 18% of reactions were in the school setting (McIntyre CL Pediatrics 2005)  Data collection over a 2 year time showed majority of reactions occurred in the classroom (Sicherer S JACI 2003)

Soy Cow’s milkPeanutTree nuts FishShellfish Egg white Wheat

 Effective date  Requirements › Established a committee to develop guidelines for the management of students with life-threatening food allergies › Required school districts to implement a policy based on the guidelines by January 1, 2011 › Required training for school personnel who work with pupils on management of students with life threatening food allergies,

 Education and training for school personnel › Required at least every 2 years › Guidelines include handouts for various staff on preventing and responding to life-threatening allergic reactions › All must be trained on use of Epinephrine Auto injector  Use manufacturer video  Provide written materials

 Development and implementation of individualized food allergy action plans › Sample Plans in Guidelines › Based on healthcare provider order › Include parent input Then › Educate staff

 Protocols to prevent exposure to food allergens › Handouts to educate staff › Sample letters to parents › Lunch room protocols › Classroom protocols › Wash hands

› Resources:    › Christine Szychlinski, APN, CPNP  Manager, Food Allergy Program at Children’s Memorial Hospital Chicago, IL  › Online course  aspx?articleID=255

 Train clinic staff to recognize severe respiratory distress and anaphylaxis  Have all staff trained in CPR  Have epinephrine readily available in Clinic emergency kit  Educate your staff on use of epinephrine auto injector › When can they administer?

 Allows schools to maintain stock supply of Epinephrine auto-injectors as prescribed by a physician  Allows designated lay staff to administer stock supply to students with individual order on file  Allows nurses to administer to any student who they believe is having an anaphylactic reaction  Contains language affording protection from liability except for willful and wanton conduct

 Recent survey 618 responding, only 22.3% have epi on hand  Good Samaritan Act does not cover lay school staff who provide care to students  School code states that no non-administrative personnel other than a school nurse can be required to give medication  Unions tell members not to volunteer to give medication  Person should be given written assurance that they will be provided legal counsel if needed.

 Child Health Examination Code was changed › 5) Beginning with school year , any child entering sixth grade shall show proof (see Section (b) of receiving one dose of Tdap (defined as tetanus, diphtheria, acellular pertussis) vaccine regardless of the interval since the last DTaP, DT or Td does. › 6) Students entering grades seven through 12 who have not already received Tdap are required to receive 1 Tdap dose regardless of the interval since last DTaP, DT or Td dose.

Will only be enforced for students entering sixth and ninth grades fall 2012 › Students in these grades without one of the following will be subject to exclusion:  Proof of Tdap vaccination  An approved medical or religious exemption on file with the school,  An appointment to receive the Tdap shot during the school year. › See FAQ

 Pediatric DTaP or DTP is only licensed for use in persons less than 7 years of age, but may be accepted if inadvertently administered to students aged 7 and older.  Receipt of Td (brand name DECAVAC or TENIVAC) or DT does not meet the new school Tdap requirement because they do not protect against pertussis.

Although school staff and parents are not required to receive the Tdap vaccine, the IDPH recommends that all persons 10 years of age and older get vaccinated with Tdap to protect against the ongoing threat of whooping cough.

 To view the full text of current language in Section of the IDPH rules, go to de/077/ B02400R.html. de/077/ B02400R.html