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PostPosted: Tue Jan 03, 2012 11:42 pm 
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Joined: Mon Jul 05, 2010 11:37 am
Posts: 1523
Location: Alberta
http://www.nbc12.com/story/16436367/che ... c-reaction
http://www.nbc12.com/story/16438497/che ... -at-school
:cry:

_________________
Myself - Seasonal, cats
dd-asthma (trigger - flu) anaphylactic to eggs, severe allergies to bugspray and penicilin,pulmicort
ds-Seasonal, cats and OAS
dh-allergy cats, bugspray and guava, outgrew egg allergy


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PostPosted: Tue Jan 03, 2012 11:50 pm 
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Joined: Mon Jul 05, 2010 11:37 am
Posts: 1523
Location: Alberta
http://www.boarddocs.com/vsba/chesterfi ... nsf/Public

Quote:
AdoptedDecember 8, 2009


File: 4130

ADMINISTRATION OF MEDICATION TO STUDENTS

A. Transportation of Medications

A student is not permitted to transport medication to and from school.

B. Administration of Non-Prescription Medications

Designated school personnel, under the supervision of the principal and in consultation with a school nurse or school nurse supervisor assigned by the Chesterfield County Health Department, will administer non-prescription medication to a student only with the written permission of the parent or guardian. Alternative medications such as vitamins, minerals, herbs, or dietary supplements will not be administered by school personnel unless prescribed by a physician, physician’s assistant or nurse practitioner. Permission by a parent or guardian to administer a non-prescription medication shall specify the name of the medication, the required dosage, and the time the medication is to be given. The medication, in its original unopened container, shall be brought to the clinic by the parent or guardian along with the written permission. For school personnel to administer a non-prescription medication to a student for more than twice a day, more than three consecutive days, or more than three times monthly, will require the written authorization of the student’s physician, physician’s assistant, or nurse practitioner. Designated school personnel shall administer non-prescription medication in accordance with Regulation 4130-R,Procedures for Administration of Medication to Students. Should the clinic staff become concerned regarding a child’s medical condition on a particular day, the school administration may refuse to administer the non-prescription medication until the child has been seen by a medical professional. The parent or guardian will be notified of the concern and the school’s perceived need for medical review. The parent or guardian shall pick up unused medication, or school personnel will discard it.

C. Administration of Prescription Medications

Designated school personnel, under the supervision of the principal and in consultation with a school nurse or school nurse supervisor assigned by the Chesterfield County Health Department, will administer prescription medication to a student only with a written order from the student’s physician, physician’s assistant, or nurse practitioner that specifies the name of the medication, the required dosage, and the time the medication is to be given. The prescription label on the container will be accepted as the physician, physician’s assistant or nurse practitioner order for those medications to be taken. The medication, in its original unopened container, shall be brought to the clinic by the parent or guardian. Written permission from the parent or guardian to administer the medication to the student must be given at that time. Designated school personnel shall administer prescription medication in accordance with Regulation 4130-R. The parent or guardian shall pick up unused medication, or school personnel will discard it.

D. Self-Administration of Medication for Asthma or Anaphylaxis

Notwithstanding the other provisions of this policy, a student with a diagnosis of asthma or anaphylaxis is permitted to possess and self-administer auto-injectable epinephrine or an inhaled asthma medication in accordance with this policy during the school day, at school-sponsored activities, or while on the school bus or other school property. The following conditions must be met:

1. Written permission from the parent that the student may self-administer auto-injectable
epinephrine or an inhaled asthma medication must be on file with the school.

2. Written notice from the student’s physician, physician’s assistant or nurse practitioner must be
on file with the school. The notice must indicate the student’s name, state the diagnosis of
asthma or anaphylaxis, approve the self-administration of auto-injectable epinephrine or an
inhaled asthma medication that has been prescribed for the student, specify the name and
dosage of the medication, the frequency with which the medication is to be administered, and
the circumstances that warrant use. The physician, physician’s assistant, or nurse practitioner
shall attest to the student’s demonstrated ability to self-administer the medication safely and
effectively.

