food allergy management plan - grayslake, ildistrict 46 food allergy management plan 4 food...

___________________________________________________________________________________District46FoodAllergyManagementPlan

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District46FoodAllergyManagementPlan

Withimportantinformation,guidelinesandresourcestomanagefoodallergiesandotherspecialdietaryneedsinDistrict46schools


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TABLEOFCONTENTS

SECTION PAGESForeword 3 FoodAllergiesinSchools 4-6 WhatisAnaphylaxis? AllergyStatistics BestPracticesinDistrict46StudentSafetyPlans 7-8 PuttingPlansinAction EachYear,TakeAction EmergencyCarePlans IndividualHealthCarePlan(IHCP) Section504Plans QuickLook:WhichPlanShouldaStudentHave? GeneralGuidelinesandRoleResponsibilities 9-19 We’reAllInvolved Checklists:SpecificGuidelinesforDifferentRoles Parent/Guardian StudentwithFoodAllergies Nurse/HealthAide ClassroomTeacher SubstituteTeacher SchoolAdministrator CustodialStaff LunchroomSupervisor/PTOLunchVolunteers Transportation Coach/ActivitySponsor_________________________________________________________________________________________________APPENDICIESAppendixA:FoodinClassrooms 20AppendixB:Resources 21


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ForewordIn2014,acommitteeofDistrict46parentsandstaffmet.Thecommittee’sgoal,aspartofDistrict46’sfocusonhealthandwellnessofstudentsandstaff,wastodevelopafoodallergymanagementplanthatwouldpositivelyinfluencethelearningenvironmentinallDistrict46schoolssoallteacherscouldfocusonteachingandstudentscouldfocusonlearning,safelyandhealthfully.Thisplanwasdesignedspecificallytoaddressfoodallergies,butcanbeusedasastepping-stoneforthesuccessfulmanagementofotherfood-relatedissues(diabetes,celiacdiseaseandglutensensitivities,etc.)Increatingthisplan,thecommitteereviewedtheISBEguidelines,theCenterforDiseaseControlguidelines,aswellasplansfromseveralpeerdistrictsandreviewedinputfromthecommunity.Thecommitteedidnotseektocreateallergen-freeschools--animpossibletask.TheysoughttodevelopguidelinesthatwouldallowDistrict46schoolstobeallergyfriendly,andensurethat: •Studentsaresafeandabletolearnacademicallyandgrowsociallyand emotionallyintheirschools •Ourschoolcommunitywouldgainbetterunderstandingoftheneedsofstudents withfoodallergiesandotherspecialdietaryneeds •Parentsofthosestudentswouldgaincomfortinthatwiderunderstandingoftheir children’sneeds,andwouldbeabletoeasilyaccessresourcesavailabletoprotect thehealthofchildrenatschool •Staffwouldhaveeasy-to-followguidelinesforfoodinclassroomsandaroundthe schoolsThekeytosuccessisopenlinesofcommunication.Thisplancreatesformalavenuesforstartingthosediscussions,butparentsofchildrenwithfoodallergiesareencouragedtotalktoteachers,administrators,nursesandotherschoolofficialsaboutindividualneeds.Staff,too,isencouragedtoreachouttoparentsofchildrenwithfoodallergiesiftheyhaveanyquestionsorconcernsabouthelpingstudentsmanagetheirallergiesinschool.


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FoodAllergiesinSchoolsInimplementingthisFoodAllergyManagementPlan,District46recognizesthenecessitytocreateclearandconsistentDistrict-wideguidelinestohelpouradministrators,teachers,studentsandparentsprotectthosewithfoodallergies.Foodallergiescanbelife-threatening.Theyoccurwhenthebody’simmunesystemreactstotheproteincomponentincertainfoodsasifitwereharmful.Areactioncanoccurwithinminutesorhoursafterexposuretoanallergen.Someindividualsmayreacttojusttouchingorinhalingtheallergen;forothers,consumptionofjustaminisculeamountofallergenicfood--beitpeanuts,milk,wheat,orsomeotherfood-cancausedeath.Theseverityofareactionisnotpredictable;everyallergicreactioncanbecomealife-threateningreaction.Inmanycases,basedonthedeterminationofaneducationalteam,studentswithlife-threateningfoodallergiesareprotectedbyfederallawsprohibitingdiscriminationonthebasisofdisability.TheAmericanAcademyofPediatricsissuedapositionstatementforthetreatmentofanaphylaxisinschools.

WHATISANAPHYLAXIS?

Anaphylaxis,sometimescalledallergicshock,isapotentiallylife-threateningmedicalconditionoccurringinallergicindividualsafterexposuretoanallergen.Itoccurswhenthebody’simmunesystemreactstoharmlesssubstancesasthoughtheywereharmfulinvaders.Duringananaphylacticreaction,thebodyreleaseschemicalmediators,suchashistamine,thattriggeraninflammatoryreactioninthetissuesoftheskin,respiratorysystem,gastrointestinaltractandcardiovascularsystem.Whentheinflammatorysymptomsarewidespreadandsystemic,thereactionistermedanaphylaxis.Symptomsinclude:

