Wayzata Public Schools Health Office Allergy/Anaphylaxis Management Guidelines

Transcription

1 Wayzata Public Schools Health Office Allergy/Anaphylaxis Management Guidelines Family s Responsibility Prior to the start of school year, notifies school Health Office of the child s allergies. Works with the school s team to develop a plan that accommodates the child s needs during the school day. Provides written documentation,by submitting the Anaphylaxis Questionnaire and Anaphylaxis Action Plan (AAP) before the start of the school year. The AAP must include medical provider orders, and a photo of the child. Provides properly labeled medication and replaces medication when expired. The student s medical provider must renew medication orders each year. If the emergency injectable medication is to be carried by the student, the provider s order must indicate this. Notifies school Health Office of reactions that occur outside of the school day or changes in their child s needs during the school year. Educates child in the self-management of their food allergy including: o Symptoms of an allergic reaction o How and when to tell an adult they may be having an allergic reaction. o Which are safe and unsafe food o Strategies for avoiding exposure to unsafe foods o The risks of unauthorized food sharing o The need for good hand washing when handling food o How to read food labels (age appropriate) Provides supply of safe snacks for allergic student, if needed Reviews the ingredient list provided by Culinary Express to determine whether their child can eat a menu item. Culinary Express is subject to product substitutions by their suppliers and formulation changes by manufactures without notice and cannot guarantee 100% in their ingredient statements Accommodations will be made for students but the District cannot guarantee that incidental exposure will not occur. Parents will need to decide whether their child can safely eat the school lunch. Wayzata Public Schools Responsibilities Supports efforts of each school and parents to provide a safe learning environment for students with severe allergies. Will request an Anaphylaxis Action Plan and implement this plan for students with physician documented allergic reactions and medication orders. Schedules a Section 504 meeting to consider evaluation of student when it is determined that the student may be eligible for Section 504 services. Identifies a core team that may consist of, but is not limited to, health paraprofessional, licensed school nurse (LSN), teacher, principal and Culinary Express to work with the parents and the student to establish a prevention plan. Provides annual anaphylaxis training on prevention strategies, recognizing symptoms of a severe allergic reaction, emergency injectable medication use, and proper follow-up emergency procedures. This training will be provided to all teachers, paraprofessionals or others in the building who work directly with the student. Schools will store emergency injectable medication in a safe and unlocked area in the Health Office. Other emergency injectable medications may be kept in the classroom or other areas as needed. Students may carry their own emergency injectable medication, if approved by

2 medical provider, parent, and Licensed school nurse (LSN) in accordance with Minnesota State Law 121A.2205 Provides student Anaphylaxis Action Plan information to Bus Company. Takes threats or harassment against an allergic student seriously. Staff Responsibilities Teacher Must be aware of the Anaphylaxis Action Plans and/or Section 504 plans for students and keeps a copy of these readily available in the substitute teacher folder. Receives education regarding the student s life-threatening allergy, avoidance strategies, symptoms of a reaction, and emergency response. Has training and demonstrates competency in the use of emergency medications, such as emergency injectable medication. If the parent provides an emergency medication to be kept in the classroom, this medication must be accessible and carried along for all evacuations, field trips, etc. Informs all substitutes, teacher assistants, parent volunteers, or others who may assist in the classroom of students who have allergic reactions. At the elementary level, depending on the preferences of the parents, the teacher may send home letters regarding the student s allergies and request that parents of other students avoid sending foods with known allergens. Reviews lesson plans and projects and modifies to accomodate the student with allergies. Will contact the parents two weeks prior to the activity so that the parents can determine if it is a safe activity for their child. Instructs elementary children on proper hand washing and provides time for them to wash their hands before and after eating. Contacts the parents of each allergic student or refers to the acceptable food list provided by the parent for an individual student, before providing any food item. If uncertain, uses snacks that are provided by the parent for the allergic student(s). Instructs all students in the class that sharing or trading of food or drink in the classroom is not allowed. If a teacher observes any students sharing or trading food or drink, the teacher will direct the students to stop. If there is no medication in the classroom and a reaction is suspected, assures that an adult quickly escorts that student to the health office or other location where treatment is available. May designate a table in the classroom at which students with known allergies may sit when eating snacks. Washes and wipes this table separately from others using fresh cleaning supplies to avoid cross-contamination of foods. Consults with the student s parent two weeks prior to field trips. Emergency injectable medications are to be carried by the student or designated adult on field trips. Teacher Substitute Checks substitute folder for any Anaphylaxis Action Plans or 504 documents. If unfamiliar with plan or has not had previous instruction, will go to health office where the health paraprofessional or licensed school nurse will instruct him/her on all aspects of the plan. Complies with all other responsibilities as described above. Culinary Express Provides ingredient lists for foods served on the district s Culinary Express website. The District is not required to provide an exact item for item match in it s food service program.

