ANAPHYLAXIS POLICY. Be aware of the requirements of MO706 and the associated guidelines published by the DET.

Transcription

1 ANAPHYLAXIS POLICY 1.1 Purpose The purpose of this policy is to: 2.0 Scope Ensure that Shelford Girls Grammar (SGG) fully complies with Ministerial Order 706 and the associated Guidelines published and amended by the Department of Education and Training (DET) from time to time; Minimise the risk of an anaphylactic reaction occurring while children are in the care of SGG; Ensure that staff respond appropriately to an anaphylactic reaction by initiating appropriate treatment, including competently administering adrenaline via an auto-injection device; and Raise awareness of anaphylaxis and its management through education and policy implementation. This policy applies to all staff, students, volunteers, parents/guardians, and other visitors within the Senior School, Junior School (the School ), (the Centre ). This policy will apply regardless of whether a child diagnosed by a registered medical practitioner as being at risk of anaphylaxis is enrolled at SGG. 3.1 Policy In the management of anaphylaxis, Shelford Girls Grammar (SGG) will fully comply with Ministerial Order 706 and the associated guidelines published and amended by DET from time to time. The key to prevention of anaphylaxis is knowledge of those students who have been diagnosed at risk, awareness of triggers (allergens), and the prevention of exposure to these triggers. SGG will: Provide, as far is reasonably practicable, a safe and supportive environment in which students at risk of anaphylaxis can participate equally in all aspects of the student s schooling; Raise awareness about anaphylaxis and SGG s Anaphylaxis Policy in the school community; Engage with parents/guardians of students at risk of anaphylaxis in assessing risks, developing risk minimisation strategies and management strategies for the student; and Ensure that each staff member has adequate knowledge about allergies, anaphylaxis and SGG s policy and procedures in responding to an anaphylactic reaction. 4.1 Procedure 4.2 Responsibilities SGG considers the management of students at risk of anaphylaxis is a shared responsibility of parents/guardians and SGG. Specific responsibilities are outlined below Responsibilities of Principal Be aware of the requirements of MO706 and the associated guidelines published by the DET. Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 1 of 14

2 Nominate at least two school staff for the role of School Anaphylaxis Supervisor and ensure they are appropriately trained. Ensure staff complete the ASCIA Anaphylaxis E-training for Victorian Schools (every 2 years), which includes formal verification of being able to use adrenaline autoinjector devices correctly. Ensure an accurate record of all anaphylaxis training completed by staff is maintained, kept secure and that staff training remains current. Ensure that twice-yearly Anaphylaxis School Briefings (Refer SGG-TRA-010-1) are held and led by a School Anaphylaxis Supervisor. Ensure the Anaphylaxis Policy is current and accurate, and available to relevant parties. Seek information to identify students at risk of anaphylaxis Responsibilities of School Anaphylaxis Supervisor Must have current approved anaphylaxis training. Post transition to the online learning model, ensure they have currency in the Course in Verifying the Correct Use of Adrenaline Autoinjector Devices 22303VIC (every 3 years) and the ASCIA Anaphylaxis E-training for Victorian Schools (every 2 years). Verify the correct use of adrenaline autoinjector (trainer) devices by other school staff undertaking the ASCIA Anaphylaxis E-training for Victorian Schools. Send reminders to staff or information to new staff about anaphylaxis training requirements. Provide access to the adrenaline autoinjector (trainer) device for practice use by school staff. Provide advice and guidance to school staff about anaphylaxis management in the school as required. Liaise with parents/guardians to manage and implement Individual Anaphylaxis Management Plans and medications within the Junior and Senior School. (Refer SGG-FOR-010-1) Lead the twice-yearly Anaphylaxis School Briefing. (Refer SGG-TRA-010-1) Develop school-specific scenarios to be discussed at the twice-yearly briefing to familiarise staff with responding to an emergency situation requiring anaphylaxis treatment that include: o a bee sting occurs on SGG grounds and the student is conscious o an allergic reaction where the child has collapsed on SGG grounds and the student is not conscious Responsibilities of the Head of Junior and Senior School Identify all students within Junior and Senior School at risk of anaphylaxis. Liaise with the School Anaphylaxis Supervisor, to ensure an Individual Anaphylaxis Management Plan (SGG-FOR-010-1) is developed, in consultation with the student s parents, for every student who has been diagnosed by a medical practitioner as being at risk of anaphylaxis. The plan should be reviewed in consultation with the parents/guardians annually or if circumstances change. (Refer SGG-FOR-010-1). Meet with parents/guardians to address any concerns and to gather further information if required. Assess risk assessments prior to approval of camps and excursions, or special events to ensure risk minimisation for students at risk of anaphylaxis Responsibilities of Approved Care Provider and Head of Ensure the SGG Anaphylaxis Policy is developed and displayed, and reviewed regularly. Provide approved anaphylaxis management training, first aid training and asthma management training to staff as required under the National Regulations. Ensure that at least one educator with current approved anaphylaxis management training is in attendance and immediately available at all times the (the Centre) is in operation. Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 2 of 14

3 Ensure the Nominated Supervisor, educators, staff members, students and volunteers, parents/guardians and others are provided with a copy of the Anaphylaxis Policy and the Dealing with Medical Conditions Policy. Ensure that staff practice administration of treatment for anaphylaxis using an adrenaline auto-injection device trainer at least annually, and that participation is documented. Ensure that parents/guardians provide written consent to the medical treatment or ambulance transportation of a child in the event of an emergency, (including for excursions outside the Centre s premises) and that this authorisation is kept in the enrolment records for each child. Display a notice prominently at the Centre stating that a child diagnosed as at risk of anaphylaxis is being cared for and/or educated by the Centre. Identify children with anaphylaxis during the enrolment process, inform staff and complete the Enrolment Checklist for Children Diagnosed at Risk of Anaphylaxis (refer to SGG-FOR-10-5) (to be kept with the students enrolment record.) Ensure an Individual Anaphylaxis Management Plan (including a risk management and communication plan) (SGG-FOR-10-1) is developed for each child who has been diagnosed at risk of anaphylaxis, in consultation with that child s parents/guardians and with a registered medical practitioner. Ensure that all children diagnosed as at risk of anaphylaxis have details of their allergy, their Individual Anaphylaxis Management Plan and ASCIA Action Plan filed with their enrolment record within Synergetic and CareMonkey. Ensure a medication record is kept for each child to who medication is to be administered by the Centre. Ensure parents/guardians of all children with anaphylaxis provide an un-used, in-date adrenaline auto-injection devices at all times their child is attending the Centre. Where this is not provided, children will be unable to attend. Ensure all staff are aware of the first aid response within this policy. Ensure adequate provision and maintenance of adrenaline auto-injector kits. Ensure the expiry date of the adrenaline auto-injection device is checked regularly and replaced when required. Ensure staff dispose of used adrenaline auto-injection devices appropriately. Implement a communication plan and encouraging ongoing communication between parents/guardians and staff regarding the current status of the child s allergies, this policy and its implementation. Ensure that children with anaphylaxis are not discriminated against in any way. Ensure that medication is not administered to a child at the Centre unless it has been authorised and administered in accordance with Regulations (Refer to Administration of Medication Policy and Dealing with Medical Conditions Policy). Ensuring that parents/guardians of a child and emergency services are notified as soon as is practicable if medication has been administered to that child in an anaphylaxis emergency without authorisation from a parent/guardian or authorised nominee. Ensure that written notice is given to a parent/guardian as soon as is practicable if medication is administered to a child in the case of an emergency. Respond to complaints and notifying DET in writing and within 24 hours, of any incident or complaint in which the health, safety or wellbeing of a child may have been at risk. Displaying the ASCIA generic poster Action Plan for Anaphylaxis in key locations at the service. (refer to SGG-FOR-10-4). Displaying Ambulance Victoria s AV How to Call Card near all Centre telephones. Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 3 of 14

