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San Carlos ESD |  AR  5141.27  Students

Allergies/Food Allergies And Special Dietary Needs   

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Definitions

Special dietary needs include food intolerances, allergies, and other medical needs that may require avoidance of specific foods.

Allergies are abnormally high sensitivity to certain substances, such as pollens, foods, or microorganisms.

Food allergies are abnormal responses of the body's immune system to certain foods or ingredients.

Anaphylaxis is a potentially life­threatening hypersensitivity to a substance and may be caused by a food allergy. Symptoms may include shortness of breath, wheezing, difficulty breathing, difficulty talking or swallowing, hives, itching, swelling, shock, or asthma. (Education Code 49414)

In severe cases, anaphylaxis may result in lowered blood pressure, loss of consciousness, or even death. Symptoms typically appear immediately after exposure to a certain food or substance but in rare cases may occur after a few hours.

Epinephrine auto­injector is a disposable drug delivery system with a spring­activated concealed needle that is designed for emergency administration of epinephrine to persons suffering a potentially fatal reaction to anaphylaxis. (Education Code 49414)

Management of Life-Threatening Allergies

Identification of Pupils at Risk

1. Family Responsibilities

a. Annually notify child's teacher(s) and principal of the child's allergies in writing.

b. Provide school principal with emergency contact information, including the name, phone number and address of the treating physician.

c. Provide school office with written medical documentation, instructions, and medications as directed by a physician.

d. Provide school office with properly labeled medications and replace medications after use or upon expiration and at the beginning of the school year.

2. School Responsibilities

a. Review the health records submitted by parents and physicians and develop a Confidential Medical Problems List compiled annually at the beginning of the academic school year from information supplied by parents on the pupil emergency database. This list will be distributed to all appropriate school site staff.

b. Identify a core team of, but not limited to, secretary, teacher, principal, school food service and counselor to work with parents and the pupil (age appropriate) to establish a prevention plan.

c. Assure that all staff who interact with the pupil on a regular basis understand the allergy, can recognize symptoms, know what to do in an emergency, and work with other school staff to eliminate the use of allergens in the allergic pupil's meals, educational tools, arts and crafts projects, or incentives.

d. Be knowledgeable about and follow applicable federal laws including ADA (Americans with Disabilities Act), IDEA (Individual Disability Education Act), Section 504, and FERPA (Family Education Rights and Privacy Act) and any state laws or District policies that apply.

e. Student's emergency information is to be flagged by school secretary under Medical Alert tabs in the database. These tabs indicate the pupil has one or more medical condition that may require emergency response by staff.

3. Pupil Responsibilities

a. Can wear a MedicAlert bracelet when appropriate that states his/her allergies and the information about his/her auto-injectors (e.g., EpiPen) or other emergency medication(s).

b. If Physician approval of self carry medications is given, Student will be responsible for carrying, administering and keeping safe their medication and use as prescribed by his/her physician. Student will not share or show medication with other students and will report any missing medication immediately.

Treatment Protocol

1. Family Responsibilities

a. Work with the school team to develop a plan that accommodates the pupil's allergen precautions throughout the school including in the classroom, lunch area, after-school childcare programs, during school-sponsored activities, and on school-sponsored transportation vehicles.

2. Review policies/procedures with the school staff, the pupil's physician, and the pupil (age appropriate) after a reaction has occurred.

2. School Responsibilities

a. Coordinate with the secretary and district nurse to ensure medications are appropriately stored, and that an emergency kit is available that contains a physician's standing order for epinephrine. Medications should be kept in an easily accessible secure location central to designated school personnel.

b. Designate school personnel who are properly trained to administer medications in accordance with district policy. All school staff should be made aware of which staff members are EpiPen trained.

c. Be prepared to handle a reaction and ensure that there is a staff member available who is properly trained to administer medications during the school day regardless of time or location.

d. Review policies/prevention plan with the core team members, parents/guardians, pupil (age appropriate), and physician after a reaction has occurred.

e. Do not presume that pupils will self-administer their auto-injector. The individual might not be able to while having a reaction.

f. The EpiPen should accompany the pupil when participating in field trips and performances/athletic events away from the home school where medications and auto-injectors are stored. If the location is remote, it is required that the organizer of the trip carry a mobile phone. If an EpiPen is administered, 911 must be called as well.

3. Student Responsibilities

Notify an adult immediately if student eats something or come in contact with a known allergen (e.g. insect bite or latex gloves) or something he/she believes may contain the allergen to which they are allergic or other cause for a possible reaction.

