Policy

Purpose

The Eastern North Carolina School for the Deaf (ENCSD) Board of Trustees recognizes the importance of maintaining high standards of conduct and performance among classified personnel, while also ensuring that employees are treated fairly and in accordance with state law.  This policy establishes procedures for the suspension and dismissal of classified personnel in compliance with applicable legal requirements and best practices for K-12 residential schools serving students who are deaf and hard of hearing.

Policy Statement

Classified personnel employed by ENCSD may be suspended or dismissed for just cause, consistent with North Carolina law, applicable employment contracts, and the personnel policies of ENCSD.  The Superintendent is responsible for recommending suspension or dismissal actions to the Board, except as provided by law or policy.

The Board is committed to ensuring that all suspension and dismissal actions are conducted fairly, provide due process, and provide the rights of employees while maintaining safety, welfare, and educational mission of the school.

Definitions

• Classified Personnel: Employees of ENCSD, who are not certified teaching personnel, including administrative support, operations, maintenance, and other non-certified staff.
• Suspension: A temporary removal of an employee from duties, with or without pay, pending investigation, disciplinary action, or other administrative process.
• Dismissal: The permanent termination of employment by the Board of Trustees.
• Just Cause: A legitimate and substantiated reason for suspension or dismissal, which may include, but is not limited to:
  • Neglect of duties
  • Insubordination
  • Misconduct
  • Violation of school policies or procedures
  • Actions that endanger students, staff, or the school community

Suspension Procedures

1. Initiation: The Superintendent or designee may suspend classified personnel with or without pay when circumstances warrant, such as to ensure the safety of students or staff or to allow time for investigation.
2. Notification: Written notice of suspension will be provided to the employee, including:
   • Reason for suspension
   • Effective dates
   • Conditions of suspension (with or without pay)
3. Investigation: The Superintendent will conduct an investigation if necessary to determine whether further disciplinary action, including dismissal, is warranted.

Dismissal Procedures

1. Recommendation

The Superintendent may recommend dismissal to the Board of Trustees after investigation and review.

2. Notice of Proposed Dismissal

Written notice of proposed dismissal will be provided to the employee, including:

• Specific reasons for dismissal
  • Reference to policies or rules allegedly violated
  • Information on the employee's right to respond or appeal

3. Due Process

Classified personnel are entitled to due process in accordance with North Carolina law, which may include:

• Opportunity to present a written or oral response
  • Hearing before the Board or an appointed hearing officer if requested

4. Board Action

The Board of Trustees will review the recommendation and any response from the employee before taking final action.  Dismissal decisions will be made ay majority vote and documented in the official Board minutes.

Appeals

Classified personnel may appeal suspension or dismissal actions in accordance with applicable law, Board policy, or personnel procedures established by ENCSD.

Legal References

• N.C. Gen. Stat. §115C-325 (Suspension and Dismissal of Classified Employees)
• N.C. Gen. Stat. §115C-36 (Duties and Powers of the Local Superintendent)

ENCSD Personnel Policies

Purpose

The Eastern North Carolina School for the Deaf (ENCSD) Board of Trustees recognizes the importance of maintaining accurate, complete, and confidential personnel records for all employees.  This policy establishes standards for the management, access, and retention of personnel files in a manner consistent with North Carolina law and best practices for K-12 residential school serving students who are deaf and hard of hearing.

Policy Statement

ENCSD shall maintain personnel files for all employees in a secure and confidential manner.  These files are the property of the school and are maintained to support employment decisions, documentation of qualifications, performance evaluations, compliance with legal requirements, and protection of the school and its students.

Access to personnel files shall be limited to authorized individuals, and all information contained in these files shall be managed in accordance with federal and state laws, including privacy and records retention requirements.

File Contents

Personnel files may include:

• Employment applications and resumes
• Offer letters, contracts, and related documentation
• Verification of qualifications and certifications
• Performance evaluations and professional development records
• Records of disciplinary actions, suspensions, or terminations
• Leave requests and documentation
• Criminal history or background check results, if required by law
• Other records deemed necessary by the HR director or Board for employment purposes

Access to Personnel Files

1. Employee Access
   • Employees may request to review their own personnel file.
   • Requests should be submitted in wiring to the HR Director, who will provide access in a reasonable timeframe.
   • Employees may not remove documents from the file but may request copies of documents or submit a written response to any materials contained herein.
2. Authorized Access
   • Authorized personnel may access files only for legitimate school business purposes.
   • Confidentiality must be maintained, and information may not be disclosed to unauthorized individuals.
3. Board Access
   • Members of the Board of Trustees may access personnel files as necessary to fulfill their governance responsibilities, including matters relating to hiring, evaluation, discipline, or termination.

