Anaphylaxis Prevention - Procedures - 3417-P
For students with a medically diagnosed life-threatening allergy, the District will take appropriate steps for the student's safety, including implementing a healthcare plan.
- Parent/Guardian Responsibility Prior to enrolling a student, the parent/guardian will inform the school in writing of the medically diagnosed allergy(ies) and risk of anaphylaxis. Upon receiving the diagnosis, the school nurse will work with the parent/guardian to develop a healthcare plan. A healthcare plan will be developed for each student with a medically diagnosed life-threatening allergy. The parents/guardians are responsible for notifying the school if the student's condition changes and for providing the medical treatment order, the auto-injectors and medications.
- Healthcare Plan
The written plan will identify the student's allergies, symptoms of exposure, practical strategies to minimize the risks and how to respond in an emergency.
The principal or school nurse may arrange a meeting (or telephone call) with the parent/guardian prior to the first day of attendance to develop and discuss the healthcare plan.. The plan will be developed by the parent/guardian, school nurse and appropriate school staff. If the licensed healthcare provider's medication orders include self-administration of medications, they will follow the Self-Administration of Asthma and Anaphylaxis Medication in Procedure 3419-P.
Annually and prior to the first day of attendance, the student health file will contain: 1) a completed healthcare plan; 2) a written description of the treatment order, signed by a licensed healthcare provider; and 3) an adequate and current supply of auto-injectors (or other medications).
Students who have a diagnosed life-threatening allergy and no medication or treatment order presented to the school, will be excluded from school to the extent that the District can do so consistent with federal requirements for students with disabilities under the Individuals with Disabilities Act and Section 504 of the Rehabilitation Act of 1973, and pursuant to the following due process requirements:
- Written notice to the parents, guardians or persons in loco parentis is delivered in person or by certified mail.
- Notice of the applicable laws, including a copy of the laws and rules.
- The order that the student will be excluded from school immediately and until medications or a treatment order is available at school or until a licensed healthcare provider declares in writing that there is not a life threatening allergic condition.
- Communications Plan and Responsibility of School Staff
After the healthcare plan is developed, the school nurse will train appropriate staff regarding the affected student and the healthcare plan. The plan will be distributed to appropriate staff and available in the appropriate locations to staff who are responsible for the student throughout the day (this may include class room, office, school bus, lunchroom etc.). With the permission of parents/guardian and the student, (if appropriate), other students and parents may be given information about the student's condition to support the healthcare plan..
- Inservice Training
Annually, each school principal will assure an in-service training on general strategies to minimize exposure and how to respond to an anaphylaxis emergency. The training will include a review of avoidance strategies, recognition of symptoms, the emergency protocols to deal with an anaphylaxis episode and use of an auto injector.
Student specific healthcare plan training will be provided by the school nurse to staff responsible for the student during the school day. This may include teachers, teacher's assistants, clerical staff, food service workers and bus drivers who will have known contact with a diagnosed student.
- Controlling the Exposure to Allergens
Controlling the exposure to allergens requires the cooperation of parents, students, the healthcare community, school employees and the board. The District may inform parents of the presence of a student with life threatening allergies in their child's classroom and/or school and the measures being taken to protect the affected student. Parents may be asked to cooperate and avoid including the allergen in school lunches and snacks or other products. The District will discourage the sharing of food, utensils and containers. The District will take other precautions such as avoiding the use of party balloons or contact with latex gloves. Additionally, play areas may be specified that are lowest risk for the affected student.
The District may also identify high-risk events and areas for students with life-threatening allergies, such as foods and beverages brought to school for seasonal events, school equipment and curricular materials used by large numbers of students (play-dough, stuffed toys, science projects, etc.)
During school-sponsored activities, appropriate staff will be made aware of the identity of the student with life-threatening allergies and the healthcare plan. The school staff will ensure that the auto-injector is brought on field trips.
December 14, 2009