Our Emergency Plan for Middle School

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This is one of several documents in our DD's IHP/504. The purpose of this document is to delineate staff responsibilities in the event of an anaphylactic reaction.

Any comments and feedback is appreciated.

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[b]Emergency Plan for Mariah X X Middle School Fall 2005[/b]

Anaphylaxis

If you suspect ingestion of peanuts, peanut butter, tree nuts, soy, or peanut and tree nut derivatives, oils, and by-products, OR see these symptoms: o Airway: tingling, itchy, or swelling of the mouth/throat/tongue/lips, tightness of the throat, changes in the voice, hoarseness. o Breathing: shortness of breath, shallow breathing, wheezing, hacking or repetitive coughing, skin around rib cage sucked in o Circulation: weak or rapid pulse, drop in blood pressure, pale or flushed skin, sweating, unconsciousness. o Digestion: stomachache, diarrhea, nausea/vomiting, increased salivation.

Emergency Plan Steps 1. Administer EpiPen located in emergency packs located throughout school. Note: Mariah is also carrying an EpiPen in her purse or backpack. 2. Call for school nurse (name) and office who will ask if the EpiPen was administered. 3. Secretary (name) and nurse go to the location of the emergency. (Name) will bring another emergency pack and will remain with the student (and accompany the student to the hospital if necessary). Secretary will bring a walkie-talkie/cell phone. 4. Secretary (name) calls 911. She instructs 911 to go the nearest door to the student

On Aug 18, 2005

Hi Gail W,

I think this document looks really good, but I have a few recommendations to strengthen it further.

Even though Mariah is getting older, she could be incapacitated during anaphylaxis, and given that this is a new school, I would err on the side of getting even more detailed in the plan.

For example, you may want to consider adding that when the Epi-Pen is administered, the time should be recorded; as you know, tracking that info becomes vital if there is a delay in rescue support and a decision needs to be made re:a 2nd injection.

Also, based on this info [url="http://uumor.pair.com/nutalle2/peanutallergy/Forum1/HTML/005225.html"]http://uumor.pair.com/nutalle2/peanutallergy/Forum1/HTML/005225.html[/url] , we tweaked our emergency plan last year to now state that after Epi administration, DS's legs are to be elevated and he is to be kept warm.

On Aug 19, 2005

Gail, do you mind if I print this out and show it to our school RN? We've been speaking back and forth about particulars and I especially like the part about assigning responsibility for calling 911, etc.

Amy

On Aug 19, 2005

Thanks for asking, Amy. Anyone can print this out and use it. We are still in the "draft" phase and I'll post final revisions.

Nutternomore, your are fabulous. I will request your two very excellent suggestions. .. and repost the final accepted document.

Thank you, thank you, thank you.

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