Anaphylaxis Management Policy

Transcription

1 Anaphylaxi Management Policy Rationale Tintern Grammar i committed to providing a afe chool environment for tudent and taff. In the interet of tudent and taff health and wellbeing, the School ha etablihed procee and protocol for dealing with illnee, injurie/accident and medical emergencie. The School i required by law to fully comply with Miniterial Order 706 Anaphylaxi Management in Grammar and the aociated guideline publihed, and amended from time to time, by the Department of Education and Early Childhood Development. Policy Scope Thi policy applie to all tudent of Tintern Grammar. All member of the School community hould be familiar with thi policy. Definition Anaphylaxi i a evere, rapidly progreive and potentially life threatening allergic reaction. The mot common trigger (allergen) are peanut, tree nut (e.g. hazelnut, cahew and almond), cow milk, egg, wheat, oybean, eame (ee/oil), fih and hellfih. Although thee are the mot common trigger, any food can trigger an allergic reaction. Other common allergen include latex, inect and medication. Peanut and tree nut are the allergen that mot often aociated with fatal reaction; however, people have died a a reult of other trigger uch a milk and hellfih. The incidence of allergy, including anaphylaxi i increaing. Although evere allergy/ anaphylaxi i now more common than it wa in the 1990, death from anaphylaxi remain rare. The only way to prevent anaphylaxi i to avoid the trigger. The key to prevention of anaphylaxi in Grammar i knowledge of thoe tudent who have been diagnoed at rik, awarene of trigger, and prevention of expoure to thee allergen. Mot allergic reaction can be prevented. Firt aid treatment for anaphylaxi i adrenaline. In the community etting, adrenaline i adminitered via an adrenaline auto-injector, following intruction on the individual Allergy Action Plan for Anaphylaxi. Thoe at rik of anaphylaxi are precribed an adrenaline auto-injector. The adrenaline auto-injector currently available in Autralia are Epipen and Anapen. Purpoe The Anaphylaxi Management Policy aim to: provide, a far a poible, a afe and upportive environment in which tudent at rik of anaphylaxi can participate equally in all apect of chool life; raie awarene about anaphylaxi and emergency procedure for anaphylaxi in the School community; engage with parent/guardian/carer ( parent ) of any tudent who ha been diagnoed by a medical practitioner a having a medical condition that relate to allergy and the potential for anaphylactic reaction ( at-rik tudent ), in aeing rik and developing rik minimiation and management trategie for thoe at-rik tudent ; and Anaphylaxi Management Page 1 of

2 enure that chool taff have adequate knowledge about allergie, anaphylaxi and the School policie and procedure for reponding to an anaphylactic reaction. Reponibilitie Parent Reponibilitie Parent of tudent who have been precribed an adrenaline auto-injector, mut provide the School with the auto-injector and a doctor-authoried Autralaian Society of Clinical Immunology and Allergy Action Plan for Anaphylaxi ( ASCIA Action Plan ). There are three different type of ASCIA Action plan: for ue with Epipen; for ue with Anapen and for ue when no adrenaline auto-injector ha been precribed. An ASCIA Action Plan: i completed and igned by the at-rik tudent treating doctor and then provided to the School by the parent; et out the ign and ymptom of a mild to moderate or evere allergic reaction and include the emergency procedure to be taken in the event of an allergic reaction; and include an up-to-date colour photograph of the tudent. An at-rik tudent mut have a current ASCIA Action Plan, which i acceible to all taff, including catering taff within the School and taff conducting trip/excurion/porting event or uperviing thee event. During on-ite chool activitie each individual tudent ASCIA Action Plan i tored in a variety of location: the School Sick Bay; the taffroom of each ection of the chool; a canned copy i kept on the School ynergetic databae. When the tudent i involved in off-ite activitie the tudent ASCIA Action Plan will be tranported by the teacher in charge of the activity excurion, camp, port etc.. a required in the School Rik Management Policy. The School Firt Aid Officer are aware of all tudent attendee at excurion, camp, port and other off-ite activitie and have reponibility for enuring that auto-injector and ASCIA Action Plan are packed in appropriately labelled Firt Aid kit. The taff member in charge of the activity ha reponibility from enuring that they are in poeion of the Firt Aid kit before leaving the School. Sufficient School taff who have up-to-date current accredited training in Anaphylaxi management are required to be in attendance at all off-ite activitie. It i the reponibility of the parent of at-rik tudent to: inform the School in writing if their child medical condition, inofar a it relate to allergy and the potential for anaphylactic reaction, change and if relevant, provide an updated ASCIA Action Plan. In addition, an updated photograph mut alo be provided when the ASCIA Action Plan i reviewed or updated. enure their child precribed auto-injector ha been lodged at the School Firt Aid Department, and that their child carrie an additional auto-injector in their chool bag to and from the School. enure that thee precribed auto-injector are current and within the expiry date. It i requeted that parent actively encourage their children not to hare food with peer, whether upplied from home or purchaed at School. Principal Reponibilitie The Principal ha a reponibility to enure that identified chool taff have current accredited training in anaphylaxi management and are briefed at leat twice per calendar year. Anaphylaxi Management Page 2 of

