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Posted on: Wed, 01/24/2001 - 4:35am
rilira's picture
Joined: 11/11/1999 - 09:00

pI will update the links I have posted later today. I am happy to help anyone who needs it and hope I have not caused any confusion. I am a little (well alot) computer challenged when it comes to the hyperlinks. Chris has contacted me off the board about these links and offered his assistance. I will get to this tonight, I promise!/p
pThanks,br /

Posted on: Wed, 06/13/2001 - 1:16pm
Anonymous's picture
Anonymous (not verified)

pI am re-raising this thread for someone who may like to read it./p
pBest wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]/p

Posted on: Thu, 07/19/2001 - 5:10pm
rilira's picture
Joined: 11/11/1999 - 09:00

pWell second grade starts for us in two weeks so I thought I would post our latest 504 plan:/p
pSection 504 Plan - Student Identification Report and Accommadation Plan/p
p1. Describe the nature of the concern:/p
pRachel suffers with a food hypersensitivity to tree nuts and peanuts. Exposure to peanuts , tree nuts, nut products or nut oils triggers an allergic response that ranges from utarica (hives) to a severe anaphylactic reaction. A food allergy such as Rachel's must be distinguished by its severity from a food intolerance, which occurs when a person is unable to properly digest a food product and suffers gastrointestinal symptoms. Rachel's allergy to peanuts and tree nuts leads to anaphylaxis, an acute and potentially life threatening reaction. Anaphylactic reactions are characteristically explosive. Surviving patients describe a " feeling of impending doom." The first symptom is a tingling sensation around the mouth or face followed by a feeling of warmth, difficulty in swallowing, and tightness in the throat or chest. There may be apprehension, weakness, sweating, itchiness; the patient becomes flushedand hives appear along with varying degrees of hoarseness, difficulty breathing and swallowing, nasal congestion, sneezing and wheezing. Abdominal cramps and diarreha may also occur. Most reactions occur within 30 minutes of exposure, some much more quickly. Effective treatment depends on immediate diagnosis and implemention of appropriate therapy. Epinephrine, supplied for Rachel by her physican in the form of easy to use injectable epi-pen, must be administered immediately in her thigh upon the onset of symptoms, and 911 accessed. Emergency care in a hospital is mandatory./p
pEmergency plan: If symptoms of allergy occur without any respiratory symptoms, send Rachel with an adult escort to the health office. Be sure that office personnel or the nurse is immediately advised. Rachel should be given her antihistamine and her parents called. One on one observation must be maintained to be certain that the reaction does not progress to anaphylaxis. Rachel must never be left alone or unobserved. If symtoms progress to an anaphylactic reaction, the epipen must be administered immediately in her thigh and paramedics called. She should lie down with her feet elevated. If she suffers an anaphylactic reaction in the classroom, the epipen should be administered there in the classroom and she should lie down with her feet elevated. Paramedics should be called simultaneously. The nurse or office health worker should then be called to come to the classroom with the second epi pen. If the paramedics don't arrive within 15 minutes and symptoms persist, a second epi pen may be administered. School personnel must be ready to perform CPR if necessary./p
p2. Describe the disability and the basis for determination:/p
pSevere food allergy to peanuts and tree nuts. Under the care of : List doctors name/p
pAllergy Listbr /
The following list is not guaranteed to be complete but is a good reference list of all nuts/products:/p
ppeanuts, acorns, almonds, beech nuts, brazil nut, caponata (sweet relish), cashew, chestnut, filbert, hazelnut, gianduja, ginkgo, sal nuts, hickory nuts, macademia, queensland nuts, australian gympie nut, bush nut, bopple nut, mortadella, mango, marzipan, almond paste, nougat, nu-nuts ( artificial nuts), pecans, mashuga nuts, pesto, pine nuts, pignolia, pinon, pinyon nuts, pili nut, japanese almonds, pistachios, squari nut, swarri nut, butter nut, paradise nut, guiana nut, terminalia nut, walnuts, wingnuts, any nut paste or nut oil. Remember artificial nuts can be peanuts that have been deflavored and reflavored with a nut like pecan or walnut. Mortadella may contain pistachios. Avoid any natural extract ( like almond extract).Mango although a fruit comes from the same family as pistachios and cashews. Bean bags, kick sacks or hacky sacks are commonly filled with crushed walnut shells. Commerically prepared cake mixes and cookies share equipment with products containing nuts. Therefore allergy patients must avoid products cooked in bakeries and store delicatessens due to shared equipment./p
p3. Describe how the disability affects a major life activity: X qualifies for 504./p
p4. if student qualifies for 504, describe the reasonable accomadations that are necessary and indicate who will be responsible./p
pA. Nurse and parent will provide detailed training to classroom teacher, instructional aide, librarian, and computer lab teacher regarding emergency procedures and contamination issues./p
pB. A classroom policy will be developed as follows: All food served to the students in Rachel's class ( for parties or treats) must be cleared by Rachel's parents or it will not be served. Unplanned, unexpected food brought into the classroom by other parnets will either not be distributed, or will be distibuted outside the classroom as the students leave for the day./p
pC. School and parent will write a joint letter to all parents of Rachel's classmates informing them of her allergy, the classroom food policy, and the nut free status of the classroom./p
pD. Parents will provide needed medications for Rachel. Medication consent forms will be completed yearly by parent and signed by physican. Parent will be responsible for replacing medications when it expires. Parent will provide a pack for Rachel to wear containing prescribed epi pen, and other materials as determined by parent./p
pE. Parent or designee will walk Rachel into school into each day and supervise Rachel until the teacher is present. Parent or designee will meet Rachel at the classroom door as she leaves for the day. Teacher will walk Rachel to school office if parent or designee is late picking up Rachel from school./p
pF. Teacher will leave a copy of this 504 plan and any other instructions he/she has in an spot easily accessible to substitutes. Parent or designee will talk with substitute before leaving Rachel for the day and be sure that substitute has located and understands plan. Teacher will notify parent if a substitute is required ( with 24 hour notice whenever possible)./p
pG. All students will be taken to the bathroom to wash their hands prior to entering the classroom at the beginning of the school day, after snack and after lunch./p
pH. Parent and/or teacher will show parent provided video on food allergies to Rachel's classmates and teach them at an age appropriate level about allergies and about steps necessary to protect Rachel. Nurse will be able to join the lesson in an advisory capacity./p
pI. TEacher will keep a parent provided emergency box readily available which contains first aid supplies for Rachel. A seond box will be lept in the health office. Parent will provide snacks for Rachel./p
pJ. Rachel will take epi pack along with her whenever she leaves the classroom./p
pK. Rachel will clean computer keyboard in computer lab before using it./p
pL. Rachel will eat snack and lunch at a table designated for her. Lunch table and seat where Rachel will be sitting must be wiped off prior to her use. Rachel will eat lunch in classroom whenever parent or staff school member feels it would be safer for her./p
pM. Parent will instruct Rachel that she may not ahare food or utensils./p
pN. An independent facilitator (IF) will be assigned to supervise Rachel from 15 minutes before the first recess until 15 minutes after lunch. This IF will be assigned to supervise cleaning of designated table prior to recess and lunch. She. he may take students to wash their hands, monitor snacks at designated table, and will be responsible for direct supervision of Rachel during snack and lunch break, including playtime on playground./p
pO. Rachel will inform IF or teacher of any developing symptoms./p
pP. Students will not eat in classroom on rainy days./p
pQ. Rachel will only eat food brought from home or approved by parent or designee./p
pR. Parent will instruct Rachel not to use the school soap. Parent provided soap will be in her pack./p
pS. Rachel will have a parent provided water bottle to drink from so she does not have to use the water fountain. She will be allowed to have her water in class and on the playground./p
pT. Parent will volunteer in classroom as agreed upon by teacher./p
pU. Parent or designee will accompany Rachel on all field trips./p
pV. Custodial staff will clean Rachel's classroom ( desk and chair surfaces, sink, computer stations) before the beginning of each track session./p
pW. Other students will be permitted to rotate into Rachel's classroom and Rachel may go to other classrooms. If foods are to be served in a classroom in which Rachel will be present, the teacher serving the food must abide by the classroom food policy as in item B above./p
pX. A classroom buddy or staff member will accompany Rachel if Rachel goe to the restroom during class time./p
pThis student's 504 disability would not be expected to interfere with her ability to understand and follow school rules./p
pPartcipants in the meeting:br /
Parentsbr /
Administratorbr /
Teacherbr /
partcipantbr /
p*********************************************br /
Ok well that is this years plan. Mostly the same as last year with just a few modifications. /p
pThe letter went out today informing the parents of the situation and attached to each letter was a letter to the child from Rachel. Each letter was personalized to the specific child and their current level of knowledge on allergies./p
pI will be doing a presentation to the class first thing in the morning on the first day of school. I will be using the lesson plan given out by FAAN. I believe I got it at the conference last year or in the mail./p
pAny questions let me know in the next few days then my computer will be unplugged for a week or two./p
pTake care,/p