3 Receives training on avoidance of cross-contamination when preparing and serving foods. Receives a list of students with life-threatening allergies from the health paraprofessional. This list should include the known allergens and a picture of the student if possible. It should be posted in an accessible location within the kitchen area. Culinary Express is subject to product substitutions by their suppliers and formulation changes by manufactures without notice and cannot guarantee 100% in their ingredient statements.parents will need to decide whether their child can safely eat the school lunch. Lunchroom Staff Designates and clearly labels a peanut/nut restricted table. Although it is recognized that there are other foods that students may be allergic to, peanuts are the most common food trigger for anaphylaxis and it is for this reason that the peanut/nut restricted table is advised. Instructs students that they cannot sit at the peanut/nut restricted table if their lunches contain peanuts or nuts. At the elementary level, staff will check lunches for obvious peanut /nut products if a student without allergies sits at the peanut/nut restricted table. Cleans the peanut/nut restricted table with hot soapy water or approved spray, using a separate bucket and cloth after every meal. Lunchroom paraprofessionals may be asked to carry emergency medications to the lunchroom. They must receive training regarding life-threatening allergies, symptoms of a reaction, emergency response and demonstrate competency in the use of emergency medications, such as emergency injectable medication. Playground Staff Receives education regarding those students with life-threatening allergies, symptoms of a reaction, and emergency response. Has training and demonstrates competency in the use of emergency medications, such as an emergency injectable medication. When the plan dictates, playground paraprofessionals may take the emergency injectable medications with them on the playground. They will observe for symptoms of anaphylaxis and if needed, administer emergency injectable medication or other medications according to the Anaphylaxis Action/504 Plan. Custodial Staff Cleans the peanut/nut restricted lunchroom or classroom tables separately using hot soapy water or an approved spray if these tables are used by others after school hours. Licensed School Nurse (LSN) The LSN team is responsible for developing, reviewing, and implementing Wayzata Schools Anaphylaxis Management Guidelines, Anaphylaxis Action Plan, and the Anaphylaxis Questionnaire. Reminds health paraprofessional to maintain current anaphylaxis information and/or medication for each student with anaphylaxis. Consults and meets with parents as needed or as requested by the parent. Reviews the list of students with severe allergies provided by the health paraprofessional for each assigned building. May assist health paraprofessional in completing health plans for each student. Provides and documents training to staff who work directly with the students on the symptoms of anaphylaxis, administration of emergency injectable medication, importance of immediate treatment and prevention strategies.