Organ SymptomsLungs Shortofbreath;wheezing;repetitivecoughHeart Pale,blueorflushedskin;faint;weakpulse;irregularheartbeat;dizzyThroat Tightnessorclosingofthroat;hoarseness;othervoicechange;trouble

swallowing;feelingthatsomethingisstuckinthroat;nottalkingMouth Swellingofthetongueand/orlipsNose Itchy/runnynose;sneezingSkin Hivesorrash;widespreadredness;swellingofanybodypartGut Stomach/abdominalcramps;vomiting;severediarrheaBrain Feelinganxiety,confusion,thatsomethingbadisabouttohappenWhenthesesymptomsappear,followthechartsonthefollowingpagefortreatment.Studies(Sampson,1992andBock2001)showthatfatalandnear-fatalanaphylacticreactionsaresometimesassociatedwithnotusingepinephrineauto-injector(“EpiPen/AUVI-Q”)ordelayingitsuse.Whenindoubt,medicaladviceindicatesthatitisbettertogivethestudent’sprescribedepinephrineauto-injectorandthencall911.Fatalitiesoccurwhenepinephrineiswithheld.Inaddition,neversendastudenttothenurse’sofficealone.


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FORANYOFTHEFOLLOWINGSEVERESYMPTOMS

LUNGHEARTTHROATMOUTHShortofbreath,Pale,blueTight,hoarse,Signigicantwheezing,faint,weakpulse,troublebreathing/swellingoftherepetitivecoughdizzyswallowingtongue/lips

SKINGUTOTHERORACOMBINATIONManyhivesoverRepetitivefeelingofsymptomsBody,widespreadvomiting,severeSomethingbadfromdifferentrednessdiarrheaisabouttohappen,bodyareasanxiety,confusion1.INJECTEPINEPHRINEIMMEDIATELY.2.Call911.Tellthemthechildishavinganaphylaxisandmayneedepinephrinewhentheyarrive.•Considergivingadditionalmedicationsfollowingepinephrine:-Antihistamine-Inhaler(bronchodilatorifwheezing)•Laythepersonflat,raiselegsandkeepwarm.Ifbreathingisdifficultortheyarevomiting,letthemsituporlieontheirside.•Ifsymptomsdonotimprove,orsymptomsreturn,moredosesofepinephrinecanbegivenabout5minutesormoreafterthelastdose.•Alertemergencycontacts.•TransportthemtoERevenifsymptomsresolve.PersonshouldremaininERforatleast4hoursbecausesymptomsmayreturn.

MILDSYMPTOMS

NOSEMOUTHSKINGUTItchy/runnyItchymouthAfewhivesMildnausea/discomfortnoseandmilditchFORMILDSYMPTOMSFROMMORETHANONESYSTEMAREA,GIVEEPINEPHRINE.

1.Antihistaminesmaybegiven,iforderedbyahealthcareprovider.2.Staywiththeperson,alertemergencycontacts.3.Watchcloselyforchanges.Ifsymptomsworsen,giveepinephrine.


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Thisplanstrivestoaddressandrespecttheemotionalaswellasthephysicalneedsofstudents.Fearofallergicreactionscandrasticallyalterastudent’sbehaviororacademicperformance.Schoolnursesareavailabletoworkwithfamilieswithfood-allergicorfood-sensitivestudents.TheDistrict46FoodAllergyManagementPlanstrikesabalancebetweentherightandconvenienceofallstudentstoeatwhattheylikeandthefood-allergicstudent’srighttohealth,safetyandsocialnormalcyintheschoolsetting.Theseguidelinesalsofosterdevelopmentallyappropriateincreasedindependencesothatstudentswillreachthelong-termgoalofself-managementoftheirallergicconditions.

ALLERGYSTATISTICS

ThefollowingstatisticswerecompiledbyFoodAllergyResearch&Education,Inc.(FARE):•Upto15millionAmericanshavefoodallergies,including1inevery13childrenunderage18orroughlytwostudentsineveryclassroom•Foodallergiesamongchildrenincreasedapproximately50%between1997&2011•Theannualeconomiccostofchildren’sfoodallergiesisnearly$25billion•TheU.S.CentersforDiseaseControlreportedthatfoodallergiesresultinmorethan300,000ambulatory-carevisitsayearamongchildrenundertheageof18•Eightfoodsaccountfor90percentofallreactions:milk,eggs,peanuts,treenuts,soy,wheat,fishandshellfish•Peanutsandtreenutsaccountforabout90%offatalandnear-fatalreactions,butotherfoodscancausefatalorveryseriousreactionsaswellBestPracticesinDistrict46:ThefollowingpracticeswillbefollowedinDistrict46schools: •Addresslife-threateningallergicreactionpreventioninallclassroomsandotherinstructionalareas,lunchrooms,outdooractivityareas,schoolbuses;duringfieldtrips;andwithallclassroomprojectsandcrafts. •TheD46goalistoadaptcurriculumbysubstitutingnon-fooditems,andreplace foodrewardsintheclassroomwithnon-fooditems.Iffoodisbeingconsideredfor curriculumrelatedevents,parentsofstudentswithallergieswillbegivenample notice. •Wheneverpossible,especiallyinallergyclassrooms,holdclassroomcelebrations thatarefood-free.Iftherewillbefood,notifyparentsofstudentswithallergies. •Createsignageforareasdesignatedforfoodtobeeatenorsold. •CommunicatewithPTOs,theGrayslakeParkDistrict,andanyorganizationsrentingspacetoensuretheyareawareoffoodallergyissuesandthepoliciesandproceduresinplaceforfooduseinDistrict46facilities. •Determinewhoshouldbefamiliarwithanindividualstudent’s504Plan,IndividualHealthCarePlan,andEmergencyCarePlan. •Teachallstaffaboutsignsandsymptomsofanaphylaxis.Whichwillinclude:howtorecognizesymptomsofanallergicreaction;reviewofhigh-riskareas;stepstopreventallergenexposure;howtorespondtoanemergency;howtoadministeranepinephrineauto-injector;howtorespondtoastudentwithaknownallergyaswellasastudentwithapreviouslyunknownallergy.