4 Complying with the risk minimisation procedures outlined in this policy. Ensuring that educators/staff who accompany children at risk of anaphylaxis outside the Centre carry a fully equipped adrenaline auto-injector kit and a copy of the ASCIA Action Plan for each child diagnosed as at risk of anaphylaxis. Ensuring that all staff, including casual and relief staff, volunteers and student teachers are aware of children diagnosed as at risk of anaphylaxis, their allergies and symptoms, and the location of their adrenaline auto-injector kits and medical management action plans; Providing information to the Centre community about resources and support for managing allergies and anaphylaxis Responsibilities of Staff Responsible for the Care of Students at Risk (including Certified Supervisors) Maintain current approved anaphylaxis management qualifications. Read and comply with the Anaphylaxis Policy and the Dealing with Medical Conditions Policy (). Post transition to the new online training model, complete the ASCIA Anaphylaxis e-training for Victorian Schools (every 2 years) and be verified by the School Anaphylaxis Supervisor within 30 days of completing the ASCIA e-training as being able to use the adrenaline autoinjector (trainer) devices correctly to complete their certification. Attend staff briefings twice a year including practising the administration of an adrenaline autoinjection device using an auto-injection device trainer and anaphylaxis scenarios. Ensure they are aware of the procedures for first aid treatment for anaphylaxis. Know which children are diagnosed as at risk of anaphylaxis, their allergies and symptoms, and the location of their adrenaline auto-injector kits and medical management action plans Be able to immediately locate the student s ASCIA Action Plan (either hardcopy or through CareMonkey) and be able to follow the plan in the event of an allergic reaction. Be able to store or locate the child s autoinjectors. Taking the adrenaline auto-injector kit for each child at risk of anaphylaxis on excursions or to other offsite events and activities. Raise student awareness of allergies and anaphylaxis. Consulting with the parents/guardians of children diagnosed as at risk of anaphylaxis in relation to the health and safety of their child, and communicating any concerns. Ensure that children diagnosed as at risk of anaphylaxis are not discriminated against in any way and are able to participate fully in all activities. Consider risk minimisation strategies for students at risk of anaphylaxis when developing risk assessments for camps and excursions. Follow risk minimisation strategies as outlined in within this policy Responsibilities of Parents/Guardians Inform SGG at enrolment or diagnosis of the student s allergies and risk of anaphylaxis. Complete all details on the child s enrolment form, including medical information and written authorisations for medical treatment, ambulance transportation and excursions outside SGG premises. Provide a completed ASCIA Action Plan (available at which must be up to date prior to the commencement of the first day of the School or Centre. Plans must be signed by the student s medical practitioner and must be made available on CareMonkey and include written consent to use medication prescribed in line with the action plan. Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 4 of 14

5 Provide an up to date photo for the ASCIA Action Plan when that plan is provided to the school and when it is reviewed. Meet with and assist the School or Centre to develop the student s Individual Anaphylaxis Management Plan including risk management and communication strategies. Inform the School or Centre in writing if their child s medical condition changes and if relevant provide a revised ASCIA Action Plan. Ensure all contact and emergency details are current on CareMonkey including when providing consent for camps, excursions or special events. Provide an autoinjector or any other medications that are unused, current (the date has not expired) and complete to the School or Centre which will be stored in the First Aid Room, in addition to the autoinjector the child has either in the classroom (Junior School) or with them (Senior School). Replace autoinjectors or medications prior to their expiry. Supply an alternative food option for their child when required. Assisting staff by providing information and answering questions regarding their child s allergies Communicating all relevant information and concerns to staff, particularly in relation to the health of their child. Comply with SGG s Anaphylaxis Policy where a child who has been prescribed an adrenaline auto-injection device is not permitted to attend SGG without that device Complying with the risk minimisation procedures as outlined in this Policy. Ensure they are aware of the procedures for first aid treatment for anaphylaxis outlined in this Policy Responsibilities of the Nominated First Aid Officer Maintain a register of all students at risk of anaphylaxis on CareMonkey and Synergetic. Meet with parents when appropriate to gather information and discuss any concerns. Display ASCIA Action Plans near First Aid Facilities eg. First Aid Room, Staffrooms. Ensure all School supplied autoinjectors are stored correctly and are not out of date or cloudy. In the event of an allergic reaction, follow the individual ASCIA Action Plan, call an ambulance and contact relevant people. Ensure that an injury report form is completed in the event of an allergic reaction and that the student s ASCIA Action Plan and Individual Anaphylaxis Management Plan is reviewed with the parents/guardians after an anaphylactic incident. Purchase back up adrenaline auto injectors for general use within the school. Ensure every child identified at risk of anaphylaxis has an autoinjector in the First Aid Room stored in an individual pouch together with a copy of their ASCIA action plan Monitor the expiry dates of the autoinjector in the First Aid Room and notify parents when replacement required Store training auto injectors separately to back up auto injectors. Complete an Annual Risk Management Checklist (as the Principal s nominee). (Refer SGG-FOR ). 4.2 Staff Training Junior School, Senior School and Administration The following school staff will be appropriately trained: SGG staff who conduct classes that students with a medical condition that relates to allergy and the potential for anaphylactic reaction; and Any other SGG staff as determined by the principal to attend. SGG staff must complete the following training to meet the anaphylaxis training requirements of MO706: Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 5 of 14

6 Completed by Course Provider Cost Valid for School Staff ASCIA Anaphylaxis e- training for Victorian Schools followed by a competency check by the School Anaphylaxis Supervisor or 22300VIC ASCIA Free to all schools or As per external provider 2 years (elearning) 2 Staff Per School School Anaphylaxis Supervisor Course in Verifying the Correct Use of Adrenaline Autoinjector Devices 22303VIC Verified by External Provider (eg Asthma Foundation.) 3 years The principal is to nominate 2 staff members to be the School Anaphylaxis Supervisors. The School Anaphylaxis Supervisors are to complete the Verifying the Correct Use of Adrenaline Autoinjector Devices 22303VIC every 3 years and the ASCIA Anaphylaxis e-training for Victorian Schools every 2 years. Nominated staff are to either complete ASCIA Anaphylaxis e-training for Victorian Schools followed bya competency check by the School Anaphylaxis Supervisor using the SGG Anaphylaxis School Supervisors Competency Checklist (SGG-FOR-010-3) or hold the Course in First Aid Management of Anaphylaxis 22300VIC (previously 22099VIC, including VU20296 and VU20297). In addition to the online or face to face training staff are to participate in a briefing, to occur twice per calendar year (with the first briefing to be held at the beginning of the school year) on: the school s Anaphylaxis Policy; the causes, symptoms and treatment of anaphylaxis; the identities of the students with a medical condition that relates to an allergy and the potential for anaphylactic reaction, risk minimisation strategies and where their medication is located; how to use an adrenaline autoinjector, including hands on practise with a trainer adrenaline autoinjector device; the school s general first aid and emergency response procedures; and the location of, and access to, adrenaline autoinjector(s) that have been provided by parents or purchased by the school for general use. The briefing must be conducted by a member of the school staff nominated as the School Anaphylaxis Supervisor who has successfully completed an Anaphylaxis Management Training Course in the last 2 years. The Department of Education twice yearly briefing presentation template is to be amended by the School Anaphylaxis Supervisor and is to be used for SGG staff briefings in addition to referencing the facilitator notes. (Refer and SGG Anaphylaxis Twice Yearly Briefing Template (SGG-TRA-010-1) and SGG Anaphylaxis Facilitator Notes. (SGG-TRA-010-2). In the event that the relevant training has not occurred for a member of staff who has a child in their class at risk of anaphylaxis, the principal will develop an interim Individual Anaphylaxis Management Plan in consultation with the parents of any affected student. Training will be provided to relevant school staff as soon as practicable after the student enrols, and preferably before the student s first day at school. The principal will ensure that while the student is under the care or supervision of the school, including excursions, yard duty, camps and special event days, there is a sufficient number of school staff present who have successfully completed an Anaphylaxis Management Training Course. Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 6 of 14