3. An individualized health care plan must be prepared, including emergency procedures, for any
life-threatening conditions. Parents must disclose any relevant information regarding the
health condition of the student to school personnel. Permission for a student to possess and
self-administer auto-injectable epinephrine or an asthma medication is effective for one school
year and must be renewed annually.

4. A student’s right to possess and self-administer auto-injectable epinephrine or an inhaled
asthma medication may be limited or revoked by the principal only after consultation with the
parent or guardian.

E. Administration of Insulin and Glucagons to Students with Diabetes

Only a trained employee shall administer insulin and glucagons to a student diagnosed as having diabetes, consistent with Va. Code § 22.1-274. Prescriber authorization and parental consent shall be obtained for any employee who is not a registered nurse, nurse practitioner, physician or physician assistant to assist with the administration of insulin or glucagons. When a registered nurse, nurse practitioner, physician or physician’s assistant is present in the school, no other employee, regardless of training, shall administer or assist in the administration of insulin or glucagons.


Adopted: December 8, 2009
_____________________________________________________________________________________
_____________________________________________________________________________________

Legal Ref.: Code of Virginia, 1950, as amended, §§ 22.1-274, 22.1-274.2, 54.1-2957.02.

Cross Ref.: 4130-R Procedures for Administration of Medication to Students
4131 Recommendation of Medication by School Personnel


[VSBA: JHCD]


Quote:
AdoptedDecember 8, 2009


File: 4130-R

PROCEDURES FOR ADMINISTRATION OF MEDICATION TO STUDENTS

A. Generally

1. No student may possess any medication or prescription drug unless a physician, physician’s assistant or nurse practitioner documents that the student’s medical condition requires possession and the parent or legal guardian has obtained authorization from the school principal or his/her designee. “Medication” shall mean any drug or other substance used in treating diseases, healing, or relieving pain, including all over-the-counter drugs. A parent or guardian shall take all items to the office of the principal or his/her designee for handling and safekeeping. Consequences to a student for the unauthorized possession, use, or distribution of a medication are addressed in the Standards for Student Conduct, Regulation 4010-R.

2. Students will be given medication at school when the requirements for the administration of prescription and non-prescription medication stated below are met and only if the medication must be given during school hours to maintain sufficient health to participate in the school program.

3. The School Medication Record should be used to document all medications that are administered in school. School personnel must use the prescribed recording system to document that the correct medication was given in the correct dosage at the correct time to the correct student, both for legal proof and for the information of the parent or legal guardian and the student’s health care professional.

4. The ultimate responsibility for complying with this regulation and any follow-up rests with the school principal.

B. Administration of Non-Prescription Medication

The guidelines below are to be followed for the administration of non-prescription medication in schools:

1. Non-prescription medications do not include alternative medications such as vitamins, minerals, herbs or dietary supplements. School personnel will not administer these alternative medications unless prescribed by a physician, physician’s assistant, or nurse practitioner.

2. Non-prescription medication must be brought to school by the parent or legal guardian in the original unopened container. The unopened container must be clearly marked with the student’s name and include the manufacturer’s label, specifying the name of the medication and the recommended age appropriate dosage and time interval. Dosage may not exceed the manufacturer’s recommendations without written authorization from the student’s physician, physician’s assistant, or nurse practitioner. The dosage may be less than the manufacturer’s recommendations, if requested by the parent or legal guardian.

3. The School Medication Record/Medication Request Form (page 1, Warehouse Stock Form #1075) must be completed and signed by a parent or legal guardian for administration of all non-prescription medication.


4. Non-prescription medication will not be administered to a student more than twice a day, for more than three consecutive days, or more than three times monthly without the written authorization of the student’s physician, physician’s assistant or nurse practitioner.

5. Should the clinic staff become concerned about a student’s medical condition on a particular day, the school administration may refuse to administer the non-prescription medication until the student has been seen by a medical professional. The parent or legal guardian will be notified of the concern and the school’s perceived need for medical review.

