This Allergy Action Plan is a vital, physician-authorized document designed to help school staff respond effectively to life-threatening allergic reactions. It outlines clear, step-by-step procedures for recognizing and treating both mild and severe symptoms of allergic reactions, including the administration of epinephrine and antihistamines.
The plan includes:
Personalized Student Information (Name, Allergy, Asthma status, Emergency Contacts)
Symptom Categories (Mild vs. Severe)
Emergency Protocols for suspected or confirmed exposure
Epinephrine Auto-Injector Instructions (EpiPen®, Auvi-Q™, Adrenaclick®)
Authorization Signatures from parent/guardian and healthcare provider
Guidelines for Emergency Services Notification and post-incident care
This document ensures that all staff are prepared to take immediate, appropriate action in the event of an allergic reaction, prioritizing student safety and well-being.