Confidentiality

Personnel files are confidential and shall not be disclosed except as required by law, Board policy, or with the written consent of the employee. Special care must be taken to protect sensitive information such as:

• Social Security numbers
• Medical information
• Criminal background check results
• Personnel disciplinary records

Retention and Maintenance

1. File Security
   • Personnel files shall be stored securely in locked cabinets on in a secure electronic system.
   • Only authorized personnel shall have access.
2. Retention Schedule
   • Personnel records shall be retained and disposed of in accordance with state law, North Carolina Department of Public Instruction guidance, and ENCSD record retention schedules.
3. Record Updates
   • The HR Director is responsible for ensuring that personnel files are accurate, complete, and updated as necessary.

Legal References

• N.C. Gen. Stat. §115C-319 (Personnel Records)
• N.C. Gen. Stat. §132-1 et seq. (Public Records Law)
• Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. §1232g

North Carolina Department of Public Instruction Personnel Records Guidance

Purpose

The Eastern North Carolina School for the Deaf (ENCSD) Board of Trustees is committed to recruiting and selecting highly qualified personnel to support the academic, residential, and operational needs of its K-12 residential school for students who are Deaf and hard of hearing. This policy establishes procedures for recruitment, selection, and background screening to ensure a safe, effective, and legally compliant workforce.

Policy Statement

ENCSD will recruit and select personnel based on qualifications, experience, and the ability to meet the needs of students and the school.  All offers of employment are contingent upon the successful completion of a criminal history background check and other pre-employment screening required by law or Board policy.

The HR Director, as a direct report to the Board of Trustees, is responsible for overseeing recruitment, selection, and criminal history checks, ensuring that all hiring decisions comply with applicable law and ENCSD policies.  The HR director will keep the Board informed of recruitment efforts and any significant staffing matters.

Recruitment and Selection Procedures

1. Vacancy Announcements
   • All vacancies shall be publicly posted to ensure broad access to qualified candidates.
   • Announcements will include the job description, qualifications, application procedures, and any special requirements.
2. Application Review and Screening
   • The HR Director or designee shall review applications to ensure minimum qualifications are met.
   • Candidates may be screened through interviews, reference checks, and skills assessments as appropriate.
3. Selection
   • The HR Director, in consultation with relevant school administrators, will recommend the most qualified candidates to the Superintendent for final approval before going to the Board.
   • Selection decisions shall be based on merit, experience, qualifications, and the ability to meet the needs of ENCSD students.

Criminal History Check

1. Requirement
   • All applicants offered employment must undergo a criminal history check through the FBI and SBI, consistent with North Carolina law and Board policy.
   • Offers of employment are contingent upon satisfactory completion of these checks.
2. Review of Results
   • The HR Director will review criminal history results to determine employment eligibility.
   • Convictions, charges, or other information that may indicate unsuitability to work with students must be carefully evaluated in accordance with law.
3. Confidentiality
   • Criminal history results are confidential and will be shared only with personnel responsible for making employment decisions, under the oversight of the HR Director.

Special Considerations for ENCSD

Because ENCSD serves students who are deaf and hard of hearing in a residential setting:

• All personnel must demonstrate the ability to work safely and effectively with students in both academic and residential environments.
• Additional screening, training, or certification may be required for staff working directly with residential students.

Legal References

• N.C. Gen. Stat. §115C-325 (Suspension and Dismissal of School Employees)
• N.C. Gen. Stat. §115C-332 (Employment Background Checks)
• N.C. Gen. Stat. §115C-307 (Criminal Record Checks for School Employees)
• Federal Bureau of Investigation (FBI) Criminal Background Check Regulations
• State Bureau of Investigation (SBI) Criminal Background Check Regulations

Purpose

The Eastern North Carolina School for the Deaf (ENCSD) is committed to maintaining a safe and healthy educational environment for students, staff, and visitors.  Because employees work in close contact with students in both educational and residential settings, the school must take appropriate measures to prevent the spread of communicable diseases while also protecting the rights and privacy of employees.

This policy establishes guidelines for the prevention, reporting, and management of communicable diseases among employees in accordance with applicable federal and state laws and public health guidance.

Definitions

For the purposes of this policy, the following definitions apply:

• Communicable Disease: An illness caused by an infectious agent or its toxic products that can be transmitted directly or indirectly.
• Direct Threat: A significant risk of substantial harm to the health and safety of others that cannot be eliminated or reduced through reasonable accommodations or protective measures.
• Universal Precautions: An infection control approach that treats all blood and certain body fluids as if they are known to be infectious and requires the use of appropriate protective measures. 

