School Year Overview Sabrinas Law Expectations for School Staff Definition of Anaphylaxis Recognition Action How to use an Autoinjector Sabrinas Law Legislation Bill 3 January 1 2006 ID: 932540
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Slide1
Slide2Anaphylaxis in Schools 2018-2019 School Year
Slide3OverviewSabrina’s LawExpectations for School StaffDefinition of AnaphylaxisRecognitionActionHow to use an Auto-injector
Slide4Sabrina’s LawLegislation: Bill 3 (January 1, 2006)Mandates publicly funded School Boards to establish and maintain an anaphylaxis policyIntended to educate school communities and prevent anaphylactic incidentsIt does not create allergen-free schools
Slide5Anaphylaxis Policy RequirementsStrategies to reduce risk of exposureCommunication planRegular trainingIndividual emergency planRequest information from parentsMaintain file for each anaphylactic student
Slide6Required for Individual PlanType of allergy, monitoring, avoidance strategies and appropriate treatmentIndividualized and readily accessible emergency procedure with emergency contact informationStorage of epinephrine auto-injector
Slide7Sabrina’s Law states:No action for damages shall be instituted respecting any act done in good faith or for neglect or default in good faith in response to an anaphylactic reaction, unless damages are result of gross negligence.
Slide8Expectations for School StaffKnow emergency plan (copy of plan should be in your day planner)Know the location of emergency medicationAdminister epinephrine auto-injector
Slide9Expectations for School StaffWritten consent to administer auto-injector is requiredIn case of emergency, if written consent is not yet received, the auto-injector can be given to pupil it is prescribed to
Slide10Key Recommendations Epinephrine is the first line medication Antihistamines and asthma medications must not be used first for anaphylaxis After receiving epinephrine, the person
must go to hospital
Slide11Key RecommendationsA second dose can be given 5 to 15 minutes after first dose if symptoms have not improved or they returnExpect that you will be required to administer the auto-injector
Slide12What is anaphylaxis?Severe systemic allergic reactionCan cause deathRequires immediate action i.e. give the auto-injector and dial emergency medical services (911)
Slide13TriggersMost CommonFoods - milk, egg, peanut, tree nuts, seafood (fish, crustaceans and shellfish), mustard, sulphites, soy, sesame, wheatInsect stings
Slide14Triggers (cont’d)Other potential triggers:medicationslatexexercise-inducedunknown (idiopathic)
Slide15Common SymptomsF.A.S.T.F: Face - itchiness, redness, swelling of face or tongue, metallic taste in mouthA: Airway - trouble breathing, swallowing or speakingS: Stomach - pain, vomiting, diarrhea
T: Total – rash, itchiness, swelling, weakness, paleness, sense of doom, loss of consciousness, uterine cramps
Slide16Characteristics of SymptomsSymptoms do not appear in any orderMay appear immediately or hours after contact with the allergenSymptoms may vary or become more severe with each exposure to allergen
Slide17Characteristics of SymptomsThese can also be symptoms of other conditions. If they appear in a person diagnosed with anaphylaxis after potential exposure, ACT!Look for your Anaphylaxis Resource Kit for copies of the ‘think F.A.S.T.’ poster
Slide18ActionIdentify the individual (should wear Medic-Alert bracelet/necklace)Get the person to the ground where they areIf experiencing breathing problems, keep in an upright positionIf dizzy or fainting, place person on their back with legs raised above heart levelIf vomiting, place on their side with head downIf getting worse, (but conscious and not vomiting) place on their back
Slide19Action (cont’d)Remain with the studentSend someone for auto-injector(s)Have someone else dial 911Inject Auto-injector and record the timeRemain with student. If breathing improves, lay the student down, cover, tilt head back and elevate feet
Have someone else notify emergency contactBe prepared to give a second dose in 5 to 15 minutes if the reaction continues, progresses or returns
Slide20What else?In doubt? Give Auto-injector to student for whom it is prescribed Used Auto-injector goes to hospitalDosage is weight related, so make sure you get the right auto-injector for the right student EPI-PEN Junior has green label 15-30 kg
Adult has yellow label 30 kg and over
Slide21The orange cover extends to fully cover the needle after use
.
EpiPen
®
For adults and children weighing 30 kg (66 lbs) or more
EpiPen
®
Jr
For children weighing 15–30 kg (33–66 lbs)
Slide22Questions and Answers Can I use an expired Auto-injector?The companies cannot recommend the use of expired auto-injector, however, if it is all that is available and the medication is not discoloured, use it.Encourage parents to register on www.epipen.ca for reminders of expiration
Slide23Questions and AnswersDo I have to take the auto-injector to field trips, cross country meets and sports events etc.?Yes. The auto-injector must go everywhere the student goes.What should I do if I accidentally inject myself? You must go to the hospital
Slide24Questions and AnswersWhere should an auto-injector be kept?Auto-injectors must be accessible. Do not keep them locked up or in backpacks. Backpacks may not be easily identified in an emergency
Slide25Click on Auto-Injector for Demonstration Video
Slide26Hold firmly with orange tip pointing downward.
Remove blue safety cap by pulling straight up. Do not bend or twist
.
Swing and push orange tip firmly into mid-outer thigh until you hear a “click.”
Hold on thigh for 10 seconds
.
Two Step Epipen Administration Procedure
‘Blue Sky, Orange Thigh’
Slide27Key Points to RememberYou do not need to contact parents for consent to give an auto-injector to the individual it is prescribed forAntihistamines (e.g. Benadryl) can be given after the auto-injector, not before Ensure that you use the correct person’s auto-injector (dose is based on weight) Do not put your thumb on either end of the Epipen auto-injector
Slide28Resources foodallergycanada.caepipen.caeworkshop.on.ca/allergiescsaci.ca/patient-school-resources