Monbulk College. Date Ratified: March 2018 Date of Last Review February 2018

Transcription

1 Mnbulk Cllege Plicy: Anaphylaxis Date Ratified: March 2018 Date f Last Review February 2018 BASIC BELIEFS: Mnbulk Cllege believes that: Anaphylaxis is a severe, rapidly prgressive allergic reactin that is ptentially life threatening. The mst cmmn allergens in schl aged children are peanuts, eggs, tree nuts, cw s milk, fish and shellfish, wheat, sy, sesame, latex, certain insect stings and medicatin. The key t preventin f anaphylaxis in schls is knwledge f thse children wh have been diagnsed at risk, awareness f triggers (allergens), and preventin f expsure t these triggers. Partnerships between schls and parents are imprtant in ensuring that certain fds r items are kept away frm the student while at schl. Adrenaline given thrugh adrenalin aut injectr t the muscle f the uter mid-thigh is the mst effective first aid treatment fr anaphylaxis. AIMS: Mnbulk Cllege aims t: prvide, as far as practicable, a safe and supprtive envirnment in which students at risk f anaphylaxis can participate equally in all aspects f the student s schling including preventin strategies t minimise the risk f an anaphylactic reactin. raise awareness abut anaphylaxis and the schl s anaphylaxis management plicy in the schl cmmunity engage with parents/carers f students at risk f anaphylaxis in assessing risks, develping risk minimisatin strategies and management strategies fr the student ensure that each staff member has adequate knwledge abut allergies, anaphylaxis and the schl s plicy and prcedures in respnding t an anaphylactic reactin. The Cllege will fully cmply with Ministerial Order 706 and the assciated Guidelines published and amended by the Department frm time t time. IMPLEMENTATION PROCEDURES INDIVIDUAL ANAPHYLAXIS MANAGEMENT PLANS The Principal will ensure there is an individual management plan, develped in cnsultatin with the student s parents, fr any student wh has been diagnsed by a medical practitiner as being at risk f anaphylaxis. The plan shuld be in place as sn as pssible after the student enrls and where pssible befre their first day f schl; and an interim Individual Anaphylaxis Management plan will be put in place in the event an individual anaphylaxis management plan has nt been cmpleted prir t student enrlment. Refer t Anaphylaxis Guidelines fr Victrian Gvernment Schls, DE&T Anaphylaxis Guidelines. The individual anaphylaxis management plan will set ut the fllwing: infrmatin abut the student s medical cnditin that relates t allergy and the ptential fr anaphylactic reactin, including the type f allergy/allergies the

2 student has and the signs r symptms the student might exhibit in the event f an allergic reactin (based n a written diagnsis frm a medical practitiner) strategies t minimise the risk f expsure t knwn allergens while the student is under the care r supervisin f schl staff, fr in-schl and ut-f-schl settings including in the schl yard, at camps and excursins, r at special events cnducted, rganised r attended by the schl the name f the persn(s) respnsible fr implementing the risk minimisatin strategies which have been identified in the Plan (Mnbulk Cllege First Aid Officer will have the verview respnsibility fr cmmunicatin abut Anaphylaxis requirements and cmmunicate with individual teachers) infrmatin n where the student's medicatin will be stred the student's emergency cntact details an up-t-date ASCIA Actin Plan fr Anaphylaxis cmpleted by the student s medical practitiner., prvided by the parent, that: - sets ut the emergency prcedures t be taken in the event f an allergic reactin; - is signed by a medical practitiner wh was treating the child n the date the practitiner signs the emergency prcedures plan; and - includes an up t date phtgraph f the student. This individual student ASCIA Actin Plan will be reviewed annually Nte: The red and blue ASCIA Actin Plan is the mst cmmn frm f emergency prcedures plan that is prvided by medical practitiners t parents when a child is diagnsed as being at risk f anaphylaxis. Dwnlad frm: Schl staff will then implement and mnitr the student s Individual Anaphylaxis Management Plan as required. The student s Individual Anaphylaxis Management Plan will be reviewed, in cnsultatin with the student s parents in all f the fllwing circumstances: annually if the student's medical cnditin, insfar as it relates t allergy and the ptential fr anaphylactic reactin, changes as sn as practicable after the student has an anaphylactic reactin at schl when the student is t participate in an ff-site activity, such as camps and excursins, r at special events cnducted, rganised r attended by the schl (e.g. class parties, elective subjects and wrk experience, cultural days, fetes, cncerts, events at ther schls, cmpetitins r incursins). It is the respnsibility f the parent t: btain the ASCIA Actin Plan fr Anaphylaxis frm the student s medical practitiner and prvide a cpy t the schl as sn as practicable (including annual updates f this plan) immediately infrm the schl in writing if there is a change in their child s medical cnditin, insfar as it relates t allergy and the ptential fr anaphylactic reactin, and if relevant btain an updated ASCIA Actin Plan fr Anaphylaxis prvide an up t date pht f the student fr the ASCIA Actin Plan fr Anaphylaxis when that Plan is prvided t the schl and each time it is reviewed