Posted on: Thu, 07/19/2001 - 11:55pm
Rhonda RS's picture
Joined: 02/24/2001 - 09:00

pThank you for posting your 504 Plan! Is this the first draft or the final version? -Did you go to the meeting with it typed up as a proposal? How did you handle this? Thanks again.br /
Take Care, Rhonda/p

Posted on: Sat, 07/21/2001 - 3:24pm
rilira's picture
Joined: 11/11/1999 - 09:00

pThis is the final version. Before Rachel started kindergarten, I went in with a list of accommadations that I thought were necessary. I brought along supporting material to show why those accommadations were needed. Since then we have just adjusted the plan as it fit into the new class year. For this plan, I went in with a couple of notes jotted down and we modified last years plan as needed./p

Posted on: Thu, 08/02/2001 - 3:35pm
rilira's picture
Joined: 11/11/1999 - 09:00

pJust wanted to let everyone know Rachel's new school year has already begun. Things went very smoothly and her teachers are great. The 504 is being followed and the teachers are asking any questions which come up./p
pMy little education spiel for the class went well. The kids this year really wanted to know specifically what an allergy was and how it happened. This was a little bit of a challenge to explain on a second grade level but the teachers said I pulled it off./p
pWe finally reconnected our computer, so it is nice to be back on the site./p

Posted on: Wed, 08/15/2001 - 7:28am
tkiamly's picture
Joined: 05/22/2001 - 09:00

pMy daughter (pnut and tnut allergic)will start school in the fall of 2002! I am preparing now for a school that seems to be very unaware of the potential dangers of food allergies...all the information everyone has provided is very helpful.br /
Just wanted to thank everybody for their input!/p

Posted on: Thu, 01/29/2004 - 11:07am
anonymous's picture
Joined: 05/28/2009 - 16:42

pIs this what you were talking about Cindy?/p
pRe-raising for another member. Also might check out RhondaRS's site [url="http://www.allergysupport.org"]www.allergysupport.org[/url] its excellent for help in creating a 504./p


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