Anaphylaxis Policy

1. Purpose

To explain to Princes Hill Secondary College parents, carers, staff and students the processes and procedures in place to support students diagnosed as being at risk of suffering from anaphylaxis. This policy also ensures that Princes Hill Secondary College is compliant with Ministerial Order 706 and the Department's Anaphylaxis Guidelines.

2. Policy Statement

Princes Hill Secondary College will fully comply with Ministerial Order 706 and the associated Anaphylaxis Guidelines published by the Department of Education and Training.

This policy applies to:

• all staff, including casual relief staff and volunteers
• all students who have been diagnosed with anaphylaxis, or who may require emergency treatment for an anaphylactic reaction, and their parents and carers

3. Implementation

Anaphylaxis is a severe allergic reaction that occurs after exposure to an allergen. The most common allergens for school-aged children are nuts, eggs, cow’s milk, fish, shellfish, wheat, soy, sesame, latex, certain insect stings and medication.

Symptoms

Signs and symptoms of a mild to moderate allergic reaction can include:

• Swelling of the lips, face and eyes
• Hives or welts
• Tingling in the mouth

Signs and symptoms of anaphylaxis, a severe allergic reaction, can include:

• Difficult/noisy breathing
• Swelling of tongue
• Difficulty talking and/or hoarse voice
• Wheeze or persistent cough
• Persistent dizziness or collapse
• Student appears pale or floppy
• Abdominal pain and/or vomiting

Symptoms usually develop within ten minutes and up to two hours after exposure to an allergen, but can appear within a few minutes.

Treatment

Adrenaline given as an injection into the muscle of the outer mid-thigh is the first aid treatment for anaphylaxis.

Individuals diagnosed as being at risk of anaphylaxis are prescribed an adrenaline autoinjector for use in an emergency. These adrenaline autoinjectors are designed so that anyone can use them in an emergency.

Individual Anaphylaxis Management Plan (AMP)

All students at Princes Hill Secondary College who are diagnosed by a medical practitioner as being at risk of suffering from an anaphylactic reaction must have an Individual Anaphylaxis Management Plan. When notified of an anaphylaxis diagnosis, the Principal of Princes Hill Secondary College is responsible for developing a plan in consultation with the student’s parents/carers.

Where necessary, an Individual Anaphylaxis Management Plan will be in place as soon as practicable after a student enrols at Princes Hill Secondary College and where possible, before the student’s first day.

Parents and carers must:

• Obtain an ASCIA Action Plan for Anaphylaxis from the student’s medical practitioner and provide a copy to the school as soon as practicable
• Immediately inform the school in writing if there is a relevant change in the student’s medical condition and obtain an updated ASCIA Action Plan for Anaphylaxis
• Provide an up-to-date photo of the student for the ASCIA Action Plan for Anaphylaxis when that Plan is provided to the school and each time it is reviewed
• Provide the school with a current adrenaline autoinjector for the student that has not expired
• Participate in annual reviews of the student’s plan

Each student’s Individual Anaphylaxis Management Plan must include:

• Information about the student’s medical condition that relates to allergies and the potential for anaphylactic reaction, including the type of allergies the student has
• Information about the signs or symptoms the student might exhibit in the event of an allergic reaction based on a written diagnosis from a medical practitioner
• Strategies to minimise the risk of exposure to known allergens while the student is under the care or supervision of school staff, including in the school yard, at camps and excursions, or at special events conducted, organised or attended by the school
• The name of the person(s) responsible for implementing the risk minimisation strategies, which have been identified in the Plan
• Information about where the student's medication will be stored
• The student's emergency contact details
• An up-to-date ASCIA Action Plan for Anaphylaxis completed by the student’s medical practitioner

Review and updates to Individual Anaphylaxis Management Plans

A student’s Individual Anaphylaxis Management Plan will be reviewed and updated on an annual basis in consultation with the student’s parents/carers. The plan will also be reviewed and, where necessary, updated in the following circumstances:

• As soon as practicable after the student has an anaphylactic reaction at school
• If the student’s medical condition, insofar as it relates to allergy and the potential for anaphylactic reaction, changes
• When the student is participating in an off-site activity, including camps and excursions, or at special events including fetes and concerts

Princes Hill Secondary College may also consider updating a student’s Individual Anaphylaxis Management Plan if there is an identified and significant increase in the student’s potential risk of exposure to allergens at school.

Location of Plans and Adrenaline Autoinjectors

A copy of each student’s Individual Anaphylaxis Management Plan will be stored with their ASCIA Action Plan for Anaphylaxis at the Front Office. The plans are also attached to the Anaphylaxis Student Listing page on the school wiki (Staff access only).

Students diagnosed as at risk of Anaphylaxis should always have their adrenaline autoinjector (EpiPen) at school and while attending school activities.

The student’s school held adrenaline autoinjector (EpiPen) is stored in the Front Office and are labelled with the student’s name.

Risk Minimisation Strategies

To reduce the risk of a student suffering from an anaphylactic reaction at Princes Hill Secondary College, the following strategies have been put in place:

Adrenaline Autoinjectors for General Use

Princes Hill Secondary College will maintain a supply of adrenaline autoinjector(s) for general use, as a back-up to those provided by parents and carers for specific students, and also for students who may suffer from a first time reaction at school.

Adrenaline autoinjectors for general use will be stored by the school in all first aid kits at and labelled “general use”.

