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SEVERE ALLERGY ACTION PLAN Name: D.O.B. Grade/Teacher: HISTORY OF ALLERGY REACTION Allergic To: Age discovered Allergy Reaction was caused when substance was: Ingested (eaten) Contacted (touched)
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How to fill out severe allergy action plan

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How to fill out a severe allergy action plan:

01
Start by gathering all relevant information about the person with severe allergies. This includes their full name, contact information, date of birth, and any known allergies.
02
Consult with a healthcare professional or allergist to obtain a template for a severe allergy action plan. This plan should include sections for emergency contact information, a list of triggers or allergens, and a step-by-step guide for managing an allergic reaction.
03
Begin by filling out the emergency contact section of the action plan. Include the names, phone numbers, and relationships of at least two emergency contacts who can be reached in case of an allergic reaction.
04
Next, fill out the personal information section. Include the person's full name, date of birth, and any relevant medical conditions or medication allergies.
05
In the triggers or allergens section, list all known triggers or allergens that the person is highly sensitive to. This could include foods, medications, insect stings, or environmental factors such as pollen or pet dander. Be as specific as possible to ensure proper management and prevention of allergic reactions.
06
The action plan should also include a step-by-step guide for managing an allergic reaction. This may involve administering medication such as an epinephrine auto-injector, calling emergency services, or seeking immediate medical attention. Follow the instructions provided by the healthcare professional or allergist to ensure accuracy.
07
Review the completed severe allergy action plan with the person who will be using it, as well as any caregivers or school personnel. Ensure that everyone understands the instructions and is capable of following them in case of an emergency.

Who needs a severe allergy action plan:

01
Individuals with severe allergies to certain foods, medications, or environmental factors may need a severe allergy action plan. This plan is especially important for those who have a history of anaphylactic reactions, which can be life-threatening.
02
Children with severe allergies should have an action plan in place, particularly if they attend school or daycare. This ensures that caregivers and school personnel are aware of the necessary steps to take in case of an allergic reaction.
03
Adults with severe allergies who are at risk of exposure to their allergens should also have a severe allergy action plan. This may include individuals who work in food service, healthcare, or other environments where allergens may be present.
In summary, filling out a severe allergy action plan involves gathering relevant information, consulting with a healthcare professional, and accurately completing each section of the plan. This plan is essential for individuals with severe allergies and provides guidance on managing allergic reactions effectively.
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Severe allergy action plan is a document outlining a detailed plan of action to be taken in case of a severe allergic reaction.
Individuals with severe allergies or their caregivers are required to file a severe allergy action plan.
Severe allergy action plans can be filled out by including information on allergens, symptoms, emergency contacts, and steps to be taken in case of a reaction.
The purpose of a severe allergy action plan is to ensure a quick and appropriate response to a severe allergic reaction in order to prevent serious complications.
Information such as allergens, symptoms of an allergic reaction, emergency contact information, and steps to be taken in case of a reaction must be reported on a severe allergy action plan.
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