SCHOOL DISTRICT OF SHOREWOOD. Managing Serious Adverse Allergic Conditions

Transcription

1 SCHOOL DISTRICT OF SHOREWOOD Managing Serious Adverse Allergic Conditions The Shorewood School District recognizes that allergic reactions may be a serious life threatening medical condition. The District will offer a proactive, comprehensive, multidisciplinary approach to address adverse allergic conditions and to provide for the transition of students with such conditions throughout all grade levels. The District cannot guarantee an allergy free environment, but will implement guidelines designed to reduce the risk of contact with allergens in the school environment and while students are engaged in District-sponsored activities on and off campus. In implementing these guidelines, the District recognizes the seriousness of adverse allergic conditions and recognizes that allergic conditions can escalate to life-threatening situations. Accordingly, the District will work toward: a. Providing a safe and healthy learning environment for all students; b. Providing students with allergies access to school activities; c. Reducing the likelihood of severe or potentially lifethreatening allergic reactions; d. Ensuring a rapid and effective response in the case of a severe or potentially life-threatening allergic reaction; and e. Providing appropriate, continuing allergy managementrelated education and training to District employees. When appropriate or required by law, individual allergy action plans will be established for each student with a lifethreatening allergy through the office of the District Registered Nurse. The allergy action plan will be based on the student s individual needs and treatment protocol as prescribed by the student s health care provider for use in the school setting.

2 The District expects that all school personnel, students, and parents/guardians will work cooperatively to accomplish the goals of this policy and will demonstrate respect and an understanding for students with adverse allergic conditions. In implementing this policy, the District will comply with all applicable state and federal laws, including but not limited to the Individuals with Disabilities Education Act and Section 504 of the Rehabilitation Act. LEGAL REF.: Sections Wisconsin Statutes (1)(g) Section 504 of the Rehabilitation Act Individuals with Disabilities Education Act Americans with Disabilities Act CROSS REF.: Guideline, Managing Serious Adverse Allergic Conditions Exhibit, Substitute Teacher Information for Managing Serious Adverse Allergic Conditions 347, Student Records 352, Field Trips 411, Equal Educational Opportunities 450, Student Health and Welfare 453.1, Emergency Nursing Services 453.4, Administering Medication to Students 720, Safety Program 733, Environmental Management System Section 504 Plan Special Education Policy and Procedure Handbook APPROVED: September 28, 2010

3 SCHOOL DISTRICT OF SHOREWOOD Managing Serious Adverse Allergic Conditions Guideline The Shorewood School District will use a multi-disciplinary team approach in working with students and parents/guardians of students with serious adverse allergic conditions and developing an allergy action plan, 504 Plan, individualized education plan (IEP) or any other health-related plan(hereinafter allergy action plan ). To the extent practical, the District will: 1. Provide information on allergies to staff whom work directly with students with such conditions and will train staff in the recognition of symptoms of an allergic reaction and responding to an emergency situation; 2. Work closely with parents/guardians and their health care provider to create a safe, inclusive environment that minimizes risk for students who have serious adverse allergic conditions; 3. Provide allergen-safe products for use in District buildings and grounds; 4. Work toward minimizing the presence of allergens in the school environment; 5. Distribute a student s allergy action plan to appropriate staff working with the student; 6. Identify student s specific allergy and treatment through a medical alert statement located in the District s student database; 7. Annually obtain a standing order for an epinephrine autoinjector from the Medical Advisor to be administered for a student who appears to be experiencing a severe allergic reaction and does not have an allergy action plan and related medication consent and instructions on file with the school. These epinephrine auto-injectors will be provided for each school so a trained individual can administer epinephrine without written consent and instructions from the student s parent/guardian and health care provider; and 8. The individual who administers the epinephrine auto-injector under these emergency conditions is required to call, as soon as possible, 911. To the extent practical, the Principals will:

4 1. Provide faculty time during the first month of school to provide allergy management training; 2. Direct questions or concerns from current or prospective parents/guardians of students with serious adverse allergic conditions to the District Registered Nurse and/or school health aide; 3. Use District policy and/or guidelines to identify staff who should be certified in CPR; 4. Identify staff and staff who volunteer that may be trained to administer emergency medication; 5. Consult with the teacher to identify a trained staff member to accompany the student on the trip and who will administer epinephrine auto-injector in case of emergency if the parent/guardian is not able to accompany their child on a school trip; and 6. Include listing of parent/guardian responsibilities related to allergy management in the parent/student handbook. To the extent practical, the District Registered Nurse will: 1. Provide annual job-related training for teachers, classroom aides, health aides, lunchroom/playground supervisors, nutrition staff, coaches, and head custodians that work with students with serious adverse allergic conditions; 2. Provide and/or coordinate annual CPR training and maintain updated list of staff certified in CPR; 3. Develop protocols and train staff as to specific roles in an emergency situation; 4. Develop allergy action plan for students with documented serious adverse allergic conditions, including prevention strategies and action steps in case of an emergency; 5. Review the health records submitted by the student s parents/guardian and health care provider; 6. With parent/guardian release, contact health care provider to clarify specific orders and/or directions for the student s health plan; 7. Enter a medical alert statement, identifying the student s serious adverse allergic condition and treatment into the District s student database; 8. Ensure emergency medications are available, safely accessible, and known to individuals responsible for administering emergency medications; 9. Annually provide a list of students with serious adverse allergic conditions to Nutritional Services to be included in their nutritional services student data base;