3 prvide the schl with an adrenaline autinjectr that is current (i.e. the device has nt expired) fr their child prvide an updated ASCIA Actin Plan t the Cllege if the student s medical cnditin changes. participate in annual reviews f their child s ASCIA Actin Plan. COMMUNICATION PLAN & SCHOOL MANAGEMENT The Principal will be respnsible fr ensuring that a cmmunicatin plan is develped t prvide infrmatin t all staff, students and parents/guardians abut anaphylaxis and the schl s anaphylaxis management plicy. Infrmatin fr parents, students and the schl cmmunity abut anaphylaxis and the schl s anaphylaxis plicy (including hw t respnd t an anaphylactic reactin at Mnbulk Cllege) can be btained by visiting the Cllege website. The cmmunicatin plan will include infrmatin abut what steps and strategies t take t respnd t an anaphylactic reactin by a student during nrmal/usual classrm activities, in the schl yard, in all schl buildings; and during ff-site activities, including n schl excursins, schl camps and special events cnducted r rganised by the schl. During n-site nrmal schl activities, Individual Anaphylaxis Management Plans, ASCIA Actin Plans and Adrenalin Aut Injectrs (students and back up) are stred in Sick Bay (First Aid). With an additinal back up Adrenalin Aut Injectr stred in the Gymnasium. During ff-site activities, Individual Anaphylaxis Management Plans, ASCIA Actin Plans and Adrenalin Aut Injectrs are stred with the staff member supervising the student. Additinally, the student shuld carry an additinal Adrenalin Aut Injectr if ut f cntact with a staff member during the activity. Infrmatin will als be regularly disseminated t staff thrughut the curse f the year reflecting any changes t Individual Anaphylaxis Management Plan, where this ccurs. At ther times while the student is under the care r supervisin f the schl, including sprting activities, excursins, yard duty, camps and special event days, the schl will ensure that the staff present, have up t date training in an anaphylaxis management training curse including hw t administer an aut injectr. Staff will als be made aware f preventative measures including use f fd; pssible hidden allergens such as in milk r egg cartns; fd handling; cleaning and raising student awareness. All staff will be made aware f students with anaphylaxis during the training curse and via regular updates frm the schl nurse. Vlunteers, canteen staff and casual relief staff will be infrmed abut students at risk f anaphylaxis and their rle in respnding t an anaphylactic reactin. Casual relief staff will be required t be Anaphylaxis trained and infrmed f students at risk f anaphylaxis by the Daily Organiser (CRT). Canteen staff will be infrmed f students at risk f anaphylaxis by the First Aid Officer Vlunteer staff will be infrmed f students at risk f anaphylaxis thrugh the initial inductin prcess by the staff member crdinating the vlunteer. The Principal is respnsible fr ensuring that relevant staff are:

4 trained in accrdance with Ministerial Order 706 briefed at least twice per year. All staff will be briefed twice per year by a staff member wh has up t date anaphylaxis management training n: The schl s anaphylaxis management plicy The causes, symptms and treatment f anaphylaxis Preventin strategies t minimise the risk f an anaphylactic reactin The identities f students diagnsed at risk f anaphylaxis and where their medicatin is lcated Hw t use an adrenalin aut injectr injecting device including practising with a trainer device The schl s first aid and emergency respnse prcedures Strage f adrenalin aut injectrs in the Cllege, including student wn injecting device (Sick Bay) and Cllege back up devices (Sick Bay, Gym). Staff cnducting classes and ther staff, as identified by the Principal based n risk assessment, where students at risk f anaphylaxis must attend scheduled briefings. Mnbulk Cllege recgnizes the imprtance f raising student awareness and will achieve this by the use f age apprpriate resurces such as discussin f allergic and anaphylactic reactins (including hw t respnd t an anaphylactic reactin) in Science and Health/PE classes, thrugh teaching First Aid curses within the Junir and Senir Schl, the celebratin f Allergy Awareness Week annually and ther frums in respnse t specific need. RISK MINIMISATION STRATEGIES Risk Minimisatin Strategies fr all relevant in-schl and ut-f-schl settings which include (but are nt limited t) the fllwing: during classrm activities (including class rtatins, specialist and elective classes) between classes and ther breaks in canteens during recess and lunchtimes befre and after schl camps and excursins, r at special events cnducted, rganised r attended by the schl (e.g. class parties, elective subjects and wrk experience, cultural days, fetes, cncerts, events at ther schls, cmpetitins r incursins). The Cllege als cnsiders a range f apprpriate risk minimizatin strategies will be discussed and implemented where required fr any learning activities which may invlve expsure t allergens fr thse students at risk f anaphylaxis. This may include sme f the fllwing strategies: Class Activities Details n all anaphylactic students will be psted n staffrm ntice bard and cmmunicated in staff meetings and training staff are t be trained n preventin (i.e. fd related class activities), recgnitin and treatment f anaphylactic reactins. There will be n burning f peanuts r tree nuts in Science experiments Apprpriate risk minimizatin strategies will be discussed and implemented where required fr any classrm activities which may invlve fd

5 Minimize the risk f expsure t cnfirmed allergens fr thse students at risk f anaphylaxis t allergens; (e.g. Bees / Jumping Jacks = utdr activity, etc.) Ensure that any envirnmental factrs that may cntribute t pssibility f expsure are minimised (grass n the val is mwn regularly, bees nests r increased bee activity are investigated and treated, etc.) N sharing f fd Minimize the risk f expsure t cnfirmed allergens fr thse students at risk f anaphylaxis t fd allergens Celebratins at Schl (birthday s, class parties, functins) Celebratins at schl and/r anther activity rganized by the class teacher des nt invlve fd. Parents/guardians f children wh are at risk f anaphylaxis will be infrmed in advance by the schl f any activity which invlves fd and risk minimizatin strategies will be discussed and put in place Handwashing All students are encuraged t wash their hands pre and pst snack time and lunchtime Canteen Training f canteen crdinatr in anaphylaxis management and fd handling practices ASCIA Actin Plans t be displayed in canteen Canteen staff / vlunteers t be briefed abut risks f anaphylaxis N sharing recmmendatin is t be implemented Fd knwn t cntain traces f nuts are nt t be served t students wh are identified as being at risk f anaphylaxis t nuts Yard Duty Staff n grunds duty will be knwledgeable f students with anaphylaxis and will be trained in preventin, recgnitin and treatment f an anaphylactic reactin. Laminated anaphylaxis alert cards are placed in all staff areas In the event f a child experiencing an anaphylactic reactin, the teacher n yard duty will instruct a respnsible student wh will run t receptin r the staffrm t btain assistance, indicating student name and anaphylactic reactin. The Principal will cmplete an annual Risk Management Checklist as published by the Department f Educatin and Training t mnitr cmpliance with their bligatins. The annual checklist is designed t step schls thrugh each area f their respnsibilities in relatin t the management f anaphylaxis in schls. (see Appendix 2; and ) PLANNING, STAFF TRAINING All staff will be Anaphylaxis trained using ne f the ptins t meet training requirements f MO706, and; recrd the date that this training ccurred which includes cmpleting the anaphylaxis management training curse in the last 3 years in ne f 22099VIC VIC, r 22303VIC

