gpisd food allergy and anaphylaxis training

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GPISD food Allergy and Anaphylaxis training. Why do I need Food Allergy Training? Texas Senate Bill 27: Guidelines require training for all school personnel Purpose of Training: - PowerPoint PPT Presentation

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BISD Allergy and Anaphylaxis Training

GPISD food Allergy and Anaphylaxis trainingWhy 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 trainingFood 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 Anaphylaxis training

Symptoms of Allergic Reactions

GPISD food Allergy and Anaphylaxis trainingFood Intolerance vs Food Allergy

Food Intolerance: NOT the same as an allergy. Can cause symptoms such as gas, diarrhea, bloating, nausea, etcbut 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 bodyCan cause an anaphylactic reaction-a severe allergic reaction that can be life threatening

GPISD food Allergy and Anaphylaxis trainingFoods Associated with Allergies

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

PeanutsMilkTree NutsEggsWheatFishSoyShellfish

*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 trainingANAPHYLAXISA 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 trainingSEVERE Allergic ReactionSigns and Symptoms:

Body SystemSign or SymptomMouthTingling, itching, swelling of the tongue, lips or mouth: blue/grey color of the lipsThroatTightening of the throat; tickling feeling in back of throat; hoarseness or change in voice, repetitive throat clearingNose/Eyes/EarsRunny, itchy nose; redness and/or swelling of eyes; throbbing in ears, redness of earsLungShortness of breath; repetitive shallow cough; wheezingStomachNausea; vomiting; diarrhea; abdominal crampsSkinItchy rash; hives; swelling of face or extremities; facial flushingHeartThin weak pulse; rapid pulse; palpitations; fainting; blueness of lips, face or nail beds; palenessGPISD food Allergy and Anaphylaxis trainingTREATMENT 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 Anaphylaxis trainingEpinephrine Auto-Injectors EpiPenJunior 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 Anaphylaxis trainingAdministration of Epinephrine

A GPISD Medication Authorization Form completed by a doctor and signed by the parent/guardian must be on file in the nurses office for student-prescribed epinephrineEpi-Pens and Auvi-Qs are stored in a labeled area in the clinic such as an unlocked cabinet or closetSome 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 nurseGPISD food Allergy and Anaphylaxis trainingAdministration of Epinephrine

Administration Dos:

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 Anaphylaxis trainingNo 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 students epinephrine auto-injector

GPISD food Allergy and Anaphylaxis trainingPost Epinephrine Injection:

911 must be called (Call 911 before calling parent; you dont want to delay the arrival of EMS) Notify parent/guardian Stay with the student Keep student calm

Documentation:

The students reaction to the food allergen-symptoms observedMedication administration-time givenThe students reaction to the epinephrine injection

GPISD food Allergy and Anaphylaxis trainingSelf-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 officeNote time student self-injectedMonitor students respiratory status-call for AED if neededNote symptoms of students allergic reaction

GPISD food Allergy and Anaphylaxis trainingFor 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 students name to red advising that the student has a critical alert)

GPISD Dietary Prescription FormGPISD food Allergy and Anaphylaxis trainingThe Students 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 (students medication will also be taken)

A copy should be placed in your sub folder

GPISD food Allergy and Anaphylaxis trainingGPISD Severe Allergy Action Plan

GPISD food Allergy and Anaphylaxis trainingExposure 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 Anaphylaxis trainingExposure Reduction at School

Field Trips:Notify school nurse at least 5 days prior to a field trip to allow for necessary preparations.Dont leave for a field trip without the students prescribed medication and Emergency Action PlanBe aware of foods offered on field trip (may need to contact facility in advance)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 trainingBullying

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 Anaphylaxis trainingRESPONSIBILITIES 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 students food allergy*Eliminate identified allergens in classroom of student with food allergies at risk for anaphylaxis

GPISD food Allergy and Anaphylaxis trainingResponsibilities of the Classroom Teacher-Continued*Send home the district letter to parents/guardians of classmates of a foodallergic 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 and Anaphylaxis trainingNext Steps: If youhave a student with a severe

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