Anaphylaxis management plicy at... MOUNT CLEAR COLLEGE/GPLACE BACKGROUND 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 (e.g. cashews), 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 students 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 the schl. Adrenaline given thrugh an EpiPen autinjectr t the muscle f the uter mid-thigh is the mst effective first aid treatment fr anaphylaxis. PURPOSE 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/carers 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. INDIVIDUAL ANAPHYLAXIS MANGEMENT PLANS Nte: A template f an individual anaphylaxis management plan can be fund n Page 18 Anaphylaxis Guidelines fr Victrian Gvernment Schls r the Department s website: http://www.educatin.vic.gv.au/schl/teachers/health/pages/anaphylaxisschl.aspx The Principal will ensure that an Individual Anaphylaxis Management Plan is 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 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. 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 student has (based n a written diagnsis frm a Medical Practitiner); 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 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 strategies; infrmatin n where the student's medicatin will be stred; the student's emergency cntact details; and an ASCIA Actin Plan. Page 1 f 14
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. An example can be fund n page 20 f the Anaphylaxis Guidelines r dwnladed frm http://www.educatin.vic.gv.au/schl/teachers/health/pages/anaphylaxisschl.aspx Schl Staff will then implement and mnitr the student s Individual Anaphylaxis Management Plan. 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; and 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 (eg. class parties, elective subjects, cultural days, fetes, incursins). The Schl s Anaphylaxis Management Plicy must state that it is the respnsibility f the Parents t: prvide the ASCIA Actin Plan; infrm the Schl in writing if their child s medical cnditin, insfar as it relates t allergy and the ptential fr anaphylactic reactin, changes and if relevant, prvide an updated ASCIA Actin Plan; prvide an up t date pht fr the ASCIA Actin Plan when that Plan is prvided t the Schl and when it is reviewed; and prvide the Schl with an Adrenaline Autinjectr that is current and nt expired fr their child. PREVENTION STRATEGIES Nte: Chapter 8 f the Anaphylaxis Guidelines fr Victrian Schls cntains advice abut a range f Preventin Strategies that can be put in place. The Risk Minimisatin and Preventin Strategies that Munt Clear Cllege will put in place fr all relevant in-schl and ut-f-schl settings which include (but are nt limited t) the fllwing: classrm activities (including class rtatins, specialist and elective classes); Be sure the ASCIA Actin Plan is easily accessible even if the Adrenaline Autinjectr is kept in anther lcatin. Liaise with Parents abut fd-related activities ahead f time. All fd technlgy classes are nut free. Liaise with class friends abut allergies and keeping classes allergy free fr specific allergens. between classes and ther breaks; in canteens; students carry their EpiPens with them in their pencil cases at all times Canteen staff have received satisfactry training in fd allergen management and its implicatins n fd-handling practices, including knwledge f the majr fd allergens triggering anaphylaxis, crss-cntaminatin issues specific t fd allergy, label reading, etc. Refer t: 'Safe Fd Handling' in the Schl Plicy and Advisry Guide, available at:http://www.educatin.vic.gv.au/schl/principals/spag/gvernance/pages/fdh andling.aspx Helpful resurces fr fd services: http://www.allergyfacts.rg.au/cmpnent/virtuemart/ Page 2 f 14
