1. An online training for all school staff (Revised June 2015)

2.  Understand the Law (GS115C-375.2A).  Know your role: ◦ Recognize signs and symptoms of anaphylaxis. ◦ Know what to do in the event of an anaphylactic reaction

3.  Effective November 1, 2014  Schools shall supply emergency epinephrine  For use by trained school personnel  To provide emergency medical aid to persons suffering from anaphylaxis (severe life threatening allergic reaction)  Minimum of two epinephrine auto-injectors in secure, but unlocked, easily accessible location on each school campus

4.  Epinephrine auto-injector – disposable drug delivery system, spring activated, injection designed for emergency administration of epinephrine to provide rapid, convenient first aid for anaphylaxis  Training of designated personnel  Initial and annual training required  Emergency auto-injectors not to be used as sole medication supply for students with known severe allergies who are authorized to have their own epinephrine at school  School system and employees shall not be liable in civil damages (Good Samaritan Act)

5.  Anaphylaxis is a severe allergic reaction that can be life-threatening  It must be treated immediately  The drug of choice is epinephrine

6.  Most common allergens include: ◦ Bee stings ◦ Latex (only vinyl gloves used in PSRC) ◦ Food Allergies  8 foods are responsible for 90% of food allergies: ◦Milk ◦Egg ◦Peanut ◦Tree nuts (walnuts, cashews, pecans, etc.) ◦Fish ◦Shellfish ◦Soy ◦Wheat

8.  NOSE: Itchy/runny nose/sneezing  MOUTH: Itchy mouth  SKIN: A few hives, mild itch  ABDOMINAL AREA/ STOMACH: Mild nausea/discomfort  Mild symptoms can quickly progress to an anaphylactic reaction

9.  One or more of the following: ◦ LUNG: Short of breath, wheeze, repetitive cough ◦ HEART: Pale, blue, faint, weak pulse, dizzy, confused ◦ THROAT: Tight, hoarse, trouble breathing/ swallowing ◦ MOUTH: Obstructive swelling (tongue and/or lips) ◦ SKIN: Many hives over body, widespread redness ◦ GUT:Repetitive vomiting, severe diarrhea ◦ OTHER: Feeling something bad is about to happen, anxiety, confusion ◦

10.  Recognize signs/symptoms  Act quickly--notify trained first responders  Do not leave person alone  Follow crisis plan protocol for your school

11.  ANAPHYLAXIS Training Post Test.docx ANAPHYLAXIS Training Post Test.docx