anaphylaxis: life threatening allergic reactions school staff training 2012-2013

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Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

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Page 1: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

Anaphylaxis:Life Threatening Allergic Reactions

School Staff Training2012-2013

Page 2: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

Anaphylaxis LegislationMinnesota Statutes 121A.22

This legislation requires that all public and non public schools that are subject to ADA must provide the following information to school staff:

There is an increasing incidence of children with a history of anaphylaxis.

School is responsible for providing for student safety and making reasonable accommodations.

Students must have access to their emergency medications during the school day.

Staff must be trained to recognize symptoms of anaphylaxis and how to provide emergency care.

Page 3: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

What is Anaphlyaxis?

A severe, allergic reaction that can affect the whole body.

Occurs in approximately 20 per 100,000 person annually

Page 4: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

What causes Anaphylaxis?

Having a severe allergy to:FoodsInsect stingsMedications

Food allergy is the most common in children.

Peanuts and tree nuts are the most common foods to causea severe reaction.

Page 5: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

Why should you be concerned?

We can not predict how severe an allergicreaction will be.

Severity of symptoms can change quickly.

Each episode is potentially life threatening.

Page 6: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

What Should You Do?

1. Work to prevent exposure to allergens

HandwashingWash hands with soap and water:Before eating to remove the germs on your hands that may make you sick.After eating to remove the residue of food allergens that may be on your hands.Hand sanitizers remove some germs but do not remove the small particles that cause food allergies.

Food StorageMonitor access to food stored in the classroom.Dispose of perishable food.Store non-perishable food in a container with a tight lid.

Snack TimeFood and beverages should not be shared or traded.Clean surfaces where food has been eaten with a disposable wipe. Obtain disposable wipes from the Nutrition Services Supervisor.

Be Aware and PreparedBe aware of students in the classroom with known food allergies and anaphylaxis. Follow health plans developed for students.Limit classroom celebrations and projects that involve food.

Page 7: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

Potential Food Allergens in the Classroom

• Of food allergy reactions occurring at school, over 79% occur in the classroom, most often to due food used for projects or celebrations.

04/19/23 7

Cupcake- milk, egg, wheat, soy

Pizza- milk, egg, wheat, soy

Candy- milk, soy, wheat, nuts, tree nuts

Paper mâché-wheat

Bird feeder- nuts, tree nuts

Play-Doh-wheat

Page 8: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

What Should You Do?

Know the Top 8 Food Allergens:

Page 9: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

What Should You Do?

2. Recognize an allergic reaction in its early stages

Mouth—Itching/swelling of the lips and tongue Throat—Itching, tightness, hoarseness, coughSkin—Hives, itchy rash, swelling of faceLungs—Trouble breathing, coughing, sneezingStomach—Nausea, cramps, vomiting diarrhea

Page 10: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

Recognizing Symptoms:

Page 11: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

What Should You Do?3. Know when to use emergency medication. The Epinephrine Auto-Injector is the treatment ofchoice for anaphylaxis. This is a prescriptionmedication and can only be used for the student it isprescribed to.

Page 12: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

For Students With Medication at School:

Follow health plan developed for the student

Health plans are developed with orders fromthe healthcare provider and input from theparent.

Page 13: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013
Page 14: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

For Students Without Medication at School

If a student does not have an EpiPen available orhas never been diagnosed with Anaphylaxis, butyou suspect a severe allergic reaction:

Call 911 immediately

Page 15: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

What Should You Do?4. Know where to find the student’s EpiPen

EpiPens are generally kept in the health office.

EpiPens are sent with students on field trips.

Page 16: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

What Should You Do?

5. Learn how to use an EpiPenEpiPens are easy to use and designed for self administration in emergencies.

The medication in an EpiPen works quickly toreverse the symptoms of anaphylaxis, but theeffects only last for 10-15 minutes.

Page 17: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

What Should You Do?

This video shows how to use an EpiPen.

1. Form a fist around the auto injector and remove the blue cap which will unlock the safety device.

2. Swing the EpiPen into the outer thigh and push in the orange tip firmly until you hear it click.

3. Hold it there for 10 seconds to make sure all medication is delivered.

Page 18: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

What Should You Do?

4. Get emergency medical attention right away. The effects of the EpiPen only lasts for 10-15 minutes.

5. Call the parents of the student and inform them of the allergic reaction.

6. Call the School Nurse.

Page 19: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

SummaryIf a student is exposed to their allergen

and/orIf you see signs of a severe allergic reaction

then1. Give EpiPen in the thigh muscle2. Call 9113. Call parent/guardian4. Call the school nurse

Page 20: Anaphylaxis: Life Threatening Allergic Reactions School Staff Training 2012-2013

References• Minnesota Office of the Reviser or Statutes

– https://www.revisor.mn.gov/statutes/?id=121A.2205• Accommodating Children with Special Dietary Needs in the School

Nutrition Programs: Guidance for School Food Servide Staff, United States Department of Agriculture Food and Nutrition Service, Fall 2001

• NASN—National Association of School Nurses--www.nasn.org

• EpiPen Instructional Video--http://www.epipen.com

• Food Allergy and Anaphylaxis Network– www.foodallergy.org

• Anaphylaxis and Food Allergy Association of Minnesota– http://www.minnesotafoodallergy.org

201/8/2012