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StudentSafetyPlansWhenDistrictstaffreceivesnoticethatachildhasalife-threateningfoodallergy,theywillworkwithparents/guardianstogatherdocuments,information,andmedicationstodevelopandimplementanappropriatesafetyplan.Therearethreedifferentplansapplicableforstudentswithallergies.Parentsbegintheprocessfordevelopingaplanbyfollowingthestepsbelow:1.NotifytheDistrictoftheirchild’sallergy: •WhenenteringtheDistrictforthefirsttime,indicatethepresenceofanallergyorotherfoodrelatedmedicalconditionontheHealthHistorypageoftheregistrationpacket. •WhenastudentalreadyenrolledintheDistrictisdiagnosedforthefirsttime,contacttheschooltoscheduleahealthmeeting.2.Providetheschoolnursewiththefollowing(whichmustbeupdatedyearlyorwhenthereisachange): •AllergyHistoryForm •EmergencyCarePlan •MedicationForms:

- PermissiontoadministerOver-the-CounterMedication(coversallothernecessarymedicationsforthestudentduringtheschoolday,includingantihistaminemedications)- PermissiontoSelfAdministerAsthmaMedicationandEpinephrineAuto-injector(ifparentswouldlikechildtocarrymedication)-PermissiontoAdministerofPrescribedMedication

•Atleastoneup-to-dateepinephrineautoinjector(itisrecommendedthatyouprovidetwoormore,basedonyourchild’sactivitiesandtravelthroughouttheschoolday)•Othermedicationsrequiredbythestudent•OtherinformationasrequestedbytheDistrictstaff

EACHYEAR,TAKEACTIONEveryyear,beforethefirstdayofstudentattendance,parentsshouldprovidethefollowingupdatedinformationtotheschoolnurse,including:•AllergyHistoryForm•EmergencyCarePlan•PermissiontoAdministerMedicationformsTheyalsoshouldbringthenurseatleastoneup-to-dateepinephrineautoinjectorandanyothermedicationsthestudentneedsatschooltomanagehisorherallergiesorrelatedhealthissues.Oncethenursehasallnecessaryinformation,schoolstaffwillworkwithparents/guardianstodeveloptheappropriateplanorplansforthechild.FoodAllergy&AnaphylaxisEmergencyCarePlanAllstudentswithallergiesmusthaveanemergencycareplanonfile.Forsomechildrenthisinformationistheonlyplannecessary.TheFAREFoodAllergyandAnaphylaxisEmergencyCarePlanformmustbecompletedbyalicensedhealthcareprovider.Thisplan(whichsometimesisreferredtoasanEmergencyActionPlan)alsorequiresthesignatureofthechild’sparentorguardian.


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IndividualHealthCarePlan(IHCP)AschoolrepresentativewillmeetwiththeparentorguardiantodevelopanIndividualHealthCarePlan(IHCP),whichcreatesstrategiesformanagingthestudent’sfoodallergy,eitherpriortoentryintoschoolorassoonaspossibleafterschoolbegins.AnIHCPindicates,inwriting,whattheschoolwilldotoaccommodatetheindividualneedsofthestudent.TheIHCPincludesanEmergencyCarePlan(Seepg.7),whichdetailsthespecificstepsstaffmusttakeintheeventofanallergicreaction.TheIHCPshouldinclude(butnotbelimitedto)stepsforriskreductionandemergencyresponseduringtheschoolday,duringschool-fundedeventsandwhileonfieldtrips.Itwillidentifywheretheepinephrineauto-injector(andanybackupdevices)shouldbestoredandhowdeviceswillbemonitoredforexpiration.Itwillbesignedbytheparent/guardian,teacherandnurse/healthaide.504PlanTheDistrictandparentsmeettodetermineifthechildqualifiesasapersonwithadisabilityunderSection504oftheRehabilitationActof1973.TheDistrictassemblesamultidisciplinaryteamwhichwillincludeavarietyofschoolstaffandtheparentstodeterminethiseligibility.Ifthechildisfoundeligible,theteamworkstodevelopaplanwhichwillincludethenecessaryaccommodations,aids,andservices.Usuallyonepersonisresponsibleforcoordinatingthe504Plantomaketheprocesseasier.Thisprocesstakesplacepriortoentryintoschool,orimmediatelyafterdiagnosis.The504Planisupdatedregularlyorasneeded.LiketheIHCP,the504PlanalsoincludesandEmergencyCarePlan(seeabove),whichdetailsthespecificstepsstaffmusttakeintheeventofanallergicreaction.The504Planshouldinclude(butnotbelimitedto)stepsforriskreductionandemergencyresponseduringtheschoolday,andwhenonfieldtrips.Itwillidentifywheretheepinephrineauto-injector(andanybackupdevices)shouldbestoredandhowdeviceswillbemonitoredforexpiration.Itwillbesignedbytheparent/guardianandnurse/healthaide/DesignatedSchoolPersonnel.

