Anaphylaxis Management Policy

Transcription

1 Anaphylaxis Management Plicy Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 1 f 17

2 Table f Cntents 1. Plicy Backgrund Purpse Relevant Legislatin Definitins Allergen Allergic reactin Allergy Anaphylaxis Anaphylaxis Actin Plan Anaphylaxis Management Plan Anaphylaxis management training Adrenaline aut-injectin device Adrenaline aut-injectin device training Cmmunicatin plan Intlerance N fd sharing Nminated staff member Risk minimisatin Students at risk f anaphylaxis Respnsibilities Principal All Staff Members First Aid C-rdinatr/Senir First Aider Parents/Guardians Prcedures Individual Anaphylaxis Management Plans Individual Actin Plan Cmmunicatin Plan Staff Training and Emergency Respnse Annual Risk Management Checklist Appendix A Anaphylaxis Management Plan Appendix B Actin Plans Appendix C Anaphylaxis Risk Management Checklist Appendix D Cmmunicatin Plan Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 2 f 17

3 1. Plicy 1.1 Backgrund Anaphylaxis is a severe, rapidly prgressive allergic reactin that is ptentially life-threatening. Althugh allergic reactins are cmmn in children, severe life threatening allergic reactins are uncmmn and deaths are rare. Hwever, deaths have ccurred and anaphylaxis must therefre be regarded as a medical emergency that requires a rapid respnse. Certain fds and insect stings are the mst cmmn causes f anaphylaxis. Eight fds cause 90% f fd allergic reactins in Australia and can be cmmn causes f anaphylaxis. These are: peanuts tree nuts (e.g. hazelnuts, cashews, almnds) egg cw s milk wheat sybeans fish and shellfish Other cmmn allergens include sme insect s stings, particularly bee stings, sme medicatins, latex and anaesthesia. The symptms f a mild t mderate allergic reactin can include: swelling f the lips, face and eyes hives r welts abdminal pain and/r vmiting The symptms f anaphylaxis (a severe allergic reactin) can include: difficulty breathing r nisy breathing swelling f the tngue swelling/tightness in the thrat difficulty talking and/r a harse vice wheezing r persistent cughing lss f cnsciusness and/r cllapse yung children may appear pale and flppy Symptms usually develp within 10 minutes t ne hur f expsure t an allergen but can appear within a few minutes. The key t preventin f anaphylaxis in schls is knwledge f thse students wh have been diagnsed at risk, awareness f triggers (allergens) and preventin f expsure t these triggers. Staff members, parents/guardians and students need t be made aware that it is nt pssible t achieve a cmpletely allergen-free envirnment at any schl and shuld nt have a false sense f security that an allergen has been eliminated frm the envirnment. Instead the schl recgnises the need t adpt a range f prcedures and risk minimisatin strategies t reduce the risk f a student having an anaphylactic reactin, including strategies t minimise the presence f the allergen at the schl. Adrenaline given as an injectin int the muscle f the uter mid thigh is the mst effective first aid treatment fr anaphylaxis. Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 3 f 17

