Md. Code Regs. 10.16.07.15

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.16.07.15 - Emergency Epinephrine

A. An individual may apply, on a form prescribed by the Department, for a certificate for emergency epinephrine, which shall be valid for up to 1 year if the applicant:

(1) Is an operator of a youth camp;

(2) Is at least 18 years old; and

(3) Has successfully completed, at the applicant's expense, an emergency epinephrine educational training program approved by the Department.

B. The applicant shall submit to the Department with the form required in §A of this regulation a written policy that includes:

(1) Designation of agents;

(2) The name of the approved emergency epinephrine educational training program; and

(3) Procedures to:

(a) Store emergency auto-injectable epinephrine;

(b) Notify a parent or guardian that emergency auto-injectable epinephrine is available at camp;

(c) Maintain the emergency auto-injectable epinephrine in a secure manner;

(d) Report use of emergency auto-injectable epinephrine according to Regulation .06 of this chapter;

(e) Train an emergency epinephrine certificate holder and agent annually; and

(f) Maintain documentation of an emergency epinephrine certificate holder and agent training for 3 years.

C. A provider of an emergency epinephrine educational training program may apply to the Department to have the training program recognized as approved for 5 years by submitting:

(1) An application form prescribed by the Department;

(2) A copy of all training program materials, including but not limited to handouts, presentations, and exams; and

(3) The following credentials of the instructor:

(a) Name;

(b) License type as required in §E of this regulation; and

(c) License number.

D. An emergency epinephrine educational training program shall include:

(1) The signs and symptoms of anaphylaxis;

(2) Use of an emergency auto-injectable epinephrine pen;

(3) Follow-up procedures with a parent or guardian after an emergency auto-injectable epinephrine is administered;

(4) A skills demonstration; and

(5) A written examination.

E. An individual teaching an emergency epinephrine educational training program shall be licensed as a physician, a registered nurse, or a certified nurse practitioner.

F. The Department shall:

(1) Issue a certificate for emergency epinephrine to an applicant who meets the requirements in §§A and B of this regulation;

(2) Deny, revoke or suspend a certificate for emergency epinephrine from an applicant who does not meet the requirements in §§A and B of this regulation;

(3) Approve an emergency epinephrine educational training program if the training program meets the requirements of §C of this regulation;

(4) Disapprove an emergency epinephrine educational training program if the training program does not meet the requirement of §C of this regulation; and

(5) On or before January 31 of each year, publish a report summarizing the information obtained from the Reportable Incident Report Forms submitted to the Department related to the use of auto-injectable epinephrine at youth camps.

G. A physician licensed to practice medicine in the State may prescribe auto-injectable epinephrine in the name of a certificate for emergency epinephrine holder.

H. A pharmacist licensed to practice pharmacy in the State or a physician may dispense auto-injectable epinephrine under a prescription issued to a certificate for emergency epinephrine holder.

I. A certificate for emergency epinephrine holder may:

(1) On presentment of a certificate for emergency epinephrine, receive from any physician licensed to practice medicine in the State a prescription for auto-injectable epinephrine; and

(2) Possess and store prescribed auto-injectable epinephrine.

J. In an emergency situation when physician or emergency medical services are not immediately available, a certificate for emergency epinephrine holder or agent may administer auto-injectable epinephrine to an individual who is experiencing or believed in good faith by the certificate for emergency epinephrine holder or agent to be experiencing anaphylaxis.

Md. Code Regs. 10.16.07.15

Regulations .15 adopted effective 43:6 Md. R. 408, eff.3/28/2016