QUICKLOOK:WHICHPLANSHOULDASTUDENTHAVE?Adequateplanstohandleallergicreactionscansaveachild’slife!StudentswhohavefoodallergiesmusthaveanEmergencyCarePlan,IndividualHealthCarePlan,and/or504Plan.Theteamwillworktogethertodeterminewhichplanisrightbasedoneachindividualstudent’sneeds,andwhattheplanincludes.Notethatall504PlansandIndividualHealthCarePlansmustincludeanEmergencyCarePlanforfoodallergies.FirstAllergicReactions-RespondingtoStudentswithUndiagnosedAllergiesIdentificationofstudentsatriskofanaphylaxiscannotbepredicted,anditispossiblethatastudentwhohasnotbeenidentifiedcouldhavehisorherfirstreactionatschool.Thatiswhyallstaffaretrainedtorecognizethesymptomsofanallergicreaction(seepage4),andontheuseofepinephrineauto-injectors.Studentswithanysymptomsshouldbeescortedtothenurse’sofficewithanadult,andthereshouldbenohesitationtoadministerepinephrine.Allbuildingshavestockedepinephrineforcasesthatareundocumented-studentsandstaffwhomayhavetheirfirstreactionatschool.


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GeneralGuidelinesandRoleResponsibilitiesInDistrict46,staffhavearangeofresponsibilitiesconcerningstudentswithlife-threateningfoodallergies.Eachstudent’steam(parent,childwhereappropriate,healthclerk,nurse,teacher)ultimatelydeterminestheresponsibilitiesofindividualstaffmembers.Thisguidewillhelpteamsdeterminewhichaccommodationsarenecessaryandoptionsthatarebeneficialforagivenstudent,basedonfactorsincludingthestudent’sage,allergensinvolved,andthefacilitiesattheschool.

WE’REALLINVOLVED

Allstudents,regardlessofwhethertheyarecapableofepinephrineself-administration,needhelpfromotherswhentheyhaveanallergicreaction.Weallplayaroleinpreventingreactionsfromoccurring.Theseverityofthereactionmayhampertheirattempttoself-inject.Adultsupervisionismandatory.TheAmericanAcademyofAllergy,Asthma&Immunology(AAAAI)says,“Allindividualsentrustedwiththecareofchildrenneedtohavefamiliaritywithbasicfirst-aidandresuscitativetechniques.Thisshouldincludeadditionalformaltrainingonhowtouseepinephrinedevices…”AllDistrict46nurses/healthaidesandofficeAdministrationstaffhavefirstaidandCPRtrainingthatisroutinelyupdatedandcurrent.Checklists:SpecificGuidelinesforDifferentRolesTheDistricthasestablishedbestpracticesforindividualswhointeractwithorareinvolvedincaringforstudentswhohavefoodallergies.Theseguidelinesincludespecificcheckliststhatwillhelpallstakeholdersunderstandtheirrolesandresponsibilities: 1.Parent/Guardian 2.StudentwithFoodAllergies 3.Nurse/HealthAide 4.ClassroomTeacher 5.SubstituteTeacher 6.SchoolAdministrator 7.CustodialStaff 8.LunchroomSupervisor 9.Coach/ActivitySponsor


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ParentofChildrenwithAllergiesGuidelinesParentsaretheirChildren’sfirstteachers.ItisimportantforParentsandguardianstoage-appropriatelyeducatetheirfoodallergicchildaswellastocommunicateinformationreceivedfromdoctors,etc.Preparing,role-playingandpracticingproceduresinadvancewillhelpeveryonefeelpreparedincaseofanemergency.ParentGeneralChecklist

Informthenurse/healthaideofyourchild’sallergiespriortothefirstdayofstudentattendance(orassoonaspossibleafteradiagnosis).

Completeandreturnallnecessaryforms:AllergyHistoryForm,theEmergencyCarePlan(ECP)andmedicationforms.

Providetheschoolwithup-to-dateepinephrineauto-injectors;givethemtotheschoolnurse/healthaidebeforethefirstdayofstudentattendance,notingtheirexpirationdatestoreplacewhennecessary.

Considerschedulinga504PlanorIndividualHealthCarePlan(IHCP)meetingandthenreviewingtheplanwiththeclassroomteacherpriortothefirstdayofstudentattendanceinthefall.Planmeetingsmay,includenurse/healthaideandotherstaffwhowillbeincontactwiththechild.Atthemeeting,youwilldiscussdevelopmentandimplementationofECPandIHCP.Youmaybereferredtothe504team.

Decideifadditionalantihistamineandepinephrineauto-injectorswillbekeptintheschool,asidefromtheoneinthenurse’sofficeordesignatedarea,andifso,where.Intheeventofafieldtrip,coordinatewiththeclassroomteachertoensurecoverageofepinephrine(e.g.,youmaysendanadditional“fieldtrip”epinephrineauto-injector).Provideclear,completeinformationontheFieldTripPermissionForm.

Periodically(perhapshalfwaythroughtheyear)reviewpreventionandECPwiththenurse/healthaide,teacherandotherstaff.

Considerprovidingamedicalalertbraceletforyourchild.

Bewillingtogoonyourchild’sfieldtrips,ifpossibleandifrequested.

Parentsmaychoosetogototheirchild’sclassroomtodiscussallergies.Parentsmay“writealetter”fromtheirchild’sperspective,explainingallergies.Parentsmayprovideaboxforchild’sownmaterialstoreducecross-contamination.