4 Provides training to other staff on an as needed basis as determined by the Section 504 team, LSN and/or parent. Health Paraprofessional Notifies the LSN when they become aware of a new student with a severe allergy and when a parent requests a meeting to discuss the student s allergy. Identifies the student with a severe allergy in the health alert section of Skyward. Sends home an Allergy/Anaphylaxis packet for parents to complete as soon as they become aware of the allergy. Makes a minimum of 2 attempts to collect the information for the Anaphylaxis Action Plan and documents these attempts. Notifies LSN if 2 attempts have been unsuccessful. At the end of the school year, sends out new allergy/anaphylaxis documents (either electronically or manually) to all parents whose students have plans in the current year. Creates a list of students with anaphylaxis and updates it when needed. If possible, this list should include pictures. Sends list out the first week of school to appropriate building staff; teachers, specialists, and lunchroom paraprofessionals. Sends Anaphylaxis Action Plan to Transportation Services within a week of receiving them. For the High School, sends a revised list to Culinary Express each year. The Anaphylaxis Action Plan will remain in effect until replaced. Puts the Anaphylaxis Action Plan in the designated Emergency Health Plan binder. Posts a copy of the Severe Allergy list where emergency medications are stored and in the front of the Medication Notebook. Stores the emergency injectable medication, other medication and Anaphylaxis Action Plan in a container clearly labeled with the student name in an unlocked area of the health office. The outside of the cabinet needs to be clearly labeled emergency allergy medications. Checks all medications for expiration dates when these are received in the health office and alerts parents when medications are near expiration dates. Checks for physician( or other provider) and parent signatures on medication form. Refers to the ingredient list provided by Culinary Express on the District s website as needed. When students go on field trips, sends emergency injectable medications and Anaphylaxis Action Plan with the teacher. Reviews the procedure for administration of an emergency injectable medication with the teacher or accompanying adult before the trip. Substitutes, both licensed and paraprofessional, will be directed to go to the health office for training when they are working with a student who has been identified to have food allergies. School Bus Staff Bus companies will provide the necessary training to bus drivers and bus aides to meet the individualized needs of a student who rides the bus as set forth in the student s Anaphylaxis Action Plan and/or Section 504 plan. The school district will provide copies of the student Anaphylaxis Action Plan to the bus company. Drivers will enforce the district no eating policy on the bus. This policy does not exclude food for those students who have a medical condition, such as diabetes, that requires them to have food available. Parents are encouraged to introduce their children with life-threatening allergies to the bus drivers and consider having these children sit in the first four rows of the bus. The school district will inform the bus driver if a student will be carrying his/her emergency medication.

5 It is expected that parents will notify the bus driver of the location of any emergency medication that the student will be carrying. In the event of a serious allergic reaction, the bus driver will call the dispatcher who will alert 911, administer the emergency injectable medication, and stay with the student until EMS arrives. If an older child is experiencing a reaction and is able to self-administer medication, the bus driver will encourage self-administration and offer assistance if needed. The driver will also alert the dispatcher to call 911. Process for reporting Severe Food Allergies to Culinary Express and Involving School staff in the accommodation process for students with Severe Food Allergies. Students who have a documented food allergy may or may not require accommodations under Section 504. Any school staff (classroom teacher, building secretary, building principal, Section 504 coordinator, health office paraprofessional, Culinary Express employee, other) that receives notification from a parent or a physician that a child has a food allergy must report this directly to the District nurse assigned to the building or program to evaluate the significance of the food allergy. This communication is time sensitive and needs to take place as soon as the information is received or as soon as appropriately possible. The verification of the notification must be made in and must be copied to the Section 504 coordinator for the building, the District nurse, health paraprofessional, and the District s Culinary Express Registered Dietician. If Culinary Express receives the notification first, they will the District Nurse assigned to the building to inform them of the notice. The District nurse will partner with the parent of the student and the student s physician to determine the significance of the food allergy. If it is determined the food allergy requires food service and/or classroom accommodations, a Section 504 evaluation meeting will be held. The procedures outlined in the District s Section 504 Procedures will be followed. The Section 504 coordinator for the building and the District nurse will determine each other s roles in the process. The Section 504 coordinator for the building typically facilitates the process. A representative from Culinary Express will be provided an opportunity for input into the Section 504 accommodations as needed. The Section 504 evaluation meeting will determine whether the student is eligible for accommodations under Section 504. If eligible for accommodations, these can be discussed and a Secion 504 plan for the student can be written at the meeting. The Allergy Anaphylaxis Section 504 form will be used for writing the Section 504 accommodations. The District is required to provide accommodations in alignment with the student s need for access to school including their general education program and if applicable special education program and access to the Culinary Express food services that are aligned with the nutritional standards set forth by the USDA. The District is not required to provide an exact item for item match in it s food service program.