5 10. Ensure that a copy of the allergy action plan and substitute teacher instruction sheet is given to teachers for inclusion in the Substitute Teacher Folder; 11. Coordinate with teachers/principals/health aides, athletic director/coaches/licensed athletic trainer, and high school assistant principal/activity advisor to ensure emergency medication and allergy action plan is brought on field trips; 12. Annually provide a list of students with serious adverse allergic conditions to teachers/principals/health aides, athletic director/coaches/licensed athletic trainer, and high school assistant principal/activity advisor; and 13. Annually obtain a standing order from the Medical Advisor for an epinephrine auto-injector (in adult and/or pediatric dosing) to be administered for a student who appears to be experiencing a severe allergic reaction and does not have an allergy action plan and related medication consent and instructions on file with the school. To the extent practical, the Health Aides will: 1. Review the health records submitted by parents/guardians and the students health care provider; 2. Review and be familiar with student s allergy action plan; 3. Be trained in medication administration, including emergency medications, such as epinephrine auto-injectors; 4. Ensure emergency medications are available, safely accessible, and known to individuals responsible for administering emergency medications; and 5. Coordinate with teachers/principals/health aides, athletic director/coaches/licensed athletic trainer, and high school assistant principal/activity advisor and District Registered Nurse to ensure emergency medication and allergy action plan is brought on field trips. To the extent practical, the Teachers will: 1. Review and implement a student s allergy action plan; 2. Use appropriate prevention strategies such as: a. Send letter to parents/guardians requesting only allergensafe snacks in the classroom; b. Work with classroom parents/guardians to set guidelines for classroom concerns that relate to serious adverse allergic conditions; c.create an allergy specific sign for the classroom door; d. If appropriate, inform student about availability of peanut/tree nut free table at lunch; e. Remind students never to share or trade food; and

6 f. Encourage hand-washing before and after eating snacks and lunch g. Adhere to the District wellness policy by: 1. Minimizing the use of food for parties and celebrations; 2. Following recommendations for snacks and food at school; 3. Avoiding the use of food as an incentive or reward; 3. Minimize allergens in class lesson plans and curriculum; 4. Maintain information for substitute teachers in an organized, prominent and accessible format, including allergy action plan; 5. Discuss field trips with family to decide appropriate strategies for managing the serious adverse allergic condition; 6. When planning and leaving on any activity or field trip away from the school building, teachers will follow the allergy action plan. Teachers will make every effort to provide allergen free meals. a. Collaborate with the health aide or District Registered Nurse to avoid high risk destinations; b. Encourage and invite parents/guardians to accompany student on field trip; c. If the parent/guardian is not able to accompany their student on the trip, consult with the principal to identify a trained staff member to accompany the student on the trip and who will administer epinephrine auto-injector in case of emergency; d. Plan for prevention of exposure to serious adverse allergens; e. For overnight and/or extend trips, every reasonable effort will be made to inform parents/guardians of planned meals and to discuss allergen free meals; f. Ensure that medications and instructions for students with a serious adverse allergic condition are taken on field trips or anytime off campus. Epinephrine auto-injector should not be stored in extreme hot or cold temperatures; g. Allow students who are approved to self-administer medication to carry their own epinephrine auto-injector; h. Carry a cell phone or other means of communication to use if emergency help is required; i. Consider ways to wash hands before and after eating; and j. Store meals/snacks of students with serious adverse allergic conditions separately to minimize cross contamination.

7 7. Call 911 in all instances of epinephrine auto-injector use. Teachers will notify parents/guardians and the District Registered Nurse that an epinephrine auto-injector was used. To the extent practical, the Lunchroom and Playground Supervisors will, as applicable: 1. Review allergy action plans for individual students and make proper accommodations, for example, carry the epinephrine auto-injector for a specific student who has an insect allergy; 2. Maintain separate table-washing supplies (i.e. sponges, washcloths etc.) for allergen safe tables; and 3. Monitor allergen-safe tables in the lunchroom. Other students may also sit at this table, as long as they do not eat foods with allergens. The table needs to be away from garbage cans and food service areas. To the extent practical, the Nutritional Services Department will: 1. Enter serious adverse allergic conditions into the nutritional services student data base annually and on a as needed basis; 2. Minimize cross-contamination; 3. Maintain current information from food manufacturers in order to be able to assist in identifying foods possibly containing an allergen; 4. Ensure contracted food service providers will provide food labeling of product; and 5. Communicate menu items and who to contact with questions. To the extent practical, the Custodians will: 1. Clean desk and table surfaces on a regular basis with allergen safe cleaning products; and 2. Maintain separate table-washing supplies (i.e. sponges, washcloths etc.) for allergen safe tables. To the extent practical, the Athletic Department Coaches/Licensed Athletic Trainer will: 1. Review and be familiar with students, who have serious adverse allergic conditions, by reviewing list of students with medical alerts; 2. Be trained in medication administration, including emergency medications, such as epinephrine auto-injectors;

