Illinois Food Allergy Emergency Action Plan And Treatment Authorization (Page 2 of 2) in pdf

Illinois Food Allergy Emergency Action Plan And Treatment Authorization Page 2

DOCUMENTATION

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Gather accurate information about the reaction, including who assisted in the medical intervention and who witnessed the

event.

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Save food eaten before the reaction, place in a plastic zipper bag (e.g., Ziploc bag) and freeze for analysis.

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If food was provided by school cafeteria, review food labels with head cook.

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Follow-up:

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Review facts about the reaction with the student and parents and provide the facts to those who witnessed the

reaction or are involved with the student, on a need-to-know basis. Explanations will be age-appropriate.

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Amend the Emergency Action Plan (EAP), Individual Health Care Plan (IHCP) and/or 504 Plan as needed.

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Specify any changes to prevent another reaction.

TRAINED STAFF MEMBERS

Name:

Room:_______________________________

Name:

Room:_______________________________

Name:

Room:_______________________________

LOCATION OF MEDICATION

Student to carry

Health Office/Designated Area for Medication

Other: _________________________________

ADDITIONAL RESOURCES

American Academy of Allergy, Asthma and Immunology (AAAAI)

414-272-6071

/patients/resources/fact_sheets/food_allergy.pdf

/members/allied_health/tool_kit/ppt/

Children’s Memorial Hospital

773-KIDS-DOC

Food Allergy Initiative (FAI)

212-207-1974

Food Allergy and Anaphylaxis Network (FAAN)

800-929-4040

This document is based on input from medical professionals including Physicians, APNs, RNs and certified school

nurses. It is meant to be useful for anyone with any level of training in dealing with a food allergy reaction.

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Illinois Food Allergy Emergency Action Plan And Treatment Authorization Page 2