{"id":2915,"date":"2014-03-21T14:36:12","date_gmt":"2014-03-21T18:36:12","guid":{"rendered":"http:\/\/www.allergyhome.org\/schools\/?page_id=2915"},"modified":"2014-03-26T16:02:37","modified_gmt":"2014-03-26T20:02:37","slug":"management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-5","status":"publish","type":"page","link":"https:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-5\/","title":{"rendered":""},"content":{"rendered":"<div style=\"font-size:1.7em; font-weight:bold; line-height:250%; color:darkred\">The Management of Life Threatening Allergies in School: Lessons Learned from Massachusetts<\/div>\n<div style=\"font-size:1.7em; font-weight:bold; color:black\">Policy Implications<\/div>\n<p><\/p>\n<div class=\"previous\"><a class=\"navlink\" style=\"font-size:1.2em\" href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-4\" title=\"Epinephrine Administration in Schools: Brief Summary\">&lt;&lt;&lt;PREVIOUS: Epinephrine Administration in Schools: Brief Summary<\/a><\/div>\n<div class=\"next\"><a class=\"navlink\"   style=\"font-size:1.2em\" href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-6\" title=\"References\">NEXT: Ongoing Challenges&gt;&gt;&gt;<\/a><\/div>\n<div style=\"clear:both;\"><\/div>\n<div style=\"background-color:beige; width:280px; float:left; border:2px solid; border-radius:25px;padding:8px;margin:8px\">\n<div style=\"color:darkred; font-weight:bold\">Table of Contents<\/div>\n<ul>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-1\" title=\"The Management of Life Threatening Allergies in School: Introduction\">Introduction<\/a><\/li>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-2\">The Massachusetts Experience<\/a><\/li>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-3\" title=\"The Massachusetts Performance Improvement Program\">The Massachusetts Performance Improvement Program<\/a><\/li>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-4\" title=\"Epinephrine Administration in Schools: Brief Summary\">Epinephrine Administration in Schools: Brief Summary<\/a><\/li>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-5\" title=\"Policy Implications\">Policy Implications<\/a><\/li>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-6\" title=\"Ongoing Challenges and Take Home Point\">Ongoing Challenges & Take Home Point<\/a><\/li>\n\t<li><a href=\"http:\/\/www.allergyhome.org\/schools\/management-of-life-threatening-allergies-in-school-lessons-learned-from-massachusetts-7\" title=\"References\">References<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p><\/p>\n<div class=\"magazine\">\nBased on the review of the annual data reports, the following have been implemented in Massachusetts:\n<\/div>\n<p><\/p>\n<div class=\"magazine\">\n1)\tEach school needs to have a comprehensive policy on the management of students with life threatening allergies.<br \/>\n2)\tThe school nurse is the manager of the LTA program, assuming responsibilities for establishing the individual health care plan, training and supervising adequate numbers of staff, ensuring access to the medications, and communicating as needed with the prescribing physician, etc.<br \/>\n3)\tThe individualized health care plan should include plans for before and after school programs, as well as field trips.<br \/>\n4)\tSchool nurses need to ensure that all parents of newly diagnosed students with LTAs understand the need for prevention of exposure and the appropriate response to an unintended exposure.<br \/>\n5)\tBecause close to 1\/4 of the administrations were to individuals not previously diagnosed with an allergic condition, the MDPH advises school districts to be prepared for the individual with no known allergy who might experience an anaphylactic event; this includes having the school physician write a standing order and protocol for the administration of epinephrine, as well as the maintenance of a stock supply of the medication in all school buildings.<br \/>\n6)\tBased on incidents where the student respiratory arrested en route to the hospital, the MDPH advises that all individuals receiving epinephrine be transported by emergency medical services to the nearest emergency department.<br \/>\n7)\tStudents need to learn self administration as they prepare for self care as adults. This includes carrying the medication at all times.\n<\/div>\n<p><\/p>\n<div align=\"center\">All excerpts taken from the Management of Life Threatening Allergies in School: The Massachusetts Experience.<br \/> Written by: Michael Pistiner MD, MMSc and <a href=\"http:\/\/www.allergyhome.org\/about-us#asheetz\">Anne H. Sheetz RN, MPH, NEA-BC<\/a>. <br \/>This piece was originally published in the American Academy of Pediatrics, Council on School Health, Spring\/Summer 2009 Newsletter.<br \/> We thank the AAP for granting permission to post and to update mandated reporting data within this article.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The Management of Life Threatening Allergies in School: Lessons Learned from Massachusetts Policy Implications &lt;&lt;&lt;PREVIOUS: Epinephrine Administration in Schools: Brief Summary NEXT: Ongoing Challenges&gt;&gt;&gt; Based on the review of the annual data reports, the following have been implemented in Massachusetts: 1) Each school needs to have a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2915","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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