Maryland Code § ED-7-426.4

Section ED-7-426.4
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(a) The Department and the Maryland Department of Health jointly shall
establish guidelines for public schools regarding the administration of health care
services to students with diabetes.
(b) The guidelines shall include:
(1) Procedures for treating and administering medication to control
diabetic symptoms;
(2) Procedures for monitoring blood glucose and ketone levels;
(3) A description of parental or caregiver responsibilities in relation
to the care of their child with diabetes, including:
(i) Notifying a school of a child's diabetes diagnosis;
(ii) Providing appropriate medication, delivery devices, and
medical condition indication devices, including Medic Alert bracelets or necklaces;
(iii) Providing parental consent for the administration of
medications; and
(iv) Providing an emergency card for medical emergencies with
up-to-date contact names and telephone numbers;
(4) A description of school responsibilities in relation to the care of a
student with diabetes, including:
(i) Instruction by the school nurse for school health services
personnel, teachers, coaches, transportation personnel, and other appropriate school
personnel, as determined by the school nurse, including instruction on:

1. Recognizing the symptoms of hypoglycemia and
hyperglycemia and the appropriate actions to take to control the symptoms;
2. Administering glucagon in an emergency in
accordance with health care provider orders; and
3. Implementing a student's medical plan and a
student's 504 plan;
(ii) Providing and distributing the required documents for
notification, consent for the administration of medications, medical emergency
contact information, and any other appropriate documents to the appropriate
individuals or entities; and
(iii) Ensuring that appropriate school personnel are available
to administer insulin during the school day and during other school-sponsored events
and activities;
(5) A description of student responsibilities in relation to the
student's diabetes care that are age and clinically appropriate;
(6) Establishing procedures for students who have been determined
by the school nurse to be capable of and responsible for self-management of their
diabetes in accordance with health care provider orders; and
(7) Any other issue that is relevant to the administration of health
care services to students with diabetes.
(c) The Department and the Maryland Department of Health shall:
(1) Provide technical assistance to schools to:
(i) Implement the guidelines established under this section;
and
(ii) Instruct school personnel at the local level regarding the
guidelines established under this section; and
(2) Develop a process to monitor the implementation of the guidelines
established under this section.
(d) (1) An individual who has received instruction to provide diabetes
care services to students in accordance with the guidelines adopted under this section

is not civilly liable for any act or omission in the course of providing diabetes care
services to a student if:
(i) The individual is acting in good faith while providing
diabetes care services to a student who is in need of diabetes care services or to a
student who the individual believes in good faith to be in need of diabetes care
services;
(ii) The diabetes care services are provided in a reasonably
prudent manner; and
(iii) The diabetes care services are provided to the student
without fee or other compensation.
(2) Paragraph (1) of this subsection does not affect, and may not be
construed to affect, any immunities from civil liability or defenses established by any
other provision of law to which an individual may be entitled.

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