<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".15" citation="COMAR 10.16.07.15" title_num="10" subtitle_num="16" chapter_num="07" heading="Emergency Epinephrine.">
  <paragraph num="A.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>Is an operator of a youth camp;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is at least 18 years old; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Has successfully completed, at the applicant’s expense, an emergency epinephrine educational training program approved by the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The applicant shall submit to the Department with the form required in §A of this regulation a written policy that includes:</text>
    <paragraph num="(1)">
      <text>Designation of agents;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The name of the approved emergency epinephrine educational training program; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Procedures to:</text>
      <paragraph num="(a)">
        <text>Store emergency use epinephrine;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Notify a parent or guardian that emergency use epinephrine is available at camp;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Maintain the emergency use epinephrine in a secure manner;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Report use of emergency use epinephrine according to Regulation .06 of this chapter;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Train an emergency epinephrine certificate holder and agent annually; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Maintain documentation of an emergency epinephrine certificate holder and agent training for 3 years.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>An application form prescribed by the Department;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A copy of all training program materials, including but not limited to handouts, presentations, and exams; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The following credentials of the instructor:</text>
      <paragraph num="(a)">
        <text>Name;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>License type as required in §E of this regulation; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>License number.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>An emergency epinephrine educational training program shall include:</text>
    <paragraph num="(1)">
      <text>The signs and symptoms of anaphylaxis;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Use of an emergency use epinephrine pen;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Follow-up procedures with a parent or guardian after an emergency use epinephrine is administered;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A skills demonstration; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A written examination.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>An individual teaching an emergency epinephrine educational training program shall be licensed as a physician, a registered nurse, or a certified nurse practitioner.</text>
  </paragraph>
  <paragraph num="F.">
    <text>The Department shall:</text>
    <paragraph num="(1)">
      <text>Issue a certificate for emergency epinephrine to an applicant who meets the requirements in §§A and B of this regulation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Approve an emergency epinephrine educational training program if the training program meets the requirements of §C of this regulation;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Disapprove an emergency epinephrine educational training program if the training program does not meet the requirement of §C of this regulation; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>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 emergency use epinephrine at youth camps.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>A physician licensed to practice medicine in the State may prescribe emergency use epinephrine in the name of a certificate for emergency epinephrine holder.</text>
  </paragraph>
  <paragraph num="H.">
    <text>A pharmacist licensed to practice pharmacy in the State or a physician may dispense emergency use epinephrine under a prescription issued to a certificate for emergency epinephrine holder.</text>
  </paragraph>
  <paragraph num="I.">
    <text>A certificate for emergency epinephrine holder may:</text>
    <paragraph num="(1)">
      <text>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</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Possess and store prescribed auto-injectable epinephrine.</text>
    </paragraph>
  </paragraph>
  <paragraph num="J.">
    <text>In an emergency situation when physician or emergency medical services are not immediately available, a certificate for emergency epinephrine holder or agent may administer emergency use 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.</text>
  </paragraph>
</regulation>