7 4.3 Staff Training staff must complete anaphylaxis management training including recognition of allergic reactions, strategies for risk minimisation and risk management, procedures for emergency treatment and practise in the administration of treatment using an adrenaline auto-injection device. Approved training is listed on the ACECQA website. In addition Centre staff should practice administration of treatment for anaphylaxis using an adrenaline auto-injection device trainer at least annually, and that participation should be documented on the staff record. For the purposes of this practice, Centre staff may attend the briefing sessions conducted by the School Anaphylaxis Supervisor. 4.4 Individual Anaphylaxis Management Plans The principal, and Head and Junior and Senior Schools, and Head of will ensure that an Individual Anaphylaxis Management Plan (SGG-FOR-10-1) is developed, in consultation with the student s parents/guardian for any student who has been diagnosed by a medical practitioner as being at risk of anaphylaxis. The Individual Anaphylaxis Management Plan will be in place as soon as practicable after the student enrols, and where possible before their first day of school or at the Centre. The Individual Anaphylaxis Management Plan will set out the following: information about the student s medical condition that relates to allergy and the potential for anaphylactic reaction, including the type of allergy/allergies the student has (based on a written diagnosis from a medical practitioner); strategies to minimise the risk of exposure to known and notified allergens while the student is under the care or supervision of SGG staff, while on SGG premises or external to SGG premises such as 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 strategies; information on where the student's medication will be stored; the student's emergency contact details; and an ASCIA Action Plan for Anaphylaxis. (Refer SGG staff will then implement and monitor the student s Individual Anaphylaxis Management Plan. The student s Individual Anaphylaxis Management Plan will be reviewed, in consultation with the student s parents/guardians in all of the following circumstances: annually or upon re-enrolment; if the student's medical condition, insofar as it relates to allergy and the potential for anaphylactic reaction changes; as soon as practicable after the student has an anaphylactic reaction at school or the Centre; or when the student is to participate in an off-site activity, such as camps and excursions, or at special events conducted, organised or attended by the school. In addition to Individual Anaphylaxis Management Plans the Head of is also to complete an Enrolment Checklist for Children Diagnosed at Risk of Anaphylaxis. (Refer to SGG-FOR-10-5). 4.5 Prevention and Risk Minimisation Strategies SGG will ensure that risk minimisation and prevention strategies are in place for all relevant in-school and out-of-school settings which include (but are not limited to) the following: Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 7 of 14

8 During classroom activities Junior School, Senior School, and In the Hood Cafeteria In school and centre grounds Special events including incursions, sports, cultural days, fetes or class parties, excursions and camps and overseas travel During Classroom Activities Junior and Senior School 1 Copy of the student s Action Plan kept in the classroom. 2 Liaison with parents about food-related activities ahead of time. 3 Use non- food treats where possible, but if food treats are used it is recommended that the parents provide a treat box. 4 Never give food from outside sources to a students who is at risk of anaphylaxis. 5 Treats from other students in class should not contain the substances to which the student is allergic. 6 Products labelled may contain traces of nuts should not be served to students allergic to nuts. Products labelled may contains milk or egg should not be served to students with milk or egg allergy. 7 Awareness of possible hidden allergens in food and other substances used in cooking, food technology, science and art classes. 8 Ensure all cooking utensils, preparation dishes, plates and knives/forks etc. are washed and cleaned thoroughly after preparation of food and cooking. 9 Regular discussions with students about the importance of washing hands, eating their own food and not sharing food 10 The Head of Junior or Senior School/ Head of should inform relief teachers, specialists, teachers and volunteers of the names of any students at risk of anaphylaxis, the location of each student s Individual Anaphylaxis Management Plan and ASCIA Action Plan and autoinjector, the School s Anaphylaxis Policy and each person s responsibility in managing an incident During Classroom Activities 1 The child should only eat food that has been specifically prepared for him/her. Some parents/guardians may choose to provide all food for their child. 2 Ensure there is no food sharing, or sharing of food utensils or containers at the Centre. 3 Where the Centre is preparing food for the child: - ensure that it has been prepared according to the instructions of parents/guardians - parents/guardians are to check and approve the instructions in accordance with the Individual Anaphylaxis Management Plan. 4 Bottles and lunch boxes and all food provided by parents/guardians should be clearly labelled with the child s name. 5 Consider placing a severely allergic child away from a table with food allergens. However, be mindful that children with allergies should not be discriminated against in any way and should be included in all activities 6 Provide an individual high chair for very young children to minimise the risk of cross-contamination of food. 7 Where a child diagnosed as at risk of anaphylaxis is allergic to milk, ensure that non-allergic children are closely supervised when drinking milk/formula from bottles/cups and that these bottles/cups are not left within reach of children. 8 Provide appropriate supervision of the child diagnosed as at risk of anaphylaxis on special occasions such as excursions and other Centre events. 9 Children diagnosed as at risk of anaphylaxis who are allergic to insect/sting bites should wear shoes and long-sleeved, light-coloured clothing while at the Centre. 10 Ensure tables, high chairs and bench tops are thoroughly cleaned after every use. 11 All children and adults wash hands regularly. (Eg. Before and after eating). 12 Supervise all children at meal and snack times, and ensure that food is consumed in specified areas. To minimise risk, children should not move around the Centre with food. 13 Do not use food of any kind as a reward at the Centre 14 Ensure that children s Indiviidual Anaphylaxis Management Plan inform the Centre s food purchases and menu planning. Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 8 of 14

9 15 Ensure that staff and volunteers who are involved in food preparation and service undertake measures to prevent crosscontamination of food during the storage, handling, preparation and serving of food, including careful cleaning of food preparation areas and utensils. 16 Request that all parents/guardians avoid bringing food to the Centre that contains specified allergens or ingredients as outlined in the risk minimisation plans of children diagnosed as at risk of anaphylaxis Hood Cafeteria 1 The Hood staff to be trained in food allergen management and its implications on food handling practices. 2 Hood staff are briefed about students at risk of anaphylaxis and where the Principal determines, have up to date training in an Anaphylaxis Management Training Course. 3 Action Plans displayed in the Hood administration area as a reminder to staff. 4 Products labelled may contain traces of nuts should not be served to students allergic to nuts. 5 The Hood provides a range of healthy meals/products that excludes peanuts or other nut products in the ingredient list. 6 Tables and surfaces are wiped down regularly. 7 No-sharing of food approach is adopted. 8 Awareness of contamination of other foods when preparing, handling or displaying food In School and Centre Grounds 1 Sufficient supervision of students who are at risk of anaphylaxis by a staff member who is trained in the administration of autoinjectors. 2 Autoinjectors and Action Plans are easily accessible from the grounds. 3 A communication plan is in place for Staff on Yard Duty so medical information can be retrieved quickly and all staff are aware how to inform the First Aid Co-ordinator by phone if an anaphylactic reaction occurs during recess or lunch time. 4 Staff on duty can identify those student s at risk of anaphylaxis. 5 Students with anaphylactic responses to insects are encouraged to stay away from water or flowering plants. 6 Lawns are regularly mowed and bins are covered. 7 Students are to keep drinks and food covered while outdoors Special Events 1 Sufficient staff who have been trained in the administration of an Epi-Pen are supervising students. 2 Avoid using food in activities or games. 3 Consult parents in advance for special events to either develop an alternative food menu or request the parent to send a meal for the student at risk. 4 Parents of other students should be informed in advance about foods that may cause allergic reactions in students at risk and request that they avoid providing students with treats whilst they are at a special school event. 5 Party balloons are not to be used if a student is allergic to latex Camps and Excursions General 1 Risk Assessment must be completed by teacher in charge prior to sending out parent consent forms on CareMonkey. 2 Review of Individual Anaphylaxis Management Plans in view of conducting Risk Assessment. 3 Teacher in charge should consult parents of anaphylactic students in advance to discuss issues that might arise, to develop an alternative food menu or request the parent provide a meal (if required) 4 Staff trained in administering an autoinjector are to attend. Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 9 of 14

