 1‐116.3 ( 2019 ).
dc.identifier.citedreferenceKRS § 158.836, (2021).
dc.identifier.citedreferenceDepartment of Education Guidance Provided to Schools, NH, Rev. Stat. § 200:56 ( 2016 ).
dc.identifier.citedreferenceTraining in use and storage of stock albuterol, UT, U.C.A. 1953 § 26–41–104.1 ( 2020 ).
dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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