4 1.2 Purpse 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. T raise awareness abut anaphylaxis and the schl s anaphylaxis management plicy in the schl cmmunity. T engage with parents/guardians f students at risk f anaphylaxis in assessing risks, develping risk minimisatin strategies and management strategies fr the student. T ensure that each staff member has adequate knwledge abut allergies, anaphylaxis and the schl s plicy and prcedures in respnding t an anaphylactic reactin. 1.3 Relevant Legislatin Sphia Mundi Steiner Schl has updated it s plicies and prcedures relating t Anaphylaxis Management in rder t fully cmply with Ministerial Order 706 and the assciated Guidelines. These plicies and prcedures will be regularly reviewed and updated t remain cmpliant with Guidelines published and amended by the Department frm time t time. Ministerial Order 706 (See Link belw) Fwww.educatin.vic.gv.au%2FDcuments%2Fschl%2Fteachers%2Fhealth%2Fministerialrderwrd.dcx&ei=v k1su4xtgsewkgxhnicybg&usg=afqjcngwjygxklxtyjg-rwu6z12cyasw&bvm=bv ,d.dgi&cad=rja Educatin and Training Refrm Act 2006 Educatin and Training Refrm Regulatins 2007 Children s Services and Educatin Legislatin Amendment (Anaphylaxis Management) Act 2008 Health Act 1958 (t be replaced by the Public Health and Wellbeing Act 2008 frm 1 January 2010) Health Recrds Act 2001 Infrmatin Privacy Act 2000 Occupatinal Health and Safety Act 2004 Occupatinal Health and Safety Regulatins Definitins Allergen A substance that can cause an allergic reactin Allergic reactin A reactin t an allergen. Cmmn signs and symptms include ne r mre f the fllwing: hives, tingling feeling arund the muth, abdminal pain, vmiting and/r diarrhea, facial swelling, cugh r wheeze, difficulty swallwing r breathing, lss f cnsciusness r cllapse (child pale r flppy), r cessatin f breathing Allergy An immune system respnse t smething that the bdy has identified as an allergen. Peple genetically prgrammed t make an allergic respnse will make antibdies t particular allergens Anaphylaxis A severe, rapid and ptentially fatal allergic reactin that invlves the majr bdy systems, particularly breathing r circulatin systems. Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 4 f 17

5 1.4.5 Anaphylaxis Actin Plan A medical management plan prepared and signed by a Registered Medical Practitiner prviding the student s name and allergies, a phtgraph f the student and clear instructins n treating an anaphylactic episde. An example f this is the Australian Sciety f Clinical Immunlgy and Allergy (ASCIA) Actin Plan Anaphylaxis Management Plan A plan specific t the schl that specifies each student s allergies, the ways that each student at risk f anaphylaxis culd be accidentally expsed t the allergen while in the care f the schl, practical strategies t minimise thse risks, and wh is respnsible fr implementing the strategies. The risk minimisatin plan shuld be develped by families f students at risk f anaphylaxis and staff members at the service and shuld be reviewed at least annually, but always upn the enrlment r diagnsis f each student wh is at risk f anaphylaxis Anaphylaxis management training Accredited anaphylaxis management training which includes strategies fr anaphylaxis management, recgnitin f allergic reactins, risk minimisatin strategies, emergency treatment and practise with an adrenaline aut-injectin device trainer Adrenaline aut-injectin device An Adrenaline Aut-injectin device, apprved fr use by the Cmmnwealth Gvernment Therapeutic Gds Administratin, which can be used t administer a single premeasured dse f adrenaline t thse experiencing a severe allergic reactin r anaphylaxis. These may include EpiPen, EpiPen Jr, Anapen 300 r Anapen Adrenaline aut-injectin device training Training in the administratin f adrenaline via an aut-injectin device, such as an Adrenaline Aut-injectin, prvided by allergy nurse educatrs r ther qualified prfessinals such as dctrs, first aid trainers, thrugh accredited training r thrugh the use f the self paced trainer CD ROM and trainer Adrenaline Aut-injectin Cmmunicatin plan A plan develped by the Schl which prvides infrmatin t all Schl Staff, students and Parents abut anaphylaxis and the Schl s Anaphylaxis Management Intlerance Often cnfused with allergy, intlerance is a reprducible reactin t a substance that is nt due t the immune system N fd sharing The practice where the student at risk f anaphylaxis eats nly that fd that is supplied r permitted by the parent/guardian, and des nt share fd with, r accept ther fd frm any ther persn Nminated staff member A staff member is nminated t be the liaisn between parents/guardians f a student at risk f anaphylaxis and the schl fr each student. They are respnsible fr checking that adrenaline aut-injectin devices and Actin Plans are current. In the primary years this is usually the class teacher Risk minimisatin The implementatin f a range f strategies t reduce the risk f an allergic reactin including remving, as far as is practicable, the majr surces f the allergen frm the schl, educating parents and students abut fd allergies and washing hands after meals. Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 5 f 17