during recess and lunchtimes; befre and after schl If a Schl has a student wh is at risk f anaphylaxis, 100% f Schl Staff n yard duty have been trained in the administratin f the Adrenaline Autinjectr (i.e. EpiPen / Anapen ) t be able t respnd quickly t an anaphylactic reactin if needed. Epipens are carried in the Yard Duty First Aid Bag. Students with anaphylactic respnses t insects are encuraged t stay away frm water r flwering plants. Schl Staff shuld liaise with Parents t encurage students t wear light r dark rather than bright clurs, as well as clsed shes and lng-sleeved garments when utdrs. Gardens are cntinuusly maintained and grass is mwn regularly. Students are infrmed t keep drinks and fd cvered while utdrs. students carry their EpiPens with them in their pencil cases at all times special events including incursins, sprts, cultural days, fetes r class parties, excursins and camps. Back up EpiPens and medical infrmatin and management plan are taken n all excursins If fd is prvided externally infrmatin is given abut allergens. SCHOOL MANAGEMENT AND EMERGENCY RESPONSE Nte: Chapter 9 f the Anaphylaxis Guidelines fr Victrian Schls cntains advice abut prcedures fr Schl management and emergency respnse fr anaphylactic reactins. The Munt Clear Cllege prcedures fr emergency respnse t anaphylactic reactins include the fllwing: a cmplete and up t date list f students identified as having a medical cnditin that relates t allergy and the ptential fr anaphylactic reactin is kept; details f Individual Anaphylaxis Management Plans and ASCIA Actin Plans and where these can be lcated are cmmunicated t all staff: in a classrm; in the schl yard; in all schl buildings and sites including gymnasiums and halls; n schl excursins; n schl camps; and at special events cnducted, rganised r attended by the schl. Infrmatin abut the strage and accessibility f Adrenaline Autinjectrs is cmmunicated t all staff Cmmunicatin with Schl Staff, students and Parents is t ccur in in accrdance with a cmmunicatins plan ie briefed at least twice per calendar year. ADRENALINE AUTOINJECTORS FOR GENERAL USE The Principal will purchase Adrenaline Autinjectr(s) fr General Use (purchased by the Schl) and as a back up t thse supplied by Parents. The Principal will determine the number f additinal Adrenaline Autinjectr(s) required. In ding s, the Principal will take int accunt the fllwing relevant cnsideratins: the number f students enrlled at the Schl wh have been diagnsed as being at risk f anaphylaxis; the accessibility f Adrenaline Autinjectrs that have been prvided by Parents f students wh have been diagnsed as being at risk f anaphylaxis; Page 3 f 14
the availability and sufficient supply f Adrenaline Autinjectrs fr General Use in specified lcatins at the Schl, including in the schl yard, and at excursins, camps and special events cnducted r rganised by the Schl; and the Adrenaline Autinjectrs fr General Use have a limited life, usually expiring within 12-18 mnths, and will need t be replaced at the Schl s expense, either at the time f use r expiry, whichever is first. Nte: Adrenaline Autinjectrs fr General Use are available fr purchase at any chemist. N prescriptins are necessary. COMMUNICATION PLAN 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. This sectin shuld set ut a Cmmunicatin Plan t prvide infrmatin t all Schl Staff, students and Parents 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 by a student in varius envirnments including: during nrmal schl activities including in the classrm, in the schl yard, in all schl buildings and sites including gymnasiums and halls; and during ff-site r ut f schl activities, including n excursins, 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. It is the respnsibility f the Principal f the Schl t ensure that relevant Schl Staff are: trained; and briefed at least twice per calendar year. STAFF TRAINING The fllwing Schl Staff will be apprpriately trained: - Schl Staff 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 in the three years prir; 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 Autinjectr, including hands n practise with a trainer Adrenaline Autinjectr device; the Schl s general first aid and emergency respnse prcedures; and the lcatin f, and access t, Adrenaline Autinjectr that have been prvided by Parents r purchased by the Schl fr general use. The briefing must be cnducted by a member f Schl Staff wh has successfully cmpleted an Anaphylaxis Management Training Curse in the last 12 mnths. Page 4 f 14