3 The Principal will identify the chool taff to be trained, baed on the definition in Claue 5.9 of Miniterial Order 706, and ae the rik of an anaphylactic reaction occurring while a tudent i under the care or uperviion of the School. At other time while tudent are under the care or uperviion of the School (including during excurion, camp, and pecial event day) the Principal will enure that there are ufficient taff preent who have current, accredited training in Anaphylaxi management. The chool taff identified by the Principal, will undertake an Anaphylaxi Management Training Coure every three year. In addition, all chool taff will be required to undergo twice a calendar year briefing, with the firt occurring in the taff in-ervice program at the tart of the year. The briefing are to be delivered by a taff member who ha uccefully completed an Anaphylaxi management coure within the lat 12 month. At thee two briefing, taff will be informed of: the School Anaphylaxi Management Policy the updated identity of tudent at rik of Anaphylaxi and the detail of their medical condition the caue, ymptom and treatment of Anaphylaxi how to ue an adrenaline auto-injector, including practiing with a trainer adrenaline auto-injector the School general firt aid and emergency repone procedure the location of, and acce to, adrenaline auto-injector that have been provided by parent for pecific tudent a well a thoe purchaed by the School for general ue In the event that the relevant training ha not occurred, the Principal will develop an interim Individual Anaphylaxi Management Plan in conultation with the Parent of any affected tudent with a medical condition that relate to allergy and the potential for anaphylactic reaction. Training will be provided to relevant chool taff a oon a practicable after the tudent enrol, and preferably before the tudent firt day of attendance at the School. Implementation Individual Anaphylaxi Management Plan The Principal ha a reponibility to enure that an Individual Anaphylaxi Management Plan i developed, in conultation with the tudent parent, for any at-rik tudent, where the School ha been notified of the diagnoi. Thi will include the tudent ASCIA Action Plan. The Individual Anaphylaxi Management Plan mut be put in place a oon a practicable after the tudent enrol, and where poible before the tudent firt day of attendance at the School. The Principal i reponible for enuring that tudent with identified rik of Anaphylactic reaction have provided the School with a current auto-injector and a doctor-authoried Autralaian Society of Clinical Immunology and Allergy Action Plan for Anaphylaxi ( ASCIA Action Plan ) and to inform the parent that the tudent cannot attend the School or School event until thee are received. The Individual Anaphylaxi Management Plan will include the following information (ee Appendix 1 for template): information about the tudent medical condition/diagnoi that relate to allergy and the potential for anaphylactic reaction, including the type of allergy/ allergie the tudent ha (baed on diagnoi from the medical practitioner); trategie to minimie the rik of expoure to known and notified allergen while the tudent i under the care or uperviion of chool taff, both in and out of School etting (including the chool yard, camp, excurion, and pecial event conducted, organied or attended by the School, for example); Anaphylaxi Management Page 3 of