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Providethenurse/healthaidewiththelicensedmedicalprovider’sstatementifstudentnolongerhasallergies.

Discussemergencyproceduresfortransportationwithbuildingprincipal.Reviewrequirements/situationforstudent.

Afteranallergicreaction,informhealthclerkandornurse,andifneededparticipateinareturntoschoolreview.Ifthereactionoccursoutsideofschool,informtheschoolnursetoinitiatethisreviewifneeded(whichincludesameetingwiththenurse,schooladministrator,andanyteachersinvolved,aswellasanupdateoftheAllergyHistoryFormand,ifnecessary,replacementofepinephrineauto-injectororotherrescuemedications).

Ifyouhavequestionsorconcernsaboutfoodatanyevent,includingPTO-sponsoredevents,contactyourbuildingprincipal.

ParentChecklist:WorkingWithYourChildHelpyourchildbeabletobecomeselfadvocatesandaccomplishthefollowingtasks:

Recognizethefirstsymptomsofanallergic/anaphylacticreaction.

Knowwheretheepinephrineauto-injectoriskeptandwhohasaccesstotheepinephrine.

Communicateclearlyassoonashe/shefeelsareactionisstarting.

Carryhis/herownepinephrineauto-injectorasdirectedbyphysicianandapprovedbyparent.

Avoidsharingortradingsnacks,lunchesordrinks.

Understandtheimportanceofwashinghandsbeforeandaftereating.

Reportteasing,bullyingandthreatstoanadultauthority.

Iffoodisofferedtostudents,alabelhastobepresentsoanyallergychildorteacherhastheabilitytoreadthelabelsofthefoodbeingoffered.


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StudentwithFoodAllergiesGuidelinesThestudentwithfoodallergiesisthemostimportantmemberofthesafetyteam.Thestudenthavingage-appropriateeducationshouldbeabletotellwhattheirfoodallergiesare.Itisimportanttomakethestudentawareofwhataccommodationstheyareorshouldbereceivingsothattheymightassistappropriately.StudentChecklist

Recognizethefirstsymptomsofanallergic/anaphylacticreaction.

Knowwhereepinephrineauto-injectorsarekeptandwhohasaccesstotheepinephrineauto-injector(s).

Informanadultassoonasexposureoccursorsymptomsappear.

Carryyourownrescuemedicationswhenappropriateandapproved.

Donotshareortradesnacks,lunchesordrinks.

Donoteatfoodontheschoolbus.

Washhandsbeforeandaftereating.

Reportteasing,bullyingandthreatstoclassroomteacher,principalorotheradultauthority.

DoNOTtakeoreatfoodofferedtoyou.

Learntobecomeaself-advocateasyougetolder(refertoparentguidelines).

Developarelationshipwiththenurse/healthaideand/oranothertrustedadultintheschool,toassistinidentifyingissuesrelatedtothemanagementoftheallergyinschool.

Duringinstrument“try-outs,”makesuremouthpiecesarecleanedpriortousing.


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Nurse/HealthAideGuidelinesWhenitcomestotheschoolcareofstudentswithfoodallergiesinDistrict46,ournurses/healthaidesmaycarrythelargestresponsibility.Theyassisttheschoolteaminbothpreventionandemergencycareofstudentswithfoodallergiesandreactions.Theyareencouragedtofosterstudentindependence,basedontheirdevelopmentlevel.Toachievethisgoal,nurses/healthaidesconsidertheseguidelineswhendevelopinganIndividualHealthCarePlanor504Planforastudentwithafoodallergy.

Nurse/HealthAideGeneralChecklist

MakesureyouarefamiliarwithallareasoftheFoodAllergyManagementPlanandimplementtheplanwithfidelity.

Attendmeetingstoreview,updateand/ordevelopa504PlanorIndividualHealthCarePlanforstudentswithfoodallergies.

ReviewAllergyHistoryForm,FoodAllergyEmergencyCarePlan(ECP),IHCPand/or504Planforeverystudentwithallergies.Distributefinalcopiesoftheseformstoclassroomteachers,otherteachers,andotherstaffasneeded.

Contactteacherswhohavestudentswithfoodallergies/sensitivities/issuesandensuretheyareeducatedabouttheneedsofthosestudents.

Ifrequiredanddesiredbyparents,facilitateconversationsbetweenparentsandteachers.

EnsurethatappropriatepersonnelknowthelocationsofmedicationandECPs.Schoolmustdesignateanareaofthebuildingtohousemedication.Providetrainingonetimeperyeartostaff.

Ensureepinephrineauto-injectorsandantihistaminesarestoredinasecure,unlockeddesignatedarea.Monitormedicationsforexpirationdatesandarrangethemtobecurrent.

Establishacontingencyplanincaseofasubstitutenurse/healthaide.

Establishameansofcommunicationwithplaygroundstaffandphysicaleducationteacherviacommunicationdevice.

Provideemergencycommunicationdevices(e.g.,two-wayradio,intercom,cellphone)forallschoolactivitiesthatinvolveastudentwithfoodallergies.

Avoidendangering,isolating,stigmatizingorharassingstudentswithfoodallergies.Beawareofhowthestudentwithfoodallergiesisbeingtreatedbypeers.

Establishprocedurestoensurethatmedicalinformation,includingtheECP,forstudenthavingareactionissentwiththeEmergencyMedicalService(EMS).

