HomeMy WebLinkAbout3515 Managing AnaphylaxisSTUDENTS
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Bonneville Joint School District No. 93
MANAGING ANAPHYLAXIS
The Bonneville School District No. 93 Board of Trustees recognizes that the safety of an
anaphylactic child depends on the cooperation of the entire school community to
promote an understanding of the child’s needs, minimize risk of exposure to allergens,
provide guidelines that allow school staff to respond to individual circumstances, and
ensure rapid emergency response.
Guidelines
1. It is not possible to reduce the risk for students to zero and accidents may occur.
Once reasonable precautions have been taken, neither staff, parents, nor other
students should feel responsible for accidental exposure.
2. If accidental exposure does occur, appropriate emergency measures must be in
place and acted upon immediately.
3. The school, parents, and students should work together to develop a management
plan that includes procedures appropriate to the individual situation without depriving
anaphylactic children of normal peer interactions or placing unreasonable
restrictions on the activities of other children in the school.
4. The school must have on file a completed #3515F1 Authorization for Self-
Administered and Emergency Medication form and a #3515F2 Indemnification/Hold
Harmless Agreement for Self-Administration of Medication before students will be
allowed to be in possession of auto-injectors on any school premises or at any
school sponsored activity, regardless of location.
Information and Awareness
Identification to School Authorities
1. It is the responsibility of parents with anaphylactic children to identify their children to
the school principal/designee and provide:
a. Information regarding foods, materials, insect stings, drugs, or exercise that may
trigger an anaphylactic reaction. (#3515F3 Emergency Anaphylactic Protocol)
b. If dietary allergies are present, dietary restrictions from the parent, as ordered by
the physician, need to be reviewed by the District Child Nutrition Supervisor
before any dietary measures are taken. (#35215F8 Request for Special Meal
Accommodation due to Medical Condition)
c. Current treatment protocol, signed by the child’s physician. (#3515F4 Physician’s
Information Form for Anaphylaxis)
d. Medic Alert® bracelet or necklace for their child to wear that identifies specific
allergens.
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Bonneville Joint School District No. 93
e. Up-to-date auto injectors.
f. Auto injector trainer if needed.
2. Secondary school students should provide a one-page information sheet defining
their allergies to each of their teachers at the beginning of each school year.
3. Parents are required to complete and return to the school the following district forms:
a. 3515F1 Authorization for Self-Administered and Emergency Medication
b. 3515F2 Indemnification/Hold Harmless Agreement for Self-Administration of
Medication
c. 3515F3 Emergency Anaphylactic Protocol
d. 3515F4 Physician’s Information Form for Anaphylaxis
e. 3515F5 Consent to Inject Epinephrine
f. 3515F6 Anaphylaxis Alert Form for Bus Drivers (if the child rides a bus to school)
g. 3515F8 Request for Special Meal Accommodation due to Medical Condition)
In-service for Teachers and Other School Staff
1. At the direction of the principal, the special needs nurse will hold an annual in-
service meeting for school personnel who are in regular contact with anaphylactic
children.
2. The principal/designee should maintain an up-to-date record of school personnel
who have received in-service and training in the use of the auto-injector.
Sharing Information with Other Students
1. In consultation with the parents/guardians of anaphylactic children, the school
should identify students suffering life-threatening allergies to all students in the
school, and enlist their cooperation.
2. Information should be shared in a manner that will not create fear or anxiety and
should be appropriate to the students’ age and maturity.
Sharing Information with Parents
1. Each school should develop a communication strategy to inform parents of the
presence of a student with life-threatening allergies in their child’s school and the
measures being taken to protect the student.
2. With permission of the parents/guardians, students with anaphylactic allergies will be
identified by name only.
Avoidance
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1. Allergen-free areas should be established within individual schools to reduce the risk
of the anaphylactic student’s exposure to allergens that may cause a reaction.
2. Procedures for holidays and special celebrations should be established that will
reduce the risk of contact with the allergen.
3. Procedures for field trips should be established to minimize the risk to the child.
(#3515F7 Special Field Trip Consent Form)
4. Procedures to inform substitute teachers, parent volunteers, and others with
occasional contact with the child of the allergen free areas and emergency
procedures.
5. School bus procedures should be established to help minimize the risk to the child.
(#3515F6 Anaphylaxis Alert Form for Bus Drivers)
Emergency Response Plan
1. An emergency plan should be on file at the school for each anaphylactic student and
should include the following district forms:
a. 3515F3 Emergency Anaphylactic Protocol
b. 3515F4 Physicians Information Form for Anaphylaxis
c. 3515F5 Consent to Inject Epinephrine
2. A rapid communication strategy should be established.
3. Field trip emergency procedures should be established in conjunction with the
parents and using #3515F7 Special Field Trip Consent Form.
4. Auto-injectors should be stored in a safe accessible location.
a. The number of auto-injectors stored will depend on the estimated time from the
school to a medical facility.
b. Staff should know the location of auto-injectors.
c. Classmates should be aware of the location of the auto-injector in the classroom.
5. The transportation supervisor/designee should establish a school bus emergency
procedure in conjunction with the parents/guardians using #3515F6 Anaphylaxis
Alert Form for Bus Drivers.
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6. Emergency procedures for each anaphylactic student should be reviewed annually
with the school staff and the student’s parents/guardians.
7. In the event of an emergency response, an evaluation of the procedure shall be
undertaken as soon as possible, and any auto-injectors used must be replaced
immediately.
DEFINITIONS:
Administer: The direct application of an epinephrine auto-injector to the body of an
individual.
Anaphylaxis: Severe allergic reactions are called anaphylaxis. These symptoms can
begin within minutes after exposure to an allergen and as a result, treatment with
epinephrine must begin quickly. Anaphylaxis is serious and, unless treated quickly, can
result in major illness or death. A variety of allergens can provoke anaphylaxis, but the
most common culprits are food, insect venom, medications, and latex.
Designated School Personnel: An employee, agent, or volunteer of a school
designated by the governing authority of a school who has completed the training to
provide or administer an epinephrine auto-injector to a student.
Epinephrine Auto-injector: A device that automatically injects a premeasured dose of
epinephrine.
On any school premises or at any school sponsored activity, regardless of
location: shall include, but not be limited to buildings, facilities, and grounds on the
school campus, school busses, school parking areas; and the location of any school
sponsored activity. This includes instances in which the conduct occurs off the school
premises but impacts a school related activity.
Provide: The supply of one (1) or more epinephrine auto-injectors to an individual.
Self-administration: A student’s or other person’s discretionary use of an epinephrine
auto-injector, whether provided by the student or by a school nurse or designated
school personnel.
Adopted 02-08-2006 Reviewed 03-11-2020 Revised 08-09-2023
Cross Reference: Student Medication #3510
Provision of Special Education #2400
Special Education Handbook #2410
Authorization for Self-Administered and Emergency Medication #3515F1
Indemnification-Hold Harmless Agreement for Self-Administration of
Medication # 3515F2
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Legal Reference: Idaho Code § 33-520 Policy governing medical inhalers, epinephrine auto-
injectors, insulin and blood glucose monitoring supplies
Idaho Code § 33-520A Life-threatening allergies in schools – Guidelines,
stock supply of epinephrine auto-injectors and emergency administration