4 the name() of the peron() reponible for implementing the trategie; information regarding the torage and location of the tudent medication; the tudent emergency contact detail; an ASCIA Action Plan. The School will then implement and monitor the tudent Anaphylaxi Management Plan. The tudent Individual Anaphylaxi Management Plan mut be reviewed, in conultation with the tudent parent in all of the following circumtance: annually; if the tudent medical condition, inofar a it relate to allergy and the potential for anaphylactic reaction, change; a oon a practical after the event of the tudent having anaphylactic reaction at the School; and when the tudent i to participate in a chool camp or overea exchange. Copie of Individual Anaphylaxi Management Plan, including the ASCIA Action Plan for Anaphylaxi, will be acceible to all taff on the School Synergetic databae and: will be acceible to all taff generating trip, camp and excurion; will be acceible for all activitie where the tudent i under the care and uperviion of School taff. Adrenaline Auto-injector for General Ue The School ha a number of adrenaline auto-injector for general ue, which will act a a back up to thoe upplied by Parent. The Principal will determine the number of additional adrenaline auto-injector required, taking into account the following conideration: the number of at-rik tudent enrolled at the School; the acceibility of precribed adrenaline auto-injector that have been provided by parent of at-rik tudent; the availability and ufficient upply of adrenaline auto-injector for general ue in pecified location at the School, including for excurion, camp and pecial event; and that the adrenaline auto-injector for general ue have a limited life, uually expiring within month, and will need to be replaced at the School expene, either at the time of ue or expiry, whichever i firt. School Management and Emergency Repone In the event of an allergic reaction, the School will follow the tudent ASCIA Action Plan for Anaphylaxi, in addition to the School emergency document and procedure. Thee emergency document and procedure include: Firt Aid protocol and procedure, tored on the Portal; a complete and up-to-date lit of tudent identified a having a medical condition that relate to allergy and the potential for anaphylactic reaction; detail of Individual Anaphylaxi Management Plan (containing ASCIA Action Plan); information about the torage and acceibility of adrenaline auto-injector; how communication with chool taff, tudent and parent i to occur in in accordance with a communication plan. Communication Plan The Principal i reponible for enuring a communication plan i developed to provide information to all taff, tudent and parent/guardian about allergy, anaphylaxi and thi policy. Information regarding emergency repone procedure in claroom, the chool ground, or on chool camp, excurion, trip and on pecial event day (uch a port Anaphylaxi Management Page 4 of

5 day) i contained in the Staff Handbook and on the School Portal. The School will raie tudent, parent and community awarene through a variety of method, including taff meeting, Induction Folder, guideline, policie and information contained on the Parent Portal. All Caual Relief Teacher and volunteer who are likely to have contact with tudent who are identified a having a medical condition that relate to allergy and have the potential for an anaphylactic reaction are to be informed of thee tudent by the manager reponible for their employment. They mut alo be advied of: the School Anaphylaxi Management Policy; the updated identity of tudent at rik of Anaphylaxi and the detail of their medical condition; the School general firt aid and emergency repone procedure; contact number for the Firt Aid Staff and for Reception area around the chool and alo of taffroom telephone number; and, the location of adrenaline auto-injector around the School. Rik Minimiation and Prevention Strategie The School will implement rik minimiation and prevention trategie for all relevant inchool and out-of-chool etting, a outlined below. Detailed information i alo contained in the Tintern Grammar Firt Aid Protocol and Procedure. Sufficient chool taff uperviing tudent at any time mut be trained in the adminitration of an auto-injector and be able to repond quickly to an anaphylactic reaction if required. Claroom The School ha implemented a Food in Claroom procedure and aociated paperwork to enure that the rik of anaphylaxi i identified and appropriately managed. Thi i detailed in Tintern Grammar Firt Aid protocol and procedure. Appropriate labelling hould be ued for food and ubtance containing poible allergen, particularly in Food Technology, Science and Art clae. Yard The School will enure that a communication plan exit for teacher on yard duty. Individual Anaphylaxi Management Plan and auto-injector are located throughout the School to enable eay acce in the event of an anaphylactic reaction. Canteen All canteen taff, including volunteer, will receive information and procedure regarding anaphylaxi management and afe food-handling practice. Poter and relevant documentation will alo be located in the canteen. In addition to food afety procedure, all urface will regularly be wiped down with warm oapy water and product containing poible allergen will be appropriately labelled. In-School Special Event For pecial event involving food, taff are required to follow the Grammar Nut Aware policy guideline and the Food Safety policy guideline. The ue of party balloon mut alo be authoried by Firt Aid Staff, and will not be permitted hould a tudent who i allergic to latex be involved. Travel to and from the School Parent of at-rik tudent hould enure that their child carrie an additional autoinjector in their chool bag to and from the School. Anaphylaxi Management Page 5 of

