Anaphylaxis in Schools 3rd Edition
Anaphylaxis in Schools 3rd Edition
Anaphylaxis in Schools 3rd Edition
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• A requirement that every school pr<strong>in</strong>cipal:<br />
<br />
<br />
<br />
Ensure that, upon registration, parents, guardians and pupils provide <strong>in</strong>formation on lifethreaten<strong>in</strong>g<br />
allergies.<br />
Develop an <strong>in</strong>dividual plan for each pupil at risk of anaphylaxis which covers risk reduction<br />
strategies and an <strong>Anaphylaxis</strong> Emergency Plan. (The <strong>in</strong>dividual plan will be common for most<br />
pupils at risk where allergies and age levels are similar.)<br />
Ma<strong>in</strong>ta<strong>in</strong> a file for each pupil at risk which <strong>in</strong>cludes proof of diagnosis, current treatment, an<br />
emergency procedure for the pupil, and current contact <strong>in</strong>formation. Proof of diagnosis could be<br />
any of the follow<strong>in</strong>g:<br />
a) <strong>Anaphylaxis</strong> Emergency Plan which has been signed by a physician<br />
b) Written treatment protocol/<strong>in</strong>structions prepared and signed by a physician<br />
c) Copy of a prescription for an ep<strong>in</strong>ephr<strong>in</strong>e auto-<strong>in</strong>jector where available (Note: prescriptions<br />
are kept by pharmacists when an order is filled.)<br />
Appendix J<br />
Note: Some school boards may choose to allow a parent or guardian to note “on file” if a physician’s signature<br />
has already been obta<strong>in</strong>ed (e.g. on previous <strong>Anaphylaxis</strong> Emergency Plan or written <strong>in</strong>structions about<br />
treatment protocol), if there has been no change <strong>in</strong> the child’s condition or treatment strategy. The document<br />
with the physician’s signature should be kept <strong>in</strong> the pupil’s file for future reference.<br />
• General strategies that reduce the risk of exposure to allergenic substances <strong>in</strong> classrooms and<br />
common school areas:<br />
<br />
<br />
Responsibilities should be def<strong>in</strong>ed for: school board, pr<strong>in</strong>cipals, nurses, parents, pupils, school<br />
employees, foodservice employees, bus drivers, and volunteers.<br />
Some school boards ask bus companies to re<strong>in</strong>force a ‘no eat<strong>in</strong>g’ rule on the bus dur<strong>in</strong>g daily<br />
travel. With proper education and plann<strong>in</strong>g, eat<strong>in</strong>g on the bus can be allowed for longer trips.<br />
• Medical forms and medication:<br />
<br />
<br />
<strong>Anaphylaxis</strong> Emergency Plan (form with photo identification, specific details about pupil’s<br />
allergies, and emergency contact <strong>in</strong>formation)<br />
Requirements for the location of medications to treat anaphylaxis (i.e. ep<strong>in</strong>ephr<strong>in</strong>e auto-<strong>in</strong>jectors)<br />
• A requirement that every school pr<strong>in</strong>cipal arrange for regular tra<strong>in</strong><strong>in</strong>g (annually at a m<strong>in</strong>imum) for all<br />
employees and others who are <strong>in</strong> contact with pupils at risk of anaphylaxis. “Others” may <strong>in</strong>clude<br />
service providers such as foodservice staff and bus drivers, who are typically not employees of a<br />
board, volunteers and lunchroom supervisors. (One board stipulates <strong>in</strong> its Request for Proposals<br />
that bus companies provide safety tra<strong>in</strong><strong>in</strong>g for their drivers, <strong>in</strong>clud<strong>in</strong>g tra<strong>in</strong><strong>in</strong>g <strong>in</strong> the use of an<br />
ep<strong>in</strong>ephr<strong>in</strong>e auto-<strong>in</strong>jector <strong>in</strong> addition to basic first aid.)<br />
• General guidel<strong>in</strong>es for respond<strong>in</strong>g <strong>in</strong> an emergency situation.<br />
• A communication plan for the dissem<strong>in</strong>ation of <strong>in</strong>formation on life-threaten<strong>in</strong>g allergies to parents,<br />
pupils and employees.<br />
<strong>Anaphylaxis</strong> <strong>in</strong> <strong>Schools</strong> & Other Sett<strong>in</strong>gs<br />
Copyright © 2005-2014 Canadian Society of Allergy and Cl<strong>in</strong>ical Immunology<br />
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