6 Students at risk f anaphylaxis Thse students whse allergies have been medically diagnsed and wh are at risk f anaphylaxis. 2. Respnsibilities 2.1 Principal The Principal has verall respnsibility fr implementing strategies and prcesses fr ensuring a safe and supprting envirnment fr students at risk f anaphylaxis. The Principal will: Actively seek infrmatin t identify students with severe life threatening allergies at enrlment. Cnduct a risk assessment f the ptential fr accidental expsure t allergens while the student is in the care f the schl. Ensure the Class Teacher r ther nminated staff member, meets with parents/guardians t develp an individual Anaphylaxis Management Plan fr the student. This includes dcumenting practical strategies fr in-schl and ut-f-schl settings t minimise the risk f expsure t allergens, and nminating staff members wh are respnsible fr their implementatin. Request that parents/guardians prvide an ASCIA (Australasian Sciety f Clinical Immunlgy and Allergy) Actin Plan that has been signed by the student s medical practitiner and has an up t date phtgraph f the student. Ensure that parents prvide the student s Adrenaline Aut-injectin and that it is nt ut f date. Ensure that staff members btain training in hw t recgnise and respnd t an anaphylactic reactin, including administering an Adrenaline Aut-injectin [bth EpiPen and Anapen] Ensure that staff are briefed at least twice per calendar year Identify the staff members t be trained based n an assessment f the risk f an anaphylactic reactin ccurring while the student is under the care f the schl. Develp a cmmunicatin plan t raise student, staff and parent/guardian awareness abut severe allergies and the schl s plicies. Feature regularly in Staff Bulletin. Prvide infrmatin t all staff members (including specialist staff, new staff, sessinal staff, canteen staff and ffice staff) s that they are aware f students wh are at risk f anaphylaxis, the student s allergies, the schl s management strategies and first aid prcedures. This can include prviding cpies r displaying the student s ASCIA Actin Plan in canteens, classrms and staffrms. Ensure that there are prcedures in place fr infrming casual relief teachers f students at risk f anaphylaxis and the steps required fr preventin and emergency respnse. Allcate time, such as during staff meetings, t discuss, practice and review the schl s management strategies fr students at risk f anaphylaxis, including regular practice using a trainer Adrenaline Autinjectin. Encurage nging cmmunicatin between parents/guardians and staff members abut the current status f the student s allergies, the schl s plicies and their implementatin. In cnsultatin with parents/guardians review the student s Anaphylaxis Management Plan annually, as sn as practicable after an incident r if the student s circumstances change. 2.2 All Staff Members All staff members wh are respnsible fr the care f students at risk f anaphylaxis have a duty t take steps t prtect students frm risks f injury that are reasnably freseeable. This may include ffice staff, canteen staff, casual relief staff and vlunteers. Staff members shuld: Knw the identity f students wh are at risk f anaphylaxis. Understand the causes, symptms and treatment f anaphylaxis. Obtain training in hw t recgnise and respnd t an anaphylactic reactin, including administering an Adrenaline Aut-injectin Knw the schl s first aid emergency prcedures and what their rle is in relatin t respnding t an anaphylactic reactin. Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 6 f 17