Allergen Awareness/Avoidance

1. Parent Responsibilities

Educate the student in the self-management of their allergy (e.g. food, medications, insects, latex) including:

* Safe and unsafe foods

* Strategies for avoiding exposure to unsafe foods

* Symptoms of allergic reactions

* How and when to tell an adult they may be having an allergy-related problem

* How to read food labels and ingredient lists (age appropriate)

2. School Responsibilities

a. Be knowledgeable about and follow applicable federal laws including ADA, IDEA, Section 504, and FERPA and any state laws or district policies that apply.

b. Exercise special care to support food/other- allergic students by having parents/guardians consult with the teacher before supplying food or craft supplies to the classroom.

c. School and district staff will work with parents/guardians to accommodate the needs of the allergic/anaphylactic pupil on an individual basis to diminish the risk of accidental exposure to his/her specific allergen(s). This will be done in accordance with district rules and regulations regarding confidentiality.

d. Discuss field trips with the family of the food/other-allergic student to decide appropriate strategies for managing the allergy.

e. Follow federal/state/district laws and regulations regarding sharing medical information about the pupil.

f. Require that all lunch vendors do not include peanuts or tree nuts in meals served to children or operate kitchen facilities where there is a reasonable likelihood of meals being contaminated by peanuts or tree nuts.

g. Require that all meals or snacks provided to a classroom or group of students, whether provided by the school, teachers, or parents, be free of peanuts or tree nuts.

h. Send a note to parents of children in a class where a student in that class has an allergy. Such note would inform parents of such allergy and encouraging such parents to be mindful of such allergy.

3. Student Responsibilities

a. Never trade or share food, utensils or containers with others.

b. Never eat anything with unknown ingredients or known to contain any allergen.

c. Be proactive in the care and management of their food allergies and other reactions based on the pupil's developmental level.

d. Only eat food that has been brought from home unless it is packaged, clearly labeled and approved by their parents.

e. Wash hands before eating,

f. Non-allergic students should be instructed to wash their hands after eating something that could be dangerous to classmates.

Training and Education

1. Staff Training

a. Training shall be provided to appropriate staff on the identification and management of allergies, including avoidance measures, typical symptoms, the proper use of epinephrine auto­injectors, documentation and storage of medication, and emergency drills.

b. Training may include teachers and certificated support staff, site classified staff and administrators. Such training shall be designed by and provided under the direction of the district School Nurse.

2. Supervision of Students

Staff who are trained and knowledgeable about symptoms of anaphylaxis and actions to take in an emergency shall provide supervision in the classroom and lunch area and on the playground whenever students known to have a food allergy are on school grounds.

3. Substitute Teachers

a. Substitute teachers should be trained on the use of the EpiPen and be informed of the allergic/anaphylactic pupils under their supervision.

b. The treatment protocols for pupils with allergies should be readily available in the classroom for the information of the substitute teacher

Prevention of Food Allegeric Reactions

To minimize students' exposure to foods to which they are allergic, the Superintendent, Principal or designee shall, at a minimum, implement the following preventive measures:

Food Services

1. Food Substitutions

a. The school vendor shall make food substitutions in school meals, and after­school snacks when students are considered to have a disability under Section 504 of the federal Rehabilitation Act of 1973 that restricts their diet and when a physician has signed a statement of need that includes recommended alternate foods. (7 CFR 210.10, 220.8)

b. Substitutions may be made on a case­by­case basis for students who do not have a disability under Section 504 but who cannot consume the regular school meal, or after­school snack because of medical or other special dietary needs, when supported by a statement of need signed by a recognized medical authority. (7 CFR 210.10, 220.8, 225.16)

c. Food substitutions shall not result in any additional cost to the student.

2. Nutrition Requirements

a. The district's staff shall check with the school lunch vendor on food labels or specifications to ensure that foods do not contain traces of substances to which particular students are allergic.

b. Under no circumstances shall food services vendor prescribe nutritional requirements or revise a diet order prescribed by a physician.

Class Parties/School Activities

1. Food Allergies

a. Without identifying the student, the principal or teacher may notify parents/guardians of other students in the class that a student is allergic to a specific food and may request that the specific food not be provided at class parties or other school events.

b. Whenever the ingredients in any food served at class parties or other school activities are unknown, the student shall be encouraged to avoid the food.

Sanitation and Cleaning

1. Safe Practices

a. To avoid spreading allergens, lunch tables and classroom surfaces shall be cleaned with a fresh cloth or disposable paper towels.

b. Staff shall use and promote hand washing using soap and water before and after food handling.

c. Students shall be notified that exchanging meals or utensils is prohibited

Emergency Response

1. First Aid Assistance

a. Epinephrine auto­injectors or other medicine provided for use in the event of an anaphylactic shock reaction shall be stored and used in accordance with law and BP/AR 5141.21 ­ Administering Medication and Monitoring Health Conditions.

b. Staff shall call 911 and seek immediate medical attention for a student experiencing an anaphylactic shock reaction. As soon as possible, school staff shall contact the student's parents/guardians or other person identified as an emergency contact.

Regulation SAN CARLOS ELEMENTARY SCHOOL DISTRICT

approved: January 16, 2014 San Carlos, California