8 3. Ensure emergency medications are available, safely accessible, and known to individuals responsible for administering emergency medications; 4. When planning and leaving on any activity, trip, or athletic event away from the school building, coaches will: a. review the list of students with medical alerts and plan accordingly. b. Coaches will make every effort to provide allergen free meals; c. Encourage and invite parents/guardians to accompany their child; d.if the parent/guardian is not able to accompany their child on the trip, consult with the athletic director to identify a trained staff member to accompany the student on the trip and who will administer epinephrine auto-injector in case of emergency; e.plan for prevention of exposure to serious adverse allergens f. For overnight and/or extended trips, every reasonable effort will be made to inform parents/guardians of planned meals and to discuss allergen free meals; g. Ensure that medications and instructions for students with a serious adverse allergic condition are taken on trips or anytime off campus. Epinephrine auto-injector should not be stored in extreme hot or cold temperatures; h. Allow students who are approved to self-administer medication to carry their own epinephrine auto-injector; i. Carry a cell phone or other means of communication to use if emergency help is required; j. Consider ways to wash hands before and after eating; and k. Store meals/snacks of students with serious adverse allergic conditions separately to minimize cross contamination. 5. Call 911 in all instances of epinephrine auto-injector use. Coaches will notify parents/guardians and athletic director that an epinephrine auto-injector was used. The Athletic Director will notify the District Registered Nurse of an epinephrine auto-injector use. To the extent practical, the Co-Curricular Activity Advisors will: 1. Review and be familiar with students, who have serious adverse allergic conditions, by reviewing list of students with medical alerts; 2. Be trained in medication administration, including emergency medications, such as epinephrine auto-injectors; 3. Ensure emergency medications are available, safely

9 accessible, and known to individuals responsible for administering emergency medications; 4. When planning and leaving on any activity, trip, or event away from the school building, activity advisors will: a. review the list of students with medical alerts and plan accordingly. b. Activity Advisors will make every effort to provide allergen free meals; c. Encourage and invite parents/guardians to accompany their child; d.if the parent/guardian is not able to accompany their child on the trip, consult with the Assistant Principal to identify a trained staff member to accompany the student on the trip and who will administer epinephrine auto-injector in case of emergency; e. Plan for prevention of exposure to serious adverse allergens f. For overnight and/or extended trips, every reasonable effort will be made to inform parents/guardians of planned meals and to discuss allergen free meals; g. Ensure that medications and instructions for students with a serious adverse allergen condition are taken on trips or anytime off campus. Epinephrine auto-injector should not be stored in extreme hot or cold temperatures; h. Allow students who are approved to self-administer medication to carry their own epinephrine auto-injector; i. Carry a cell phone or other means of communication to use if emergency help is required; j. Consider ways to wash hands before and after eating; and k. Store meals/snacks of students with serious adverse allergic conditions separately to minimize cross contamination. 5.Call 911 in all instances of epinephrine auto-injector use. Activity Advisors will notify parents/guardians and Assistant Principal that an epinephrine auto-injector was used. The Assistant Principal will notify the District Registered Nurse of an epinephrine auto-injector use. REVIEWED: September 28, 2010

10 Exhibit Common Allergens Food: Egg Fish/Shellfish Milk Peanuts Tree Nuts Sesame Seeds Soy Sulfite Sensitivity Wheat/Gluten Insect Stings Bees Hornets Wasps Medications Prescription Over the counter Latex Sterile Gloves Blood pressure cuffs Tourniquets Resuscitation equipment Other Hair dye/color Tattoo inks Animal dander SCHOOL DISTRICT OF SHOREWOOD IMPORTANT INFORMATION FOR SUBSTITUTE TEACHERS FOR Managing Serious Adverse Allergic Conditions Our District has students who have serious adverse allergic conditions, i.e. allergies to certain foods, bees/insects, latex, etc. For some students, eating or touching allergens could result in a potentially fatal allergic reaction. Check the appropriate substitute teacher folder for an allergy action plan or any other health plan. All health information is CONFIDENTIAL. If you have questions regarding these plans, please contact the schools health aide, District Nurse, or office staff. Designated staff members are trained in how to respond to students with serious adverse allergic conditions in the event of an accidental exposure, but prevention is the most important action we can all take. To minimize the risk of exposure for students with severe adverse allergic conditions, please: 1. Wash your hands after touching food or allergens. Hand sanitizer does not remove allergens. 2. Do not bring in an allergen into the classroom that is indicated in the substitute folder. 3. Observe the posted signs outside ALL classrooms that indicate that certain allergens are not allowed. 4. Do not offer food to any student. 5. Do not allow students to share food. 6. Do not allow students to take food out to the playground. 7. Do not use any latex products in the classroom; and 8. Avoid areas that are known to attract bees or other insects Thank you for your cooperation in this important matter. Questions? Call, Pollen and plant

11 health aide, at Phone: OR, District Nurse: (health office) REVIEWED: September 28, 2010