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SCHOOL ANAPHYLAXIS ACTION PLAN (To be completed at the beginning of each school year and kept on file with the school nurse or office of the principal) Grade: Students Name: DOB: School Campus: School
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How to fill out school anaphylaxis action plan

How to fill out school anaphylaxis action plan:
01
Start by gathering all necessary information about the student with allergies, including their name, age, and specific allergies. It's important to know if the student has any particular triggers or symptoms to watch out for.
02
Include emergency contact information for the student, such as the parents' or guardians' phone numbers and alternative contact persons.
03
List the student's medications and dosages, including any emergency medications like epinephrine auto-injectors, and specify the administration procedures.
04
Identify the early signs and symptoms of an allergic reaction that the school staff should be aware of. It's crucial to outline detailed instructions on how to recognize and respond to an allergic reaction promptly.
05
Describe specific emergency procedures to follow in case of an allergic reaction, including calling 911, administering medication, and contacting the student's emergency contacts.
06
Outline any additional accommodations or special precautions that need to be taken, such as avoiding certain foods or substances in the school environment.
07
Review and update the plan regularly to ensure it remains accurate and reflects the student's current needs.
Who needs a school anaphylaxis action plan?
01
Students with known allergies, especially severe allergies that may result in anaphylaxis, need an anaphylaxis action plan. This includes students allergic to insect stings, certain foods (e.g., peanuts, tree nuts, shellfish), medications, or other triggers.
02
Schools and educational institutions should have a clear plan in place for managing anaphylaxis emergencies to protect the health and safety of their students.
03
Parents or guardians of children with allergies should work collaboratively with school staff to develop and update the anaphylaxis action plan regularly. It is crucial for parents and school personnel to be well-informed about the plan and procedures involved in case of an allergic reaction.
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