6 Excurion and Sporting Event For each excurion or porting event a rik aement will be undertaken and for thoe event in which an at-rik tudent i participating, the organiing taff member will conult with Firt Aid to ae the at-rik tudent Anaphylaxi Management Plan. The aement will vary according to the number of at-rik tudent, the nature of the excurion/porting event, ize of the venue, ditance from medical aitance, the tructure of the excurion and the correponding taff-tudent ratio. The School will bring an auto-injector for general ue on all excurion/porting event, a well a individual Anaphylaxi Management plan for at-rik tudent. Camp and Overea Travel For any chool camp or overea trip, a rik aement will be undertaken, including an aement for each individual at-rik tudent. The rik may vary according to the number of at-rik tudent, the nature of the camp/trip, location and length of the camp/trip, ditance from medical aitance, the tructure of the camp/trip and the correponding taff-tudent ratio. Staff may conult parent of at-rik tudent in advance to develop uitable arrangement. The School will bring an auto-injector for general ue on all chool camp/trip, a well a individual Anaphylaxi Management plan for at-rik tudent. The School will alo bring an auto-injector on chool camp without at-rik tudent in the event of a firt-time reaction. Work Experience The School will liaie with the tudent, parent and employer regarding rik management prior to an at-rik tudent attending work experience. Supervior mut be hown the ASCIA Action Plan and how to ue the auto-injector in the event of a reaction whilt on work experience. Annual Rik Management Checklit The Principal i required to complete an annual Rik Management Checklit to monitor compliance with their obligation, a publihed, and amended from time to time, by the Department of Education and Early Childhood Development. Thi checklit i located in Appendix 2. Review: Date of next TSE Review: 14 September 2020 Thi policy will be reviewed every five year, or a required by legilation. Appendix 1 Example Individual Anaphylaxi Management Plan Individual Anaphylaxi Management Plan Anaphylaxi Management Page 6 of

7 Thi plan i to be completed by the Principal or nominee on the bai of information from the tudent' medical practitioner (ASCIA Action Plan for Anaphylaxi) provided by the Parent. It i the Parent' reponibility to provide the School with a copy of the tudent' ASCIA Action Plan for Anaphylaxi containing the emergency procedure plan (igned by the tudent' Medical Practitioner) and an up-to-date photo of the tudent - to be appended to thi plan; to provide a peronal auto-injector; and to inform the chool if School Phone Student DOB Severely allergic to: ar level Other health condition Medication at chool EMERGENCY CONTACT DETAILS (PARENT) Name Relationhip Home phone Work phone Mobile Addre Name Relationh ip Home phone Work phone Mobile Addre EMERGENCY CONTACT DETAILS (ALTERNATE) Name Relationhip Home phone Work phone Mobile Addre Name Relationh ip Home phone Work phone Mobile Addre Medical practitioner contact Name Phone Anaphylaxi Management Page 7 of

8 Emergency care to be provided at chool Storage for Adrenaline Autoinjector (device pecific) (Epipen / Anapen ) ENVIRONMENT To be completed by Principal or nominee. Pleae conider each environment/area (on and off chool ite) the tudent will be in for the year, e.g. claroom, canteen, food tech room, port oval, excurion and camp etc. Name of environment/area: Rik identified Action required to minimie the rik Who i reponible? Completio n date? Name of environment/area: Rik identified Action required to minimie the rik Who i reponible? Completio n date? Name of environment/area: Rik identified Action required to minimie the rik Who i reponible? Completio n date? Name of environment/area: Rik identified Action required to minimie the rik Who i reponible? Completio n date? Anaphylaxi Management Page 8 of