10 5 Communication methods considered as part of Risk Assessment. 6 Risk Assessment includes identifying the location of the autoinjector ie. Who will carry it, how will it be delivered to the student. 7 Individual Anaphylaxis Management Plans and autoinjectors are to be easily accessible and staff must be aware of their location. 8 Teacher in charge syncs and Action Plans prior to departure to ensure it is up to date on CareMonkey and accessible during the camp or excursion Camps and Excursions Additional Controls for Camps and Remote Settings 1 SGG attempts to only use providers/operator services who can provide food that is safe for anaphylactic students. 2 SGG will consider alternative means of providing food for at risk students if there are concerns about whether food provided on camp will be safe for students at risk of anaphylaxis. 3 The use of substances containing allergens should be avoided where possible. 4 The Student must have 2 autoinjectors and the Action Plan on camp. If there is no mobile phone access, alternative methods eg. Satellite phone will be considered. Autoinjector should remain close to the students and staff must be aware of its location at all times. 5 Students with anaphylactic responses to insects should wear closed shoes and long-sleeve garments when outdoors and are encouraged to stay away from water and flowering plants. 6 General use autoinjectors are included in camp first aid kits as a backup to the 2 autoinjectors provided by students 7 Consider exposure to allergens when consuming food during travel on bus/plane/etc. and whilst in cabins/tents/dormitories/etc. 8 Cooking and art and craft games should not involve the use of known allergens Overseas Travel 1 Strategies used are similar to those for camps and remote settings. 2 Risk assessment considers potential risks at all stages of the overseas travel including but not limited to; Travel to/from airport/port; Travel to/from Australia; Various accommodation venues; All towns and venues visited; Sourcing safe food; Risk of cross contamination including; Exposure to food of other students; Hidden allergens; Whether the table and surfaces are cleaned to prevent reaction; Whether the other students wash their hands when handling food. 3 Assess where each of these risks can be managed using minimisation strategies such as the following; Translation of student s Individual Anaphylaxis Management Plan and ASCIA Action Plan; Sourcing safe food; Obtaining names, address and contact details of the nearest hospital and medical; Practitioners at each location that may be visited; Obtaining emergency contact details; Sourcing the ability to purchase additional autoinjectors. 4 Record details of travel insurance, including contact details for the insurer. Determine how any costs associated with medication, treatment and/or alteration to the travel plans as a result of an anaphylactic reaction can be paid. 5 Plan for appropriate supervision of students at risk of anaphylaxis at all times including; Sufficient staff who have been trained in Anaphylaxis Management; Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 10 of 14

11 Supervision of at risk students during meal times and when taking medication; Adequate supervision of any affected student(s) requiring medical treatment and other students; Staff/students ratios are maintained, including in the event of an emergency where students may need to be separated. 6 Adapt the School s Emergency Response if required given local circumstances and include in Risk Assessment. 7 Keep records of relevant information; Dates of travel; Name of airline and contact details; Itinerary detailing proposed destinations, flight information and duration of stay; Hotel addresses and telephone numbers; Proposed means of travel within the overseas country; List of students and each of their medical conditions, medication and other treatment(s) if required; Emergency contact details of hospitals, ambulances and medical practitioners; Travel insurance details; Plans to respond to any foreseeable emergency including who will be responsible for the implementation of each part of the plan; Mobile phone numbers or other communication devices that will enable staff to contact emergency services. 4.6 School and Centre Management and Emergency Response In the event of an anaphylactic reaction the following response is to be implemented in line with SGG First Aid Policy and SGG Emergency Management Plan and ASCIA recommendations Emergency Response 1 Lay the student flat and elevate their legs. Do not allow them to stand or walk. If breathing is difficult for them, allow to sit but not stand. 2 Administer the adrenaline autoinjector. 3 Immediately call an ambulance Reassure the student experiencing the reaction as they are likely to be feeling anxious and frightened as a result of the reaction and the side-effects of the adrenaline. 5 Watch the student closely in case of a worsening condition. 6 Ask another staff member to move other students away and reassure them elsewhere. 7 Contact the student s emergency contacts. 8 In the rare situation where there is no marked improvement and severe symptoms are present, a second injection may be administered after five minutes, if a second autoinjector is available. 9 Notify the principal, head of junior or senior school or Head of of the incident and complete an injury report. 10 Enact the school s emergency and critical incident management plan. After an anaphylactic reaction has taken place that has involved a student in SGG s care and supervision, it is important that the following review processes take place. The Adrenaline Autoinjector must be replaced by the Parent/Guardian as soon as possible. In the meantime, the Head of Junior or Senior School or Head of should ensure that there is an interim Individual Anaphylaxis Management Plan should another anaphylactic reaction occur prior to the replacement Adrenaline Autoinjector being provided. If the Adrenaline Autoinjector for General Use has been used this should be replaced as soon as possible. In the meantime, the Head of Junior or Senior School or Head of should ensure that there is an interim plan in place should another anaphylactic reaction occur prior to the replacement Adrenaline Autoinjector for General Use being provided. Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 11 of 14

12 The student's Individual Anaphylaxis Management Plan should be reviewed in consultation with the student's Parent/Guardian. SGG s Anaphylaxis Management Policy should be reviewed to ensure that it adequately responds to anaphylactic reactions by students who are in the care of SGG staff Listing of students with Potential for Anaphylactic Reactions. The following information is available in Synergetic and CareMonkey: A complete and up to date list of students identified as having a medical condition that relates to allergy and the potential for anaphylactic reaction; and Original Individual Anaphylaxis Management Plans are located in the First Aid Office in Helenslea and within the. For camps, excursions or special events it is the responsibility of the SGG teacher in charge of the camp, excursion or special event to ensure that: All relevant medical information is synced within CareMonkey prior to the camp or excursion; Hardcopies of ASCIA Action Plans are available and kept with the 2 autoinjectors; Medicines and equipment identified in the risk assessment are available; and All supervisors and staff members are familiar with those students at risk of anaphylaxis and location of medicines and equipment Action Plan and Autoinjector Locations Location Action Plan Location Autoinjector Location Junior School Classroom Senior School Classroom Classroom Staffroom Classroom First Aid Room Staffroom First Aid Room Staffroom Classroom Classroom teacher First Aid Room With student First Aid Room School Grounds CareMonkey With student First Aid Room IRC IRC With classroom teacher (Junior School) With student (Senior School) General Use in IRC Hall/Music and Hood Cafeteria Sports Grounds Excursions, School Camps and Special Events. It is recommended that: Cafeteria administration area Music Office Pavilion Staff Area CareMonkey CareMonkey Hardcopy with Teacher in Charge General Use with Cafeteria First Aid Kit General Use in Hall/Music office With Classroom teacher (Junior School) With Student (Senior School) General Use with Pavilion First Aid Kit With Teacher in Charge Teacher to take autoinjector from First Aid Room General Use with Portable First Aid Kit Ensure the student has their own autoinjector with them Adrenaline Autoinjectors for individual students, or for general use, be stored correctly and be able to be accessed quickly, because, in some cases, exposure to an allergen can lead to an anaphylactic reaction in as little as five minutes; Adrenaline Autoinjectors be stored in an unlocked, easily accessible place away from direct light and heat but not in a refrigerator or freezer; Each Adrenaline Autoinjector be clearly labelled with the student's name and be stored with a copy of the student's ASCIA Action Plan; Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 12 of 14