6. A School Medication Record (page 2, Warehouse Stock Form #1075) is to be used for each medicine given to a student. Each medication record includes the name of the medication, time given, and the person administering the medicine. At the end of the school year or the discontinuance of the medication, this record must be filed with the student’s education record.

7. Medicine should be handled by a minimum number of school personnel.

8. All medicines are to be stored in a locked cabinet.

9. Medication for a student participating on a field trip must be transported in the original, appropriately labeled container. The person administering the medication on the field trip must do documentation on the School Medication Record that day.

10. Anyone administering medication in Chesterfield County Public Schools on a regular basis, must receive training on Medication Administration and complete a Medication Administration Skill Checklist, signed by the person providing the training.

11. All medication errors are to be reported to the school administration and documented appropriately.

12. Unused medication should be picked up at the end of the school year by a parent or guardian. If not picked up by the last school working day in June, it will be disposed of by appropriate school personnel.

C. Administration of Prescription Medication

The guidelines below are to be followed for the administration of prescription medications in schools:

1. A written order from the student’s physician, physician’s assistant, or nurse practitioner for a prescription medication, giving the name, dosage and time interval of medication is required for each medication. The prescription label on the container may be accepted as a physician’s, physician’s assistant or nurse practitioner’s order for prescription drugs.

2. The School Medication Record/Medication Request Form (page 1, Warehouse Stock Form #1075) must be completed and signed by a parent or legal guardian for initial prescription and any change in dosage.

3. The prescription medication must be brought to school by a parent or legal guardian in the original container, properly labeled by a registered pharmacist as prescribed by law. Most pharmacies will provide parents with an appropriately labeled, separate container for school.

4. A School Medication Record (page 2, Warehouse Stock Form #1075) is to be used for each medicine given to a student. Each medication record includes the name of the medication, time given, and the person administering the medicine. At the end of the school year or the discontinuance of the medication, this record must be filed with the student’s education record.

5. Medicine should be handled by a minimum number of school personnel.

6. All medicines are to be stored in a locked cabinet.

7. The parent or legal guardian must be notified of any missed doses of medication.

8. Medication for a student participating in a field trip must be transported in the original, appropriately labeled container. The person administering the medication on the field trip must do documentation on the School Medication Record that day.

9. All Schedule II controlled medications, such as Ritalin (Methylphenidate), must be counted by a parent and the principal or his/her designee, upon receipt at the school. In addition, all Schedule II controlled medications must be counted weekly, thereafter by two principal designees, as well as before and after field trips. Documentation will be provided on the Medication Count Record (Warehouse Stock Form #1075A). Any discrepancies are to be reported immediately to the principal or other administrative official. At the end of the school year or the discontinuance of the medication, this record must be filed in the student’s education record.

10. Anyone administering medication in Chesterfield County Public Schools, on a regular basis, must receive training on Medication Administration and complete a Medication Administration Skill Checklist, signed by the person providing the training.

11. All medication errors are to be reported to the school administration and documented appropriately.

12. Unused medication should be picked up at the end of the school year by a parent or legal guardian. If not picked up by the last school working day in June, it will be disposed of by appropriate school personnel.

D. Procedure for Administration of Medication

The procedure below is to be used for the administration of medication:

1. Identify the student; ask the student’s name.

2. Make sure the Medication Request Form has been completed and signed appropriately.

3. Even if you have given the medication before, read the prescription label to check the name of the student, name of the medication, dosage, time and route.

4. Administer the medicine to the student. Refrain from touching the medicine with your hands.

5. Observe the student ingesting, injecting, or inhaling the medication.

6. The person administering the medication should initial the record and the time given in the day-of-month block on the Medication Record and note anything unusual (e.g., spilled or wasted medicine, student unable to swallow, refused, note sent to parent, etc.) on back of record.

