Emergency Action Plans Rachel Gallagher, RN, CPNP, NCSN School Nurse Consultant Wisconsin Department of Public Instruction Rachel.gallagher@dpi.wi.gov (608) 266-8857

Outline Emergency in Schools Emergency Action Plan Resources Confidentiality

Emergencies in Schools Policies and procedure for life- threatening illness and injury per Standard G CPR/AED Not required but recommended All School Activities

What are emergency action plans (EAP)? It is plan for management of a specific child potential emergency in the classroom setting. See this do that - prescriptive Lay man’s language and friendly Should align with policies and procedure of the school district.

Emergency Information Form for Children with Special Health Care Needs Emergency Information Form (American College of Emergency Physicians and AAP): http://www.aap.org/advocacy/blan kform.pdf

Diabetes Children with Diabetes (U.S. Department of Health and Human Services): http://www.childrenwithdiabetes.com/gifs/ books/ndep2003.gif Children with Diabetes: Resources Guide for Wisconsin Schools and Families (Wisconsin Department of Health Services): http://www.dhs.wisconsin.gov/health/diabe tes/PDFs/srg13.pdf

Seizure Seizure Action Plan (Epilepsy Foundation) http://www.epilepsyfoundationgla.o rg/public/File/Seizure_Action_Plan_ v1.pdf Seizure Action Plan (?): http://www.asdk12.org/forms/uplo ads/Seizure_Action_Plan.pdf

Asthma Asthma Action Plan (American Lung Association): http://www.lungusa.org/atf/cf/%7B7A 8D42C2-FCCA-4604-8ADE- 7F5D5E762256%7D/AAP.PDF Asthma Action Plan (DPI/Chronic Disease/Asthma): http://www.dpi.wi.gov/sspw/schlnurs e.html

Anaphylaxis Food Allergy Action Plan (Food Allergy Network): http://www.foodallergy.org/downloads/FAAP .pdf

What information can I share with school staff? Chapter 118.125(2)(d) – “Pupil records shall be made available to persons employed by the school district which the pupil attends who are required to hold a license and other school district officials who have been determined by the school board to have legitimate educational interest, including safety interests in the pupil records.

Emergency Notification Emergency list - List of students with potentially life-threatening conditions that could be shared with all school personnel in school. Flag emergencies on Electronic Records Substitute Teacher Parent volunteers on fieldtrips – limit information

Situation A 14 year old, Danielle with Von Willebrand Disease is new H.S. student competing on the girl’s swim team. The students has passed the WIAA physical exam for swimming participation. History of swimming since the age of 8. Last year, qualified for state participation in the 12-14 years of age 100 m breast stroke. Danielle is on continuous birth control with no menses in the last 3 months.

Situation Continues History of two bleeds while swimming Right knee bleed as result of fall on the pool deck Right wrist bleed as result of impact on hitting the pool wall at the end of a swimming event Mom is a single parent and works full-time at Department of Transportation and part-time at Kohl’s Department Store. Medications desamino-8-arginine vasopressin (DDAVP) daily Factor VIII as needed

What does the school nurse need to do? Release of information -more info from M.D. M.D. and parent authorization for treatment Parent and student history Emergency action plan Training of coaching and teaching staff

Questions???