13 An Adrenaline Autoinjector for General Use be clearly labelled and distinguishable from those for students at risk of anaphylaxis; and Trainer Adrenaline Autoinjectors (which do not contain adrenaline or a needle) are not stored in the same location due to the risk of confusion. 4.7 Purchase of Adrenaline Autoinjectors for General Use The will purchase Adrenaline Autoinjector(s) for General Use as a back up to those supplied by parents/ carers, as required. The will determine the number of additional adrenaline autoinjector(s) required through completion of the annual Risk Management Checklist (SGG-FOR-10-2). In doing so, the Principal or Head of will take into account the following relevant considerations: The number of students enrolled at the School or Centre who have been diagnosed as being at risk of anaphylaxis; The accessibility of adrenaline autoinjectors that have been provided by parents/guardians of students who have been diagnosed as being at risk of anaphylaxis; and The availability and sufficient supply of adrenaline autoinjectors for general use in specified locations at the school, including: in the school yard, and at excursions, camps and special events conducted or organised by the school. Adrenaline Autoinjectors for General Use have a limited life, usually expiring within months, and will need to be replaced at SGGs expense, either at the time of use or expiry, whichever is first. 4.8 Communication Plan The are responsible for ensuring that a communication plan is developed to provide information to all staff, students and parents/guardians about anaphylaxis and students at risk. (Refer SGG Anaphylaxis Communication Plan SGG-FOR-010-4). A copy of each student s ASCIA Action Plan will be displayed in staffrooms, in the First Aid Room, in Junior School classrooms, in the classrooms, in the Pavilion staff area and the Hood Cafeteria. In addition, a student s ASCIA Action Plan may be electronically accessed using CareMonkey, which contains medical information and relevant plans for each SGG student. ASCIA Action Plans are kept by the First Aid Officer and Head of who will inform all staff, each semester, about students who have ASCIA Action Plans. Casual relief teachers will be briefed by the relevant Head of Junior or Senior School, or Head of if teaching a student at risk of anaphylaxis. Volunteers will be informed of students at risk of anaphylaxis by the relevant SGG teacher supervising the volunteer. It is the responsibility of the to ensure that relevant staff are: trained briefed at least twice per calendar year. In addition to above, the Head of may organise anaphylaxis management information sessions for parents/guardians of children enrolled at the Centre, where appropriate. 4.9 Annual Risk Management Checklist The Principal (or their nominee) will complete one annual Risk Management Checklist (Refer SGG Annual Risk Management Checklist SGG-FOR-010-2) for the Junior and Senior School. The Head of will complete one annual Risk Management Checklist for the. The checklist is as published by the Department of Education and Early Childhood Development to monitor compliance with obligations. Refer to Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 13 of 14

14 5.1 References Ministerial Order 706 Education and Training Reform Act 2006 DET Anaphylaxis Guidelines Education and Care Services National Law Act 2010 Education and Care Services National Regulations 2011 Health Records Act 2001 (Vic) Information Privacy Act 2000 (Vic) National Quality Standard, Quality Area 2: Children s Health and Safety Occupational Health and Safety Act 2004 (Vic), as amended 2007 Privacy Act 1988 (Cth) Public Health and Wellbeing Act 2008 (Vic) Public Health and Wellbeing Regulations 2009 (Vic) 6.1 Related Documentation Individual Anaphylaxis Management Plan (SGG-FOR-010-1) Annual Risk Management Checklist (SGG-FOR-010-2) Anaphylaxis Twice Yearly School Briefing Template (SGG-TRA-010-1) Anaphylaxis Facilitator Notes (SGG-TRA-010-2) Anaphylaxis School Supervisors Competency Checklist (SGG-FOR-010-3) Anaphylaxis Communication Plan. (SGG-FOR-010-4) Enrolment Checklist for Children at Risk of Anaphylaxis (SGG-FOR-10-5) SGG First Aid Policy SGG Induction and Professional Development Policy SGG Emergency Management Plan SGG Administration of Medication Policy SGG Dealing with Medical Conditions Policy SGG Enrolment Policy SGG Camps, Excursions and Events Policy SGG Food Safety Policy SGG Hazard, Incident, Injury and Illness Reporting Policy SGG Privacy Policy Anaphylaxis Policy SGG-POL /10/18 08/10/20 Page 14 of 14

15 INDIVIDUAL ANAPHYLAXIS MANAGEMENT PLAN This plan is to be completed by the principal or nominee on the basis of information from the student's medical practitioner (ASCIA Action Plan for Anaphylaxis) provided by the parent/guardian. It is the parents'/guardians responsibility to provide SGG with a copy of the student's ASCIA Action Plan for Anaphylaxis containing the emergency procedures plan (signed by the student's medical practitioner) and an up-to-date photo of the student; and to inform the school/centre if their child's medical condition changes. School/Centre Name Shelford Girls Grammar (SGG) Phone Student Name DOB Year level Severely allergic to: Other health conditions Medication at school EpiPen x 2 required, one will stay in the First Aid room o For Junior school students the other epipen will stay in classroom o For Senior school students it will be kept with them. o Antihistamine if ordered to be stored together with epipen in the first aid room. EMERGENCY CONTACT DETAILS (PARENT) Name Refer to CareMonkey for information Name Refer to CareMonkey for information Relationship Refer to CareMonkey for information Relationship Refer to CareMonkey for information Home phone Refer to CareMonkey for information Home phone Refer to CareMonkey for information Work phone Refer to CareMonkey for information Work phone Refer to CareMonkey for information Mobile Refer to CareMonkey for information Mobile Refer to CareMonkey for information Address Refer to CareMonkey for information Address Refer to CareMonkey for information Individual Anaphylaxis Management Plan SGG-FOR /10/18 08/10/20 Page 1 of 4

16 EMERGENCY CONTACT DETAILS(ALTERNATE) Name Relationship Home phone Work phone Mobile Address Refer to CareMonkey for information Refer to CareMonkey for information Refer to CareMonkey for information Refer to CareMonkey for information Refer to CareMonkey for information Refer to CareMonkey for information Medical practitioner contact Name Refer to CareMonkey for information Phone Refer to CareMonkey for information Emergency care to be provided at school 1 Lay the student flat and elevate their legs. Do not allow them to stand or walk. If breathing is difficult for them, allow to sit but not stand. 2 Administer the EpiPen adrenaline autoinjector. 3 Immediately call an ambulance Reassure the student experiencing the reaction as they are likely to be feeling anxious and frightened as a result of the reaction and the side-effects of the adrenaline. 5 Watch the student closely in case of a worsening condition. 6 Contact the student s emergency contacts. 7 In the rare situation where there is no marked improvement and severe symptoms are present, a second injection may be administered after five minutes, if a second EpiPen is available. 8 Notify the principal, head of junior or senior school of the incident and complete an injury report. 9 Enact the school s emergency and critical incident management plan. Storage for adrenaline autoinjector (device specific) (EpiPen ) Carried on student at all times (Senior School) or kept in the classroom (Junior School) Second EpiPen is stored in the First Aid Room to be sent on excursions/camps/sports ENVIRONMENT To be completed by Principal, Head of, or SGG nominee. Please consider each environment/area (on and off school site) the student will be in for the year, e.g. classroom, canteen, food tech room, sports oval, excursions and camps etc. Location Risk Identified Actions to minimise the risk Person Responsible Completion date Classrooms Failure to identify School including student at risk of Music/PE/Art/Scienc anaphylaxis e/drama/music/food Tech ASCIA Action Plan reviewed annually by medical practitioner and provided to First Aid Officer. Provide and maintain an in date Epipen for use at school, camps, excursions, and events. Copy of the student s ASCIA Action Plan kept on CareMonkey, in classroom (junior school), staff room, first aid room, IRC, sports pavilion office, music office. Relief teachers, specialists, and volunteers informed of the names of any students at risk of anaphylaxis, the location of each student s ASCIA Action Plan, EpiPen location, risk minimisation, emergency response. Parent/Guardian Start of Term 1 or before Action Plan expiry date. Parent/Guardian Start of Term 1 or before Epipen expiry date. School Nurse Start of Term 1 and upon new Action Plan. Heads of School, Staff Teaching staff trained and briefed as per Ministerial Order 706. Principal Individual Anaphylaxis Management Plan SGG-FOR /10/18 08/10/20 Page 2 of 4