7 Keep a cpy f the student s ASCIA Actin Plan (r knw where t find ne quickly) and fllw it in the event f an allergic reactin. Knw where the student s Adrenaline Aut-injectin is kept. Remember that the Adrenaline Aut-injectin is designed s that anyne can administer it in an emergency. Knw and fllw the preventin strategies in the student s Anaphylaxis Management Plan. Plan ahead fr special class activities r special ccasins such as excursins, incursins, sprts days, camps and parties. Wrk with parents/guardians t prvide apprpriate fd fr the student. Avid the use f fd treats in class r as rewards, as these may cntain hidden allergens. Wrk with parents/guardians t prvide apprpriate treats fr the student. Be aware f the pssibility f hidden allergens in fds and f traces f allergens when using items such as egg r milk cartns in art r cking classes. Be careful f the risk f crss-cntaminatin when preparing, handling and displaying fd. Make sure that tables and surfaces are wiped dwn regularly and that students wash their hands after handling fd. Raise student awareness abut severe allergies and the imprtance f their rle in fstering a schl envirnment that is safe and supprtive fr their peers. 2.3 First Aid C-rdinatr/Senir First Aider First Aid C-rdinatrs shuld take a lead rle in supprting the Principal and staff members t implement preventin and management strategies fr the schl. The First Aid C-rdinatr shuld: Keep an up t date register f students at risk f anaphylaxis. Ensure that students emergency cntact details are up t date. Obtain training in hw t recgnise and respnd t an anaphylactic reactin, including administering an Adrenaline Aut-injecting device Regularly check that Adrenaline Aut-injecting devices bth thse prvided fr individual students, and any purchased fr general use, are nt cludy r ut f date, e.g. at the beginning r end f each term. Infrm parents/guardians in writing a mnth prir if the Adrenaline Aut-injecting device needs t be replaced. Ensure that Adrenaline Aut-injecting device/s are stred crrectly (at rm temperature and away frm light) in an unlcked, easily accessible place and that it is apprpriately labelled. The Adrenaline Autinjecting device/s shuld be easily accessible by staff members but nt accessible t students. Prvide r arrange pst-incident supprt (e.g. cunselling) t students and staff members, if apprpriate. Wrk with staff members t cnduct regular reviews f preventin and management strategies. Wrk with staff members t develp strategies t raise awareness abut severe allergies in the schl cmmunity. 2.4 Parents/Guardians Parents/guardians f a student wh is at risk f anaphylaxis may experience high levels f anxiety abut sending their child t schl. It is imprtant t develp an pen and c-perative relatinship with parents/guardians s that they can feel cnfident that apprpriate management strategies are in place. It is the respnsibility f Parents/guardians t: Prvide and ASCIA Actin Plan, r cpies f the plan t the schl that is signed by the student s medical practitiner and has an up t date phtgraph. Infrm the schl in writing, either at enrlment r diagnsis, it their child s medical cnditin, insfar as it relates t allergy and the ptential fr anaphylactic reactin, and if relevant, prvide an updated ASCIA Actin Plan. Prvide and up t date pht fr the ASCIA Actin Plan when that plan is prvided t the schl and when it is reviewed. Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 7 f 17

8 Obtain infrmatin frm the student s medical practitiner abut their cnditin and any medicatins t be administered. Infrm schl staff f all relevant infrmatin and cncerns relating t the health f the student. Prvide the schl with an Adrenaline Aut-injectin that is current and nt expired fr their child Prvide any ther medicatins t the schl. Replace the Adrenaline Aut-injectin befre it expires. Meet with the schl t develp the student s Anaphylaxis Management Plan. Assist schl staff in planning and preparatin fr the student prir t schl camps, field trips, incursins, excursins r special events such as class parties r sprt days. Supply alternative fd ptins fr the student when needed. Infrm staff members f any changes t the student s emergency cntact details. Participate in reviews f the student s Anaphylaxis Management Plan, e.g. when there is a change t the student s cnditin r at an annual review. Sme parents/guardians may nt wish t identity f the student t be disclsed t the wider schl cmmunity. This shuld be discussed with the student s parents/guardians and written cnsent btained t display the student s name, phtgraph and relevant treatment details in the ffice, staff rms, canteens r ther cmmn areas. 3. Prcedures 3.1 Individual Anaphylaxis Management Plans Guidelines A template f an individual Anaphylaxis Management Plan is prvided at Appendix A. The Principal will ensure that an individual Anaphylaxis Management Plan is develped, in cnsultatin with the student s parents/guardians, fr any student wh has been diagnsed by a medical practitiner as being at risk f anaphylaxis. The individual Anaphylaxis Management Plan will be in place as sn as practicable after the student enrls, and where pssible befre their first day f schl at Sphia Mundi Steiner Schl. The student s 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 student has (based n a written diagnsis frm a medical practitiner). practical strategies t minimise the risk f expsure t knwn and ntified allergens while the student is under the care r supervisin f schl staff, fr in-schl and ut f schl settings, including: during classrm activities; in canteens r during lunch and snack times; befre and after schl, in the yard and during breaks; fr excursins and camps fr special events such as festivals, incursins, sprts days and class parties; and ther events rganised r attended by the Schl the name f the persn/s respnsible fr implementing the strategies infrmatin n where the student s medicatin will be stred the student s emergency cntact details an ASCIA Actin Plan, prvided by the parent. Schl staff will then implement and mnitr the student s Individual Anaphylaxis Management Plan. Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 8 f 17

