|Responsibilities of the Parent/Guardian of an Anaphylactic Student
Each parent/guardian of their child with a Life-Threatening Allergy shall have the following
1. Teach your child to:
a. Recognize the first symptoms of a food allergic/anaphylactic reaction.
b. Communicate with school staff as soon as he/she feels a reaction is starting.
c. Carry his/her own epinephrine auto-injector when appropriate.
d. Not share snacks, lunches, drinks or utensils.
e. Understand the importance of hand washing before and after eating.
f. Report teasing and/or bullying that may relate to the child’s disability.
2. Take responsibility for his/her own safety. As children get older, teach them to:
a. Encourage self-advocacy of the seriousness of the allergy to adults and peers.
b. Communicate symptoms as soon as they appear to the school nurse and teacher.
c. Encourage education on label reading and ingredient safety.
d. Administer his/her own epinephrine auto-injector and be able to train others in its use.
e. Develop awareness of their environments, including allergy-controlled zones and to
practice age appropriate behavior regarding health and safety.
3. Inform the school nurse of your child’s allergies prior to the opening of school (or as soon as possible after diagnosis). All food allergies should be verified by documentation from physician or physician’s designated licensed extender (Nurse Practitioner (NP) or Physician Assistant (PA).
4. Work with the school team collaboratively to develop the Individual Health Plan for
Accommodations, in the classroom, in the cafeteria, in after-care programs, during school sponsored activities, and provide an Allergy Action Plan. Medical information from the child’s treating physician must be provided as needed to write the Plans. (A licensed physician is defined as a doctor of medicine (MD) or a doctor of osteopathy (DO) is recognized.)
5. The Plan should also promote increasing age-appropriate independence as the student grows and matures. In determining age-appropriate independence the student’s level
of autonomy and their ability to function autonomously is considered.
6. Complete and submit all required medication forms.
7. A physician signature is required on self-administration plans. Parents may sign a release for school personnel to consult with family physician/allergist and all medical providers if applicable.
8. Provide the school with current cell phone, pager, etc and maintain updated emergency
contact numbers and medical information.
9. Provide the school nurse with up-to-date emergency medications (including Epinephrine) so they can be placed in all required locations for the current school year. Medications will comply with the district medication policy of proper labeling and expiration.
10. To consider providing a medical alert bracelet for your child. Nationally accepted bracelets may be found at: Medic Alert,1-800-432-5378; 2323 Colorado Avenue, Turlock, CA 95382; www.medicalalert.org
11. To complete appropriate forms requested by Transportation or other appropriate departments and/or programs.
12. Provide Epinephrine on field trips.
13. Parents are welcome to attend their child’s field trip but it is not required.
14. To provide “safe snacks” for your student so there is always something your child can choose from during an unplanned special event.
15. Encourage child to wash hands before and after handling food. Encourage child to identify the allergy controlled zone when eating.
16. Inform the school of any changes in the child’s Life-threatening Food Allergy status.
17. Provide the school with the physician’s statement if the student no longer has food allergies.
18. Allergy Planning Algorithm- Upon parent/legal caregiver notifying school their child has a history of severe allergic reaction, the following planning procedure will be followed:
If a current allergy action plan is provided by the child’s physician, school nurse integrates and assists with implementation of the action plan into the child’s campus schedule in accordance with the school district allergy policy.
If a current allergy action plan is not provided by the child’s physician, a request will be made for the parent/legal caregiver to obtain a current plan from the child’s physician and present it to the school as soon as possible. Until an allergy action plan is provided by the child’s physician, if the child is suspected of experiencing an allergic reaction, school district personnel will treat the child in accordance with school district allergy policy and accepted standards of care regarding first aid and activation of emergency medical services. An antihistamine will be administered for a mild allergic reaction by school personnel if it has been provided by the parent/legal caregiver to be used for an allergic reaction, in accordance with the medication label directions, and if the medicine is not expired. The parent legal caregiver will be immediately notified and given recommendations as to further medical evaluation of the child according to the presentation/signs/symptoms of the suspected allergic reaction. Epinephrine will be administered by school personnel in the event of a severe allergic reaction if the medicine has been provided by the child’s parent/legal caregiver and the medicine has been prescribed by the child’s physician and if the medication is not expired. Emergency medical personnel will be called to transport the child to the nearest emergency department in all instances of epinephrine administration. The child’s parent/legal caregiver will be notified as soon as possible.
Symptoms of a mild allergic reaction include itchy throat or mouth, few hives around the mouth, mild itchy skin, mild nausea.
Symptoms of a severe allergic reaction include difficulty/labored breathing, shortness of breath, wheezing, repeated coughing, pale or blue skin, weak pulse, dizziness, confusion, tight throat, hoarseness, swallowing difficulty, swollen tongue or lips, hives over body, vomiting or diarrhea.
20. The Allergy Action Plan will be available for parents to copy and give to others who assume responsibility for their child. Personnel may include:
a. Before or after school activity instructors
c. Kids Club, Kids Camp
d. Overnight tournament sponsors or district chaperones
e. Clubs, programs, or sports will maintain a list of students with severe life-threatening allergies. These individual programs will be responsible for obtaining this information from parent(s)/guardian(s).