Bringing food allergy management and awareness to your community

Preparing for Food Induced Anaphylaxis and Other Allergic Emergencies in Schools

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

Non-child specific strategies needed for those with UNKNOWN history or 1st time food allergy

-Food Allergy Emergency Care Plan

  • 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
-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

-Rapid identification of allergic reactions and immediate contact of school nurse and/or 911(especially if nurse not immediately available)
-Non-child specific auto-injectors provided by school*

  • 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.

As seen in Pistiner M, Devore C. The Role of Pediatricians in School Food Allergy Management. Pediatric Annals. 2013; 42(8):334-340.


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