CARE PLANS


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PROCEDURES FOR THE SAFETY OF STUDENTS WITH FOOD ALLERGIES

The Baldwinsville Central School District recognizes that food allergies can be life threatening.

Parents are required to:
1. Notify the district of your child’s allergies prior to the opening of school (or as soon as a diagnosis is made)
2. Provide the district with a detailed script from the child’s physician
3. Complete the District Allergic Reaction/Anaphylaxis Health Care Plan form or equivalent document

School nurse is required to
:
1. Coordinate the overall program for preventing and treating allergic reactions
2. Educate staff at the beginning of each year with respect to recognition of signs and symptoms and treatment of reactions
3. Provide staff with updated class allergy list

Teachers are required to:
1. Follow the district procedure for maintaining a safe classroom environment for the food allergic child
2. Know which students in their classroom have a food allergy and adhere to the child's emergency medical plan
3. Provide parents with the approved safe food list while planning for each event relating to food

If a student has serious food allergies, the following procedures are to be implemented and followed:
1. Develop a Plan
a. The building principal, teacher(s), school nurse, and parents of the food-allergic child shall develop a plan for dealing with the child’s food allergies based on the district guidelines

2. District Guidelines
a. Keep allergy-producing snacks out of the classroom by adhering to the approved safe food list
b. Any person bringing a snack for the class must adhere to the safe food list that will be distributed to every child in the classroom

i. The teacher will not dispense any snacks that are not on the approved list of safe foods. Parents will be required to pick up inappropriate snacks


c. The teacher will not be doing any classroom projects that involve nuts (like bird feeders or art projects)
d. For class activities that require food, the teacher will make sure parents provide food from the “Safe Food List”
e. Hand washing will be expected


i. Parents will be notified in writing that a child has a food allergy in the classroom. The letter will also state that if their child ate any food containing nuts for breakfast, they are to made sure that his/her hands are washed with soap and water before leaving for school. Water alone does not eliminate contamination

ii. Students will wash hands after eating lunch to avoid cross-contamination


f. Students will be directed to not trade snacks, lunches, and utensils

3. Documentation/Record Keeping
a. The teacher will retain information about each allergic student


i. Information will be kept in the class roster
ii. A notation will be provided by the student’s name in each class roster so the substitute teachers will be aware of the student
iii. Post signs and symptoms of an allergic reaction near the class telephone

4. Training
a. The nurse, in coordination with the building principal, will train appropriate staff


i. Know symptoms of allergic reaction
ii. Know the symptoms of a student’s allergic reaction
iii. Know and follow the protocol for emergency response

5. Transportation
a. District drivers will not pass any food out to the students
b. Drivers will be notified of students with allergies by the Transportation Director
c. Drivers will be trained in signs and symptoms and emergency response protocol
d. The staff member in charge of the trip will confer with the nurse regarding any medical needs of those students or staff with food allergies on the trip
e. For transportation of students on out-of-district trips such as field trips, athletic trips, extra-curricular trips, the staff member in charge will be responsible for following the procedures unless they have made alternate plans following review with the administrator, school nurse and director of transportation

6. Cafeteria
a. There will be an allergen-free eating desk in the cafeteria which may be placed adjacent to a cafeteria table so that the student with the allergy will have an allergen-free eating are:
b. The allergen-free desk will be washed down with the appropriate sanitizer prior to each lunch period
c. Students will be reminded not to share lunches, snacks and utensils
.


Transportation & Severe Food Allergies


The School Nurse Practitioner or designee (School Doctor or School Building Nurse) will:

1. Provide training for all school bus drivers on managing life threatening allergies
2. Offer epi-pen training to involved drivers

The Building Nurse will:
1. Provide the Transportation Department a list of allergy/anaphylaxis students with standard symptom recognition and emergency action plan

The Director of Transportation will:
1. Provide individual drivers with any unique information for a specific child’s allergy
2. Ensure driver has a two-way communication device with the transportation office.