7. Note absences from school on the Medication Record using daily attendance records.

8. Notify parents of missed doses of medication.

E. Self-Administration of Asthma Medications and Auto-Injectable Epinephrine

Students with a diagnosis of asthma or anaphylaxis, or both, are permitted to possess and self-administer inhaled asthma medications or auto-injectable epinephrine, or both, as the case may be, in accordance with this policy during the school day, at school-sponsored activities, or while on a school bus or other school property. In order for a student to possess and self-administer asthma medication, or auto-injectable epinephrine, or both, the following conditions must be met:

1. Written parental consent that the student may self-administer inhaled asthma medications or auto-injectable epinephrine, or both, must be on file with the school;

2. Written notice from the student’s health care provider must be on file with the school, indicating the identity of the student, stating the diagnosis of asthma or anaphylaxis, or both, and approving self-administration of inhaled asthma medications or auto-injectable epinephrine, or both, that have been prescribed for the student; specifying the name and dosage of the medication, the frequency in which it is to be administered and the circumstances which may warrant its use; and attesting to the student’s demonstrated ability to safely and effectively self-administer the medication;

3. An individualized health care plan must be prepared, including emergency procedures for any life-threatening conditions; and

4. Information regarding the health condition of the student may be disclosed to School Board employees in accordance with state and federal law governing the disclosure of information contained in student scholastic records.

Permission granted to a student to possess and self-administer asthma medications or auto-injectable epinephrine, or both, will be effective for a period of 365 calendar days, and must be renewed annually. However, a student’s right to possess and self-administer inhaled asthma medication or auto-injectable epinephrine, or both, may be limited or revoked after appropriate school personnel consult with the student’s parents..


Adopted: December 8, 2009
_____________________________________________________________________________________
_____________________________________________________________________________________

Legal Ref.: Code of Virginia, 1950, as amended, §§ 22.1-274, 22.1-274.2, 54.1-2957.02.

Cross Ref.: 2090 School Building Administration
3090 Field Trips
4100 Student Records
4010-R Standards for Student Conduct
4130 Administration of Medication to Students
4131 Recommendation of Medication by School Personnel


[VSBA: JHCD]

_________________
Myself - Seasonal, cats
dd-asthma (trigger - flu) anaphylactic to eggs, severe allergies to bugspray and penicilin,pulmicort
ds-Seasonal, cats and OAS
dh-allergy cats, bugspray and guava, outgrew egg allergy


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PostPosted: Wed Jan 04, 2012 12:31 am 
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Joined: Mon Jul 05, 2010 11:37 am
Posts: 1523
Location: Alberta
http://www2.timesdispatch.com/news/2012 ... r-1584255/
interesting comments

OMG this is so sad! My heart is with that family.

_________________
Myself - Seasonal, cats
dd-asthma (trigger - flu) anaphylactic to eggs, severe allergies to bugspray and penicilin,pulmicort
ds-Seasonal, cats and OAS
dh-allergy cats, bugspray and guava, outgrew egg allergy


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PostPosted: Wed Jan 04, 2012 1:45 am 
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Site Admin

Joined: Mon Feb 07, 2005 6:39 pm
Posts: 2947
Location: Toronto
Just shattering. Poor wee girl.

The mother speaks here: http://www.wtvr.com/news/wtvr-chesterfi ... 0762.story

I would take with a grain of salt whether somebody made the girl eat the pn as is suggested on the video. Poor grieving mom really doesn't know.

But very concerning: sounds like the school called mom first to "pick her up" - just like Megann Lefort's case, this meant needless delay. Mom says she wasn't given Benadryl as action plan stated. But where was the Epi here.

_________________
Allergic to soy, peanut, shellfish, penicillin


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PostPosted: Wed Jan 04, 2012 1:47 am 
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Joined: Mon Jul 05, 2010 11:37 am
Posts: 1523
Location: Alberta
http://www2.timesdispatch.com/news/loca ... r-1585306/

_________________
Myself - Seasonal, cats
dd-asthma (trigger - flu) anaphylactic to eggs, severe allergies to bugspray and penicilin,pulmicort
ds-Seasonal, cats and OAS
dh-allergy cats, bugspray and guava, outgrew egg allergy


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PostPosted: Wed Jan 04, 2012 1:54 am 
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Joined: Mon Jul 05, 2010 11:37 am
Posts: 1523
Location: Alberta
http://www.wtvr.com/news/wtvr-chesterfi ... 0762.story
Quote:
At the beginning of this school year, the mother said she tried to give the clinical aid an Epipen for emergencies, but she was declined and told to keep it at home.
WHAT!!!!