17 Classrooms Exposure to food School including trigger or allergen Music/PE/Art/Scienc e/drama/music/food Tech Hood Cafeteria In School Grounds Special Events Camps and Excursions Failure to identify student at risk of anaphylaxis Exposure to food trigger or allergen Exposure to food trigger or allergen Exposure to food trigger or allergen Exposure to food trigger or allergen Liaison with parents about food-related activities ahead of time. Staff Use non- food treats where possible, but if food treats are used it is recommended that the parents provide a treat box. Never give food from outside sources to a student who is at risk of anaphylaxis. Treats from other students in class should not contain the substances to which the student isallergic. Products labelled may contain traces of nuts should not be served to students allergic to nuts. Products labelled may contains milk or egg should not be served to students with milk or egg allergy. Awareness of possible hidden allergens in food and other substances used in cooking, food technology, science and art classes. Ensure all cooking utensils, preparation dishes, plates and knives/forks etc. are washed and cleaned thoroughly after preparation of food and cooking. Regular discussions with students about the importance of washing hands, eating their own food and not sharing food Hood staff are briefed about students at risk of anaphylaxis and where the Principal determines, have up to date training in an Anaphylaxis Management Training Course. ASCIA Action Plans displayed in the Hood administration area as a reminder to staff. Products labelled may contain traces of nuts should not be served to students allergic to nuts. Staff Staff Staff/ Students Staff/ Students Staff Staff Staff Principal/ School Nurse School Nurse/ Hood Staff Hood Staff Start of Term 1 and upon new Action Plan. Tables and surfaces are wiped down regularly. Hood Staff No-sharing of food approach is adopted. Students Awareness of contamination of other foods when preparing, handling or displaying food. Hood Staff Staff on duty can identify those student s at risk of anaphylaxis. Staff EpiPens and Action Plans are easily accessible from the grounds. Staff on Yard Duty aware of how to contact First Aid Officer if an anaphylactic reaction occurs during recess or lunch time. Students with anaphylactic responses to insects are encouraged to stay away from water or flowering plants. School Nurse Staff Staff Lawns are regularly mowed and bins are covered. Staff Students are to keep drinks and food covered while outdoors. Students Sufficient staff who have been trained in the administration of an Epi-Pen are supervising students. Staff Avoid using food in activities or games. Staff Consult parents/guardians in advance for special events to either develop an alternative food menu or request the parent to send a meal for the student at risk. Parents of other students should be informed in advance about foods that may cause allergic reactions in students at risk. Staff Staff/ Parents/Guardians Party balloons are not to be used if a student is allergic to latex. Staff Risk assessment completed by teacher in charge includes review of Individual Anaphylaxis Management Plans, ASCIA Action Plan, emergency management and communication, and who will carry Epipen. Staff Individual Anaphylaxis Management Plan SGG-FOR /10/18 08/10/20 Page 3 of 4

18 Teacher in charge to consult parents of anaphylactic students in advance to discuss issues that might arise, to develop an alternative food menu or request the parent provide a meal (if required). Staff Staff trained in administering an EpiPen are to attend. Staff ASCIA Action Plans and EpiPens are to be easily accessible and staff must be aware of their location. School Nurse General Use Epipens included in portable first aid kits. Parents are responsible for providing 2 epipens for camp, one will come from the First Aid Room and this will be sent with the first aid kits and general use EpiPen Staff/ School Nurse EpiPens should remain close to the students and staff must be aware of the location at all times. Staff Plan for appropriate supervision of students at risk of anaphylaxis at all times including; having sufficient staff who have been trained in anaphylaxis management; and supervision of at risk students during meal times and when taking medication. Staff Students with anaphylactic responses to insects should wear closed shoes and long-sleeve garments when outdoors and are encouraged to stay away from water and flowering plants. Staff/ Parents/Guardians Cooking and art and craft games should not involve the use of known allergens. Staff Overseas Travel Exposure to food trigger or allergen As per Camps and Excursions and Special Events. Risk assessment also considers potential risks at all stages of the overseas travel including but not limited to; Travel to/from airport/port; travel to/from Australia; various accommodation venues; towns and venues visited; sourcing safe food; risk of cross contamination,insurance, medical facilities available at location, ability to source additional Epipens if needed. Staff Adapt the School s Emergency Response if required given local circumstances and include in Risk Assessment. Staff This Individual Anaphylaxis Management Plan will be reviewed on any of the following occurrences (whichever happen earlier): annually if the student's medical condition, insofar as it relates to allergy and the potential for anaphylactic reaction, changes as soon as practicable after the student has an anaphylactic reaction at school when the student is to participate in an off-site activity, such as camps and excursions, or at special events conducted, organised or attended by the school (eg. class parties, elective subjects, cultural days, fetes, incursions). Parent/Guardian: I have been consulted in the development of this Individual Anaphylaxis Management Plan. I consent to the risk minimisation strategies proposed. I acknowledge that my child will not attend SGG without 2 EpiPens (in date) and an ASCIA Action Plan. I will notify SGG of any changes to my child s medical condition, insofar that it relates to allergy and the potential for anaphylactic reaction changes. Signature of Parent/Guardian: Date: Principal or Nominee I have consulted the parents/guardians of the student and the relevant school staff who will be involved in the implementation of this Individual Anaphylaxis Management Plan. Signature of Principal (or Nominee): Anna Noonan (School Nurse) Individual Anaphylaxis Management Plan SGG-FOR /10/18 08/10/20 Page 4 of 4

19 ANAPHYLAXIS RISK MANAGEMENT CHECKLIST This form is to be completed at the commencement of each school year by the principal (or nominee) or Head of with reference to SGG Anaphylaxis Policy (SGG-POL-010). Review Details School/ Centre name: Date of review: Review completed by: Review given to: Comments: Shelford Girls Grammar Name: Position: Name: Position: General information 1 How many current students have been diagnosed as being at risk of anaphylaxis, and have been prescribed an adrenaline autoinjector? 2 How many of these students carry their adrenaline autoinjector on their person? 3 Have any students ever had an allergic reaction requiring medical intervention at School/Centre? Yes No If Yes, how many times? 4 Have any students ever had an anaphylactic reaction at School/Centre? Yes No If Yes, how many students? If Yes, how many times 5 Has a staff member been required to administer an adrenaline autoinjector to a student? Yes No If Yes, how many times? 6 Was every incident in which a student suffered an anaphylactic reaction reported via an Injury Report on Synergetic. SECTION 1: Training 7 Have all staff who conduct classes with students with a medical condition that relates to allergy and the potential for anaphylactic reaction successfully completed an approved Anaphylaxis Management Training Course, either: ASCIA e-training within the last 2 years, or Accredited face to face training (22300VIC or 10313NAT) within the last 3 years? 8 Does your school/centre conduct twice yearly briefings annually? (If no, why not as this is a requirement for registration)? Yes Yes Yes No No No Annual Anaphylaxis Risk SGG-FOR /10/18 08/10/20 Page 1 of 4 Management Checklist

20 9 Do all SGG staff participate in a twice yearly briefing? (If no, why as this is a requirement for registration)? Yes No 10 Has your school trained a minimum of 2 school staff (School Anaphylaxis Supervisors) to conduct competency checks of adrenaline autoinjectors (EpiPen )? (Not applicable to ). 11 Are your school staff being assessed for their competency in using adrenaline autoinjectors (EpiPen ) within 30 day of completing the ASCIA Anaphylaxis e-training for Victorian Schools? (Not applicable for ). SECTION 2: Individual Anaphylaxis Management Plans 12 Does every student who has been diagnosed as being at risk of anaphylaxis and prescribed an adrenaline autoinjector have an Individual Anaphylaxis Management Plan which includes an ASCIA Action Plan for Anaphylaxis completed and signed by a prescribed medical practitioner? 13 Are all Individual Anaphylaxis Management Plans reviewed regularly with parents/carers (at least annually)? 14 Do the Individual Anaphylaxis Management Plans set out strategies to minimise the risk of exposure to allergens for the following in-school and out of class settings? Yes Yes Yes Yes No No No No During classroom activities, including elective classes Yes No In canteens or during lunch or snack times Yes No Before and after school, in the school yard and during breaks Yes No For special events, such as sports days, class parties and extra-curricular activities Yes No For excursions and camps Yes No Other Yes No 15 Do all students who carry an adrenaline autoinjector on their person have a copy of their ASCIA Action Plan kept at the school (provided by the parent/guardian)? Where are the Action Plans kept? Yes No 16 Does the ASCIA Action Plan include a recent photo of the student? Yes No 17 Have the Individual Management Plans (for students at risk of anaphylaxis) been reviewed prior to any off site activities (such as sport, camps or special events), and where appropriate reviewed in consultation with the student s parents/guardians? SECTION 3: Storage and accessibility of adrenaline autoinjectors 18 Where are the student(s) adrenaline autoinjectors stored? Yes No 19 Do all School/Centre staff know where the school s adrenaline autoinjectors for general use are stored? Yes No 20 Are the adrenaline autoinjectors stored at room temperature (not refrigerated)? Yes No 21 Is the storage safe and out of reach of children? Yes No 22 Is the storage unlocked and accessible to school staff at all times? Comments: Yes No Annual Anaphylaxis Risk Management Checklist SGG-FOR /10/18 08/10/20 Page 2 of 4