I. Prevention and Infection Control

ENCSD will implement appropriate health and safety practices to reduce the risk of transmission of communicable diseases in school and residential settings.  Employees are expected to follow established health and safety procedures, including:

• Practicing proper hand hygiene
• Following universal precautions when exposure to blood or bodily fluids may occur
• Using appropriate personal protective equipment when necessary
• Following sanitation and cleaning procedures established by the school
• Complying with health directives issued by public health authorities

The Superintendent or designee may implement additional infection prevention measures when necessary to protect the health and safety of the school community.

II. Employee Illness and Reporting

Employees who have a communicable disease that may pose a risk of transmission to others should notify their supervisor or the appropriate administrator as soon as reasonably practicable, consistent with applicable laws and confidentiality requirements.

Employees who exhibit symptoms of a communicable disease that may endanger the health of others may be required to leave the workplace and seek medical evaluation before returning to work.

In situations involving diseases designated as reportable under state law, the school will cooperate with the local health department in accordance with public health requirements.

III. Work Restrictions and Return to Work

An employee with a communicable disease may be excluded from the workplace if necessary to prevent a direct threat to the health and safety of students or staff.

Decisions regarding work restrictions or return to work will be based on:

• Guidance from healthcare providers
• Recommendations from the local health department or public health authorities
• Applicable federal and state laws and regulations
• The employee’s ability to perform essential job duties safely

When appropriate, the school may consider reasonable accommodations consistent with applicable law.

IV. Confidentiality

Information regarding an employee’s medical condition or communicable disease status will be treated as confidential and handled in accordance with federal and state privacy laws.

Medical information will be shared only with individuals who have legitimate need to know in order to protect health and safety of the school community or to comply with legal requirements.

V. Nondiscrimination

Employees with communicable diseases will not be discriminated against solely because of their medical condition.  Decisions regarding employment status will be made in accordance with applicable laws including disability and nondiscrimination protections.

Employees may continue to work as long as they are able to perform the essential functions of their job and their condition does not pose a direct threat to others that cannot be mitigated through reasonable measures.

VI. Coordination with Public Health Authorities

ENCSD will cooperate with the local health department and other public health authorities in the prevention, control, and investigation of communicable diseases.

When required by law or public health guidance, the school may:

• Report certain communicable diseases
• Assist with contact tracing or exposure notification as required
• Implement recommended health and safety measures

Legal References

• Americans with Disabilities Act, 42 U.S.C. §12101 et seq.
• Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. §794
• Occupational Safety and Health Act, 29 U.S.C. §651 et seq.
• 29 C.F.R. §1910.1030 (Bloodborne Pathogens Standard)
• Family and Medical Leave Act, 29 U.S.C. §2601 et seq.
• N.C. Gen. Stat. §§130A-135 through 130A-144
• 10A N.C.A.C. 41A (Communicable Disease Control Measures)

This policy shall be reviewed and updated periodically to ensure continued compliance with all applicable laws, regulations, and best practices for serving deaf and hard of hearing students.

Purpose

The Eastern North Carolina School for the Deaf (ENCSD) is committed to maintaining a safe and healthy educational environment for students, staff, and visitors.  Employees of the school may occasionally encounter blood or other potentially infectious materials while performing their duties.

This policy establishes procedures to reduce or eliminate occupational exposure to bloodborne pathogens and to ensure compliance with applicable federal and state regulations, including the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard.  The school will take appropriate steps to protect employees from exposure to infectious materials that may cause disease or serious health conditions.

Definitions

For the purposes of this policy, the following definitions apply:

• Bloodborne Pathogens: Pathogenic microorganisms that are present in human blood and can cause disease in humans.  Examples include, but are not limited to, hepatitis B virus (HBV), hepatitis C virus (HVC), and human immunodeficiency virus (HIV).
• Occupational Exposure: Reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may occur as a result of an employee’s assigned job duties.
• Exposure Incident: A specific eye, mouth, mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that occurs during the performance of an employee’s duties.
• Other Potentially Infectious Materials (OPIM): Human body fluids or materials that may contain bloodborne pathogens, including fluids visibly contaminated with blood.
• Universal Precautions: An infection control approach that treats all blood and certain body fluids as if they are known to be infectious and requires the use of appropriate protective measures. 

I. Employees with Reasonably Anticipated Occupational Exposure

Employees whose job duties may reasonably result in contact with blood or other potentially infectious materials are covered under the OSHA Bloodborne Pathogens Standard and this policy.  Such employees may include, but are not limited to:

• School nurses and health services staff
• Residential life staff and supervisors
• Athletic staff and coaches
• Custodial and maintenance personnel
• Staff trained to administer first aid or emergency medical response

Incidental contact resulting from voluntary assistance, such as “Good Samaritan” acts, does not generally constitute reasonably anticipated occupational exposure.