_________________
Myself - Seasonal, cats
dd-asthma (trigger - flu) anaphylactic to eggs, severe allergies to bugspray and penicilin,pulmicort
ds-Seasonal, cats and OAS
dh-allergy cats, bugspray and guava, outgrew egg allergy


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PostPosted: Wed Jan 04, 2012 2:22 am 
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Joined: Mon Jul 05, 2010 11:37 am
Posts: 1523
Location: Alberta
http://www.wric.com/story/16435885/ches ... -in-school
Quote:
Police continue to investigate how the girl came into contact with the allergen.
Coming into contact with an allergen can happen so easily....that is exactly why reaction and response education for all who work with our children is so important.

AND jmo but there sure seems to be an over abundance of the words "self administer" in that policy, and what about training? :banghead

_________________
Myself - Seasonal, cats
dd-asthma (trigger - flu) anaphylactic to eggs, severe allergies to bugspray and penicilin,pulmicort
ds-Seasonal, cats and OAS
dh-allergy cats, bugspray and guava, outgrew egg allergy


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PostPosted: Wed Jan 04, 2012 11:29 am 
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Joined: Wed Jun 22, 2011 4:26 pm
Posts: 410
This is absolutely horrifying. My prayers and thoughts are with this family. Something drastic needs to be done - this is happening far too often.

_________________
anaphylaxis to tree nuts and peanuts; asthmatic, dairy intolerant, vegan
other family members allergic to to dairy, egg, peanut, peach, banana, sesame, environmentals


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PostPosted: Thu Jan 05, 2012 9:11 am 
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Site Admin

Joined: Tue Mar 22, 2005 11:17 pm
Posts: 6468
Location: Ottawa
For those in the USA...
Please ask your Senator to support this:
Quote:
On Nov. 17 this bill (S. 1884), the School Access to Emergency Epinephrine Act, was introduced in the Senate by U.S. Senators Dick Durbin (D-IL) and Mark Kirk (R-IL). On Dec. 8, the bill (HR. 3627) was introduced in the House by Democratic Whip Steny Hoyer (D-MD) and Rep. Phil Roe (R-TN).

http://​www.foodallergy.org/page/​school-access-to-emergency-​epinephrine-act1

_________________
Moderator
Daughter: asthma, allergies to egg, milk, peanuts, tree nuts, most legumes (not soy) & penicillin. Developing hayfever type allergies.
Husband: no allergies
Me: allergies to some tree that flowers in May
Cat: allergic to beef, pork and lamb


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PostPosted: Thu Jan 05, 2012 11:04 am 
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Site Admin

Joined: Tue Mar 22, 2005 11:17 pm
Posts: 6468
Location: Ottawa
http://www.cnn.com/2012/01/04/health/vi ... ?hpt=us_c2
Something is not adding up...
-The mother states Ammaria has had anaphylaxis allergies to several foods including peanuts and egg for several years and that Ammaria was aware and careful (as much as a first grader can be expected to be).
-Mom also states she tried to provide info and medication but the school declined it.
-The school district spokesperson states the school had no medication on Ammaria's file to offer. They say thathad they been aware of her allegies, "the public health nurse makes contact with the family in an effort to obtain the necessary medication".
-The student was brought to the school nurse after "after breaking out in hives and complaining of shortness of breath at recess".
-The school states 911 was called when they determined that there was no medication to give Ammaria. The mother states she requested the school call 911 when they called her...

This is not adding up! :banghead

Take aways...
Do not bring the patient to the rescue medication; bring the rescue to the patient!
Benedryl is not the first line of defense...epinephrine is. This can be obtained in the form of an auto-inje ctor such as Epipen or Twinject.