9 The student s individual Anaphylaxis Management Plan will be reviewed, in cnsultatin with the student s parents/ guardians: annually; if the student s cnditin, in s far as it relates t allergy and the ptential fr anaphylactic reactin, changes; as sn as practicable after a student has an anaphylactic reactin at schl. 3.2 Individual Actin Plan Guidelines A template f an individual Anaphylaxis Actin Plan is prvided at Appendix B. T accmpany the Individual Management Plan, the principal will ensure that any student wh has been diagnsed by a medical practitiner as being at risk f anaphylaxis will prvide an ASCIA Actin plan. The ASCIA Actin Plan, prvided by the parent must: Set ut the emergency prcedures t be taken in the event f an allergic reactin; be signed by a medical practitiner wh was treating the student n the date the practitiner signs the emergency prcedures plan; and include an up t date phtgraph f the student. The ASCIA Actin Plan will be lcated in varius lcatins arund the schl s that staff can refer t it quickly and easily in the event f an emergency. A cpy will be lcated with each individual child s Adrenaline Aut-injectin. Guidelines The red and blue ASCIA Actin Plan fr Anaphylaxis 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. Actin Plan templates are prvided at Appendix B and can als be dwnladed frm the Australasian Sciety f Clinical Immunlgy and Allergy (ASCIA) website ( - ASCIA is the peak bdy f immunlgists and allergists in Australia. 3.3 Cmmunicatin Plan The Principal is respnsible fr ensuring that a cmmunicatin plan is develped t prvide infrmatin t all staff members, students and parents/guardians abut anaphylaxis and the schl s Anaphylaxis Management Plicy. The Cmmunicatin Plan must include strategies fr advising Schl Staff, students and Parents abut hw t respnd t an anaphylactic reactin in varius envirnments including: during nrmal schl activities including in the classrm (including all classrm envirnments such as Science Labs/Hall/Music rms)and schl sites such as the schl yard and cmmunity playgrund. during ff-site r ut f schl activities, including n excursins, PE and Sprts, schl camps and at special events cnducted r rganised by the Schl. The Cmmunicatin Plan must include prcedures t infrm vlunteers and casual relief staff f students with a medical cnditin that relates t allergy and the ptential fr anaphylactic reactin and their rle in respnding t an anaphylactic reactin by a student in their care. Nte: The current Cmmunicatin Plan including the prcedure fr respnding t an anaphylactic reactin may be fund in Appendix D. Raising Staff Awareness The cmmunicatin plan will include infrmatin abut what steps will be taken t respnd t an anaphylactic reactin by a student in a classrm, in the schl yard, n schl excursins, n schl camps and special event days. Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 9 f 17

