GPISD food Allergy and Anaphylaxis training

1. 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: 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.

2. 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

3. Symptoms of Allergic Reactions GPISD food Allergy and Anaphylaxis training

4. GPISDfood 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

5. GPISD food Allergy and Anaphylaxis training Foods Associated with Allergies Eight Common Foods Account for 90% of Food Allergic Reactions: Peanuts Milk Tree Nuts Eggs Wheat Fish Soy 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

6. GPISD food Allergy and Anaphylaxis training 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

7. GPISD food Allergy and Anaphylaxis training SEVERE Allergic Reaction Signs and Symptoms:

8. 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

9. GPISD food Allergy and Anaphylaxis training Epinephrine Auto-Injectors EpiPen Junior or Pediatric Dose (greenlabel): 0.15 mg (for 33-66 lbs) Regular or Adult Dose (yellowlabel): 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

10. GPISD food Allergy and Anaphylaxis training 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 unlockedcabinet 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

11. GPISD food Allergy and Anaphylaxis training Administration of Epinephrine Administration 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)

12. GPISD food Allergy and Anaphylaxis training 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

13. 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

14. GPISD food Allergy and Anaphylaxis training 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

15. GPISD food Allergy and Anaphylaxis training For A Student with A Disclosed Food Allergy… *May be eligible for 504 accommodations *Will have anEmergency 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)

16. GPISD Dietary Prescription Form

17. GPISD food Allergy and Anaphylaxis training 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

18. GPISD food Allergy and Anaphylaxis training GPISD Severe Allergy Action Plan

19. GPISD food Allergy and Anaphylaxis training Exposure Reduction at School Campus Wide: Cafeterias do not serve peanut or nut 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)

20. GPISD food Allergy and Anaphylaxis training Exposure Reduction at School Field Trips: Notify school nurse at least 5 days prior to a field trip to allow for necessary preparations. Don’t leave for a field trip without the student’s prescribed medication and Emergency Action Plan Be 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

21. GPISD food Allergy and Anaphylaxis training 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

22. GPISD food Allergy and Anaphylaxis training 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

23. GPISD food Allergy and Anaphylaxis training 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

24. GPISD food Allergy and Anaphylaxis training 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 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

25. GPISD food Allergy and Anaphylaxis training Questions? Please see the School Nurse!

26. GPISD food Allergy and Anaphylaxis training How to use an Auto-injector (Epi-pen) http://youtu.be/tjILFYPE3Uw