_________________
Moderator
Daughter: asthma, allergies to egg, milk, peanuts, tree nuts, most legumes (not soy) & penicillin. Developing hayfever type allergies.
Husband: no allergies
Me: allergies to some tree that flowers in May
Cat: allergic to beef, pork and lamb


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PostPosted: Thu Jan 05, 2012 11:43 am 
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Joined: Sun Nov 30, 2008 11:00 am
Posts: 1119
Read that the mother tried to leave an epi-pen at the school but was told to take it home. Was that because she did not have the paperwork completed? If that is the case then was there a reason why she did not have it done? Did the school make it clear to the mother why they were refusing the epi-pen?

Like Susan said, the story is missing some key facts - one report says that the school called the mom who then told them to call 911 --- yet the school said the girl was having difficulty breathing and another report said she had known allergies.

Obviously nothing will bring Ammaria back but would really like to know for the education of other schools and families.

_________________
me: allergic to crustaceans plus environmental
teenager: allergic to hazelnuts, some other foods and environmental


Last edited by walooet on Thu Jan 05, 2012 11:48 am, edited 1 time in total.

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PostPosted: Thu Jan 05, 2012 11:45 am 
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Joined: Sun Nov 30, 2008 11:00 am
Posts: 1119
alberta advocate wrote:
AND jmo but there sure seems to be an over abundance of the words "self administer" in that policy, and what about training? :banghead


No one should be expected to self-administer an epi-pen. Yes, it might be possible but not expected. When I had to adminster the epi-pen on my daughter it was difficult and although she was 12 it would have been very hard for her to administer it herself given the dizziness, shaking hands, throat swelling and blood pressure dropping.

_________________
me: allergic to crustaceans plus environmental
teenager: allergic to hazelnuts, some other foods and environmental


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PostPosted: Thu Jan 05, 2012 11:58 am 
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Joined: Sun Nov 30, 2008 11:00 am
Posts: 1119
alberta advocate wrote:
http://www.nbc12.com/story/16436367/chesterfield-student-dies-from-allergic-reaction
http://www.nbc12.com/story/16438497/che ... -at-school
:cry:

Was this doctor misquoted?
----
Dr. Barry Feinstein, who specializes in food allergies, ... In extreme cases, Feinstein said children carry Epi-pens with life-saving medication.

"Then it goes generally in the leg it's held there for about three or four seconds then removed," said Feinstein.
---

Firstly, epi-pens are not for extreme cases. They are for anyone at risk of anaphylaxis.

Secondly, it is 10 seconds not 3 or 4! see How to use epi-pen at http://files.epipen.gethifi.com/how-to- ... -Guide.pdf
HOLD on thigh for approximately 10 seconds to deliver the drug.

It infuriates me to see an 'expert' either misinformed or being misquoted. :verymad The difference between 4 seconds and 10 seconds is huge when it comes to epinephrine.

_________________
me: allergic to crustaceans plus environmental
teenager: allergic to hazelnuts, some other foods and environmental


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PostPosted: Thu Jan 05, 2012 12:10 pm 
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Joined: Sun Nov 30, 2008 11:00 am
Posts: 1119
Since the adults in the schools are not always competent, teach the other students about food allergies. Teach them not to share food and to wash their hands and what a reaction looks like.

High Schools get presentations about drunk driving, drugs and road rage. Why can't all schools have presentations about food allergies?

_________________
me: allergic to crustaceans plus environmental
teenager: allergic to hazelnuts, some other foods and environmental


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PostPosted: Thu Jan 05, 2012 12:18 pm 
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Joined: Thu Feb 26, 2009 12:05 am
Posts: 649
Location: AB, Canada
Absolutely terrible. By heart breaks for the family.

I think school administrators need to read these articles! As parents of allergic kids, we do, and it scares us sensless. Those who are in charge of policy & procedure should also be aware of how much can go wrong, and that children ARE dying from this.

:'(

_________________
DSs 7,7,9 all PA


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