21 23 Are the adrenaline autoinjectors easy to find? Comments: Yes No 24 Is a copy of student s individual ASCIA Action Plan for Anaphylaxis kept together with the student s adrenaline autoinjector? 25 Are the adrenaline autoinjectors and Individual Anaphylaxis Management Plans (including the ASCIA Action Plans) clearly labelled with the student s names? 26 Has someone been designated to check the adrenaline autoinjector expiry dates on a regular basis? Who? 27 Are there adrenaline autoinjectors which are currently in the possession of the School/Centre and which have expired? 28 Does the School/Centre check CareMonkey for completion of ASCIA plans and automated update reminders? 29 Do all School/Centre staff know where the adrenaline autoinjectors, the ASCIA Action Plans for Anaphylaxis and the Individual Anaphylaxis Management Plans are stored? 30 Has the school purchased adrenaline autoinjector(s) for general use, and have they been placed in the School/Centre s first aid kit(s)? 31 Where are these first aid kits located? Yes Yes Yes Yes Yes Yes Yes No No No No No No No Do staff know where they are located? 32 Is the adrenaline autoinjector for general use clearly labelled as the General Use adrenaline autoinjector? 33 Is there a register for signing adrenaline autoinjectors in and out when taken for excursions, camps etc? SECTION 4: Prevention strategies 34 Have you done a risk assessment to identify potential accidental exposure to allergens for all students who have been diagnosed as being at risk of anaphylaxis? 35 Have you implemented any of the prevention strategies in the Anaphylaxis Guidelines? If not record why not as this is a requirement for school registration? 36 Are there always sufficient school staff members on yard duty who have current Anaphylaxis Management Training? SECTION 5: School management and emergency response 37 Does the school have procedures for emergency responses to anaphylactic reactions? Are they clearly documented and communicated to all staff? Yes Yes Yes Yes Yes Yes Yes No No No No No No No 38 Do school staff know when their training needs to be renewed? Yes No 39 Have you developed Emergency Response Procedures for when an allergic reaction occurs? Yes No In the class room? Yes No In the school yard? Yes No In all school buildings and sites, including gymnasiums and halls? Yes No At school camps and excursions? Yes No On special event days (such as sports days) conducted, organised or attended by the school? Yes No 40 Does your plan include who will call the ambulance? Yes No 41 Is there a designated person who will be sent to collect the student s adrenaline autoinjector and individual ASCIA Action Plan for Anaphylaxis? Yes No Annual Anaphylaxis Risk Management Checklist SGG-FOR /10/18 08/10/20 Page 3 of 4

22 42 Have you checked how long it will take to get to the adrenaline autoinjector and the individual ASCIA Action Plan for Anaphylaxis to a student from various areas of the school including: Yes No The class room? Yes No The school yard? Yes No The sports field? Yes No 43 On excursions or other out of School/Centre events is there a plan for who is responsible for ensuring the adrenaline autoinjector(s) and Individual Anaphylaxis Management Plans (including the ASCIA Action Plan) and the adrenaline autoinjector for general use are correctly stored and available for use? 44 Who will make these arrangements during excursions and camps? 45 Who will make these arrangements during sporting activities? Yes No 46 Is there a process for post incident support inplace? Yes No 47 Have all staff who conduct classes that students with a medical condition that relates to allergy and the potential for an anaphylactic reaction attend, and any other staff identified by the principal, been briefed on: The SGG s Anaphylaxis Management Policy? Yes No The causes, symptoms and treatment of anaphylaxis? Yes No The identities of students with a medical condition that relates to allergy and the potential for an anaphylactic reaction, who are prescribed an adrenaline autoinjector, and where their medication is located? How to use an adrenaline autoinjector, including hands on practise with a trainer adrenaline autoinjector? SGG s First Aid and Emergency Response Policies and Procedures for all in-school/centre and out-of-school/centre environments? Yes Yes Yes No No No Where the adrenaline autoinjector(s) for general use is kept? Yes No Where the adrenaline autoinjectors for individual students are located including if they carry it on their person? SECTION 6: Communication Plan 48 Is there a Communication Plan in place to provide information about anaphylaxis and SGG policies? Yes No To School/Centre staff? Yes No To students? Yes No To parents/guardians? Yes No To volunteers? Yes No To casual relief staff? Yes No 49 Is there a process for distributing this information to the relevant SGG staff? Yes No What is it? 50 How is this information kept up to date? 51 Are there strategies in place to increase awareness about severe allergies among students for all in-school and out-of-school environments? 52 What are they? Yes No Source: Annual Anaphylaxis Risk Management Checklist SGG-FOR /10/18 08/10/20 Page 4 of 4

23 ANAPHYLAXIS SCHOOL SUPERVISOR OBSERVATION CHECKLIST An observation record must be made and retained at the school for each staff member demonstrating the correct use of the adrenaline autoinjector (trainer) device. Certification that the device is used correctly can only be provided by the appropriately trained School Anaphylaxis Supervisor. A pdf version of this form is to be added to the Staff member training information in Synergetic. Name of School Anaphylaxis Supervisor Name of Staff Member being Assessed Signature Signature Assessment Date Result Competent Not Yet Competent Verifying the correct use of Adrenaline Autoinjector (trainer)devices Stage Actions Check Preparation Verification resources, documentation and adrenaline autoinjector (trainer) devices and equipment are on hand and a suitable space for verification is identified. Yes No Preparation Confirmation of the availability of a mock casualty (adult) for the staff member to demonstrate use of the adrenaline autoinjector devices on. Testing of the device on oneself or the verifier is not appropriate. Yes No Demonstration Successful completion of the ASCIA Anaphylaxis e-training for Victorian Schools within the previous 30 days is confirmed by sighting the staff member s printed ASCIA e-training certificate. Yes No Demonstration Confirmation the staff member has had an opportunity to practice use of the adrenaline autoinjector (trainer) device/s prior to the verification stage. Yes No Demonstration To conduct a fair appraisal of performance, the verifier should first explain what the candidate is required to do and what they will be observed doing prior to the demonstration, including a scenario for the mock casualty. This ensures the candidate is ready to be verified and clearly understands what constitutes successful performance or not. Yes No Practical Demonstration Stage The staff member: Observation Prior to use Correctly identify components of the adrenaline autoinjector (although some of these are not available on the trainer device, they should be raised and tested): Yes No where the needle would be safety mechanism trigger medication label showing dosage, expiry date any other personal identification, specific labeling. School Supervisor Observation Checklist SGG-FOR /10/18 08/10/20 Principal Page 1 of 2

24 Demonstration Demonstration Talk to appropriate checks of the adrenaline autoinjector device by (although these are not available on the trainer device, they should be raised and tested): confirming product is in date (Not expired) ensuring it is the correct medication for the person being treated or it is for general use. Position themselves and the (mock) casualty correctly in accordance with ASCIA guidelines ensuring the: casualty is lying flat unless breathing is difficult or placed in a recovery position if unconscious or vomiting casualty is securely positioned to prevent movement when administering the adrenaline autoinjector device person administering the adrenaline autoinjector device is facing the casualty. Demonstration Administer the adrenaline autoinjector device correctly (this example is for an EpiPen device): formed a fist to hold the EpiPen device correctly Pull off blue safety release Apply the orange end at right angle to the outer mid-thigh (with orwithout clothing), ensuring pockets and seams were not in the way activate the EpiPen by pushing down hard until a click is heard hold the EpiPen in position for 3 seconds after activation remove EpiPen Yes Yes Yes No No No Demonstration Demonstrated correct use in a realistic time period for treatment in an emergency situation. Yes No Demonstration Demonstrated knowledge of correct procedures post use of the adrenaline autoinjector devices: ensure safe handling to prevent needle stick injury record date and time of use store the adrenaline autoinjector device appropriately until handed over to the Ambulance/Hospital. Yes No Test Outcome Certifying the correct use of the adrenaline autoinjector (training) device If the adrenaline autoinjector (trainer) device has NOT been checked or administered correctly through successfully completing all the steps above, the verifier cannot deem the staff member competent. The staff member should be referred back to the ASCIA Anaphylaxis e-training for further training and re-present for verification: this action should be recorded in staff records the verifier must not provide training to correct practice. Outcome Not Yet Competent Repeat ASCIA Anaphylaxis E Training Where checking and demonstration is successful the verifier will: sign and date the staff member s ASCIA e-training certificate provide a copy to the staff member store the staff member s ASCIA certificate and this observation record in PDF format on Synergetic. Competent School Supervisor Observation Checklist SGG-FOR /10/18 08/10/20 Principal Page 2 of 2