6 r cmpleted an nline anaphylaxis management training curse in the tw years prir (ASCIA e-training fr Victrian schls and verified that staff have cmpleted 22303VIC r 10313NAT Curse in Anaphylaxis Awareness and participated in twice (per calendar year) briefings The first briefing will be cnducted at the beginning f the schl year, all staff will attend a briefing utlining student health plans, including anaphylactic students and details f individual Anaphylaxis Management Plans and ASCIA Actin plans. This will be delivered by a staff member wh has cmpleted anaphylaxis management training curse in the last tw years prir. Staff will undertake twice-yearly anaphylaxis briefings t ensure that they cmply with DET anaphylaxis management under Ministerial Order 706: Anaphylaxis Management in Victrian Schls. This briefing will include: Title and legal requirements utlined in MO706 Mnbulk Cllege Anaphylaxis Plicy Causes, signs, symptms and treatment f anaphylaxis Individual current phtgraph f the students at Mnbulk Cllege at risk f anaphylaxis, their allergens, year levels and risk management plans that are in place; and where their medicatin is stred ASCIA Anaphylaxis e-training ASCIA Actin Plan fr Anaphylaxis and hw t administer an adrenalin autinjectr Cllege First Aid Plicy and emergency respnse prcedures Lcatin f and access t adrenalin aut-injectrs that have been prvided by parents fr students at risk f anaphylaxis and general use back up devices Onging supprt and training This briefing will be cnducted by a member f staff (First Aid fficer) wh has successfully cmpleted an apprved anaphylaxis management training curse in the last 2 years. Teachers and ther schl staff wh cnduct classes which students at risk f anaphylaxis attend, r give instructin t students at risk f anaphylaxis must have up t date training in an anaphylaxis management curse. A briefing fr staff will ccur nce an interim Anaphylaxis Plan is develped fr any student at risk f anaphylaxis. At ther times while the student is under the care r supervisin f the schl, including excursins, yard duty, camps and special event days, the principal must ensure that there is a sufficient number f staff present wh have up t date training in an anaphylaxis management training curse. The principal will identify the schl staff t be trained based n a risk assessment. Wherever pssible training f staff will take place befre the student s first day f attendance In the event that the relevant training has nt ccurred fr a member f staff wh has a child in their class at risk f anaphylaxis, the principal will develp an interim Individual Anaphylaxis Management Plan in cnsultatin with the parents f any affected student. Training and a briefing will als be prvided t the relevant schl staff as sn as practicable after the interim plan is develped.

7 The principal will ensure that while the student is under the care r supervisin f the schl, including excursins, yard duty, camps and special event days, there is a sufficient number f schl staff present wh have successfully cmpleted an anaphylaxis management training curse. EMERGENCY RESPONSE PROCEDURES In the event f an anaphylactic reactin, the Mnbulk Cllege s First Aid and Emergency Management respnse prcedures and the student s ASCIA Actin Plan will be fllwed which als utlines emergency respnse and first aid prcedures required fr an anaphylactic reactin Emergency Respnse prcedures relating t anaphylactic reactins include: a cmplete and up t date list f students identified as being at risk f anaphylaxis included in First Aid kits taken n camps, excursins, displan drills and emergency evacuatins details f Individual Anaphylaxis Management Plans and ASCIA Actin Plans fr Anaphylaxis and where these are lcated within the schl and during schl excursins, schl camps and special events cnducted, rganised r attended by the schl In the event f an Anaphylactic Emergency, these prcedures shuld be fllwed: 1. Always fllw the student s ASCIA Plan which utlines the emergency respnse required as well as the relevant first aid fr an anaphylactic reactin. 2. Persn 1 must remain with the student. 3. Persn 2 btains student s kit which cntains the student s aut-injectr, ASCIA plan, Individual Anaphylaxis Management Plan and antihistamine if prescribed. They must als btain a back-up aut-injectr which is the same dse f the student s prescribed aut injectr. These are lcated next t the student s kits. 4. Persn 2 returns t the student and the ASCIA plan is fllwed. 5. Persn 1 calls an Ambulance 6. Persn 1 is t remain with the student at all times and wait fr an ambulance 7. Persn 2 is t ntify the schl nurse, Principal, Deputy Principal and the ther members f the leadership team as relevant 8. Parents/guardians are t be cntacted. 9. The incident is t be recrded in CASES and Cmpass. 10. Fllw up and cunselling/debrief t be ffered t relevant parties. 11. Update f the student s Individual Anaphylaxis Management Plan as sn as is practicable. The Principal is respnsible fr purchase f adrenalin aut injectrs fr general use and as a back up t thse supplied fr ASCIA Plan students by their parents. Factrs fr cnsideratin fr the number f back up devices purchased include: Number f students enrlled wh are at risk f anaphylaxis Accessibility t adrenalin aut-injectrs supplied by parents (Sick Bay) Availability and sufficient supply fr n-site and ff-site activities Replacement cycle upn usage r expiry The Cllege maintains supply f three back up Adrenaline Aut-injectrs as part f the first aid kits and fr general use thrugh the Cllege s First Aid prcedures. They are stred in the Sick Bay, First Aid Office and Gym.

