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New Providence School District
Trish Kalinger, R.N. Carol McCabe, R.N. Jan Miller, R.N.
SEVERE ALLERGY GUIDELINES
FOR SCHOOL STAFF
Guidelines were developed for management of life-threatening food allergies in schools to educate school staff.
N.J.S.A. 18A:40-12.3-6 Revised by legislature in 2006
A rapid, severe, possibly life-threatening, allergic response that occurs when a person is exposed to an allergy-causing substance
A rapid, severe, possibly life-threatening, allergic response that occurs when a person is exposed to an allergy-causing substance
Allergens enters body by:
IngestionInhalationSkin contactInjection
Allergens enters body by:
IngestionInhalationSkin contactInjection
About Food Allergies
Occurs in 2-2.5% of population CDC: 12 deaths in 2004
Reasons for increase? Environment Hygiene hypothesis Genetics Increased awareness Better diagnosis Fear of legal consequences
Tingling, itching &/or swelling
MouthTongue
LipsThroat
Tingling, itching &/or swelling
MouthTongue
LipsThroat
HivesItchy rash
Swelling of face & extremities
Swollen, red, watery eyes
HivesItchy rash
Swelling of face & extremities
Swollen, red, watery eyes
Violent sneezingSevere, sudden runny noseTightness in throat/chest
WheezingFrequent, tight coughShortness of breath
Violent sneezingSevere, sudden runny noseTightness in throat/chest
WheezingFrequent, tight coughShortness of breath
DizzinessWeaknessPalenessFainting
Weak or rapid pulseLow blood pressure
Blueness
DizzinessWeaknessPalenessFainting
Weak or rapid pulseLow blood pressure
Blueness
RestlessnessPanicChills
Sudden fatigueSense of impending doom
RestlessnessPanicChills
Sudden fatigueSense of impending doom
• Assess symptoms.
• Do not leave student alone.
• Alert Emergency Response Team and Building Principal.
•Direct someone to call 911.
DIAL 9-911 - any building phone
• Assess symptoms.
• Do not leave student alone.
• Alert Emergency Response Team and Building Principal.
•Direct someone to call 911.
DIAL 9-911 - any building phone
Procedure
The Student
Reassure.
Allow to sit upright. *
If faint, lie flat and elevate legs.
If faint or unconscious & vomiting, position on side.
Goal: Recognize and promptly treat a reaction
REMEMBER:• No way to predict if the allergic reaction will
progress to anaphylaxis.• Symptoms may:
Occur slowly and worsen gradually
Occur quickly and severely
Improve with medication but return
in minutes or hours (“bi-phasic”)
Risk Reduction
Student Considerations Encourage students to eat only food
that their parents have provided. No food sharing or trading Wash hands after eating. Consider planning an allergy
awareness lesson for classmates.
Risk ReductionClassroom Considerations Do not open lunches in the classroom. Do not use allergens in classroom. Avoid use of food as a reward. Plan parties with allergy parent input. Be alert for the unexpected! Special visitors who bring food/prizes Unplanned snacks/treats Large group refreshments
Risk ReductionCafeteria Considerations Plan seating with parent input. Consider assigned seating. Designate an allergen-free table. Clean tables with disposable towels
and detergent between each lunch. Place garbage cans away from
allergen-free tables.