II. Universal Precautions

ENCSD will enforce universal precautions at all times.  All blood and body fluids shall be treated as if they are infectious.

Employees must follow appropriate infection control procedures, including:

• Using appropriate personal protective equipment (PPE) such as gloves or protective barriers when exposure is possible.
• Practicing proper hand hygiene.
• Properly disposing of contaminated materials.
• Following approved cleaning and sanitation procedures.

III. Exposure Control Plan

The Superintendent or designee shall develop and maintain a written Exposure Control Plan designed to eliminate or minimize occupational exposure.

At a minimum, the plan will include:

1. Identification of employee classifications and tasks with potential exposure risk.
2. Implementation of engineering controls and safe work practices.
3. Availability and proper use of protective equipment.
4. Procedures for reporting and responding to exposure incidents.
5. Post-exposure medical evaluation and follow-up procedures.
6. Hepatitis B vaccination availability for eligible employees.
7. Employee training and communication procedures.
8. Recordkeeping requirements.

The Exposure Control Plan will be reviewed and updated at least annually and whenever necessary to reflect changes in procedures, technology, or job duties.

IV. Employee Training

Employees identified as having occupational exposure risk shall receive training consistent with OSHA requirements:

Training will include, at a minimum:

• Information about bloodborne pathogens and methods of transmission
• Recognition of tasks that may involve exposure
• Proper use of personal protective equipment
• Procedures for handling contaminated materials
• Steps to take following an exposure incident
• Location and contents of the Exposure Control Plan

Training shall occur:

• At the time of initial job assignment, and
• At least annually thereafter.

V. Hepatitis B Vaccination

Employees with occupational exposure risk will be offered the Hepatitis B vaccination series at no cost, in accordance with federal and state health and safety requirements.

Employees who decline vaccination must sign a declination statement as required by OSHA but may later request vaccination if still eligible.

VI. Exposure Incidents and Post-Exposure Evaluation

Any employee who experiences a suspected exposure incident must report the incident immediately to their supervisor or the appropriate administrator.

The school will ensure prompt medical evaluation and follow-up, which may include:

• Documentation of the exposure incident
• Identification and testing of the source individual when permitted by law
• Confidential medical evaluation
• Post-exposure prophylaxis when medically indicated
• Counseling and follow-up testing as recommended by healthcare professionals

All medical information will be handled in accordance with confidentiality requirements under applicable laws and regulations.

VII. Nondiscrimination

ENCSD will not discriminate against any employee who has or is suspected of having communicable disease, including HIV or hepatitis, in accordance with federal and state nondiscrimination laws.

An employee may continue to work as long as they are able to perform the essential functions of their job and their condition does not pose a direct threat to the health or safety of others.

Legal References

• Occupational Safety and Health Act, 29 U.S.C. §651 et seq.
• OSHA Bloodborne Pathogens Standard, 29 C.F.R. §1910.1030
• N.C. Gen. Stat. Chapter 95, Article 16
• 13 N.C.A.C. 7F .0207
• 10A N.C.A.C. 41A .0202 and .0203

This policy shall be reviewed and updated periodically to ensure continued compliance with all applicable laws, regulations, and best practices for serving deaf and hard of hearing students.

Purpose

The Eastern North Carolina School for the Deaf (ENCSD) Board of Trustees recognizes that safe, reliable, and efficient transportation is essential for students, staff, and school operations.  This policy establishes standards and procedures for contracting transportation services and vehicles, ensuring compliance with state and federal regulations while meeting the unique needs of a K-12 residential school serving students who are deaf and hard of hearing.

Policy Statement

All transportation services and vehicle contracts entered into by ENCSD shall prioritize safety, reliability, and cost-effectiveness.  Contracts must comply with applicable federal and state laws, including regulations of the North Carolina Department of Public Instruction and the North Carolina Department of Transportation, and must ensure that drivers and vehicles meet required safety and training standards.

The Superintendent or designee is responsible for negotiating, executing, and monitoring all transportation service contracts and ensuring that contracted providers understand and meet ENCSD’s requirements for transporting students safely and responsibly.

Definitions

• Transportation Service: Services provided to transport students, staff, or school-related personnel, including regular routes, field trips, athletic events, and special needs transportation.
• Vehicle Contract: A formal agreement between ENCSD and a vendor or provider for the use, lease, or operation of vehicles to provide transportation services.
• Contracted Provider: Any individual, company, or entity that enters into a formal agreement with ENCSD to provide transportation services or vehicles.

