Transcript BISD Allergy and Anaphylaxis Training

GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
Why do I need
Food Allergy Training?
TRAINING
Texas Senate Bill 27:
Guidelines require training for all
school personnel
Purpose of Training:
To provide to all school staff basic
knowledge and skills to identify
students with a possible allergic
reaction to food and the appropriate
emergency actions for an allergic
reaction.
Food Allergy Statistics & Facts
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GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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Nearly 8% of children have food allergies
16%-18% of children with food allergies have
had an allergic reaction to accidental
ingestion of a food allergen while in school
25% of severe allergic reactions in schools
occur among students without a previous food
allergy diagnosis
Approximately 150-200 people die annually
from a severe food allergy reaction or
anaphylaxis
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Peanut allergies among children appears to
have tripled between 1997-2008
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There is no cure for food allergies
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Strict avoidance of allergens is critical to the
safety of children with food allergies
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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Symptoms of Allergic Reactions
Food Intolerance vs Food Allergy
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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Food Intolerance: NOT the same as
an allergy. Can cause symptoms such as
gas, diarrhea, bloating, nausea, etc…but
DOES NOT cause an allergic or
anaphylactic reaction.
Food Allergy: An immune system
response after ingesting or coming into
contact with a specific food or food
additive
•Creates an allergic response in the body
•Can cause an anaphylactic reaction-a
severe allergic reaction that can be life
threatening
Foods Associated with Allergies
GPISD FOOD
ALLERGY AND Eight Common Foods Account for 90%
ANAPHYLAXIS of Food Allergic Reactions:
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Peanuts
Tree Nuts
Wheat
Soy
Milk
Eggs
Fish
Shellfish
*Any food has the potential of causing
an allergic reaction
*Non-food items such as arts and crafts
materials can also contain trace
amounts of food allergens
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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ANAPHYLAXIS
A serious allergic reaction
that is rapid in onset and
may cause
DEATH
*It can be caused
by food, insect
stings, medications,
or contact with latex
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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Body System
SEVERE Allergic Reaction
Signs and Symptoms:
Sign or Symptom
Mouth
Tingling, itching, swelling of the tongue, lips or mouth:
blue/grey color of the lips
Throat
Tightening of the throat; tickling feeling in back of throat;
hoarseness or change in voice, repetitive throat clearing
Nose/Eyes/Ears
Runny, itchy nose; redness and/or swelling of eyes; throbbing
in ears, redness of ears
Lung
Shortness of breath; repetitive shallow cough; wheezing
Stomach
Nausea; vomiting; diarrhea; abdominal cramps
Skin
Itchy rash; hives; swelling of face or extremities; facial flushing
Heart
Thin weak pulse; rapid pulse; palpitations; fainting; blueness
of lips, face or nail beds; paleness
TREATMENT OF ANAPHYLAXIS:
Epinephrine
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS  The only drug that can prevent death
during a severe allergic reaction
(other allergy medications have a
delayed onset of action and may not
reverse allergic symptoms)
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It goes to work immediately- opening
the airways, improving blood
pressure, and accelerating the heart
rate.
Someone experiencing anaphylaxis
responds quickly to an epinephrine
injection but may require a second
dose of epinephrine to treat any
returning symptoms
Epinephrine Auto-Injectors
GPISD FOOD EpiPen
ALLERGY AND  Junior or Pediatric Dose (
ANAPHYLAXIS
label): 0.15 mg (for 33-66 lbs)
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 Regular or Adult Dose (
label): 0.3 mg
(for ≥ 66 lbs)
Auvi-Q
Pediatric Dose (
case): 0.15 mg
 Regular Dose (
case): .3 mg
 Features voice instructions for each
step of the injection process

GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
Administration of Epinephrine
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A GPISD Medication Authorization
Form completed by a doctor and
signed by the parent/guardian must
be on file in the nurse’s office for
student-prescribed epinephrine
Epi-Pens and Auvi-Qs are stored in
a labeled area in the clinic such as
an unlocked cabinet or closet
Some students may carry their EpiPen/Auvi-Q with them to class and
to school activities-this requires
physician and parent authorization
and notification of the school nurse
Administration of Epinephrine
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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Administration Do’s:

Right Student
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Right Medication
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Right Dose
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Right Route
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Right Time
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Right Reason
911 MUST BE CALLED WHEN
EPINEPHRINE IS ADMINISTERED
(with both self-administration by a
student and when staff administers)
No Epinephrine or a Possible
Allergic Reaction Without a
Known Food Allergy
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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If a student does not have
prescribed epinephrine at school –
CALL 911!
Advise the 911 operator that the
student appears to be having an
anaphylactic reaction.
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Request the AED and be prepared to
administer CPR
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Do not use another student’s
epinephrine auto-injector
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
TRAINING
Post Epinephrine Injection:
911 must be called
(Call 911 before calling parent; you
don’t want to delay the arrival of
EMS)
 Notify parent/guardian
 Stay with the student
 Keep student calm
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Documentation:
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The student’s reaction to the food
allergen-symptoms observed
Medication administration-time
given
The student’s reaction to the
epinephrine injection
Self-Administration of Epinephrine
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
TRAINING
Per Federal Law, students may
carry their epinephrine with them
at all times.
What if a student uses their epi pen
in your classroom?
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Notify nurse immediately-If NO answer
notify front office (they should call 911)
Call 911 if unable to contact nurse or
office
Note time student self-injected
Monitor student’s respiratory statuscall for AED if needed
Note symptoms of student’s allergic
reaction
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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For A Student with A Disclosed Food
Allergy…
*May be eligible for 504 accommodations
*Will have an Emergency Action Plan
(EAP) completed by the school nurse
*The school nurse will notify
appropriate school personnel and
provide a copy of the EAP or advise of
location in the clinic
*School Nurse will enter the allergy into
the Critical Alert Box in Skyward (this
will change the student’s name to red
advising that the student has a critical
alert)
GPISD DIETARY PRESCRIPTION FORM
The Student’s Emergency
Action Plan:
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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Provides directions on what to do if a
student with a disclosed food allergy
is having a reaction in your classroom
or other school location
Should be taken on field trips and any
off-campus activities (student’s
medication will also be taken)
A copy should be placed in your sub
folder
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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GPISD Severe Allergy Action
Plan
Exposure Reduction at School
GPISD FOOD
ALLERGY AND Campus Wide:
ANAPHYLAXIS Cafeterias do not serve peanut or nut
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products on any school campus
Classrooms:
*Use non-food items as rewards or
manipulatives
*Eliminate foods that contain allergens
from the classroom
*Allow only pre-packaged food with a
readable ingredient label for classroom
parties or celebrations
*Wash hands before and after meals
(Alcohol based hand gel is not effective
in removing the residue of known
allergens)
Exposure Reduction at School
GPISD FOOD
ALLERGY AND Field Trips:
ANAPHYLAXIS o Notify school nurse at least 5 days
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prior to a field trip to allow for
necessary preparations.
o Don’t leave for a field trip without
the student’s prescribed medication
and Emergency Action Plan
o Be aware of foods offered on field
trip (may need to contact facility in
advance)
o Enforce no eating on the bus if there
is a student with food allergies who
is at risk for anaphylaxis while
riding the bus
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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Bullying
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Be aware of how the student with
food allergies is being treated
Ensure classmates avoid
endangering, isolating,
stigmatizing or harassing students
with food allergies
Enforce school rules on bullying
and threats
RESPONSIBILITIES OF CLASSROOM TEACHER
GPISD
FOOD ALLERGY
AND
ANAPHYLAXIS
TRAINING
*Complete Level I-Food Allergy Awareness
training and/or Level II- a more
comprehensive training annually
*Review students’ Emergency Action Plan(s)
*Understand and be able to implement an
Emergency Action Plan. (Ask school
nurse for any needed clarifications)
*Ensure that all substitute individuals, pull
out teachers (Special Ed, interventions,
Dyslexia, etc.) are informed of the
student’s food allergy
*Eliminate identified allergens in classroom
of student with food allergies at risk for
anaphylaxis
Responsibilities of the Classroom Teacher-Continued
*Send home the district letter to
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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parents/guardians of classmates of a
food–allergic student who is at risk for
anaphylaxis, explaining any restricted
foods in the classroom (elementary onlyschool nurse will provide letter)
*Inform campus nurse and parent of any
events where food will be served
*Enforce district policy on bullying related
to food or other allergens
*Know the campus communication plan
with the main office and/or campus nurse
*Ensure that a student suspected of having
an allergic reaction is accompanied by
an adult or student to the clinic
*Do not put a student on the bus if there are
any signs or symptoms of an allergic
reaction
Next Steps: If you…
•have
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
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a student with a severe food allergy
•are a cafeteria monitor when student(s) with a
severe food allergy are in the cafeteria
•are assigned to cover the clinic when the nurse
is absent
•are a before or after-school program sponsor
and have a student with a severe food allergy
•taking a student with a severe food allergy on a
field trip
See the school nurse to:
*Learn
where the student’s medication is
kept: In the clinic? With the student?
Both in the clinic and with the student?
*Know how to locate or request a copy of
the student’s Emergency Action Plan
* Review and demonstrate back to the nurse
proper epinephrine administration
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
TRAINING
Questions?
Please see the School
Nurse!
GPISD FOOD
ALLERGY AND
ANAPHYLAXIS
TRAINING
How to use an Auto-injector
(Epi-pen)
http://youtu.be/tjILFYPE3Uw