Assistintheidentificationofdesignatedareasinthebuildingwherepotentiallyallergenicfoodcanbeeaten,soldforfundraisers,andprovidedforevents/activities.

Assistineducatingfamiliesregardingallergicissues.


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ClassroomTeacherGuidelinesTeachersarethestudent’sfirstlineofdefense.Youassisttheschoolteaminthecareandmanagementofstudentswithfoodallergies,andpreventionandtreatmentofallergicreactions.SeeAppendixA:Foodintheclassroomforinformationaboutfoodallowedinyourclassroom.ClassroomTeacherGeneralChecklist

DonotquestionorhesitatetoimmediatelyinitiateanEmergencyCarePlan(ECP)ifastudentreportssymptomsorexhibitssignsofanallergicreaction.Seepage4oftheFoodAllergyManagementPlanforsymptomsofareaction.

Keepthestudent’sECP,IndividualHealthCarePlan(IHCP)and/or504Planaccessibleintheclassroom.Carefullyreviewandfollowallplans.

Allstaffwillbeprovidedtrainingon(1)foodallergymanagement;and(2)Anaphylaxis.Allergensshouldnotbebroughtintoclassrooms.Allstaffshouldwashhandsaftereating,priortoreturningtoclass.

Seekassistanceifstudenthasingested,orissuspectedtohaveingested,aknownallergen.

Participateinanyteammeetingsforthestudentwithfoodallergies,in-servicetrainingorameetingforastudent’sre-entryafterareaction.

Leaveinformationforsubstituteteachersinanorganized,prominent,andaccessibleformat.FollowDistrictguidelinesforsubstituteteacherfolders.

Avoidendangering,isolating,stigmatizingorharassingstudentswithfoodallergies.Beawareofhowthestudentwithafoodallergyisbeingtreatedandenforceschoolrulesaboutbullyingandthreats.

Donotdismissstudentswithfoodallergiesiftheyreportanysymptomsofanallergicreaction,nomatterhowminor.

Studentswithallergiesmayneedtheirownsupplies.Pleasecheckwiththeparents.Artteachersshouldhaveseparatesuppliesforchildrenwithallergies.Ifstudentsarechangingclasses,allteachersshouldbemadeawareofallergyissues.


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SubstituteTeacherGuidelinesTeachersarethestudent’sfirstlineofdefense–evenifyouareonlyleadingtheclassroomonasubstitutebasis!It’simportantthatsubstitutesfamiliarizethemselveswithinformationaboutstudentswithfoodallergieswhoareintheirclassrooms,andlearntheproperproceduresforpreventingallergicreactionsandtakingappropriateactionwhenthosereactionsoccur.SeeappendixA:FoodintheClassroomforinformationaboutfoodallowedinyourclassrooms.SubstituteTeacherGeneralChecklist

Reviewthesubstitutefolderforinformationaboutanystudent’sEmergencyCarePlan(ECP),IndividualHealthCarePlan(IHCP)and/or504Plan.Carefullyreviewandfollowallplans.

TaketheDistricttrainingforsubstitutesprovidedon(1)foodallergymanagement;and(2)Anaphylaxis.Allergensshouldnotbebroughtintoclassrooms.Allstaffshouldwashhandsaftereating,priortoreturningtoclass.

Donotprovidefoodrewards.Seekassistanceifstudenthasingested,orissuspectedtohaveingested,aknownallergen.

Ensurestudentswithasuspectedallergicreactions,areaccompaniedtothenurse’sofficebyanadult.

Takeallcomplaintsseriouslyfromanystudentwithalife-threateningallergy.Contactprincipal,otherschooladministratororschoolnurse/healthaideimmediatelyifyoureceiveacomplaintorhearaconcernfromastudent.

Avoidendangering,isolating,stigmatizing,orharassingstudentswithfoodallergies.Beawareofhowthestudentwithafoodallergyisbeingtreatedandenforceschoolrulesaboutbullyingandthreats.

Donotdismissstudentswithfoodallergiesiftheyreportanysymptomsofanallergicreaction,nomatterhowminor.

CLASSROOMANDSUBSTITUTETEACHERS:COORDINATEEFFORTS

Lunchshouldnotbeallowedinclassroomswhereallergystudentsarepresent.

SubstituteTeachers:Inadditiontounderstandingthechecklistitemsforclassroomteachers,substituteteachersmakesuretoreviewanyECPsinthesubstituteteachersubfolders.ClassroomTeachers:MakesureECPsareinthefoldersforyoursubs.Thefoldermustincludeinstructionsforthesubstituteteachertoimmediatelycontactthenurse/healthaideforeducationandinstruction.


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SchoolAdministratorGuidelinesAsleadersinyourbuilding,schooladministratorsplayanimportantroleincreatingasafeandhealthylearningenvironmentforallstudents,andinsupportingotherstaffwiththeirresponsibilitiesinworkingwithstudentswhohavefoodallergies.SchoolAdministratorChecklist

SuperviseandimplementtheDistrict’sFoodAllergyManagementPlan.

Meetwithparent/guardianandappropriatestaffmemberstoestablish/reviewAllergyHistoryform,EmergencyCarePlan(ECP),andIndividualHealthCarePlan(IHCP).Mayreferto504team.