9 Anaphylaxi Management Page 9 of

10 Name of environment/area: Rik identified Action required to minimie the rik Who i reponible? Completion date? Copy of ASCIA Action Plan for Anaphylaxi to be inerted Anaphylaxi Management Page 10 of

11 Anaphylaxi Management Page 10 of

12 Thi Individual Anaphylaxi Management Plan will be reviewed on any of the following occurrence (whichever happen earlier): annually; if the tudent' medical condition, inofar a it relate to allergy and the potential for anaphylactic reaction, change ; a oon a practicable after the tudent ha an anaphylactic reaction at School; and when the tudent i to participate in an off-ite activity, uch a camp and excurion, or at pecial event conducted, organied or attended by the School (eg. cla partie, elective ubject, cultural day, fete, incurion). I have been conulted in the development of thi Individual Anaphylaxi Management Plan. I conent to the rik minimiation trategie propoed. Signature of parent: Date: I have conulted the Parent of the tudent and the relevant School Staff who will be involved in the implementation of thi Individual Anaphylaxi Management Plan. Signature of Principal (or nominee): Date: Anaphylaxi Management Page 11 of

13 Appendix 2 Annual Rik Management Checklit Annual Rik Management Checklit School Name: Date of Review: Who completed thi checklit? Review given to: Comment: Tintern Grammar Name: Poition: Name: Poition: General Information 1. How many current tudent have been diagnoed a being at rik of anaphylaxi, and have been precribed an Adrenaline Auto-injector? 2. How many of thee tudent carry their Adrenaline Autoinjector on their peron? 3. Have any tudent ever had an allergic reaction requiring medical intervention at chool? a. If, how many time? 4. Have any tudent ever had an Anaphylactic Reaction at chool? a. If, how many tudent? b. If, how many time 5. Ha a taff member been required to adminiter an Adrenaline Auto-injector to a tudent? a. If, how many time? 6. Wa every incident in which a tudent uffered an anaphylactic reaction reported via the Incident Reporting and Information Sytem (IRIS)? SECTION 1: Individual Anaphylaxi Management Plan 7. Doe every tudent who ha been diagnoed a being at rik of anaphylaxi and precribed an Adrenaline Auto-injector have an Individual Anaphylaxi Management Plan and ASCIA Action Plan completed and igned by a precribed Medical Practitioner? 8. Are all Individual Anaphylaxi Management Plan reviewed regularly with Parent (at leat annually)? Anaphylaxi Management Page 12 of

14 9. Do the Individual Anaphylaxi Management Plan et out trategie to minimie the rik of expoure to allergen for the following in-chool and out of cla etting? Anaphylaxi Management Page 13 of

15 a. b. During claroom activitie, including elective clae In canteen or during lunch or nack time c. Before and after School, in the chool yard and during break d. For pecial event, uch a port day, cla partie and extra- curricular activitie e. For excurion and camp f. Other 10. Do all tudent who carry an Adrenaline Auto-injector on their peron have a copy of their ASCIA Action Plan kept at the School (provided by the Parent)? a. Where are they kept? 11. Doe the ASCIA Action Plan include a recent photo of the tudent? SECTION 2: Storage and Acceibility of Adrenaline Auto-injector 12. Where are the tudent() Adrenaline Auto-injector tored? 13. Do all School Staff know where the School Adrenaline Autoinjector for General Ue are tored? 14. Are the Adrenaline Auto-injector tored at room temperature (not refrigerated)? 15. I the torage afe? 16. I the torage unlocked and acceible to School Staff at all time? Comment: 17. Are the Adrenaline Auto-injector eay to find? Comment: 18. I a copy of tudent Individual Anaphylaxi Management Plan (including the ASCIA Action Plan) kept together with the tudent Adrenaline Auto-injector? Anaphylaxi Management Page 14 of

16 19. Are the Adrenaline Auto-injector and Individual Anaphylaxi Management Plan (including the ASCIA Action Plan) clearly labelled with the tudent name? Anaphylaxi Management Page 15 of