The Principal is responsible for arranging the purchase of adrenaline autoinjectors for general use, and will consider:

• The number of students enrolled at PHSC at risk of anaphylaxis.
• The accessibility of adrenaline autoinjectors supplied by parents.
• The availability of a sufficient supply of autoinjectors for general use in different locations at the school, as well as at camps, excursions and events.
• The limited life span of adrenaline autoinjectors, and the need for general use adrenaline autoinjectors to be replaced when used or prior to expiry.
• The weight of the students at risk of anaphylaxis to determine the correct dosage of adrenaline autoinjector/s to purchase.

Emergency Response

In the event of an anaphylactic reaction, the emergency response procedures in this policy must be followed, together with the school’s general first aid procedures, emergency response procedures and the student’s Individual Anaphylaxis Management Plan.

A complete and up-to-date list of students identified as being at risk of anaphylaxis is maintained by the First Aid Officer and stored on the school Wiki and in the Front Administration Area. For camps, excursions and special events, a designated staff member will be responsible for maintaining a list of students at risk of anaphylaxis attending the special event, together with their Individual Anaphylaxis Management Plans and adrenaline autoinjectors, where appropriate.

If a student experiences an anaphylactic reaction at school or during a school activity, the first staff member on the scene will follow the steps outlined below:

If a student appears to be having a severe allergic reaction but has not been previously diagnosed with an allergy or being at risk of anaphylaxis, school staff should follow steps 2 – 5 as above.

Schools can use either the EpiPen® or Anapen® on any student suspected to be experiencing an anaphylactic reaction, regardless of the device prescribed in their ASCIA Action Plan.

Where possible, schools should consider using the correct dose of adrenaline autoinjector depending on the weight of the student. However, in an emergency if there is no other option available, any device should be administered to the student.

Communication

This policy will be available on the Princes Hill Secondary College website so that parents and other members of the school community can easily access information about Princes Hill Secondary College anaphylaxis management procedures. The parents and carers of students who are enrolled at Princes Hill Secondary College and are identified as being at risk of anaphylaxis will also be provided with a copy of this policy.

The Principal is responsible for ensuring that all relevant staff, including casual relief staff, canteen staff and volunteers are aware of this policy and Princes Hill Secondary College's procedures for anaphylaxis management.

Casual relief staff and volunteers who are responsible for the care and/or supervision of students who are identified as being at risk of anaphylaxis will also receive a verbal briefing on this policy, their role in responding to an anaphylactic reaction and where required, the identity of students at risk.

The Principal is also responsible for ensuring relevant staff are trained and briefed in anaphylaxis management, consistent with the Department’s Anaphylaxis Guidelines.

Staff Training

The Principal will ensure that the following school staff are appropriately trained in anaphylaxis management:

• School staff who conduct classes attended by students who are at risk of anaphylaxis.
• School staff who conduct specialist classes, all canteen staff, admin staff, first aiders and any other member of school staff as required by the Principal based on a risk assessment.

Staff who are required to undertake training must have completed an approved online anaphylaxis management training course in the last two years.

Princes Hill Secondary College uses the following training course - ASCIA Anaphylaxis e-Training Vic

Staff are also required to attend a briefing on anaphylaxis management and this policy at least twice per year (with the first briefing to be held at the beginning of the school year), facilitated by a staff member who has successfully completed the 22300VIC First Aid Management of Anaphylaxis course or 10313NAT Anaphylaxis Awareness Training course within the last 2 years including one Assistant Principal.

Each briefing will address:

• This policy.
• The causes, symptoms and treatment of anaphylaxis.
• The identities of students with a medical condition that relates to allergies and the potential for anaphylactic reaction, and where their medication is located.
• How to use an adrenaline autoinjector, including hands on practice with a trainer adrenaline autoinjector.
• The school’s general first aid and emergency response procedures.
• The location of, and access to, adrenaline autoinjectors that have been provided by parents or purchased by the school for general use.

When a new student enrols at Princes Hill Secondary College who is at risk of anaphylaxis, the Principal will develop an interim plan in consultation with the student’s parents and ensure that appropriate staff are trained and briefed as soon as possible.

A record of staff training courses and briefings will be maintained on the school Anaphylaxis Staff Training Page (Staff access only).

The Principal will ensure that while students at risk of anaphylaxis are under the care or supervision of the school outside of normal class activities, including in the school yard, at camps and excursions, or at special event days, there is a sufficient number of school staff present who have been trained in anaphylaxis management.

4. Evaluation & Review

This policy will be reviewed annually.

The Principal will complete the Department’s Annual Risk Management Checklist for Anaphylaxis Management to assist with the evaluation and review of this policy and the support provided to students at risk of anaphylaxis.

5. Definitions

6. References

Ministerial Order 706: Anaphylaxis Management in Victorian Schools

Anaphylaxis Guidelines – A resource for managing severe allergies in Victorian schools.

Anaphylaxis Resources including ASCIA documents

Anaphylaxis Australia

ASCIA Guidelines for the Prevention of Anaphylaxis in Schools, preschool and Childcare

Anaphylaxis Biannual Briefing Presentation

7. Related Policies

Medication Policy

Health Care Needs Policy

First Aid Policy

Department Policy and Advisory Library (PAL) links:

• • • Anaphylaxis Policy
    • First Aid for Students and Staff Policy