These standards were obtained from the agencies and organizations listed in California Education Code section 49414 and represent the standard of care determined by health and medical experts in this field.

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Elementary School
Content: 

Family Responsibility

  1. Parents will notify the school of their child’s allergy when they register on Infinite Campus or when allergy is diagnosed.
  2. Provide the Anaphylaxis Action Plan along with the medications required and a recent student photo. This form must be completed and signed by your Health Care Provider. 
  3. Parents may provide to the teacher extra snacks safe for their student to be used for special occasions.
  4. If parents choose, they may also provide extra snacks safe for their child to be kept with disaster supplies.
  5. Send an email to all teachers and itinerant staff (i.e. librarian, music and PE teachers) regarding your child’s health condition at the beginning of every school year.
  6. Review and confirm information provided by teacher regarding any curricular activities involving food two weeks before activity is scheduled and confirm food list with teacher one week before activity is scheduled.
  7. Educate the child in the self-management of their food allergy including:
    • Safe and unsafe foods: Bring food from home or check online food service food options
    • Not to accept food unless it is from the teacher/designated person
    • Strategies for avoiding exposure to unsafe foods
    • Student may bring a disposable paper placemat on which to place their food
    • Symptoms of allergic reactions
    • How and when to tell an adult they may be having an allergy related problem
    • Role-play with your child and practice what your child should do if a reaction is occurring

Medication

  1. It is recommended that parents provide at least two sets of prescribed emergency medications to the school. The first set will be kept in the health office. If a second set is provided, it will be kept in the classroom red emergency backpack.
  2. All medications must have a current prescription label with visible expiration date, which should be current for the entire school year. 
  3. All medications must be provided in the original container.

School - Staff Responsibility

  1. Teachers will access health conditions via Infinite Campus (IC) class roster (substitute teachers via the sub binder).  The itinerant staff (music and PE teachers, bus drivers, classroom aides, yard duty staff, and librarians) will be alerted to those students with a diagnosis of anaphylaxis.
  2. Teachers will review the Anaphylaxis Action Plan for their student and the Student Health Emergency Procedure.
  3. The teacher includes the following information in the Substitute Binder:
    • Names of students with anaphylaxis in the classroom via hard copy of IC class roster
    • Student Health Emergency Procedure
    • A photograph of the student, if requested and provided by parent or student
  4. If a student notifies staff that he or she is not feeling well, staff is instructed to compare the symptoms with those listed on the student’s Anaphylaxis Action Plan, to follow the plan and activate emergency procedures immediately, if needed.
  5. Teacher will provide to parent/s a two-week advance notification regarding any upcoming food activity. Teacher or persons responsible for the activity are encouraged to provide notice to anyone who may contribute food to the activity to refrain from providing foods containing nut products.
  6. Extra snacks provided by parents will be stored with the disaster supplies.
  7. Students should not be excluded from school activities solely based on their allergy.
  8. ‘No eating’ policy should be enforced on the school buses unless needed for a known health condition.
  9. Notify parents at the end of the year that medication must be picked up by an adult or it will be discarded during summer break.

Classroom Procedure and Management for Elementary School

  1. Principal, designee or District Nurse will remind staff to review individual students’ Anaphylaxis Action Plans and the Student Health Emergency Procedure.
  2. Teachers are encouraged to designate classrooms as “nut free zones”.
  3. If parent consents, teacher may send home a parent letter informing other parents of an un-named student’s allergies.
  4. Elementary schools will have nut-free tables available as optional seating for students with a diagnosis of anaphylaxis.
  5. District custodial staff will follow established protocols for cleaning nut-free tables.
  6. All students are encouraged to refrain from eating in the classroom and to wash hands with soap and water after eating.
  7. If students eat in classroom, or food activity occurs, teacher will encourage students to wipe down desks and wash hands with soap and water.
  8. Teachers can educate and inform students about not sharing or accepting food from others.
  9. Teacher can show video/educate students about food allergies.
  10. Teach/role play why it is wrong to tease or bully others, including people with food allergies.
  11. Empower students to tell a staff member if they are bullied or harassed because of their allergy.
  12. Use stickers, colored pencils and other non-food items to reward good work.
  13. Teachers to create a supportive environment for all students.
  14. If a reaction does occur in the classroom or on the school premises, the physician signed Anaphylaxis Action Plan and the Student Health Emergency Procedure will be followed.

Training

  1. Certificated school nurse conducts an annual hands-on all staff training in the use of Epinephrine Auto-injector.
  2. Training includes review on how to recognize signs and symptoms of anaphylaxis and how to respond to an emergency.
  3. Principal/Administrator/Secretary to keep a copy of trained staff, training standards, and the education code.
  4. Best practice to encourage all staff to have current CPR certification.
  5. Staff members can refuse to be trained in the use of Epinephrine Auto-Injector.
  6. This Elementary Protocol is available on the PAUSD Health and Wellness page.

Field Trips

  1. All student medications kept in the office and the Anaphylaxis Action Plan are sent with the teachers. Trained staff/parent/parent designee* must accompany student at all times during the entire field trip, including riding to and from the field trip location.
  2. ’No eating’ policy should be enforced on the school buses unless needed for a known health condition.
  3. All buses must have communication devices in case of an emergency.
  4. Supervising staff member will inform all staff and chaperones about which trained staff member/parent/parent designee will be carrying medications.
  5. Teacher or field trip supervisor to determine nearest hospital and means of emergency transportation.
  6. Staff to carry a cell phone.