10 All staff members will be briefed at least twice a year (with the first briefing t be held at the beginning f the schl 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; the identities f students diagnsed at risk f anaphylaxis ; the preventative strategies in place; where Adrenaline Aut-injectins are kept; hw t use an adrenaline aut-injecting device (Adrenaline Aut-injectin), including hands n practice with a trainer Adrenaline Aut-injectin ; the schl s first aid and emergency respnse prcedures; and their rle in respnding t a severe allergic reactin. Nte: Chapter 11 f the Anaphylaxis Guidelines fr Victrian gvernment Schls has advice abut strategies t raise staff and student awareness, wrking with Parents and engaging the brader schl cmmunity. Raising Student Awareness Peer supprt is an imprtant element f supprt fr students at risk f anaphylaxis. Staff members can raise awareness at schl thrugh fact sheets r psters displayed in hallways, canteens and classrms. Class Teachers/Guardians can discuss the tpic with students in class, with a few simple key messages: always take fd allergies seriusly severe allergies are n jke; dn t share yur fd with friends wh have fd allergies; wash yur hands after eating; knw what yu friends are allergic t; if a fellw student becmes sick, get help immediately; be respectful f a fellw student s Adrenaline Aut-injectin ; and dn t pressure yur friends t eat fd that they are allergic t. It is imprtant t be aware that sme students at risk f anaphylaxis may nt want t be singled ut r be seen t be treated differently. Als be aware that bullying f students at risk f anaphylaxis can ccur in the frm f teasing tricking a student int eating a particular fd r threatening a student with the substance that they are allergic t. Talk t the students invlved s that they are aware f the seriusness f an anaphylactic reactin. Any attempt t harm an anaphylactic student with an allergen must be treated as a serius and dangerus incident and handled accrdingly under the schl s Behaviur Management Plicy. Wrk with Parents Parents/guardians f a student wh is at risk f anaphylaxis may experience high levels f anxiety abut sending their child t schl. It is imprtant t develp an pen and c-perative relatinship with parents/guardians s that they can feel cnfident that apprpriate management strategies in place. Aside frm implementing practical preventin strategies in Schls, the anxiety that parens/guardians may feel can be cnsiderably reduced by regular cmmunicatin and increased educatin, awareness and supprt frm the schl cmmunity. Raising Schl Cmmunity Awareness Schls are encuraged t raise awareness abut anaphylaxis in the schl cmmunity s that there is an increased understanding f the cnditin. This can be dne by prviding infrmatin in the schl newsletter. NOTE: Parent Infrmatin Sheets that prmte greater awareness f severe allergies can be dwnladed frm the Ryal Children s Hspital website at: Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 10 f 17

11 3.4 Staff Training and Emergency Respnse Duty f Care Under the prvisins f the Occupatinal Health and Safety Act 2004 and the schl s duty f care bligatins t students, the schl is respnsible fr prviding first aid facilities and sufficient staff members trained t an apprpriate level f cmpetency in first aid. As part f the duty f care wed t students, teachers are required t administer first aid when necessary and within the limits f their skill, expertise and training. In the case f anaphylaxis, this includes fllwing a student s ASCIA Actin Plan and administering an Adrenaline Aut-injectin if necessary. It shuld be nted that a teacher s duty f care is greater than that f the rdinary citizen in that a teacher is bliged t assist an injured student, while the rdinary citizen may chse t d nthing. Staff Training The fllwing Schl Staff will be apprpriately trained: Teachers wh cnduct classes that students with a medical cnditin that relates t allergy and the ptential fr anaphylactic reactin; and Any further Schl Staff that are determined by the Principal The identified Schl Staff will undertake the fllwing training: An Anaphylaxis Management Training Curse; and Participate in a briefing, t ccur twice per calendar year (with the first briefing t be held at the beginning f the schl year) n: The schl s Anaphylaxis Management Plicy; The causes, symptms and treatment f anaphylaxis; The identities f the students with a medical cnditin that relates t an allergy and the ptential fr anaphylactic reactin, and where their medicatin is lcated; Hw t use an Adrenaline Aut-injectin, including hands n practise with a trainer Adrenaline Aut-injectin device; The Schl s general first aid and emergency respnse prcedures; The lcatin f, and access t, Adrenaline Aut-injectins that have been prvided by parents r purchased by the Schl fr general use. The briefing will be cnducted by a member f Schl Staff wh has successfully cmpleted an Anaphylaxis Management Training Curse in the last 12 mnths. This persn will be nminated by the Principal prir t the briefing. In the event that the relevant training and briefing has nt ccurred, the Principal will develp an interim Individual Anaphylaxis Management Plan in cnsultatin with the Parents f any affected student with a medical cnditin that relates t allergy and the ptential fr anaphylactic reactin. Training will be prvided t relevant Schl Staff as sn as practicable after the student enrls, and preferably befre the student s first day at Schl. 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 in the three years prir. NOTE: A vide has been develped and can be viewed frm A pwer pint presentatin has been develped and is available n the schl s Mdrive A trainer Adrenaline Aut-injecting device (Adrenaline Aut-injectin ) that can be used at staff briefings are available frm the schl ffice and additinal resurces are available frm the Australasian Sciety f Clinical Immunlgy and Allergy (ASCIA) website ( Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 11 f 17

