Administration of Epinephrine



Authorized Health-care Provider


Epinephrine Auto-Injector

Unassigned Epinephrine Auto-Injector

Policy Permitted


  1. A designated campus department to coordinate and manage policy implementation that includes:
    1. Conducting an assessment;
    2. Training of institution personnel;
    3. Acquiring or purchasing, storing, and using unassigned epinephrine auto-injectors; and
    4. Disposing of expired unassigned epinephrine auto-injectors;
  2. Personnel who can be trained to administer unassigned epinephrine auto-injectors;
  3. Locations of unassigned epinephrine auto-injectors;
  4. Procedures for notifying local emergency medical services when a person is suspected of experiencing anaphylaxis and when an epinephrine auto-injector is administered; and
  5. A plan to replace, as soon as reasonably possible, any unassigned epinephrine auto-injector that is used or close to expiration.

Submission to DSHS


Availability of Epinephrine Auto-Injectors


  1. Consultation with campus police, office of risk management, office of food services, office of housing, office of health services, or any department involved with student well-being;
  2. Campus geography, including high risk areas; and
  3. Student population size.



  1. The age of the person who received the administration of the epinephrine auto-injector;
  2. Whether the person who received the administration of the epinephrine auto-injector was a student, a personnel member, or a visitor;
  3. The physical location where the epinephrine auto-injector was administered;
  4. The number of doses of epinephrine auto-injector administered;
  5. The title of the person who administered the epinephrine auto-injector; and
  6. Any other information required by the commissioner of state health services.

Employee Training

  1. Include information on:
    1. Recognizing the signs and symptoms of anaphylaxis;
    2. Administering an epinephrine auto-injector;
    3. Implementing emergency procedures, if necessary, after administering an epinephrine auto-injector; and
    4. Properly disposing of used or expired epinephrine auto-injectors; and
  2. Be provided in a formal training session or through online education and be completed annually.



Immunity from Discipline

  1. Issuing an order for epinephrine auto-injectors;
  2. Supervising or delegating the administration of an epinephrine auto-injector;
  3. Possessing an epinephrine auto-injector;
  4. Maintaining an epinephrine auto-injector;
  5. Storing an epinephrine auto-injector;
  6. Disposing of an epinephrine auto-injector;
  7. Prescribing an epinephrine auto-injector;
  8. Dispensing an epinephrine auto-injector;
  9. Administering, or assisting in administering, an epinephrine auto-injector;
  10. Providing, or assisting in providing, training, consultation, or advice in the development, adoption, or implementation of policies, guidelines, rules, or plans; or
  11. Undertaking any other act permitted or required under Subchapter Y-1.

Records Retention

Automated External Defibrillator

  1. Has received approval from the U.S. Food and Drug Administration (FDA) of its premarket notification filed under 21 U.S.C. 360(k);
  2. Is capable of recognizing the presence or absence of ventricular fibrillation or rapid ventricular tachycardia and is capable of determining, without interpretation of cardiac rhythm by an operator, whether defibrillation should be performed; and
  3. On determining that defibrillation should be performed, automatically charges and requests delivery of an electrical impulse to an individual's heart.

Notice of Acquisition

Notice of Use

Maintenance and Inspection

  1. Maintain and test the automated external defibrillator according to the manufacturer's guidelines; and
  2. Conduct a monthly inspection to verify the automated external defibrillator is placed at its designated location, reasonably appears to be ready for use, and does not reasonably appear to be damaged in a manner that could prevent operation.

Alvin Community College



DATE ISSUED: 11/22/2021