* Parent designee: a non-PAUSD employee for whom the student’s parent has provided the school with written authorization to respond to an emergency. Parent designee must accept in writing.

California Education Code Section 49414

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Secondary School
Content: 

Family Responsibility

  1. Parents will notify the school of their child’s allergy when they register on Infinite Campus or when allergy is diagnosed.
  2. Provide the Anaphylaxis Action Plan along with the prescribed medications required and a recent student photo. This form must be completed and signed by your Health Care Provider.  
  3. If parents choose, they may provide extra snacks for their child to be kept with the disaster supplies.
  4. Send an email to counselor, all teachers and itinerant staff (i.e. clubs, coaches) regarding your child’s health condition at the beginning of every school year and each semester.
  5. Review and confirm information provided by teacher regarding any curricular activities involving food two weeks before activity is scheduled and confirm food list with teacher one week before activity is scheduled.
  6. Educate the child in the self-management of their food allergy including:
    • Safe and unsafe foods: Bring food from home or check online food service food options
    • Not to accept food unless it is from the teacher/designated person
    • Strategies for avoiding exposure to unsafe foods
    • Symptoms of allergic reactions
    • How and when to tell an adult they may be having an allergy related problem
    • Role-play with your child and practice what your child should do if a reaction is occurring

Medication

  1. It is recommended that parent provide at least two sets of prescribed emergency medications to the school. If student is authorized to carry and self-administer*, the first set will be carried on student. Other sets, if provided, will be kept in the health office.
  2. If student is carrying medication it must be shown to the office staff/health technician initially and when requested during the year. Medication should be available to student at all times, but it is the student's responsibility to remember it. The Anaphylactic Action Plan must be kept with all emergency medications.
  3. All medications must have a current prescription label with visible expiration date, which should be current for the entire school year. 
  4. All medications must be provided in the original container.

*Authorization to Carry and Self-Administer Medication includes consent by both the health care provider and parent on Anaphylaxis Action Plan. Student must sign off understanding of their responsibilities.

School - Staff Responsibility

  1. Teachers will access health conditions via Infinite Campus (IC) class roster (substitute teachers via the sub binder).  The itinerant staff (bus drivers, classroom aides, and campus supervisors) will be alerted to those students with a diagnosis of anaphylaxis.
  2. Teachers will review the Anaphylaxis Action Plan for their student and the Student Health Emergency Procedure.
  3. The teacher will include the following information in the Substitute Binder:
    • Names of students with Anaphylaxis in the classroom via hard copy of IC class roster
    • Student Health Emergency Procedure
    • A photograph of the student, if requested and provided by parent or student
  4. If a student notifies staff that he or she is not feeling well, staff is instructed to compare the symptoms with those listed on the student’s Anaphylaxis Action Plan, to follow the plan and activate emergency procedures immediately, if needed.
  5. Teacher will provide to parent/s a two-week advance notification regarding any upcoming food activity. Teacher or persons responsible for the activity are encouraged to provide notice to anyone who may contribute food to the activity to refrain from providing foods containing nut products.
  6. Extra snacks provided by parent will be stored with the disaster supplies.
  7. Student will not be excluded from school activities solely based on their allergy.
  8. ‘No eating’ policy should be enforced on the school buses unless needed for a known health condition.
  9. Notify parents at the end of the year that medication must be picked up by an adult, unless student is authorized to carry, or it will be discarded during summer break.

Classroom Procedure and Management for Secondary School

  1. Principal, Designee or District Nurse will remind staff to review individual student’s Anaphylaxis Action Plans and the Student Health Emergency Procedure.
  2. Teachers are encouraged to designate classrooms as “nut free zones”.
  3. All students are encouraged to refrain from eating in the classroom.
  4. If students eat in classroom, or food activity occurs, teacher will encourage students to wipe down desks and wash hands with soap and water.
  5. Empower students to tell a staff member if they are bullied or harassed because of their allergy.
  6. Use non-food items to reward good work.
  7. Teachers to create a supportive environment for all students.
  8. If a reaction does occur in the classroom or on the school premises, the physician signed Anaphylaxis Action Plan and the Student Health Emergency Procedure will be followed.              

Training

  1. Certificated school nurse conducts an annual hands-on all staff training on the use of Epinephrine Auto-Injectors.
  2. Training includes review on how to recognize signs and symptoms of anaphylaxis and respond to an emergency.
  3. Principal/ Administrator/Health Technician to keep a copy of trained staff, training standards and the education code.
  4. Best practice to encourage all staff to have current CPR certification.
  5. Staff members can refuse to be trained in the use of Epinephrine Auto-Injector.
  6. This Secondary Protocol is available on the PAUSD Health and Wellness page 

Field Trips

  1. All student medications kept in the office and the Anaphylaxis Action Plan are sent with the teachers. For student's carrying their medication, supervising staff will confirm student is carrying their medication. For student's not authorized to self-administer, Trained staff/parent/parent designee* must accompany student at all times during the entire field trip, including riding to and from the field trip location.
  2. ’No eating’ policy should be enforced on the school buses unless needed for a known health condition.
  3. All buses must have communication devices in case of an emergency.
  4. Supervising staff member will inform all staff and chaperones about which trained staff member, parent, or parent designee will be carrying medications.
  5. Teacher or field trip supervisor to determine nearest hospital and means of emergency transportation.
  6. Staff to carry a cell phone.

* Parent designee: a non-PAUSD employee for whom the student’s parent has provided the school with written authorization to respond to an emergency. Parent designee must accept in writing.

California Education Code Section 49414