Food Allergy Management Plan

• Notify the school of the child’s allergies.
• As part of the enrollment process, complete the student’s online Health History Form and mark Anaphylaxis/Allergy.
• Work with the principal and school nurse to develop a plan that accommodates the child’s needs throughout the school, including the classroom, cafeteria, school-sponsored activities and school bus.
• Provide written medical documentation, instructions and medications as directed by a physician using the Hutto ISD Anaphylaxis Emergency Plan.
• Provide properly labeled medications and the completed Anaphylaxis Emergency Plan with physician directions for anaphylaxis medications.
• Replace medications after use or upon expiration.
• Educate the child in self-management of their food allergy, including safe and unsafe foods, strategies for avoiding exposure, symptoms of allergic reactions, how and when to tell an adult they may be having an allergy-related problem and how to read food labels when age appropriate.
• Provide emergency contact information and update this information anytime changes occur.
• Review policies and procedures with school staff, the child’s physician and the child, if age appropriate, after a reaction has occurred.

• Students should not trade food with others.
• Students should not eat anything with unknown ingredients or known to contain any allergen.
• Students should be proactive in the care and management of their food allergies and reactions based on their developmental level.
• Students should notify an adult immediately if they eat something they believe may contain the food to which they are allergic.

• Be knowledgeable about and follow applicable federal laws, including ADA, IDEA, Section 504 and FERPA, as well as state laws and district policies that apply.
• Include food-allergic students in school activities. Students should not be excluded from school activities solely based on their food allergy.
• Identify a Food Allergy Management Team consisting of, but not limited to, the school nurse, teacher, principal, school food service or nutrition manager and counselor, if available.
• Work with parents and the student, when age appropriate, to establish a prevention plan.
• Make changes to the prevention plan with Food Allergy Management Team participation.

• School nurses will strive to identify students with a history or risk for anaphylaxis by reviewing current school year electronic Health History information.
• School nurses will review previous school year student Health Condition and Critical Alert information in the Skyward computer system.
• School nurses will review health records submitted by parents and physicians.

• Assure that all staff have a basic understanding of food allergies, possible signs and symptoms, and what to do in an emergency.
• Train staff who regularly interact with a specific student about the foods that trigger an allergic reaction, student-specific signs and symptoms and the emergency response plan, including administration of epinephrine.
• Review the student’s Classroom Action Plan, prepared by the school nurse from information listed on the student’s individual Anaphylaxis Care Plan.
• Designate school personnel who are properly trained to administer medications in accordance with Texas law and Good Samaritan laws governing emergency medication administration.
• Be prepared to handle a reaction and ensure that a trained staff member is available to administer medications during the school day regardless of time or location.
• Students may carry their own epinephrine, if age appropriate, after approval from the student’s physician or clinic, parent and school nurse.
• Work with the district’s transportation administrator to assure that school bus driver training includes symptom awareness and what to do if a reaction occurs.
• Follow federal and state laws and regulations regarding sharing medical information about students.
• Take threats or harassment against an allergic child seriously.

• Review the allergic student’s Classroom Action Plan, prepared by the school nurse from information listed on the student’s Anaphylaxis Care Plan, and have the plan readily available.
• School nurses will provide the “List of Foods to Avoid Completely,” which contains the student’s picture, to place in the substitute teacher folder.
• Eliminate the use of food allergens in educational tools, arts and crafts projects or incentives.
• Elementary homeroom teachers should use the parent letter provided by the nurse to send home to the class. This letter anonymously discloses to parents the presence of a student with a severe food allergy.
• Discuss field trips with the family of the food-allergic student to decide appropriate strategies for managing food allergy.
• Take threats or harassment against an allergic child seriously.

• Follow the student’s written Anaphylaxis Emergency Plan and Classroom Action Plan.
• School nurses will complete the Report of Epinephrine Administration following an anaphylaxis event with epinephrine administration.
• Review policies and the prevention plan with Food Allergy Management Team members, parents or guardians, the student when age appropriate and the physician if applicable after a reaction occurs.
• After the review, make any necessary changes to the student-specific food allergy management plan, including the emergency action plan.

The school nurse will determine if there is a student with a history or risk of anaphylaxis on the school campus by reviewing:

• Current school year electronic student Health History information completed by the parent.
• Student Critical Alert information in the Skyward computer system.
• Health Condition information in the Skyward computer system.

The school nurse will schedule a meeting with the parent or guardian of the student to determine:

• Previous medical history using the Allergy Questionnaire.
• The type and level of care the parent is seeking for the student.
• Whether an EpiPen will be kept in the nurse’s office.
• Whether Benadryl, if needed, will be kept in the nurse’s office.
• Whether an EpiPen will be carried by the student, with approval.

The school nurse will collaborate with the student, when age appropriate, parent or guardian and physician to review medical orders as part of the student’s completed Anaphylaxis Emergency Plan.

• Benadryl, if needed, and/or EpiPen to be administered at school as needed.
• Student carrying EpiPen, with physician, parent and nurse sign-off that the student has the knowledge and ability to carry the EpiPen.
• Supplies, including Benadryl and/or EpiPen, kept at school or with the student per physician orders.
• Nutrition Rx form completed by the physician to allow modifications or changes to the student’s tray through the Nutrition Department.
• Completed Anaphylaxis Emergency Plan.

The school nurse will:

• Prepare the student-specific Classroom Action Plan.
• Prepare the Individual Health Care Plan, as needed.
• Present all staff with a basic overview of food allergy, possible signs and symptoms, and what to do in an emergency.
• Notify appropriate school staff with a need to know of a specific student’s condition, including teachers, PE teacher or coach, cafeteria staff and administrative staff.
• Train designated staff on the student-specific signs, symptoms and medical management of anaphylaxis and document the training.
• Train designated staff on the student’s Classroom Action Plan and the use of the EpiPen.
• Educate staff that the Emergency Plan and medications, including Benadryl and/or EpiPen, must accompany the student on all field trips.
• Provide retraining of staff as needed throughout the school year.

After an event, the school nurse will complete an Epinephrine Administration Record.

An initial review will take place between the campus nurse and the Director of Health and Safety regarding what went well and what needs to be improved in the process. Review of the Epinephrine Administration Record is part of this initial review.

Additional review of the event will be completed by the Food Allergy Management Team, parent, student when age appropriate and physician if applicable. Any necessary changes will be made to the management plan.