GPISD food Allergy and Anaphylaxis training

GPISD FOOD

ALLERGY AND

ANAPHYLAXIS TRAINING

Why do I needFood Allergy 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.

GPISD FOOD ALLERGY

AND ANAPHYLAXIS TRAINING

Food Allergy Statistics & Facts• 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

• Peanut allergies among children appears to have tripled between 1997-2008

• There is no cure for food allergies

• Strict avoidance of allergens is critical to the safety of children with food allergies

GPISD FOOD

ALLERGY AND


Symptoms of Allergic Reactions

GPISD FOOD ALLERGY AND ANAPHYLAXIS

TRAINING

Food Intolerance vs Food Allergy

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

GPISD FOOD

ALLERGY AND


Foods Associated with Allergies

Eight Common Foods Account for 90% of Food Allergic Reactions:

Peanuts MilkTree Nuts EggsWheat FishSoy 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


ANAPHYLAXISA 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 TRAINING

SEVERE Allergic ReactionSigns and Symptoms:

Body System Sign or SymptomMouth 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

GPISD FOOD ALLERGY AND ANAPHYLAXIS

TRAINING

TREATMENT OF ANAPHYLAXIS:

Epinephrine 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)

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

GPISD FOOD

ALLERGY AND


Epinephrine Auto-Injectors EpiPen Junior or Pediatric Dose (green

label): 0.15 mg (for 33-66 lbs) Regular or Adult Dose (yellow

label): 0.3 mg (for ≥ 66 lbs)

Auvi-Q Pediatric Dose (blue case): 0.15 mg Regular Dose (orange case): .3 mg Features voice instructions for each step of the injection process

GPISD FOOD

ALLERGY AND


Administration of Epinephrine

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 Epi-Pen/Auvi-Q with them to class and to school activities-this requires physician and parent authorization and notification of the school nurse

GPISD FOOD

ALLERGY AND


Administration of EpinephrineAdministration Do’s: Right Student Right Medication Right Dose Right Route Right Time Right Reason

911 MUST BE CALLED WHEN EPINEPHRINE IS ADMINISTERED (with both self-administration by a student and when staff administers)

GPISD FOOD

ALLERGY AND


No Epinephrine or a Possible Allergic Reaction Without a

Known Food Allergy

• 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.

• Request the AED and be prepared to administer CPR

• 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

Documentation: The student’s reaction to the food

allergen-symptoms observed Medication administration-time

given The student’s reaction to the

epinephrine injection

GPISD FOOD ALLERGY


Self-Administration of Epinephrine

Per Federal Law, students may carry their epinephrine with them at all times.

What if a student uses their epi pen in your classroom?

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 status-call

for AED if needed Note symptoms of student’s allergic

reaction

GPISD FOOD

ALLERGY AND


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

GPISD FOOD

ALLERGY AND


The Student’s Emergency Action Plan:

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


GPISD Severe Allergy Action Plan

GPISD FOOD

ALLERGY AND


Exposure Reduction at School

Campus Wide:Cafeterias do not serve peanut or nut

products on any school campusClassrooms: *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)

GPISD FOOD

ALLERGY AND


Exposure Reduction at SchoolField Trips:o Notify school nurse at least 5 days

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


Bullying 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

GPISD FOOD

ALLERGY AND


RESPONSIBILITIES OF CLASSROOM TEACHER

*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

GPISD FOOD ALLERGY


Responsibilities of the Classroom Teacher-Continued*Send home the district letter to

parents/guardians of classmates of a food–allergic student who is at risk for anaphylaxis, explaining any restricted foods in the classroom (elementary only-school 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

GPISD FOOD ALLERGY


Next Steps: If you…•have 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 tripSee 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


Questions?

Please see the School Nurse!

GPISD FOOD

ALLERGY AND


How to use an Auto-injector (Epi-pen)

http://youtu.be/tjILFYPE3Uw



GPISD food Allergy and Anaphylaxis training

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Transcript of GPISD food Allergy and Anaphylaxis training