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. Nte: A vide has been develped and can be viewed frm: http://www.educatin.vic.gv.au/schl/teachers/health/pages/anaphylaxisschl.aspx STAFF TRAINING AND EMERGENCY RESPONSE 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 training curse. 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. Nte: A risk assessment tl has been included in this infrmatin pack t assist principals and can be dwnladed frm http://www.sfweb.vic.edu.au/wellbeing/supprt/anaphyl.htm Training will be prvided t these staff as sn as practicable after the student enrls. Wherever pssible, training will take place befre the student s first day at schl. Where this is nt pssible, an interim plan will be develped in cnsultatin with the parents. The schl s first aid prcedures and students emergency prcedures plan (ASCIA Actin Plan) will be fllwed in respnding t an anaphylactic reactin. Page 5 f 14
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. Nte: 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: http://www.educatin.vic.gv.au/schl/teachers/health/pages/anaphylaxisschl.aspx Date Implemented April 2014 Authr Alan Archbld Apprved By Schl Cuncil Apprval Authrity (Signature & Date) Date Reviewed April 2014 Respnsible fr Review Assistant Principal Review Date April 2016 References Victrian Gvernment Schls Plicy & Advisry Guide Page 6 f 14
ANAPHYLAXIS RISK MANAGEMENT CHECKLIST Munt Clear Cllege Olympic Avenue Munt Clear 3350 Date f Review: Time: Schl Cntact Persn: Name: (Wh prvided infrmatin cllected) Psitin: Review given t: Name: (If different frm abve) Psitin: Cmments: 1. Hw many current students are diagnsed with anaphylaxis?... 2. Have any students ever had an allergic reactin while at schl? If Yes, hw many times? 3. Have any students had an Anaphylactic Reactin at schl? If Yes, hw many times? 4. Has a staff member been required t administer an EpiPen t a student? If yes, hw many times? Page 7 f 14
ANAPHYLAXIS RISK MANAGEMENT CHECKLIST Sectin 1 Anaphylaxis management Plans and ASCIA Actin Plans SECTION 1: Anaphylaxis Management Plans and ASCIA Actin Plans 1. Des every student wh has been diagnsed at risk f anaphylaxis have an individual Anaphylaxis Management Plan in place? (see Sectin 4.1 and Appendix 1, Anaphylaxis Guidelines)? 2.Are all Anaphylaxis Management Plans reviewed regularly with parents (at least annually)? 3. D they set ut strategies t minimise the risk f expsure t allergens fr in-schl and ut f class settings? During classrm activities, including elective classes In canteens r during lunch r snack times Befre and after schl, in the schl yard and during breaks Fr special events, such as excursins, sprt days, class parties and extra curricular activities? Fr excursins and camps Other 4. D all students wh suffer frm anaphylaxis have a cpy f their ASCIA Actin Plan kept at schl (prvided by the parent)? 5. Where are they kept?... 6. D the anaphylaxis actin plans have a recent pht f the student with them? Cmments Sectin 2 Strage and accessibility f the EpiPen SECTION 2: Strage and Accessibility f the EpiPen 1. Where are the students EpiPen s Stred? 2. Hw are the EpiPens stred? 3. Is the strage safe (ut f reach f students)? Is the strage unlcked and accessible t staff at all times? Cmments Is the EpiPen easy t find? Cmments 4.Is a cpy f students ASCIA Actin Plans kept tgether with their EpiPen? Cmments 5. Are EpiPen s and Actin Plans clearly labelled with students names? Cmments 6. Has smene been designated t check the EpiPen s expiry dates n regular basis? Wh?... Cmments 7. Has the Cllege signed up t EpiClub (a free reminder service)? 8. D all staff knw where the EpiPens and Actin Plans are Stred? Page 8 f 14