Contract Requirements

1. Safety and Compliance
   • All vehicles must meet North Carolina Department of Transportation safety standards and inspection requirements.
   • Drivers must possess required licenses and certifications and comply with all applicable state and federal laws.
   • Providers must maintain required insurance coverage and provide proof of coverage to ENCSD.
2. Accessibility
   • Transportation services must accommodate students with disabilities and special needs in compliance with federal law, including the Americans with Disabilities Act (ADA).
   • Whenever feasible, vehicles and services should meet the communication and mobility needs of students who are deaf and hard of hearing.
3. Contract Provisions
   • Contracts must clearly outline the scope of services, schedules, fees, responsibilities, and duration. 
   • Contracts should include provisions for termination, performance standards, reporting requirements, and compliance with ENCSD policies.
4. Monitoring and Evaluation
   • The Superintendent or designee will monitor provider performance to ensure compliance with contractual obligations, safety standards, and ENCSD expectations.
   • Issues or deficiencies identified in service delivery must be addressed promptly and documented.

Bid and Procurement Requirements

Contracts for transportation services or vehicles shall comply with ENCSD procurement policies and applicable state laws, including competitive bidding procedures when required.  Exceptions may be made for emergency situations or services requiring specialized vehicles, subject to Board approval.

Legal References

• N.C. Gen. Stat. §115C-245 (Transportation of Students)
  • N.C. Gen. Stat. §143-129 (Purchasing and Contracts for Local Agencies)
  • Americans with Disabilities Act, 42 U.S.C. §12101 et seq.
  • North Carolina Department of Public Instruction Transportation Regulations

Purpose

The Eastern North Carolina School for the Deaf (ENCSD) is committed to promoting the health, safety, and well-being of students in order to support academic success and full participation in school and residential life.  This policy establishes guidelines for the provision of student health services in alignment with applicable state and federal laws and existing ENCSD policies related to health, safety, medication administration, and emergency response.

I. Definitions

For the purposes of this policy, the following definitions apply:

• Student Health Services: Health-related services provided by ENCSD to support students’ physical, emotional, and medical needs.
• Qualified Health Personnel: Licensed or trained ENCSD staff, including school nurses, and other designated personnel, authorized to provide health services in accordance with law and ENCSD procedures.
• Individual Health Plan (IHP): A written plan developed for a student with specific medical needs, outline required accommodations, medications, emergency responses, and staff responsibilities.
• Emergency Medical Condition: A condition that poses an immediate risk to life or health and requires prompt medical attention.

II. General Policy

ENCSD shall provide student health services that are safe, effective, and responsive to the needs of Deaf and Hard of Hearing students in an academic and residential setting.  Student health services shall be delivered in coordination with families, medical providers, and residential staff and shall align with related ENCSD policies, including but not limited to emergency medical administration, communicable diseases, student safety, and residential life procedures.

III. Scope of Student Health Services

Student health services at ENCSD may include, but are not limited to:

1. First aid and emergency care
2. Administration of medications in accordance with ENCSD medication policies
3. Management of chronic health conditions
4. Development and implementation of Individual Health Plans (IHPs)
5. Emergency response for allergic reactions, asthma, diabetes, seizures, and other medical conditions
6. Health screenings and referrals as required or appropriate
7. Coordination of care during instructional and residential programming hours

IV. Medication Administration and Emergency Care

1. Medication Administration
   1. Medications shall be administered in accordance with ENCSD policies and administrative procedures governing medication storage, documentation, and parental authorization.
   2. Only qualified health personnel or trained staff authorized under ENCSD policies may administer medications to students.
2. Emergency Medications

Emergency medications, including but not limited to epinephrine auto-injectors, shall be stored and administered in accordance with ENCSD Policy 5024/6127/7266 Emergency Epinephrine and other applicable ENCSD emergency medication policies.

V. Individual Health Plans and Student Accommodations

1. ENCSD shall develop Individual Health Plans for students with identified medical needs that require ongoing monitoring or emergency response.
2. Health plans shall be coordinated with relevant educational, residential, and safety plans, including IEPs, Section 504 plans, and residential support plans when applicable.
3. Reasonable accommodations shall be provided to ensure students’ health needs do not impede access to educational or extra-curricular opportunities.

VI. Residential Program Considerations 

Given ENCSD’s residential program, student health services shall be available during school hours, evenings, overnight periods, weekends (when applicable), and school-sponsored activities.  Health services during residential hours shall be coordinated among health personnel, residential staff, and administrators to ensure continuity of car and timely emergency response.

VII. Parental Communication and Consent

1. Parents/guardians shall be informed of health services provided to their child, including emergency care, medication administration, and changes to health status.
2. Required medical documentation, consent forms, and emergency contact information shall be maintained in accordance with ENCSD procedures and confidentiality requirements.

VIII. Confidentiality

Student health records shall be maintained confidentially and shared only with authorized personnel in accordance with applicable laws, including FERPA and other privacy protections.

