Life-Threatening Health Conditions and/or Anaphylaxis

1. Immediately develop an individualized ECP for each at risk student to ensure that all appropriate staff are aware of the student's potential for a life-threatening reaction;
2. If appropriate, develop an IHP that includes all necessary treatments, medications, training, and educational requirements for the student. If the student is eligible for accommodations based upon the Individuals with Disabilities Education Act (IDEA), Section 504 of the Rehabilitation Act of 1973, or the Americans with Disabilities Act, the appropriate procedures will be followed regarding evaluation and identification;
3. Provide training by licensed medical staff (e.g., registered professional nurse) for all adults in a supervisory role in the prevention, recognition, and emergency management of a life-threatening health condition and/or anaphylaxis for specific students;
4. Obtain specific medical-legal documents duly executed in accordance with New York State law; appropriate health care provider authorization in writing for specific students that includes the frequency and conditions for any testing and/or treatment, symptoms, and treatment of any conditions associated with the health issue; and directions for emergencies;
5. Secure written parent permission and discuss parental responsibility that includes providing the health care provider's orders, providing any necessary equipment, and participation in the education and co-management of the student as they work toward self-management;
6. Allow supervised students to carry life-saving medication in accordance with applicable laws, regulations, and procedures. The District will also encourage parents and students to provide duplicate life-saving medication to be maintained in the health office in the event the independent student misplaces, loses, or forgets their medication;
7. Assure appropriate and reasonable building accommodations are in place within a reasonable degree of medical certainty.

1. Provide training for transportation, instructional, food service, or physical education staff, as appropriate, in the recognition of an anaphylactic reaction;
2. Have standing emergency medical protocols for nursing or other staff including calling for emergency transport or 911 and determining which school personnel will accompany the student until the parent/guardian is present;
3. Request the School Medical Director to write a non-patient specific order for anaphylaxis treatment agents for the school's registered professional nurse or other staff, as designated by the administration and allowed under federal and New York State laws and regulations, to administer in the event of an unanticipated anaphylactic episode;
4. Maintain or ensure the maintenance of a copy of the standing order(s) and protocol(s) that authorizes appropriate district staff to administer emergency medications such as anaphylactic treatment agents;
5. As permitted by New York State law, the District will maintain non-patient specific opioid antagonists (naloxone) on-site in each instructional school facility to ensure ready and appropriate access during emergencies for students or staff. To obtain, store, and use naloxone, the District has three options available:
   
   1. The District has registered with the New York State Department of Health (NYSDOH) to become a Registered Opioid Overdose Prevention Program; or
   2. The District's Medical Director has issued a non-patient specific order to the school nurse to administer naloxone on-site; or
   3. The District participates in an existing New York State Department of Health (NYSDOH) Overdose Prevention Program operated by another organization;
6. As permitted by New York State law, maintain epinephrine devices for use during emergencies. The District must have sufficient supply available to ensure access for use during emergencies to any student or staff member having symptoms of anaphylaxis whether or not there is a previous history of severe allergic reaction. In case of emergency, trained school staff or school staff directed to use an epinephrine device by a health care practitioner may administer an epinephrine device to any student or staff member having symptoms of anaphylaxis in the District. Districts that maintain epinephrine devices on-site must provide all teachers with written informational material on the use of an epinephrine device that has been created and approved by the Commissioner of Health;
7. Allow the school registered nurse, nurse practitioner, physician assistant, or physician to train unlicensed school staff to administer prescribed glucagon or epinephrine devices in emergency situations, where an appropriately licensed health professional is not available, to students with both a written provider order and parent/guardian consent during the school day, on school property, and at any school function. Training will be provided in accordance with specifications outlined in law and regulation;
8. Ensure that the District-Wide School Safety Plan and building-level emergency response plans include appropriate accommodations for students with life-threatening health conditions;
9. Encourage families to obtain medic-alert bracelets for students with life-threatening health conditions;
10. Educate students regarding the importance of immediately reporting symptoms of an allergic reaction;
11. Provide professional development and education for both licensed and unlicensed staff related to food, other allergies and treatment of allergic reactions.

Creating an Allergen-Safe School Environment

1. Cafeteria;
2. Food sharing;
3. Hidden ingredients in art, science, and other projects;
4. Transportation;
5. Fundraisers and bake sales;
6. Parties and holiday celebrations;
7. Field trips; and
8. Before and after school programs.

1. For discussion with students that have developed adequate verbal communication and comprehension skills and with the parents/guardians of all students about foods that are safe and unsafe and about strategies to avoid exposure to unsafe food; and
2. Between the school and the parent/guardian, the school nurse and the health care provider, and the school nurse and building staff for intake and dissemination of information for students at risk for anaphylaxis.

Empowering Students Toward Medical Self-Management

1. Adequately training all staff involved in the care of the student, as appropriate;
2. Assuring the availability of the necessary equipment or medications;
3. Providing appropriately trained licensed persons as required by law;
4. Developing an emergency plan for the student;
5. Providing ongoing staff and student education;
6. Teaching students to read food labels and to sharpen refusal skills for foods with unknown ingredients, as appropriate; and
7. Teaching students to avoid the allergen, including latex, insect, or whatever allergen exists for the student, as appropriate.

Notification of Policy and Written Materials