8 Always fllw the student s ASCIA Plan. A cpy f the mst recent Anaphylaxis Management Briefing with an up t date list f the students at risk f anaphylaxis at Mnbulk Cllege is available t staff in Sick Bay. References: Ministerial Order 706: Anaphylaxis Management in Victrian Schls alorder706.pdf ASCIA Anaphylaxis Resurces DET 2014 Anaphylaxis Guidelines Appendices: 1. Anaphylaxis Management Plan 2. Anaphylaxis Annual Risk Management Checklist (t be cmpleted at the start f each schl year) Apprved By Apprval Authrity (Signature & Date) Respnsible fr Review Next Review Date Schl Cuncil M J Uren 21/3/18 Assistant Principal Plicy and Planning Sub-Cmmittee February 2019 (annually)

9 Appendix 1 Individual Anaphylaxis Management Plan This plan is t be cmpleted by the principal r nminee n the basis f infrmatin frm the student's medical practitiner (ASCIA Actin Plan fr Anaphylaxis) prvided by the parent. It is the parents' respnsibility t prvide the schl with a cpy f the student's ASCIA Actin Plan fr Anaphylaxis cntaining the emergency prcedures plan (signed by the student's medical practitiner) and an up-t-date pht f the student - t be appended t this plan; and t infrm the schl if their child's medical cnditin changes. Schl Phne Student DOB Year level Severely allergic t: Other health cnditins Medicatin at schl Name Relatinship Hme phne Wrk phne Mbile Address Name Relatinship Hme phne Wrk phne Mbile Address Medical practitiner cntact EMERGENCY CONTACT DETAILS (PARENT) Name Relatinship Hme phne Wrk phne Mbile Address EMERGENCY CONTACT DETAILS (ALTERNATE) Name Relatinship Hme phne Wrk phne Mbile Address Name Phne Emergency care t be prvided at schl Strage fr adrenaline autinjectr (device specific) (EpiPen )

10 ENVIRONMENT T be cmpleted by principal r nminee. Please cnsider each envirnment/area (n and ff schl site) the student will be in fr the year, e.g. classrm, canteen, fd tech rm, sprts val, excursins and camps etc. Name f envirnment/area: Risk identified Actins required t minimise the risk Wh is respnsible? Cmpletin date? Name f envirnment/area: Risk identified Actins required t minimise the risk Wh is respnsible? Cmpletin date? Name f envirnment/area: Risk identified Actins required t minimise the risk Wh is respnsible? Cmpletin date? Name f envirnment/area: Risk identified Actins required t minimise the risk Wh is respnsible? Cmpletin date? Name f envirnment/area: Risk identified Actins required t minimise the risk Wh is respnsible? Cmpletin date?

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12 This Individual Anaphylaxis Management Plan will be reviewed n any f the fllwing ccurrences (whichever happen earlier): annually if the student's medical cnditin, insfar as it relates t allergy and the ptential fr anaphylactic reactin, changes as sn as practicable after the student has an anaphylactic reactin at schl when the student is t participate in an ff-site activity, such as camps and excursins, r at special events cnducted, rganised r attended by the schl (egg. class parties, elective subjects, cultural days, fetes, incursins). I have been cnsulted in the develpment f this Individual Anaphylaxis Management Plan. I cnsent t the risk minimisatin strategies prpsed. Risk minimisatin strategies are available at Chapter 8 - Preventin Strategies f the Anaphylaxis Guidelines Signature f parent: Date: I have cnsulted the parents f the students and the relevant schl staff wh will be invlved in the implementatin f this Individual Anaphylaxis Management Plan. Signature f principal (r nminee): Date:

13 Appendix 2 Annual risk management checklist (t be cmpleted at the start f each year) Schl name: Date f review: Wh cmpleted this checklist? Review given t: Cmments: Name: Psitin: Name Psitin General infrmatin 1. Hw many current students have been diagnsed as being at risk f anaphylaxis, and have been prescribed an adrenaline autinjectr? 2. Hw many f these students carry their adrenaline autinjectr n their persn? 3. Have any students ever had an allergic reactin requiring medical interventin at schl? a. If Yes, hw many times? 4. Have any students ever had an anaphylactic reactin at schl? a. If Yes, hw many students? b. If Yes, hw many times 5. Has a staff member been required t administer an adrenaline autinjectr t a student? a. If Yes, hw many times? 6. If yur schl is a gvernment schl, was every incident in which a student suffered an anaphylactic reactin reprted via the Incident Reprting and Infrmatin System (IRIS)?

14 SECTION 1: Training 7. Have all schl staff wh cnduct classes with students wh are at risk f anaphylaxis successfully cmpleted an apprved anaphylaxis management training curse, either: nline training (ASCIA anaphylaxis e-training) within the last 2 years, r accredited face t face training (22300VIC r 10313NAT) within the last 3 years? 8. Des yur schl cnduct twice yearly briefings annually? If n, please explain why nt, as this is a requirement fr schl registratin. 9. D all schl staff participate in a twice yearly anaphylaxis briefing? If n, please explain why nt, as this is a requirement fr schl registratin. 10. If yu are intending t use the ASCIA Anaphylaxis e-training fr Victrian Schls: a. Has yur schl trained a minimum f 2 schl staff (Schl Anaphylaxis Supervisrs) t cnduct cmpetency checks f adrenaline autinjectrs (EpiPen )? b. b. Are yur schl staff being assessed fr their cmpetency in using adrenaline autinjectrs (EpiPen ) within 30 days f cmpleting the ASCIA Anaphylaxis e-training fr Victrian Schls? SECTION 2: Individual Anaphylaxis Management Plans 11. Des every student wh has been diagnsed as being at risk f anaphylaxis and prescribed an adrenaline autinjectr have an Individual Anaphylaxis Management Plan which includes an ASCIA Actin Plan fr Anaphylaxis cmpleted and signed by a prescribed medical practitiner? 12. Are all Individual Anaphylaxis Management Plans reviewed regularly with parents (at least annually)? 13. D the Individual Anaphylaxis Management Plans set ut strategies t minimise the risk f expsure t allergens fr the fllwing in-schl and ut f class settings? a. During classrm activities, including elective classes b. In canteens r during lunch r snack times c. Befre and after schl, in the schl yard and during breaks d. Fr special events, such as sprts days, class parties and extra-curricular activities e. Fr excursins and camps

15 f. Other 14. D all students wh carry an adrenaline autinjectr n their persn have a cpy f their ASCIA Actin Plan fr Anaphylaxis kept at the schl (prvided by the parent)? a. Where are the Actin Plans kept? 15. Des the ASCIA Actin Plan fr Anaphylaxis include a recent pht f the student? 16. Are Individual Management Plans (fr students at risk f anaphylaxis) reviewed prir t any ff site activities (such as sprt, camps r special events), and in cnsultatin with the student s parent/s? SECTION 3: Strage and accessibility f adrenaline autinjectrs 17. Where are the student(s) adrenaline autinjectrs stred? 18. D all schl staff knw where the schl s adrenaline autinjectrs fr general use are stred? 19. Are the adrenaline autinjectrs stred at rm temperature (nt refrigerated) and ut f direct sunlight? 20. Is the strage safe? 21. Is the strage unlcked and accessible t schl staff at all times? Cmments: 22. Are the adrenaline autinjectrs easy t find? Cmments: 23. Is a cpy f student s individual ASCIA Actin Plan fr Anaphylaxis kept tgether with the student s adrenaline autinjectr? 24. Are the adrenaline autinjectrs and Individual Anaphylaxis Management Plans (including the ASCIA Actin Plan fr Anaphylaxis) clearly labelled with the student s names?

