005.28.20 Ark. Code R. § 021 Rules Governing the Administration of Insulin and Glucagon to Arkansas Public School Students Diagnosed With Diabetes

LibraryArkansas Administrative Code
Edition2023
CurrencyCurrent through Register Vol. 48, No. 12, December, 2023
Year2023
Citation005.28.20 Ark. Code R. § 021

ARKANSAS DEPARTMENT OF EDUCATION DIVISION OF ELEMENTARY AND SECONDARY EDUCATION AND ARKANSAS STATE BOARD OF NURSING RULES GOVERNING THE ADMINISTRATION OF INSULIN AND GLUCAGON TO ARKANSAS PUBLIC SCHOOL STUDENTS DIAGNOSED WITH DIABETES

October 2, 2020

1.00 REGULATORY AUTHORITY

    1.01 These rules shall be known as the Arkansas Department of Education Division of Elementary and Secondary Education and Arkansas State Board of Nursing Rules Governing the Administration of Insulin and Glucagon to Arkansas Public School Students Diagnosed with Diabetes.
    1.02 These rules are enacted pursuant to the Arkansas State Board of Education's authority under Ark. Code Ann. §§ 6-11-105, 6-18-711, 17-87-103 and 25-15-201 et seq.
    1.03 These rules are enacted pursuant to the Arkansas State Board of Nursing's authority under Ark. Code Ann. §§ 6-18-711, 17-87-203, 17-87-103 and 25-15-201 et seq.

2.00 PURPOSE

    2.01 The purpose of these rules is to set forth protocols and procedures for the administration of insulin and glucagon by trained volunteer school personnel to Arkansas public school students diagnosed with diabetes.

3.00 DEFINITIONS

    3.01 "Diabetes" - a group of metabolic disorders characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both.
    3.02 "Emergency Situation" - circumstance in which students with low blood glucose cannot be treated with a glucose-containing substance by mouth because the student has an altered mental state, is having a seizure^ or has high blood glucose requiring emergency administration of insulin to prevent complications.
    3.03 "Glucagon" - an injectable hormone prescribed by a licensed healthcare practitioner that stimulates the release of glucose in the blood. Glucagon is dispensed as a "Glucagon Emergency Kit" or a "Glucagon Emergency Kit for Low Blood Sugar."
    3.04 "Insulin" - a hormone that regulates the metabolism of glucose and other nutrients. It is generally given by injection or through a subcutaneous insulin delivery system. It is prescribed by a licensed healthcare practitioner.
    3.05 "Licensed Healthcare Practitioner" - includes, but is not limited to, Medical Doctors, Doctor of Osteopathy Advanced Practice Registered Nurse with prescriptive authority, and Registered Nurse Practitioners, or Physician Assistants who work under physician-approved protocols.
    3.06 "Licensed School Nurse Employed by a School District" - those nurses employed by an Arkansas public school district or open-enrollment public charter school who hold the following licenses or certificate:3.06.1 Registered Nurse (RN); 3.06.2 Advanced Practice Registered Nurse (APRN); or 3.06.3 Diabetes Nurse Educator. 3.06.4 This definition does not include License Practical Nurses (LPNs). LPNs may assist in the provision of training under these rules. However, training under these rules must be performed by Registered Nurses, Advance Practice Registered Nurses or Diabetes Nurse Educators.
    3.07 "Non-scheduled dose of insulin" - an additional or corrective dose of insulin to treat hyperglycemia or to cover a rise in blood glucose levels.
    3.08 "Other Healthcare Professional" - includes the following: 3.08.1 Registered Nurse (RN); 3.08.2 Advanced Practice Registered Nurse (APRN); 3.08.3 Diabetes Nurse Educator; 3.08.4 Medical Doctor (MD); 3.08.5 Registered Nurse Practitioner; 3.08.6 Doctor of Osteopathy; 3.08.7 Physician Assistant; 3....

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