12 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 members present wh have up t date training in an anaphylaxis management training curse. Training will be prvided t the nminated staff members as sn as practicable after the student enrls. Wherever pssible, training will take place befre the student s first day at the schl, where this is nt pssible, an interim plan will be develped in cnsultatin with the parents/guardians. The schl s first aid prcedures and student s emergency prcedures plan (ASCIA Actin Plan) will be fllwed in respnding t an anaphylactic reactin. Guidelines A risk assessment tl is prvided at Appendix C. St Jhn Ambulance prvide an Anaphylaxis Awareness Curse which meets the requirements fr an anaphylaxis management training curse, further infrmatin is available frm their website ( Self-Administratin f the Adrenaline Aut-injecting device The decisin whether a student can carry their wn Adrenaline Aut-injecting device shuld be made when develping the student s individual Anaphylaxis Management Plan, in cnsultatin with the student, the student s parents/guardians and the student s medical practitiner. It is imprtant t nte that students have the right t self-administer if they are able t at the time, but even an 18 year ld may nt physically be able t self-administer due t the effects f a reactin. Staff members still have a duty f care t administer an Adrenaline Aut-injecting device fr students wh carry their wn device. If a student self administers an Adrenaline Aut-injecting device they must immediately reprt t a staff member and 000 must be called. Guidelines If a student carries their wn Adrenaline Aut-injecting device, a secnd Adrenaline Aut-injecting device (prvided by the parent) shuld be kept n site in an easily accessible, unlcked lcatin that is knw t all staff members. 3.5 Annual Risk Management Checklist The Principal will cmplete an annual Risk Management Checklist as published by the Department f Educatin and Early Childhd Develpment t mnitr cmpliance with their bligatins. NOTE: A template f the Risk Management Checklist can be fund at Appendix 4 f the Anaphylaxis Guidelines fr Victrian Schls r the Department s website: Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 12 f 17

13 Appendix A Anaphylaxis Management Plan Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 13 f 17

14 Appendix B Actin Plans Anaphylaxis General Actin Plan n_adrenaline Aut-injectin_new-lk_general_2011.pdf Anaphylaxis Persnal Actin Plan lan_adrenaline Aut-injectin_new-lk_persnal_2011.pdf Allergic Reactins Persnal Actin Plan n_plan_2011.pdf Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 14 f 17

15 Appendix C Anaphylaxis Risk Management Checklist Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 15 f 17

16 Appendix D Cmmunicatin Plan This plan shuld be read in cnjunctin with the Schl s Anaphylaxis Plicy. It relates t the preventin and management f anaphylactic events at Schl r utside Schl n Schl related activities. At the time f enrlment r (if later) diagnsis, the Head f Faculty, Class Teacher/Guardian and First Aid Crdinatr will familiarise themselves with the medical needs f a student with anaphylaxis. It is expected that parents will advise the schl immediately when a student is diagnsed by a medical practitiner as being at risk f anaphylaxis. Individual Management and Actin Plans The Principal will ensure that an individual Anaphylaxis Management Plan is develped, in cnsultatin with the student s parents/guardians, fr any student wh has been diagnsed by a medical practitiner as being at risk f anaphylaxis. The individual Anaphylaxis Management Plan will be in place as sn as practicable after the student enrls, and where pssible befre their first day f schl at Sphia Mundi Steiner Schl. T accmpany the Individual Management Plan, the principal will ensure that any student wh has been diagnsed by a medical practitiner as being at risk f anaphylaxis will prvide an ASCIA Actin Plan. The ASCIA Actin Plan, prvided by the parent must: Set ut the emergency prcedures t be taken in the event f an allergic reactin; be signed by a medical practitiner wh was treating the student n the date the practitiner signs the emergency prcedures plan; and include an up t date phtgraph f the student. The ASCIA Actin Plan will be lcated in varius lcatins arund the schl s that staff can refer t it quickly and easily in the event f an emergency. A cpy will be lcated with each individual child s Adrenaline Aut-injectin. Lcatin f Adrenaline Aut-injecting devices A current and up t date Adrenaline Aut-injecting device and ASCIA Actin Plan will be supplied by the parent. Fr students in classes 1-12 the Adrenaline Aut-injecting device and ASCIA Actin Plan will be stred tgether in the schl ffice in the first aid area. Fr Prep students the Adrenaline Aut-injecting device and ASCIA Actin Plan will be stred tgether within the Prep classrm. Students may wish t have an additinal Adrenaline Aut-injecting device n their persn. Additinal Adrenaline Aut-injecting devices fr generic use are clearly marked and stred in the First Aid cabinet in the schl ffice. Relieving/ Vlunteer / Sprt r ther Activities Staff Anaphylaxis infrmatin will be prvided t all Relieving/Vlunteer staff regarding students and this will be prvided by the First Aid Crdinatr r Directr f Activities at the beginning f the applicable seasn. They will be asked t familiarise themselves with the Actin Plan fr Anaphylaxis which will cntain the student s pht; name and date f birth, allergens t be avided, cntact details and the actin required if the student has a mild r serius reactin. Prcedure fr respnding t an anaphylactic reactin Classrms In the event f an anaphylactic reactin in the classrm, the teacher is t immediately implement the student s Actin plan. In the case f a mild reactin a staff member must accmpany the student t Sick Bay where medicatin will be administered. If the teacher has hmepathic medicatin in the classrm this can be administered there. In a mderate r extreme reactin tw reliable students r anther member f staff shuld be sent t Receptin/Sick Bay t alert the Senir First aider and t bring the adrenaline Aut-injecting device back t the student. The teacher is t stay with the student wh is experiencing the reactin. All subject teachers and staff having cntact with a Student with Anaphylaxis will have cmpleted an accredited Anaphylaxis Management Curse and regular refresher training. Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 16 f 17

