Severe Allergy Information

Southmont Schools recognize the needs of the growing number of our students with potentially life-threatening food allergies and harmful food intolerances.  To safely care for your child during the school day, please provide the school nurse with the following:

  • A list of allergens that your student is allergic to
  • An EpiPen if it has been prescribed
  • A completed dietary form from the physician so the cafeteria staff can accommodate the foods that may be the allergen.

Each health office also has a standing physician's order for a stock EpiPen that can be used in the event of a severe allergic reaction.   However, we also want you to provide a personal one for your student if it has been prescribed.  If an EpiPen is administered, the parent and 911 will also be called. Additionally, pertinent cafeteria staff, teacher and bus drivers are made aware of students with specific allergies.

As always, we value good communication with you regarding the health concerns of your student so that they are safe at school.

Standing Orders and Protocol for Administration of Epinephrine

Rationale:  Anaphylaxis is a life-threatening medical emergency.  Anaphylaxis is a severe response resulting in cardiovascular collapse (shock) after ingestion of or injection with an antigen. This reaction usually occurs within 1-5 minutes of exposure to an allergen but could be delayed up to 5 hours. Immediate intervention with epinephrine injection and a 911 call is necessary.  Common potent allergens include:                                                                          

  • Foods such as peanuts, tree nuts, legumes and shellfish
  • Medications
  • Insect venom
  • Latex
  • Pollens or molds
  • Animal fur
  • Chemical irritants

EMERGENCY PROTOCOL FOR SEVERE ALLERGIC REACTION                                                          

1. Summon school nurse, if available.  If not, summon designated trained, first responder to implement emergency protocol.  NOTE:  Only the school nurse or designated first responders may assess and administer the EpiPen.

2. Nurse or first responder will assess the person using the following criteria for anaphylactic reaction and treat per assessed need.  Anaphylactic symptoms include:

  • Skin:  warmth, itching, and/or tingling of underarms/groin, flushing, hives
  • Abdominal:  pain, nausea and vomiting, diarrhea
  • Oral/Respiratory:  sneezing, swelling of face (lips, mouth, tongue, throat), lump or tightness in the throat, hoarseness, difficulty inhaling, shortness of breath, wheezing reaction
  • Cardiovascular:  headache, low blood pressure (shock), lightheadedness, fainting,   loss of consciousness,  rapid heart rate, ventricular fibrillation (no pulse)
  • Mental status:  apprehension, anxiety, restlessness, irritability

3. Call 911 when assessment determines need for EpiPen and report need for epinephrine due to anaphylaxis.

4. Administer EpiPen per standing order. (School EpiPen will be kept in the nurse’s office).

5. Determine cause as quickly as possible and remove source if possible.

6. Monitor vital signs (pulse, respirations, blood pressure etc) and provide emergency treatment if necessary.

7. Contact parents immediately and physician as soon as possible.

8. Any individual treated for symptoms with epinephrine at school will be transported to a medical facility.

STANDING ORDERS FOR RESPONSE TO LIFE-THREATENING ANAPHYLAXIS

  • Administer EpiPen Jr. 0.15 mg if less than 66 pounds
  • Administer EpiPen adult dose of 0.30 mg if 66 pounds

The School’s EpiPen is to be used for life-threatening emergencies only and does not replace a child’s own prescribed medication.  Students with known allergy should have an individual health care plan and keep prescribed medication at school

STAFF TRAINING

The School Nurse will be responsible for training the designated first responders regarding the Protocol for treating anaphylaxis and the EpiPen administration.

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