Maryland Code § ED-7-450

Section ED-7-450
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(a) In this section, "seizure action plan" means a written individualized
health plan designed to acknowledge and prepare for the health care needs of a
student diagnosed with a seizure disorder.
(b) (1) Beginning in the 2023-2024 school year, a county board shall
require at least two school personnel at each public school, subject to paragraph (2)
of this subsection, to complete a paid professional development training,
administered online or in-person, in:
(i) Recognizing the signs and symptoms of a seizure;
(ii) Appropriate steps for administering first aid for a seizure;
and
(iii) If written authorization is given by a parent or guardian
under subsection (g) of this section, administering or assisting with the self-
administration of a seizure rescue medication, medication prescribed to treat seizure
disorder symptoms approved by the U.S. Food and Drug Administration, and manual
vagus nerve stimulation.
(2) (i) A school nurse, certified nursing assistant, or certified
medication technician shall serve as one of the trained school personnel required
under paragraph (1) of this subsection.
(ii) An individual who is recommended by the school nurse or
other school health practitioner and who volunteers may serve as one of the trained
school personnel under paragraph (1) of this subsection.
(3) The training required under paragraph (1) of this subsection may
count toward the renewal of a professional certificate issued by the Department.
(c) (1) Beginning in the 2023-2024 school year, a public school shall
require an individual trained under subsection (b) of this section to present, every 2
years, to all school personnel who have direct contact and supervision of students an
abridged version of the best practices for seizure response, based on the school health
services guidelines developed under subsection (d) of this section, including:
(i) Recognizing the signs and symptoms of a seizure; and
(ii) Procedures for notifying the school personnel trained in
administering first aid for a seizure.

(2) School personnel shall attend the presentation required under
paragraph (1) of this subsection during professional development, a preservice
meeting, or a staff meeting.
(3) A county board is encouraged to provide to school bus drivers and
school bus aides:
(i) The presentation required under paragraph (1) of this
subsection during their work hours; or
(ii) The information from the presentation required under
paragraph (1) of this subsection.
(d) The Department and the Maryland Department of Health, in
consultation with the Epilepsy Foundation of America and other interested
stakeholders, shall develop school health services guidelines and a training program
for the school personnel under subsection (b) of this section on the management of a
student diagnosed with a seizure disorder.
(e) (1) Beginning in the 2023-2024 school year, a nonpublic school may
require at least two school personnel to be trained in:
(i) Recognizing the signs and symptoms of a seizure;
(ii) Appropriate steps for administering first aid for a seizure;
and
(iii) Subject to paragraph (3) of this subsection, administering
or assisting with the self-administration of a seizure rescue medication, medication
prescribed to treat seizure disorder symptoms approved by the U.S. Food and Drug
Administration, and manual vagus nerve stimulation.
(2) A school nurse or other school health care practitioner may serve
as one of the trained school personnel required under paragraph (1) of this subsection.
(3) In order to authorize school personnel to administer or assist in
the administration of seizure medication, a nonpublic school shall obtain written
authorization from a parent or guardian in accordance with subsection (g) of this
section.
(f) (1) The parent or guardian of a student diagnosed with a seizure
disorder shall collaborate with school personnel to create a seizure action plan.

(2) The Department, in collaboration with the Maryland Department
of Health, shall ensure:
(i) Health guidelines include seizure first aid procedures; and
(ii) Health plans include seizure action plans.
(3) A copy of a seizure action plan shall be:
(i) Retained in the office of the school nurse or an
administrator; and
(ii) Distributed to any school personnel or volunteer
responsible for the supervision or care of a student diagnosed with a seizure disorder.
(g) (1) The parent or guardian of a student diagnosed with a seizure
disorder shall provide the school with:
(i) A written authorization for a trained school employee to
administer or assist with administering seizure medication at school;
(ii) The prescribed medication in an unopened, sealed package
with the label affixed by the dispensing pharmacy intact; and
(iii) A written statement from the student's health care
practitioner that includes:
1. The student's name;
2. The name and purpose of the medication;
3. The prescribed dosage;
4. The route of administration;
5. The frequency that the medication may be
administered; and
6. The circumstances under which the medication may
be administered.
(2) A written authorization for the administration of a seizure rescue
medication or medication prescribed to treat seizure disorder symptoms shall be:

(i) Effective for the school year in which it is submitted; and
(ii) Renewed each school year if the requirements of this
subsection are fulfilled.
(h) Nothing in this section may be construed to authorize any public school
personnel to administer or assist in self-administration of medication for a seizure,
unless the personnel:
(1) Has completed the paid professional development training under
subsection (b) of this section; and
(2) Is authorized through written authorization under subsection (g)
of this section to administer or assist in self-administration of medication.
(i) Except for any willful or grossly negligent act, an employee or other
school personnel who responds in good faith to a student experiencing a seizure or
seizure disorder symptoms in accordance with this section is immune from civil
liability for any act or omission in the course of responding to the situation.

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