1. Emergency Supply of Epinephrine Auto Injectors on School Property
An online training for all school staff
(Revised June 2015)

2. Objectives 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. GS 115C-375.2A School Supply of Epinephrine Auto-injectors
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. Law (Continued)
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. What is Anaphylaxis?
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 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. Mild Symptoms 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. Anaphylaxis: Symptoms are severe
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. What to do Recognize signs/symptoms
Act quickly--notify trained first responders
Do not leave person alone
Follow crisis plan protocol for your school

11. Post Test Print, complete and submit to school nurse
ANAPHYLAXIS Training Post Test.docx