Board adopts policy allowing trained staff to administer stock bronchodilators in schools

The Harford County Board of Education voted Monday to adopt a policy authorizing trained school nurses and designated personnel to administer stock bronchodilators to students who show signs of asthma-related respiratory distress, following 2024 state law.

Director of Health and Wellness Joe Arbert presented the informational report and told the board the proposed policy parallels House Bill 86 passed by the Maryland General Assembly in 2024, which requires county boards to establish availability, training and policies for bronchodilator use in schools. Mary Nasuda, supervisor of pupil services, said the district followed training provided by the Maryland Department of Health and that the local nurse-practice guidelines require either a physician order or use of the health department's medical deputy/health officer protocol.

During the meeting, Nasuda said the district had posted the policy for 30 days of public comment and received one comment seeking more information about training; the district supplied the state training materials in response. After questions, board member Diane moved to approve the policy and Melissa seconded. The board voted in favor and the policy was adopted.

The approved policy allows nurses and trained designated personnel (except for pre-kindergarten students as noted in state guidance) to administer bronchodilators when a student is determined to be, or perceived to be, experiencing asthma-related symptoms or respiratory distress. District staff said the procedure mirrors the state's algorithm and nurse practice guidelines and requires physician orders when applicable.

The policy change implements state law and aims to provide immediate medical support for students showing breathing distress while preserving medical oversight and training requirements.