permit a school district to administer epinephrine using a nasal spray.

Schools can use nasal spray for allergies

South Dakota schools can stock epinephrine nasal spray or auto-injectors for severe allergic emergencies; stocking is optional. An authorized health care provider must prescribe the stock, but other state pharmacy prescription requirements do not apply. With school governing-body approval, a nurse or designated staff member can give either form under a student's prescription on file. They can also follow a provider's standing emergency plan during school hours when they reasonably believe a student has anaphylaxis—a severe allergic reaction. That emergency use does not require the student to have a prescription or a diagnosed allergy. Every school must set use and storage rules and notify parents or guardians. Before giving epinephrine, designated staff must receive training from a licensed health care professional on recognizing reactions, administration, storage, emergency care, and aftercare. The law protects districts, administrators, school boards, nurses, designated staff, prescribing providers, and trainers from liability for ordinary negligence involving administration, self-administration, or failure to administer epinephrine. It does not protect gross, willful, or wanton negligence. These protections add to other available immunity, and administering epinephrine under these rules does not count as practicing medicine.