IX. Training and Staff Responsibilities

1. ENCSD shall provide appropriate training to staff regarding student health needs, emergency response, and medication administration as required by law and policy.
2. Staff members are expected to comply with all ENCSD health and safety policies and to promptly report health concerns or emergencies.

Legal References

• G.S. § 115C-47 – Powers and duties of local boards of education
• G.S. § 115C-375 – Care of students with special health care needs
• G.S. § 115C-375.1 – Administration of medication to students
• G.S. § 115C-375.2A – Supply of epinephrine auto-injectors
• G.S. § 115C-390.2 – Student discipline policies
• Family Educational Rights and Privacy Act (FERPA)
• Section 504 of the Rehabilitation Act of 1973
• Americans with Disabilities Act (ADA)
• Individuals with Disabilities Education Act (IDEA)
• North Carolina Department of Public Instruction – Student Health Services guidance

Purpose

The Eastern North Carolina School for the Deaf (ENCSD) is committed to ensuring the health and safety of students who may experience anaphylaxis or other severe allergic reactions.  This policy establishes procedures for procurement, storage, administration, and management of epinephrine auto-injectors for use in emergencies during instructional, extracurricular, and residential activities.

Because ENCSD is a residential school, this policy applies to both school and residential settings to ensure rapid response in life-threatening situations.

I. Definitions

For the purposes of this policy, the following definitions apply:

• Anaphylaxis: A severe, potentially life-threatening allergic reaction that can occur rapidly and requires immediate intervention.
• Epinephrine Auto-Injector: A pre-measured, single-use device for the administration of epinephrine in the event of anaphylaxis.
• Student-Specific Epinephrine Order: A written order from a licensed healthcare provider authorizing administration of epinephrine for a particular student.
• Standing Order: A physician authorized order allowing trained school personnel to administer epinephrine to any student exhibiting symptoms of anaphylaxis when a student-specific order is not on file.
• Designated School Personnel – ENCSD staff who are trained and authorized to administer epinephrine under this policy.

II. Policy Statement

ENCSD shall maintain emergency epinephrine auto-injectors on campus for use by trained personnel to respond to students experiencing anaphylaxis.  Administration of epinephrine shall be performed in accordance with student-specific or standing orders, applicable law, and professional standards.

III. Procurement and Storage 

1. Procurement
   1. ENCSD shall maintain a supply of epinephrine auto-injectors for:
      • Students with known severe allergies
      • Emergency use under standing orders
   2. Orders shall be obtained through licensed healthcare providers or pharmacies
2. Storage
   1. Epinephrine shall be stored:
      • In a secure, accessible location known to staff
      • At the temperature range specified by the manufacturer
      • Separated from other medications to ensure immediate access in an emergency
   2. Storage locations shall be clearly labeled and communicated to trained personnel

IV. Administration Procedures

1. Authorization
   1. Epinephrine may be administered:
      • To a student with a student-specific order; or
      • To any student showing signs of anaphylaxis under a standing order
2. Trained Personnel
   1. Only designated personnel who have received training in recognition of anaphylaxis and proper epinephrine administration may administer the medication.
   2. Training shall be updated regularly in accordance with NCDPI and state guidance.
3. Emergency Response
   1. Following administration, staff shall:
      • Call 911 or local EMS immediately
      • Notify the school nurse and parent/guardian
      • Remain with the student until EMS arrives
      • Document the event in accordance with ENCSD procedures

V. Documentation

1. All administrations shall be documented with:
   1. Student name
   2. Date and time of administration
   3. Symptoms observed
   4. Personnel administering medication
2. Documentation shall be maintained in the student’s health record and reported to the parent/guardian.

VI. Residential Program Considerations

Because ENCSD operates a residential program:

• Trained residential staff shall have immediate access to emergency epinephrine auto-injectors
• Protocols shall ensure rapid response to any student experiencing anaphylaxis in residential or after-hours settings.

VII. Liability and Staff Protection

Designated staff acting in good faith under this policy shall be protected from civil liability consistent with state law, including N.C. General Statute § 115C-375.1.

VIII. Confidentiality

Information regarding student allergies and epinephrine administration shall be treated as confidential health information, in compliance with FERPA, HIPPA (as applicable), and state law.

IX. Responsibilities

1. Parents/Guardians
   1. Provide medical documentation of known allergies
   2. Submit student-specific epinephrine orders
   3. Update ENCSD regarding changes in medical status
2. Student Health Center
   1. Maintain inventory and storage of epinephrine
   2. Train and supervise designated personnel
   3. Coordinate with residential staff for emergency preparedness
3. Designated Staff
   1. Administer epinephrine in accordance with policy and training
   2. Notify EMS and parent/guardians
   3. Document all incidents accurately

Legal References

• N.C. Gen. Stat. § 115C-375.1 (Immunity for School Employees)
  • N.C. Gen. Stat. § 90-21.13 (Emergency Medical Care)
    • North Carolina Board of Nursing – Delegation Guidelines
    • Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. § 1232g
    • Individuals with Disabilities Education Act (IDEA), 20 U.S.C. § 1400 et seq.
    • North Carolina Department of Public Instruction (NCDPI) Student Health Services Guidelines

This policy shall be reviewed and updated periodically to ensure continued compliance with all applicable laws, regulations, and best practices for serving deaf and hard of hearing students.

