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Code · Kentucky · Kentucky Revised Statutes

311.646 Prescription injectable epinephrine auto-injectors and bronchodilator

469 words·~2 min read·/ky/311-646

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rescue inhalers.
(1)A health-care practitioner may prescribe injectable epinephrine devices and
bronchodilator rescue inhalers in the name of an authorized entity or to a certified
individual for use in accordance with this section.
(2)A pharmacist may dispense injectable epinephrine devices and bronchodilator
rescue inhalers pursuant to a prescription issued in the name of an authorized entity
or to a certified individual.
(3)The Department for Public Health, the Kentucky Board of Medical Licensure, the
Kentucky Board of Nursing, the American Red Cross, or other training programs
approved by the Department for Public Health may conduct in-person or on-line
training for administering lifesaving treatment to persons believed in good faith to
be experiencing severe allergic reactions and asthma symptoms or respiratory
distress and issue a certificate of training to persons completing the training. The
training shall include instructions for recognizing the symptoms of anaphylaxis and
asthma and administering an injectable epinephrine device or a bronchodilator
rescue inhaler.
(4)An individual who has a certificate issued under this section may:
(a)Receive a prescription for injectable epinephrine devices and bronchodilator
rescue inhalers from a health-care practitioner;
(b)Possess prescribed injectable epinephrine devices and bronchodilator rescue
inhalers; and
(c)In an emergency situation when a physician is not immediately available and
the certified individual in good faith believes a person is experiencing a severe
allergic reaction, asthma symptoms, or respiratory distress regardless of
whether the person has a prescription for an injectable epinephrine device or a
bronchodilator rescue inhaler or has previously been diagnosed with an allergy
or asthma:
1. Administer an injectable epinephrine device or a bronchodilator rescue
inhaler to the person; and
2. Provide an injectable epinephrine device or a bronchodilator rescue
inhaler to the person for immediate self-administration.
(5)An authorized entity that acquires and stocks a supply of injectable epinephrine
devices or bronchodilator rescue inhalers with a valid prescription shall:
(a)Store the injectable epinephrine devices and bronchodilator rescue inhalers in
accordance with manufacturer's instructions and with any additional
requirements established by the department; and
(b)Designate an employee or agent who holds a certificate issued under this
section to be responsible for the storage, maintenance, and general oversight
of injectable epinephrine devices and bronchodilator rescue inhalers acquired
by the authorized entity.
(6)Any individual or entity who administers or provides an injectable epinephrine
device to a person who is experiencing a severe allergic reaction shall contact the
local emergency medical services system as soon as possible.
(7)Any individual or entity who acquires and stocks a supply of injectable epinephrine
devices in accordance with this section shall notify an agent of the local emergency
medical services system and the local emergency communications or vehicle
dispatch center of the existence, location, and type of the injectable epinephrine
devices acquired if a severe allergic reaction has occurred.
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