Cmments 9. Is there a spare EpiPen? If Yes, what Type?... SECTION 2: Strage and Accessibility f the EpiPen cntinued 10. Where is it stred? 11. Is it clearly labelled as the backup EpiPen? Sectin 3 Preventin Strategies SECTION 3: Preventin Strategies 1.Have yu dne a risk assessment f the ptential fr accidental expsure t allergens fr a student with anaphylaxis? 2. Has the schl implemented any f the preventin strategies (in Appendix 2 f the Guidelines)? 3. Which nes? 4. Others: 5. Is there always a trained staff member n yard duty? 6. Hw many staff have cmpleted training?... Sectin 4 Training and Emergency Respnse SECTION 4: Training and Emergency Respnse 1. Have all staff respnsible fr the care f students with anaphylaxis been trained? 1. When des their training need t be renewed?... 3. D all staff have an understanding f the causes, signs and symptms f anaphylaxis and f their rle in the schl s first aid and emergency respnse prcedures? 4. Have yu planned hw the alarm will be raised if an allergic reactin ccurs? In the class rm? Hw? In the schl yard? Hw? At schl camps and excursins? Hw?SECTION 4: Training and Emergency Respnse cntinued On special event days, such as sprts days? Hw? 5. Des yur plan include wh will call the Ambulance? Hw? 6. In an emergency is there a plan fr wh will be sent t cllect the EpiPen and Actin Plan? Wh will this be when in the class rm?... Wh will this be when in the schl yard?... Wh will this be at sprting activities?... 7. Have yu checked hw lng will it take t get t the EpiPen and Actin Plan t a student frm varius areas f the schl? Hw lng?... When in the class rm? Hw lng?... When in the schl yard? Page 9 f 14
Hw lng... When at sprts fields? Hw lng?... 8. On excursins r ther ut f schl event is there a plan fr wh will lk after the EpiPen and Actin Plan? Wh will d this n excursins?... Wh will d this n camps?... SECTION 4: Training and Emergency Respnse cntinued Wh will d this n sprting activities?... 9. Is there a prcess fr pst incident supprt in place? 10. Have all staff been briefed n:- the schl s Anaphylaxis Management Plicy? the causes, symptms and treatments f anaphylaxis? the identities f students diagnsed at risk f anaphylaxis and where their medicatin is lcated? hw t use an adrenaline aut-injecting device, including hands n practice with a trainer adrenaline aut-injecting device the schl s first aid and emergency respnse prcedures Sectin 5: Cmmunicating with staff, students and parents / carers SECTION 5: Cmmunicating with staff, students and parents/ carers 1. Is there a cmmunicatin plan in place t prvide infrmatin abut anaphylaxis and the schl s plicies t staff, students and parents/ carers? 2. Are there prcedures in place fr infrming casual relief teachers f students at risk f anaphylaxis and the steps required fr preventin and emergency respnse? Cmments 2. D all staff knw which students suffer frm anaphylaxis? Cmments SECTION 5: Cmmunicating with staff, students and parents/ carers cntinued Hw is this infrmatin kept up t date? 4. Are there strategies in place t increase awareness abut severe allergies amng students? Cmments Page 10 f 14
Anaphylaxis Management Plan Cver Sheet This Plan is t be cmpleted by the principal r nminee n the basis f infrmatin frm the student s medical practitiner prvided by the parent/carer Munt Clear Cllege/GPlace (03)5330 1500 Student s name: Date f birth: Year level: Severely allergic t: Other health cnditins: Medicatin at schl: Parent/carer cntact: Parent/carer infrmatin (1) Parent/carer infrmatin (2) Name: Name: Relatinship: Hme phne: Wrk phne: Mbile: Address: Relatinship: Hme phne: Wrk phne: Mbile: Address: Page 11 f 14
Other emergency cntacts (if parent/carer nt available): Medical practitiner cntact: Emergency care t be prvided at schl: EpiPen strage: The fllwing Anaphylaxis Management Plan has been develped with my knwledge and input and will be reviewed n... (insert date f prpsed review). Signature f parent: Date: Signature f principal (r nminee): Date: Page 12 f 14
Strategies T Avid Allergens Student s name: Date f birth: Year level: Severe allergies: Other knwn allergies: Risk Strategy Wh? Page 13 f 14
Date Implemented April 2014 Authr Alan Archbld Apprved By Schl Cuncil Apprval Authrity (Signature & Date) Date Reviewed April 2014 Respnsible fr Review Assistant Principal Review Date April 2015 References Victrian Gvernment Schls Reference Guide Page 14 f 14