MCPS Allergy Procedures: Life Threatening

Upon initial enrollment

No computer entry

No dissemination of info

Teachers (k-5) reviewed

No info re: allergen, reaction or treatment

Limited nurse awareness/involvement

Who can administer?

What is anaphylaxis?

Past Allergy Procedures

2012-13 Snapshot

134 students reported to have RX for Epi

52 had Epi in “office”

27 students had H/O symptoms that “may

be” indicative of anaphylaxis w/o RX

17 had an outdated anaphylaxis plan

40 had current anaphylaxis plan

Screening

Initial steps

Communication with parents

Section 504

Parent obligations

Information dissemination

Training

Current Procedures

Screening To what? ____________________________ Symptoms your child had: ______________ What medications were used to treat

those symptoms? _____________________ Has your child ever been given a written

prescription for epinephrine (Epipen)? Yes * No

Enrollment, 2nd, 5th, 8th

Reviewed Computer entered Health alerts and standard language

□ Allergies:

Computer health alert;

standard language

Mail/email/alert now to parent

information

Information means informational letter with

Anaphylaxis Action Plan

Initial Steps

Increasingly calling “new” parents in spring

before parent returns Anaphylaxis Plan

504 information

Communication with parent

Section 504 of the Rehabilitation Act of 1973,

29 U.S.C. § 794, is a federal law designed to

protect the rights of individuals with

disabilities in programs and activities that

receive Federal financial assistance from the

U.S. Department of Education.

Section 504

Schools can’t discriminate against students with disabilities

Schools must provide educational services to students with disabilities

Eligibility is determined if condition “substantially” limits a “major life activity”

If eligible, then an accommodation plan is developed so that student can access educational services

So that means….?

Court interpretations have changed over

time thus how & when schools implement

have changed

Plans are individualized

Team determines accommodations

Team includes parents and could include

child

504 Accommodation Plans

Goal: accommodate so disabled student has

access to same level of education as non-

disabled peers

Accommodation no longer appropriate when

substantially or materially alters the

program or constitutes unreasonable

burden on district or child

504 Accommodation Plans

The required method to individualize

accommodations to particular student

needs

Catching up quickly!

504 summary

Annually provide completed Anaphylaxis

Plan

Annually provide non-expired medication

Consent to 504 “evaluation” to start process

Participate in 504 team and in development

of accommodations

Help school help student

Parental Obligations

Minimum without 504

◦ Health alert PK-12

◦ PK-5 classroom teacher; copy of Ana Plan

◦ Pk-5 Specials email or copy

◦ Ana Plan kept in school office/health office

◦ If food allergic, notify Food Services

Information Dissemination

Minimum without 504

◦ Encourage teachers to obtain via video or arrange

with school nurse

◦ Encourage principals to invite nurse to annual

staff meeting

◦ Info on website

◦ First aid staff at school/field trips

Training

Stock epinephrine

Administrator training

Sub training for 2014-2015

Safe table guidelines

What’s in process now?