The Transportation Dispatcher will:
1. ID the situation as life threatening with the potential need for more epi if 911 is activated.

The School Bus Driver will:
1. Activate 911 when there is question of exposure/ingestion while on the bus,
2. If the driver is trained and/or the child is self directed and carrying the epi pen– define the location of the epi pen while on the bus
3. Will know student placement on the bus (elementary)
4. Is responsible for wiping down the allergic student seat prior to beginning the run
5. Maintain the policy of no food being allowed on the bus
6. Never give food to students even as they exit the bus



Individualized Health Care Plans

The Baldwinsville School nurses are committed to protecting the well being of our students, especially those with particular health needs. In keeping with the position of the National Association of School Nurses that students with relatively complex health condition have an individual care plan - we are pleased, and proud, to offer Individualized Health Care Plans. The Baldwinsville Nursing Team has worked on the creation of these plans for the past year and is now ready to implement them.

Individualized Health Care Plans helps to ensure that all necessary information, needs, and procedures are considered to maximize the student’s participation and performance at school. This includes assisting teachers, students and administration to adapt to a student’s health issues. Because of this commitment, it is important that the parent or guardian share certain confidential information about the student’s health condition. This information will be used to plan for the care and management of the student. It may be shared with those members of the school’s professional staff who have direct responsibility for the student when participating in school activities.

The care plans were developed using current professional standards and include input from the parent and medical provider, under the direction of the school nurse. It is important that you notify the school nurse during the school year of any changes in your child’s health status, medications or treatments.
Utilization of the care plans assists us in providing a successful school experience for all students with specific medical needs. Care plans can be downloaded from this site and are available at the nurse’s office. Questions are welcomed and should be directed to the school nurse.

Julie Carpenter MS, RN, FNP
Nurse Practitioner

 

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Severe Allergic Reactions Call For Prompt Action

Editor’s note: The following health column was written by Julie Carpenter, nurse practitioner for the district.

The incidence of all allergies appears to be on the rise, and scientists are puzzled by the trend.

When an allergy is extreme enough to cause a severe and potentially life-threatening reaction, it is called anaphylaxis. The symptoms can include difficulty breathing, coughing, hives, nausea or abdominal pain, drop in blood pressure and swelling or flushing of the lips, throat, tongue, hands and feet. Anaphylaxis can happen anytime, anywhere – at home, school or play.

Every school in our district has adults and children who are at risk for anaphylaxis. You would not be able to pick them out of a crowd.

Epinephrine injections (Epi pens) can be a life-saving measure, and time is of the essence in the administration of the Epi.

How can every student, staff member, friend, and human help?

By understanding the following basic measures:
•Take allergies seriously!
•Learn what your friend is allergic to and help him or her avoid it. If the allergy is food-related, don’t pressure your friend to eat any foods.
•Because an exposure cannot always be identified, get help immediately if your friend begins to show any sign of anaphylaxis. For example, a student with a peanut allergy could get a severe reaction if the knife that was used to make his jelly sandwich had also been used to make a peanut-butter sandwich -- and was only hastily wiped off.

The most common allergens include foods, insect stings or bites, latex, and medicine. The amount of exposure needed to cause anaphylaxis varies from person to person. Some people are extremely sensitive, and the mere smell of the allergen can be life threatening. There is no way to predict how quickly a reaction will develop or how mild (or severe) the reaction may be. A a result, all reactions need to be taken seriously.

The key to minimizing the reaction is to support avoidance of the allergen. Accidents do happen, so be prepared to step in and to initiate a call to the school nurse or 911 after school hours.

Be a pal -- and protect a life. For more information, contact the Food Allergy and Anaphylaxis Network at the following web site: www.foodallergy.org

Also:
The district is looking for substitute nurses to work in school buildings at various times of the year. If you are interested in applying, please call the school district’s Human Resources Department at 638-6049 between 8 a.m. and 4 p.m.


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