16 25. Has smene been designated t check the adrenaline autinjectr expiry dates n a regular basis? Wh? 26. Are there adrenaline autinjectrs which are currently in the pssessin f the schl which have expired? 27. Has the schl signed up t EpiClub (ptinal free reminder services)? 28. D all schl staff knw where the adrenaline autinjectrs, the ASCIA Actin Plans fr Anaphylaxis and the Individual Anaphylaxis Management Plans are stred? 29. Has the schl purchased adrenaline autinjectr(s) fr general use, and have they been placed in the schl s first aid kit(s)? 30. Where are these first aid kits lcated? D staff knw where they are lcated? 31. Is the adrenaline autinjectr fr general use clearly labelled as the General Use adrenaline autinjectr? 32. Is there a register fr signing adrenaline autinjectrs in and ut when taken fr excursins, camps etc? SECTION 4: Risk Minimisatin strategies 33. Have yu dne a risk assessment t identify ptential accidental expsure t allergens fr all students wh have been diagnsed as being at risk f anaphylaxis? 34. Have yu implemented any f the risk minimisatin strategies in the Anaphylaxis Guidelines? If yes, list these in the space prvided belw. If n please explain why nt as this is a requirement fr schl registratin. 35. Are there always sufficient schl staff members n yard duty wh have current Anaphylaxis Management Training? SECTION 5: Schl management and emergency respnse 36. Des the schl have prcedures fr emergency respnses t anaphylactic reactins? Are they clearly dcumented and cmmunicated t all staff? 37. D schl staff knw when their training needs t be renewed? 38. Have yu develped emergency respnse prcedures fr when an allergic reactin ccurs? a. In the class rm? b. In the schl yard?

17 c. In all schl buildings and sites, including gymnasiums and halls? d. At schl camps and excursins? e. On special event days (such as sprts days) cnducted, rganised r attended by the schl? 39. Des yur plan include wh will call the ambulance? 40. Is there a designated persn wh will be sent t cllect the student s adrenaline autinjectr and individual ASCIA Actin Plan fr Anaphylaxis? 41. Have yu checked hw lng it takes t get an individual s adrenaline autinjectr and crrespnding individual ASCIA Actin Plan fr Anaphylaxis t a student experiencing an anaphylactic reactin frm varius areas f the schl including: a. The class rm? b. The schl yard? c. The sprts field? d. The schl canteen? 42. On excursins r ther ut f schl events is there a plan fr wh is respnsible fr ensuring the adrenaline autinjectr(s) and Individual Anaphylaxis Management Plans (including the ASCIA Actin Plan) and the adrenaline autinjectr fr general use are crrectly stred and available fr use? 43. Wh will make these arrangements during excursins? Wh will make these arrangements during camps? Wh will make these arrangements during sprting activities? Is there a prcess fr pst-incident supprt in place? 47. Have all schl staff wh cnduct classes attended by students at risk f anaphylaxis, and any ther staff identified by the principal, been briefed by smene familiar with the schl and wh has cmpleted an apprved anaphylaxis management curse in the last 2 years n: a. The schl s Anaphylaxis Management Plicy? b. The causes, symptms and treatment f anaphylaxis? c. The identities f students at risk f anaphylaxis, and wh are prescribed an adrenaline autinjectr, including where their medicatin is lcated?

18 d. Hw t use an adrenaline autinjectr, including hands n practice with a trainer adrenaline autinjectr? e. The schl s general first aid and emergency respnse prcedures fr all inschl and ut-f-schl envirnments? f. Where the adrenaline autinjectr(s) fr general use is kept? g. Where the adrenaline autinjectrs fr individual students are lcated including if they carry it n their persn? SECTION 6: Cmmunicatin Plan 48. Is there a Cmmunicatin Plan in place t prvide infrmatin abut anaphylaxis and the schl s plicies? a. T schl staff? b. T students? c. T parents? d. T vlunteers? e. T casual relief staff? 49. Is there a prcess fr distributing this infrmatin t the relevant schl staff? a. What is it? 50. Hw will this infrmatin kept up t date? 51. Are there strategies in place t increase awareness abut severe allergies amng students fr all in-schl and ut-f-schl envirnments? 52. What are they?