2.  Upon initial enrollment  No computer entry  No dissemination of info  Teachers (k-5) reviewed  No info re: allergen, reaction or treatment  Limited nurse awareness/involvement  Who can administer?  What is anaphylaxis? Past Allergy Procedures

3.  134 students reported to have RX for Epi  52 had Epi in “office”  27 students had H/O symptoms that “may be” indicative of anaphylaxis w/o RX  17 had an outdated anaphylaxis plan  40 had current anaphylaxis plan

4.  Screening  Initial steps  Communication with parents  Section 504  Parent obligations  Information dissemination  Training

5. Screening  To what? ____________________________  Symptoms your child had: ______________  What medications were used to treat those symptoms? _____________________  Has your child ever been given a written prescription for epinephrine (Epipen)? Yes * No  Enrollment, 2 nd, 5 th, 8 th  Reviewed  Computer entered  Health alerts and standard language □ Allergies:

6.  Computer health alert; standard language  Mail/email/alert now to parent information  Information means informational letter with Anaphylaxis Action Plan

7.  Increasingly calling “new” parents in spring before parent returns Anaphylaxis Plan  504 information

8. Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. § 794, is a federal law designed to protect the rights of individuals with disabilities in programs and activities that receive Federal financial assistance from the U.S. Department of Education.

9.  Schools can’t discriminate against students with disabilities  Schools must provide educational services to students with disabilities  Eligibility is determined if condition “substantially” limits a “major life activity”  If eligible, then an accommodation plan is developed so that student can access educational services

10.  Court interpretations have changed over time thus how & when schools implement have changed  Plans are individualized  Team determines accommodations  Team includes parents and could include child

11.  Goal: accommodate so disabled student has access to same level of education as non- disabled peers  Accommodation no longer appropriate when substantially or materially alters the program or constitutes unreasonable burden on district or child

12.  The required method to individualize accommodations to particular student needs  Catching up quickly!

13.  Annually provide completed Anaphylaxis Plan  Annually provide non-expired medication  Consent to 504 “evaluation” to start process  Participate in 504 team and in development of accommodations  Help school help student

14.  Minimum without 504 ◦ Health alert PK-12 ◦ PK-5 classroom teacher; copy of Ana Plan ◦ Pk-5 Specials email or copy ◦ Ana Plan kept in school office/health office ◦ If food allergic, notify Food Services

15.  Minimum without 504 ◦ Encourage teachers to obtain via video or arrange with school nurse ◦ Encourage principals to invite nurse to annual staff meeting ◦ Info on website ◦ First aid staff at school/field trips

16.  Stock epinephrine  Administrator training  Sub training for 2014-2015  Safe table guidelines