Purpose

The Eastern North Carolina School for the Deaf (ENCSD) is committed to ensuring the health and safety of students who may experience anaphylaxis or other severe allergic reactions.  This policy establishes procedures for procurement, storage, administration, and management of epinephrine auto-injectors for use in emergencies during instructional, extracurricular, and residential activities.

Because ENCSD is a residential school, this policy applies to both school and residential settings to ensure rapid response in life-threatening situations.

I. Definitions

For the purposes of this policy, the following definitions apply:

• Anaphylaxis: A severe, potentially life-threatening allergic reaction that can occur rapidly and requires immediate intervention.
• Epinephrine Auto-Injector: A pre-measured, single-use device for the administration of epinephrine in the event of anaphylaxis.
• Student-Specific Epinephrine Order: A written order from a licensed healthcare provider authorizing administration of epinephrine for a particular student.
• Standing Order: A physician authorized order allowing trained school personnel to administer epinephrine to any student exhibiting symptoms of anaphylaxis when a student-specific order is not on file.
• Designated School Personnel – ENCSD staff who are trained and authorized to administer epinephrine under this policy.

II. Policy Statement

ENCSD shall maintain emergency epinephrine auto-injectors on campus for use by trained personnel to respond to students experiencing anaphylaxis.  Administration of epinephrine shall be performed in accordance with student-specific or standing orders, applicable law, and professional standards.

III. Procurement and Storage 

1. Procurement
   1. ENCSD shall maintain a supply of epinephrine auto-injectors for:
      • Students with known severe allergies
      • Emergency use under standing orders
   2. Orders shall be obtained through licensed healthcare providers or pharmacies
2. Storage
   1. Epinephrine shall be stored:
      • In a secure, accessible location known to staff
      • At the temperature range specified by the manufacturer
      • Separated from other medications to ensure immediate access in an emergency
   2. Storage locations shall be clearly labeled and communicated to trained personnel

IV. Administration Procedures

1. Authorization
   1. Epinephrine may be administered:
      • To a student with a student-specific order; or
      • To any student showing signs of anaphylaxis under a standing order
2. Trained Personnel
   1. Only designated personnel who have received training in recognition of anaphylaxis and proper epinephrine administration may administer the medication.
   2. Training shall be updated regularly in accordance with NCDPI and state guidance.
3. Emergency Response
   1. Following administration, staff shall:
      • Call 911 or local EMS immediately
      • Notify the school nurse and parent/guardian
      • Remain with the student until EMS arrives
      • Document the event in accordance with ENCSD procedures

V. Documentation

1. All administrations shall be documented with:
   1. Student name
   2. Date and time of administration
   3. Symptoms observed
   4. Personnel administering medication
2. Documentation shall be maintained in the student’s health record and reported to the parent/guardian.

VI. Residential Program Considerations

Because ENCSD operates a residential program:

• Trained residential staff shall have immediate access to emergency epinephrine auto-injectors
• Protocols shall ensure rapid response to any student experiencing anaphylaxis in residential or after-hours settings.

VII. Liability and Staff Protection

Designated staff acting in good faith under this policy shall be protected from civil liability consistent with state law, including N.C. General Statute § 115C-375.1.

VIII. Confidentiality

Information regarding student allergies and epinephrine administration shall be treated as confidential health information, in compliance with FERPA, HIPPA (as applicable), and state law.

IX. Responsibilities

1. Parents/Guardians
   1. Provide medical documentation of known allergies
   2. Submit student-specific epinephrine orders
   3. Update ENCSD regarding changes in medical status
2. Student Health Center
   1. Maintain inventory and storage of epinephrine
   2. Train and supervise designated personnel
   3. Coordinate with residential staff for emergency preparedness
3. Designated Staff
   1. Administer epinephrine in accordance with policy and training
   2. Notify EMS and parent/guardians
   3. Document all incidents accurately

Legal References

• N.C. Gen. Stat. § 115C-375.1 (Immunity for School Employees)
  • N.C. Gen. Stat. § 90-21.13 (Emergency Medical Care)
    • North Carolina Board of Nursing – Delegation Guidelines
    • Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. § 1232g
    • Individuals with Disabilities Education Act (IDEA), 20 U.S.C. § 1400 et seq.
    • North Carolina Department of Public Instruction (NCDPI) Student Health Services Guidelines

This policy shall be reviewed and updated periodically to ensure continued compliance with all applicable laws, regulations, and best practices for serving deaf and hard of hearing students.

