General strategies needed for ALL students and staff with KNOWN OR UNKNOWN allergies
- Supportive District Policy on Food Allergy Management in the School Setting
- School Physician Prescription and Standing Medical Orders for Non-Patient Specific Epinephrine
- Full time school nurse
- Annual universal staff training in allergy recognition and anaphylaxis rescue
- Emergency protocols for crisis intervention to medical emergencies, including anaphylaxis, familiar to all staff
- Periodic crisis team training drills in crisis management, including anaphylaxis
- One-on-one training in use of epinephrine auto-injector for identified staff*
- Communication devices to contact school nurse and 911 for transport by ambulance to ED
Child-Specific strategies needed for those with KNOWN history of food allergy
- Food Allergy Emergency Care Plan
- Updated, reviewed, accessible
- With parent understanding to be shared with all responsible for students care
- Identification of students with life threatening allergies on a need to know basis
- Child specific auto-injectors (enough for second available dose) provided by family
- Kept in an accessible but secure location
- Delegate training*
- Non-licensed staff trained to recognize signs/symptoms of anaphylaxis and administer auto-injector when school nurse is not immediately available
Non-child specific strategies needed for those with UNKNOWN history or 1st time food allergy
- Full time school nurse
- In most states currently only licensed professionals can administer epinephrine to those experiencing anaphylaxis without a prior known allergy*
- Standing epinephrine orders*
- Stock epinephrine*
- 911 transport to Emergency Department
- Kept in an accessible but secure location
*Regulations and guidance will vary state by state. Confirm that school practices conform with state and local regulations and guidance.
