"Anaphylaxis is a severe and sudden allergic reaction when a person is exposed to an allergen. The most common allergens are eggs, peanuts, tree nuts (e.g. cashews), cow's milk, fish and shellfish, wheat, soy, certain insect stings and medications."
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FEATURE ARTICLE: Case study 1 - Primary school in the south-western suburbs of Melbourne
There are six students at risk of anaphylaxis out of a total student population of 585. There are three girls and three boys between six years and twelve years old.
Allergens: Tree nuts, peanuts, eggs
Reactions to date at school: None
EpiPen® storage and expiry: There are six EpiPens® in the school. The EpiPens® are located in the sick bay cupboard. Each student has an individual bag with their photo, name, grade and other relevant details. The bag includes the student’s ASCIA Action Plans, their EpiPen® (also labelled), and a felt pen to record time and dose. The bags are visually distinctive and spaced on two shelves. All staff members have access to the sick bay, which is kept unlocked. A designated first aid teacher checks and records the expiry dates of the EpiPens® at the start of every year. The expiry dates are re-checked at the start and end of every term. Parents are contacted a month in advance and advised to replace the EpiPens®.
Training: The school has received training from the Royal Children’s Hospital, St John Ambulance and Ambulance Victoria First Aid.
Action Plans: Each student’s ASCIA Action Plan is updated annually by the student’s medical practitioner. The plan is distributed to specialist teachers and classroom teachers, and is also located in the general office, sick bay, class rolls and in specialist classrooms.
School community awareness: All staff are briefed annually at staff meetings. A welfare committee has been established and meets fortnightly to discuss management of students with any medical conditions. The canteen has been briefed and a letter has been sent home to classmates’ parents. New parents are informed about anaphylaxis at information sessions.
The photographs of students at risk of anaphylaxis are at every phone point in the school. Also located there are forms to be used when an ambulance is called. These forms are used for all medical emergencies but were initially developed for anaphylaxis. The do’s and don’ts of EpiPen® administration and the five rights of medication – right person, right drug, right route, right dose, right date – are also listed near the phones.
Managing anaphylaxis in various school settings: When there is to be a class party or event, a letter is sent to classmates’ parents requesting that they send no nut products to the party. The student’s parents are also asked to send a ‘party pack’ for their child.
On excursions or sports events, teachers need to sign the EpiPen® in and out from the sick bay.
Yard duty bags include information on students who are at risk of anaphylaxis and contain red alert cards. In an emergency, the red alert card (which denotes area in the yard) is sent to the office and immediately prioritised. The school is presently thinking of purchasing mobile phones or some sort of mobile device for teachers to take on yard duty.
REMEMBER: The Activeaide EpiPen® Case is used by thousands of Schools, Kindergartens and Child care centre as an integral part of their Anaphylaxis management program because the Activeaide Epipen® pouches and cases offer the best range of insulated protection for you Anaphylaxis Auto Injector.
Trust Activeaide to protect your EpiPen®, Anapen or Twinject with our unique range of products such as our Original EpiPen® case which has been designed in concert with hospital and specialist Anaphylaxis professionals.
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