Anaphylaxis Protocol, 2006Anaphylaxis Protocol, 2006

An Act to Protect Anaphylactic Pupils

Sabrina’s Law, 2005

Halton District School Board

Background:Background:

HDSB Anaphylaxis Protocol first developed in 1999

Since Sept. 2005, multi-disciplinary team met and made revisions based on Sabrina’s Law

Current 2006 protocol is the same for both Halton school boards

What’s New for 2006?What’s New for 2006?

School–wide Management Plan Individual Student Monitoring and Risk Reduction

Plan in addition to Emergency Treatment Form A communication plan Staff training plan Student file Parent/Guardian Package (elem & sec) to be

completed during registration Anaphylaxis Operating Policy/Procedure

Sabrina’s Law: 6 partsSabrina’s Law: 6 parts

1. Strategies that reduce the risk of exposure to anaphylactic causative agents in classrooms and common areas

2. A communication plan for the dissemination of information on life threatening allergies to parents, students and employees

3. Regular training about dealing with life threatening allergies for all employees and others who are in direct contact with students on a regular basis

Continued….Continued….

4. Each school will develop an individual plan for each student who has an anaphylactic allergy

5. On registration, each school principal will ensure that parents, guardians and students supply information on life threatening allergies

6. A file shall be maintained for each anaphylactic student which includes current treatment, evidence of the prescription and current emergency contact list.

Organization of the ProtocolOrganization of the Protocol

Administrator’s Quick Checklist, p. 3-4

Duty of Care, p. 7 Understanding

Anaphylaxis, p.7-10 School Administrator

Responsibilities, p.11-19 Elem. Teacher

Responsibilities, p. 20-22 Sec. Teacher

Responsibilities, p.23-24

Appendices include: Action Steps Chart, p.27 Signs & Symptoms, p.28 Emergency Response

Plan, p.29 Student Emergency

Treatment Plan, p.30 How to administer EpiPen

& Twinject, p.31-33 Individual Student Plans,

p.34-36

Cont…….Cont…….

Food Avoidance Strategies, p.37-39

Peanuts/Tree Nuts Avoidance, p.40-41

Safe Lunch Eating Procedures, p.42

Sample letter, p. 43 Sample peanut allergen

ingredient checklist, p.44 Milk & egg avoidance,

p.45-46

Insect venom avoidance, p.47

legal Response, p.49 Anaphylactic teenagers,

p.50-51 School Wide Plans, p. 52-

57 (elem & sec) Parent/Guardian

Anaphylaxis pkg, p.58 Resources, p.66

Ministry Support for SchoolsMinistry Support for Schools

Anaphylaxis kit sent to each school (week of Feb. 6, 2006)

Kit developed by Anaphylaxis Canada includes Epi-Pen and Twinject trainers, resource document (Anaphylaxis in Schools and Other Settings), awareness posters and information pamphlets

E-learning: Staff Training program

http://www.eworkshop.on.ca/allergies

What do I do Now?What do I do Now?

Develop a School-wide Anaphylaxis Management Plan

Create a File System for each anaphylactic student

Develop an Individual Student Plan Review & share Strategies that Reduce the

Risk of Exposure, p.37-48

School-wide Management PlanSchool-wide Management Plan

Develop a School-wide Anaphylaxis Management Plan with input from School Council, teachers and other parents.

Elementary template, p. 52-54 Secondary template, p. 55-57 Parts of the Plan include: Overview,

Identification of Children at Risk, Parent Responsibility, Emergency Protocol, Staff Training, Minimized Allergen Environment Strategies, Communication Plan (details p.14).

Create a file SystemCreate a file System

Create a file (p. 11) for each anaphylactic student that contains:

Request & consent to administer epinephrine, p.63 Proof of diagnosis: photocopy of prescription label Copy of Emergency Treatment Form, (p. 30 or 65) Copy of Individual Monitoring & Risk Reduction

Plan, (handout) Place a copy in documentation file of OSR

Individual Student Plan, p.15-16Individual Student Plan, p.15-16

Three parts to the individual student plan: Anaphylaxis Emergency Treatment Form, p.30

or p.65 Epi Pen (p. 32)or Twinject (p.33) diagram

depending on the system used by student In consultation with parents, design an Individual

Student Monitoring & Risk Reduction Plan, p.34 (elem), p. 36(sec) for details – template provided

Post in Office, Health Room or staff room

Strategies that Reduce the Risk of ExposureStrategies that Reduce the Risk of Exposure

General strategies, p.37-38Aramark, p.39 – Gross Nut Free

practicePeanuts & Tree Nuts, p.40 –42Milk and Eggs, p.45-46 Insect Venom, p.47Latex, p. 48

Where Do I Begin?Where Do I Begin?

Share the Protocol and this ppt with school staff and School Council

Begin the development of your School-wide Management Plan with School Council

Contact parents of anaphylactic students and work with them to design the Individual Student Monitoring Plan

Use the new Anaphylaxis Emergency Treatment Form

How will the Anaphylaxis How will the Anaphylaxis Team Help?Team Help?

We will have common signs prepared and sent to schools

We will design the school-based training program (ppt) for your use with staff and volunteers

This Protocol, policy, Parent/Guardian Package and all forms are on chatt. Go to HDSB School Administrators, click on HDSB Student Health, click on Anaphylaxis sub conference.