KRS 311.646: Prescription injectable epinephrine auto -injectors and bronchodilator

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 fo r 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 immedia tely 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 re scue

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 epinephri ne 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, locatio n, and type of the injectable epinephrine

devices acquired if a severe allergic reaction has occurred.