Self-Administration of Pancreatic Enzymes

1. Law
2. Tennessee Code
3. Education
4. Miscellaneous
5. Self-Administration of Prescribed Medications and Other Treatments
6. Self-Administration of Pancreatic Enzymes

1. As used in this section:
   1. “Emergency care plan” (ECP) means a child-specific action plan to facilitate quick and appropriate responses for an individual emergency in the school setting;
   2. “Individualized healthcare plan” (IHP) means a written plan of care developed at the local level to outline the provision of student healthcare services intended to achieve specific student outcomes. The IHP is part of the nursing process that is detailed in the National Association of School Nurses Position Statement: Individualized Healthcare Plans, The Role of the School Nurse (2013);
   3. “Pancreatic insufficiency” means a disorder of the digestive system. Pancreatic insufficiency may include the diagnosis of cystic fibrosis, a chronic disease that affects the lungs and digestive system.
2. Self-administration in accordance with this section shall permit a student diagnosed with pancreatic insufficiency or cystic fibrosis to self-manage prescribed pancreatic enzyme therapy in the manner directed by the licensed healthcare provider without additional assistance or direction.
3. An emergency care plan (ECP) may be a component of a student's individualized healthcare plan (IHP). The ECP shall specify when the emergency number (911) will be called and describe a plan of action when the student is unable to self-administer medication or self-manage treatment as prescribed.
4. 1. An IHP under this section shall be developed by a registered nurse (RN) in collaboration with the family, student, student's healthcare providers, and school personnel for the management of pancreatic insufficiency or cystic fibrosis while in school, participating in school-sponsored activities, and in transit to or from school or school-sponsored activities.
   2. The IHP shall be child-specific and shall address or include:
      1. A written format for nursing assessment that includes health status, risks, concerns, and strengths;
      2. Nursing diagnoses;
      3. Interventions;
      4. Delegation;
      5. Training;
      6. Expected outcomes; and
      7. Goals to:
         1. Meet the healthcare needs of a student with pancreatic insufficiency or cystic fibrosis; and
         2. Protect the safety of all students from the misuse or abuse of medication.
5. With written authorization from the healthcare provider and parent, a student with pancreatic insufficiency or cystic fibrosis shall be allowed to carry and self-administer prescribed pancreatic enzymes.

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