Food

Alle

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Man

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Educ

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FAC

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FACILITIES (CUSTODIAL) CHECKLIST

Follow school district food allergy policy and procedure

Participate in school district training at least annually and as needed

Practice “best practice”

Give special attention to allergen free — eating areas, use separate cloths for allergen safe tables

type of cleaning solutions.

Review the eight most common food(s) that may cause students an allergic reaction

Prevention Identify all potential non-food allergens, including these items: cleaning supplies, paints, work materials, or other substances in the school and remove.

Education/Training

What to do if an allergic reaction occurs

Where is the EpiPen® located (unlocked)?

Who will give the EpiPen®?

Emergency response protocol

can cause a reaction

8 Most Commmon Food Allergens

What Does an Allergic

or tongue

blood pressure)

Give Epinephrine then Call 911

Know the DifferenceFood Intolerance when the body has difficulty digesting a certain food — the immune system is not affected

Food Allergy an immune system response to a certain food

Anaphylaxis a sudden, severe allergic reaction that can cause difficulty breathing, tongue and throat swelling —

Food Allergy Management Education&

Food Allergy Information

IT IS IMPORTANT to always read food labels, because of hidden food allergens.

Hidden Allergens Eggs: egg substitutes, baked goods, noodles

Fish/Shellfish: seafood flavoring, worcestershire sauce

Milk: cheese, bread, soup, hot dogs, deli meat

Wheat: flours, soup mixes, snacks

Soy: baked goods, candy, TV dinners

Peanut/Tree Nuts: candy, ice cream, baked goods, salads, barbecue sauce

In case of an Allergic ReactionGive Epinephrine then Call 911

Sources of Cross Contact/Contamination

Adapted from FAAN

Food Allergy Management Education&

Cross Contact/Contamination

Ways to AVOID Cross Contact

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EPIPEN®/EPIPEN JR.® COMPETENCY SKILLS CHECKLIST

Name School

in the box, if the skill is attained.

Identify five signs and symptoms of anaphylaxis

® then call)

® from package and protective carry tube by flipping the yellow or green cap

Make a fist around the EpiPen® Auto Injector

Hold the EpiPen® with the orange tip pointing toward the middle part of the outer thigh area at a

EpiPen®

® straight out of injection site

Patient has received the correct dose of the medication if the orange needle tip is extended and the window is obscured. If not, repeat steps 4-9.

SCORE FOR NUMBER OF SKILLS CORRECTLY PERFORMED

Signs and Symptoms of Anaphylaxis

around the eyes

Storage

Efficacy

When do effects wear off? 10-20 minutes. Call 911 immediately after using the EpiPen®.

When do you use EpiPen® versus EpiPen Jr®? EpiPen® if >66 lbs / Jr® if 33-66 lbs

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