Purpose

The Eastern North Carolina School for the Deaf (ENCSD) is committed to ensuring the health and safety of students who may experience anaphylaxis or other severe allergic reactions.  This policy establishes procedures for procurement, storage, administration, and management of epinephrine auto-injectors for use in emergencies during instructional, extracurricular, and residential activities.

Because ENCSD is a residential school, this policy applies to both school and residential settings to ensure rapid response in life-threatening situations.

I. Definitions

For the purposes of this policy, the following definitions apply:

• Anaphylaxis: A severe, potentially life-threatening allergic reaction that can occur rapidly and requires immediate intervention.
• Epinephrine Auto-Injector: A pre-measured, single-use device for the administration of epinephrine in the event of anaphylaxis.
• Student-Specific Epinephrine Order: A written order from a licensed healthcare provider authorizing administration of epinephrine for a particular student.
• Standing Order: A physician authorized order allowing trained school personnel to administer epinephrine to any student exhibiting symptoms of anaphylaxis when a student-specific order is not on file.
• Designated School Personnel – ENCSD staff who are trained and authorized to administer epinephrine under this policy.

II. Policy Statement

ENCSD shall maintain emergency epinephrine auto-injectors on campus for use by trained personnel to respond to students experiencing anaphylaxis.  Administration of epinephrine shall be performed in accordance with student-specific or standing orders, applicable law, and professional standards.

III. Procurement and Storage 

1. Procurement
   1. ENCSD shall maintain a supply of epinephrine auto-injectors for:
      • Students with known severe allergies
      • Emergency use under standing orders
   2. Orders shall be obtained through licensed healthcare providers or pharmacies
2. Storage
   1. Epinephrine shall be stored:
      • In a secure, accessible location known to staff
      • At the temperature range specified by the manufacturer
      • Separated from other medications to ensure immediate access in an emergency
   2. Storage locations shall be clearly labeled and communicated to trained personnel

IV. Administration Procedures

1. Authorization
   1. Epinephrine may be administered:
      • To a student with a student-specific order; or
      • To any student showing signs of anaphylaxis under a standing order
2. Trained Personnel
   1. Only designated personnel who have received training in recognition of anaphylaxis and proper epinephrine administration may administer the medication.
   2. Training shall be updated regularly in accordance with NCDPI and state guidance.
3. Emergency Response
   1. Following administration, staff shall:
      • Call 911 or local EMS immediately
      • Notify the school nurse and parent/guardian
      • Remain with the student until EMS arrives
      • Document the event in accordance with ENCSD procedures

V. Documentation

1. All administrations shall be documented with:
   1. Student name
   2. Date and time of administration
   3. Symptoms observed
   4. Personnel administering medication
2. Documentation shall be maintained in the student’s health record and reported to the parent/guardian.

VI. Residential Program Considerations

Because ENCSD operates a residential program:

• Trained residential staff shall have immediate access to emergency epinephrine auto-injectors
• Protocols shall ensure rapid response to any student experiencing anaphylaxis in residential or after-hours settings.

VII. Liability and Staff Protection

Designated staff acting in good faith under this policy shall be protected from civil liability consistent with state law, including N.C. General Statute § 115C-375.1.

VIII. Confidentiality

Information regarding student allergies and epinephrine administration shall be treated as confidential health information, in compliance with FERPA, HIPPA (as applicable), and state law.

IX. Responsibilities

1. Parents/Guardians
   1. Provide medical documentation of known allergies
   2. Submit student-specific epinephrine orders
   3. Update ENCSD regarding changes in medical status
2. Student Health Center
   1. Maintain inventory and storage of epinephrine
   2. Train and supervise designated personnel
   3. Coordinate with residential staff for emergency preparedness
3. Designated Staff
   1. Administer epinephrine in accordance with policy and training
   2. Notify EMS and parent/guardians
   3. Document all incidents accurately

Legal References

• N.C. Gen. Stat. § 115C-375.1 (Immunity for School Employees)
  • N.C. Gen. Stat. § 90-21.13 (Emergency Medical Care)
    • North Carolina Board of Nursing – Delegation Guidelines
    • Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. § 1232g
    • Individuals with Disabilities Education Act (IDEA), 20 U.S.C. § 1400 et seq.
    • North Carolina Department of Public Instruction (NCDPI) Student Health Services Guidelines

This policy shall be reviewed and updated periodically to ensure continued compliance with all applicable laws, regulations, and best practices for serving deaf and hard of hearing students.