Ensuresubstituteteachers,nurses/healthaides,lunchroomsupervisorsandcustodiansunderstandtheirroleandhowtoimplementanECP,IHCPand/or504Plan.

Ensurethatrelevanthealthconcerns,ECP,IHCPand/or504PlansandAllergyHistoryFormaredisseminatedtoappropriatestaffpriortothefirstdayofstudentattendance,oruponreceiptofnewinformation.

Makesureappropriatepersonnelcontacttheparent/guardianIfthestudentexperiencesanallergicreaction.

Afteranallergicreaction,participateinaReturntoSchoolReview,initiatedbytheschoolnurse,whichincludesameetingwiththestudent(ifappropriate),parent/guardian,nurse,andanyteachersinvolved,aswellasanupdateoftheAllergyHistoryFormand,ifnecessary,replacementofepinephrineauto-injectororotherrescuemedications.

Communicatetofamiliestheproceduresformedicationandformdrop-off.

CommunicatewithPTO,ParkDistrictsandafterschoolprogramsregardingallergymanagementplananddesignatedfoodareas.


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CustodialStaffGuidelinesDistrict46valuesourcustodialstaffasimportantcontributorstothelearningenvironment.Thatrolecanbelife-savingwhendealingwithstudentswhohavefoodallergies.CustodialStaffChecklist

ReviewtheDistrict46FoodAllergyManagementPlananddirectanyquestionstotheprincipalorschoolnurse/healthaide.

Asrequested,participateinthein-servicetrainingontheidentificationoffood-allergicreactions,risk-reductionandemergencyresponseprocedures.

Takeallcomplaintsseriouslyfromanystudentwithalife-threateningallergy.Immediatelyadviseschoolstaffmemberofanysituations.

Useseparatecleaningsuppliesdesignatedspecificallyforallergen-freeeatingareas.Inaddition,separateglovesshouldbewornwhencleaningthetables.Cleaningsuppliesforallergyfreetablesshouldbeclearlyidentified.

Cleanclassrooms,desks,doorknobsandlockersroutinelywithDistrict-approvedcleaningagents.A504PlanorIndividualHealthCarePlan(IHCP)maydirectthefrequencyofcleaningofanygivenareaorclassroom.


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LunchroomSupervisorChecklist

ReviewtheDistrict46FoodAllergyManagementPlananddirectanyquestionstotheprincipalorschoolnurse/healthaide.

ImplementallrecommendationsandrequirementsforstudentswithanEmergencyCarePlan(ECP),IndividualHealthCarePlan(IHCP)and/or504Plan.

Beawareofwhereantihistamineandepinephrineauto-injectorsarelocatedsothattheyareaccessibletofoodallergicstudents.

Neverofferfoodtostudents.(Schoolofficestaffmustgetapprovaldirectlywithparentsforanyfoodchange/unplannedpurchasesoflunches).

Ensurethatyoureceivetherequiredtrainingonepinephrineauto-injectoruseandanaphylaxis.

Takeallcomplaintsseriouslyfromanystudentwithalife-threateningallergy.Contacthealthclerk,nurseorschooladministratorimmediatelyifyoureceiveacomplaintorhearaconcernfromastudent.

Whenindoubtaboutareaction,administerepinephrineauto-injectorandcall911.

Accompanystudentswithsuspectedallergicreactiontothenurse/healthaidefromtheplaygroundorlunchroomorcallforhelpfromtheschoolnurseoradministrator.Anadultmustbewiththestudentatalltimes.Studentsexperiencinganallergicreactionmustnotbeleftalone.

Recognizespecifictablesandtraysorareasofthelunchroomthathavebeendesignatedasallergensafe.Notethatnotallschoolshavethesetables/trays.

Encouragehandwashingforstudentsaftereating.

Useseparateglovesandscissorswhenworkingwithallergyfreestudents.


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Coach/ActivitySponsorGuidelinesStudentsparticipateinmanyactivitiesoutsidetheclassroom.Itiscriticalthatastudentwithfoodallergiesbeprovidedasafeenvironmentbothinsideandoutsidetheclassroom.Theseactivitiesmightincluderecess,physicaleducation,fieldtrips,school-sponsoredeventsorathletics.Teachersandstaffresponsibleforlunch,recess,coachingornon-classroomactivitiesmustbetrainedtorecognizeandrespondtoasevereallergicreaction.Coaches/ActivityLeadersChecklist

Askanadministratororschoolnurse/healthaidetoprovideyouwithspecificinformationpertainingtoallstudentswithlife-threateningallergies,ifparent/guardianagrees.ReviewtheEmergencyCarePlan(ECP),IndividualHealthCarePlan(IHCP)and/or504Planwithnurse/healthaide.

Identifywhoisresponsibleforkeepingepinephrineauto-injector(s)duringsportingeventsoractivities.Ensureacurrentepinephrineauto-injectorisreadilyaccessibleforfood-allergicstudents.Anadultstaffmember,trainedinitsuse,mustbeonsite.

Makecertainthatanemergencycommunicationdevice(e.g.,intercom,cellphone)isalwaysavailable.

GetemergencyformsIHCPofparticipatingstudentswithfoodallergiesorotherfood-relatedmedicalconditionsfromtheschoolnurse/healthaide.

Ensurethatbefore–andafter-schoolactivitiessponsoredbytheschoolcomplywithschoolpoliciesandproceduresregardinglife-threateningallergies.Followthefieldtripchecklist.

