Staff Administration of Non-Student Specific Epinephrine
Policy
Plan for the Management of Pupils Attending School who Have Life Threatening Allergies. Please reference Policy 5330 on the District’s website for detailed information related to this program. District employees have been identified and trained in how to recognize the signs and symptoms of a severe allergic reaction requiring Epinephrine administration.
- Epi-pen Jr. (0.15mg) - for any person weighing 33-66 pounds.
- Epi-pen (0.3mg) - for any person weighing more than 66 pounds.
Procedure:
Any SEVERE SYMPTOMS after suspected or known ingestion:
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
- Or combination of symptoms from different body areas:
- SKIN: Hives, itchy rashes, swelling (e.g., eyes, lips)
- GUT: Vomiting, diarrhea
- If a student is suspected of having an anaphylactic reaction (see symptom list in box above) INJECT EPINEPHRINE IMMEDIATELY
- Call 911, tell rescue squad epinephrine was given; request an ambulance with epinephrine.
- Continue monitoring.
- Stay with student.
- Request that someone alert healthcare professionals and parents.
- Note time when epinephrine was administered.
- If available, a second dose of epinephrine can be given anywhere from 5-20 minutes or more after the first if symptoms persist or recur.
- For a severe reaction, consider keeping the student lying on back with legs raised.
- Treat the student even if parents cannot be reached.
After epinephrine administration:
- Complete appropriate paperwork (incident report, medication administration form, etc).
- School nurses will debrief staff and family.