17 The Receptinist/Registrar will call an Ambulance and the parents f the student. When calling 000 the Receptinist/Registrar shuld call frm a mbile phne s that they can attend the scene t ensure mre accurate infrmatin. Curtyard/ Cmmunity playgrund/ Canteen In the event f an anaphylactic reactin in the curtyard/cmmunity playgrund/ Hall and Canteen, the teacher n duty is t immediately implement the student s Actin plan. In the case f a mild reactin a staff member must accmpany the student t Sick Bay where medicatin will be administered. In a mderate r extreme reactin where the student is unable t walk cmfrtably, tw reliable students r anther member f staff shuld be sent t Receptin/Sick Bay t alert the Senir First aider and t bring the adrenaline Autinjecting device back t the student. The teacher is t stay with the student wh is experiencing the reactin. All subject teachers and staff having cntact with a Student with Anaphylaxis will have cmpleted an accredited Anaphylaxis Curse and regular refresher training. The Receptinist/Registrar will call an Ambulance and the parents f the student. When calling 000 the Receptinist/Registrar shuld call frm a mbile phne s that they can attend the scene t ensure mre accurate infrmatin. Special Event Days, Excursins and Camps Prir t leaving the Schl fr any event, excursin r camp the teacher in charge will cnsult with the First Aid Crdinatr t identify any student with Anaphylaxis. Cpies f Actin Plans and an Adrenaline Aut-injectr fr general use will be included in the first aid pack. In the event f an anaphylactic reactin away frm schl the teacher is t immediately implement the student s emergency prcedure plan, call an ambulance, and then ntify the schl. The Principal f the schl shuld be ntified withut delay. They will arrange fr parents r guardians t be ntified. Pst-incident Actin It is expected that after an incident has ccurred and has been reslved, that staff members invlved will engage in the fllwing activities: Cmpletin f an Incident / Accident Reprt frm including full details f the event and what ccurred; Cllectin f the student s persnal effects (if he is transprted by ambulance and des nt have them) fr return t Schl; Debrief with students directly invlved as witnesses t the event; Debrief f staff invlved; Cmmunicatin with the Principal as apprpriate regarding the particulars f the incident, actins taken and utcmes; Principal t discuss with parents (later) what ccurred and ask them t seek medical advice n hw it may be prevented in future; Nminated Anaphylaxis management persnel t review the student s individual management plan; Implement updated risk preventin strategies (where applicable). Versin: 4.0 Ratified by the Bard Jun 2015 Anaphylaxis Management Plicy Page 17 f 17