Coverortapemedicalalertidentificationofstudentathletes.Medicalalertidentificationisnotrequiredtoberemovedforactivities.IllinoisHighSchoolAssociation(IHSA)permitsthestudent-athletetowearthemedicalalertbraceletandnothaveitconsideredjewelry.Medicalalertbraceletshouldbetapedtothebody(whereveritisusuallyworn),butpartsofitshouldremainvisibleformedicalpersonneltoviewincaseofemergency.


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AppendixA:FoodinClassroomsInfocusingonoverallhealthofstudentsandcreatingtheoptimalteachingandlearningenvironmentduringschoolhours,theDistrictestablishesthefollowingguidelinesforfoodinclassrooms: ClassroomParties:Allcelebrations,includingbirthdayparties,PBISandholidaypartieswillbefoodfree.Nooutsidefoodwillbeallowed.Curriculumbasedfoodprojectsmusthavepriorapprovalfromyourbuildingadministratorandparentsmustbenotified. OtherEventsHeldinDistrict46Facilities:WhenPTO’sorotherorganizationsholdeventsinDistrict46facilities,thefollowingshallapply: •Allergyfreetablesmaynotbeused. •Createdesignatedareasforfoodtobeeatenorsold. DailySnacks:Inclassroomsthathavestudentswithallergies,thefoodingredientlabelmustbereadeverytimebeforeeatingtoensurethesnackissafetoeat. Lunch:Lunchshouldnotbeallowedinclassroomswhereallergystudentsarepresent.


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AppendixB:ResourcesDistrict46reliedonmanygreatresourcesindevelopingthisplan.Weencourageparentsofchildrenwithallergiestoaccessthesenetworksforinformationandsupport: •MothersofChildrenHavingAllergies(MOCHA):AsupportgroupforparentsinnorthernIllinois. •FoodAllergyResearchandEducation(FARE):Anationalorganizationdedicatedtoadvocacyandeducation. •IllinoisStateBoardofEducationGuidelines •CentersforDiseaseControlGuidelines •RecommendedPracticesforReducingtheRiskofExposuretoFoodAllergens:AresourceincludedintheCDCguidelines,thisdocumentoutlinesrecommendedpracticesandaccommodationsfortheclassroom,cafeteria,schoolevents,andphysicaleducationandrecesstoreducetheriskofexposuretofoodallergensandkeepchildrenwithfoodallergiessafeandincluded. •FoodAllergyAwareness:Apresentationforelementaryschoolstudents. •DiscoveryChannelDocumentary“AnEmergingEpidemic:FoodAllergiesinAmerica”:FAREpartneredwiththeDiscoveryChanneltoproducethisone-hourdocumentary,whichexploreswhatitistoliketolivewithlife-threateningfoodallergies,howfamiliesandindividualsmanagingfoodallergiesareworkingtoraiseawarenessintheircommunities,andtheresearchunderwaytofindeffectivetreatmentsandacure. •HowtoC.A.R.E.™forStudentswithFoodAllergies:WhatEducatorsShouldKnow:Thisfreeonlineinteractivecourseteacheseducatorshowtoprepareforfoodallergyandanaphylaxis.Itisspecificallydesignedforschoolpersonnel–administrators,nurses,teachers,andotherstaff–intheUnitedStates. •foodAllergyBullying(Video) •ThankYouforKeepingUsSafeandIncluded(Video) •OtherFoodAllergyVideos •MedicAlertLinkstoadditionalfood-relatedhealthissues: •Autism •CeliacDisease •Diabetes •EosinophilicEsophagitisLinkstogeneralhealthy-living/healthychildresources: •Let’sMove!TheFirstLady’sinitiativetocombatchildhoodobesity. •Fruits&Veggies:MoreMatters •HealthySchoolsCampaign •ActionforHealthyKids


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99THGENERALASSEMBLYSTATEOFILLINOIS2015and2016

SB0062

Introduce1/15/2015,bySen.ChrisNyboSYNOPSISASINTRODUCED:NewAct745ILCS49/13new CreatestheEpinephrineAuto-InjectorAct.Providesthatahealthcarepractitionermayprescribeepinephrineauto-injectorsinthenameofanauthorizedentitywhereallergenscapableofcausinganaphylaxismaybepresent.Requireseachemployee,agent,orotherindividualoftheauthorizedentitytocompleteatrainingprogrambeforeusinganepinephrineauto-injector.Providesthatatrainedemployee,agent,orotherindividualoftheauthorizedentitymayeitherprovideoradministeranepinephrineauto-injectortoapersonwhotheemployee,agent,orotherindividualbelievesingoodfaithisexperiencinganaphylaxis.AllowsanentityororganizationtokeeponitspremisesanEmergencyPublicAccessStationcontainingepinephrineauto-injectorsunderthegeneraloversightofahealthcarepractitionerthatiscapableofcommunicatingwithahealthcarepractitionerinrealtimebeforeitmaybeunlockedtodispenseepinephrineauto-injectors.Definesrequiredterms.AmendstheGoodSamaritanAct.ExemptsfromcivilliabilityanypersonauthorizedundertheEpinephrineAuto-InjectorActwhoadministersanepinephrineauto-injectortoapersonheorshebelievesingoodfaithtobeexperiencinganaphylaxis. LRB09903547JLK23555b•ThedistrictwillstockpileEpi-Pensasof4/1/15,inall7buildings,locatedinthehealthoffices.

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