17 20. Ha omeone been deignated to check the Adrenaline Autoinjector expiry date on a regular bai? Who? 21. Are there Adrenaline Auto-injector which are currently in the poeion of the School and which have expired? 22. Ha the School igned up to EpiClub or ANA-alert (optional free reminder ervice)? 23. Do all School Staff know where the Adrenaline Autoinjector and the Individual Anaphylaxi Management Plan are tored? 24. Ha the School purchaed Adrenaline Auto-injector() for General Ue, and have they been placed in the School firt aid kit()? 25. Where are thee firt aid kit located? 26. I the Adrenaline Auto-injector for General Ue clearly labelled a the General Ue Adrenaline Auto-injector? 27. I there a regiter for igning Adrenaline Auto-injector in and out when taken for excurion, camp etc? SECTION 3: Prevention Strategie 28. Have you done a rik aement to identify potential accidental expoure to allergen for all tudent who have been diagnoed a being at rik of anaphylaxi? 29. Have you implemented any of the prevention trategie in the Anaphylaxi Guideline? If not recorded, why? 30. Have all School Staff who conduct clae with tudent with a medical condition that relate to allergy and the potential for anaphylactic reaction uccefully completed an Anaphylaxi Management Training Coure in the three year prior and participated in a twice yearly briefing? 31. Are there alway ufficient School Staff member on yard duty who have uccefully completed an Anaphylaxi Management Training Coure in the three year prior? SECTION 4: School Management and Emergency Repone 32. Doe the School have procedure for emergency repone to anaphylactic reaction? Are they clearly documented and communicated to all taff? 33. Do School Staff know when their training need to be renewed? Anaphylaxi Management Page 16 of

18 34. Have you developed Emergency Repone Procedure for when an allergic reaction occur? a. In the cla room? b. In the chool yard? Anaphylaxi Management Page 17 of

19 c. In all School building and ite, including gymnaium and hall? d. At chool camp and excurion? e. On pecial event day (uch a port day) conducted, organied or attended by the School? 35. Doe your plan include who will call the Ambulance? 36. I there a deignated peron who will be ent to collect the tudent Adrenaline Auto-injector and Individual Anaphylaxi Management Plan (including the ASCIA Action Plan)? 37. Have you checked how long it will take to get to the Adrenaline Auto-injector and Individual Anaphylaxi Management Plan (including the ASCIA Action Plan) to a tudent from variou area of the School including: a. b. The cla room? The chool yard? c. The port field? 38. On excurion or other out of chool event i there a plan for who i reponible for enuring the Adrenaline Auto0injector() and Individual Anaphylaxi Management Plan (including the ASCIAAction Plan) and the Adrenaline Auto-injector for General Ue are correctly tored and available for ue? 39. Who will make thee arrangement during excurion? Who will make thee arrangement during camp? Who will make thee arrangement during porting activitie? I there a proce for pot incident upport in place? 43. Have all School Staff who conduct clae that tudent with a medical condition that relate to allergy and the potential for an anaphylactic reaction and any other taff identified by the Principal, been briefed on: a. The School Anaphylaxi Management Policy? b. The caue, ymptom and treatment of anaphylaxi? c. The identitie of tudent with a medical condition that relate to allergy and the potential for an anaphylactic reaction, and who are precribed an Adrenaline Autoinjector, including where their medication i located? d. How to ue an Adrenaline Auto-injector, including hand on practie with a trainer Adrenaline Auto-injector? Anaphylaxi Management Page 18 of

20 e. The School general firt aid and emergency repone procedure for all in-chool and out-of-chool environment? f. Where the Adrenaline Auto-injector() for General Ue i kept? Anaphylaxi Management Page 19 of

21 g. Where the Adrenaline Auto-injector for individual tudent are located including if they carry it on their peron? SECTION 4: Communication Plan 44. I there a Communication Plan in place to provide information about anaphylaxi and the School policie? a. b. To School Staff? To tudent? c. To Parent? d. To volunteer? e. To caual relief taff? 45. I there a proce for ditributing thi information to the relevant School Staff? a. What i it? 46. How i thi information kept up to date? 47. Are there trategie in place to increae awarene about evere allergie among tudent for all in-chool and out-of-chool environment? 48. What are they? Signature: Date: _/ _/ Anaphylaxi Management Page 20 of