25 ANAPHYLAXIS COMMUNICATION PLAN Introduction This communication plan should be read in conjunction with Shelford Girls Grammar (SGG) Anaphylaxis Policy. It describes how the SGG communicates information about anaphylaxis and SGG s Anaphylaxis policy with staff, students, parents/guardians, volunteers and relief staff. Responsibilities SGG considers the management of students at risk of anaphylaxis is a shared responsibility of parents/carers and SGG. Despite all reasonable efforts to restrict known allergens, exposure to allergens may still occur and parents, staff and at risk students are expected to be vigilant to avoid exposure to known allergens. Please refer to the SGG Anaphylaxis Policy which details specific responsibilities. Roles of Parents/ Carers It is an expectation that parents will: Inform the SGG at enrolment or diagnosis of the student s allergies and risk of anaphylaxis; Provide a completed ASCIA Action Plan (available at which must be up to date prior to the commencement of the first day of school. Plans must be signed by the student s medical practitioner and must be made available on CareMonkey; Provide an up to date photo for the ASCIA Action Plan when that plan is provided to the school and when it is reviewed; Meet with or assist SGG to develop the student s Individual Anaphylaxis Management Plan including risk management strategies; Inform SGG in writing if their child s medical condition changes and if relevant provide a revised ASCIA Action Plan; Ensure all contact and emergency details are current on CareMonkey including when providing consent for camps and excursions; Provide an autoinjector or any other medications that are current (the date has not expired) to SGG; Replace autoinjectors or medications prior to their expiry; and Supply an alternative food option for their child when required. Individual Anaphylaxis Management Plans When SGG is provided with a student s ASCIA Action Plan for Anaphylaxis, the relevant Head (or their delegate) will complete the Individual Anaphylaxis Management Plan to manage risk based on the information provided in the ASCIA Action Plan for Anaphylaxis. The Individual Anaphylaxis Management Plan may include communication strategies to other school families as required (eg through a class letter refer attachments). Anaphylaxis Communication Plan SGG-FOR /10/18 08/10/20 Page 1 of 8

26 The student s individual Anaphylaxis Management Plan will be reviewed on any of the following occurrences (whichever happens earlier): Annually; If the student's medical condition, insofar as it relates to allergy and the potential for anaphylactic reaction, changes; As soon as practicable after the student has an anaphylactic reaction at school; or When the student is to participate in an off-site activity, such as camps and excursions, or at special events conducted, organised or attended by the school. ASCIA Action Plan for Anaphylaxis ASCIA Action plans provided by parents/guardians are kept in hardcopy in the First Aid Room (for school students), on the student s file (for ), and on CareMonkey. A hardcopy of each student s ASCIA Action Plan will be displayed in staffrooms, and in the First Aid Room in Helenslea. ASCIA Action Plans are also made available in classrooms in, Junior School, in the cafeteria, music office, IRC and the sports pavilion staff area. ASCIA Actions plans should be reviewed annually or after an incident. Photos on the ASCIA Action Plans must be updated annually. Staff Training All staff are briefed twice a year by a staff member who has up to date anaphylaxis management training. The briefing includes information regarding SGG s Anaphylaxis Policy, the identity of those students diagnosed with a medical condition that is related to allergy and potential anaphylactic reaction, where their medication is located, how to use an autoinjector and SGG s first aid and emergency response procedures. Teachers and other SGG staff who conduct classes which students at risk of anaphylaxis attend, or give instruction to students at risk of anaphylaxis must have up to date training in an approved anaphylaxis training course. (Refer to SGG Anaphylaxis Policy for further information on staff training.) Location of Autoinjectors -- If a student has been prescribed an autoinjector, it must be provided by the student s parents/carers to the Centre. The student s own autoinjector should be stored in the classroom in a named container, with the student s photo on the front, with their ASCIA ActionPlan. Junior School If a student has been prescribed an autoinjector, it must be provided by the student s parents/carers to the school. The students own autoinjector should be stored in the classroom in a named container with the student s photo on the front, with their ASCIA Action Plan. A second autoinjector to be provided by parents to be stored in the First Aid Room. Senior School If students have been prescribed an autoinjector, they are responsible for taking it to class and carrying with them at all times during breaks. A second autoinjector to be provided by parents to be stored in the First Aid Room. Responding to an Incident In the event of exposure to an allergen the following emergency response procedure will be initiated. Refer SGG Anaphylaxis Policy, SGG First Aid Policy and ASCIA Action Plans. (Refer to attachments). Anaphylaxis Communication Plan SGG-FOR /10/18 08/10/20 Page 2 of 8

27 Emergency Response 1 Lay the student flat and elevate their legs. Do not allow them to stand or walk. If breathing is difficult for them, allow to sit but not stand. 2 Administer the EpiPen adrenaline autoinjector. 3 Immediately call an ambulance Reassure the student experiencing the reaction as they are likely to be feeling anxious and frightened as a result of the reaction and the side-effects of the adrenaline. 5 Watch the student closely in case of a worsening condition. 6 Ask another staff member to move other students away and reassure them elsewhere. 7 Contact the student s emergency contacts. 8 In the rare situation where there is no marked improvement and severe symptoms are present, a second injection may be administered after five minutes, if a second EpiPen is available. 9 Notify the principal, head of junior or senior school or Head of of the incident and complete an injury report. 10 Enact the school s emergency and critical incident management plan. Post Incident Following responding to an anaphylactic reaction, staff are expected to engage in the following: Debrief with students and staff involved; Collect the student s belongings if transported by ambulance; Relevant Head or their delegate is to discuss (later) with the parents or carer the incident and to review the Individual Anaphylaxis Management Plan and ASCIA Action Plan; Relevant Head to implement risk prevention strategies where appropriate; Offer post incident counselling to those involved in the incident; and Review the adequacy of the response of the school and consider additional training and other corrective actions. Classrooms Where possible only SGG staff with training in the administration of an autoinjector should administer the student s EpiPen. However, it is imperative that an autoinjector is administered as soon as possible after an anaphylactic reaction. Therefore, if necessary, the autoinjector can be administered by anyone using the ASCIA Action Plan. A member of staff should remain with the student displaying symptoms whilst another staff member or student locates the EpiPen and ASCIA Action Plan. Yard Duty First Aid yard duty satchels or bum bags are carried by staff on yard duty. Staff should not leave a student who is experiencing an anaphylactic reaction. Staff are to contact the First Aid Room and/or Reception to notify that an Epipen is required. Relief Staff and Volunteers Relief staff will be briefed by the Head of, Head of Junior or Senior School or their delegate, if they have at risk students in their care. Relief staff are to familiarise themselves with the ASCIA Action Plan. Volunteers are under the supervision of the class teacher and are to follow any instructions provided by the teacher or other member of staff. Anaphylaxis Communication Plan SGG-FOR /10/18 08/10/20 Page 3 of 8

28 Sporting Events Parents/ Carers of students attending off site sporting events are required to complete a permission form on CareMonkey requiring updated medical details prior to departure. The Coach or Teacher in Charge will ensure the student at risk of anaphylaxis, brings their own EpiPen and will have access to the student s ASCIA Action Plan on CareMonkey. A general use autoinjector will be included in the First Aid Kit whenever a student is at risk of anaphylaxis. In the event of an anaphylactic reaction away from school, the Teacher in Charge or Coach is to immediately implement the ASCIA Action Plan, call an ambulance and notify the Head of Junior or Senior School immediately. Camps, Excursions and Overseas Travel All students must submit completed medical forms prior to the camp, excursion or overseas travel. The student s autoinjectors x 2, ASCIA Action Plan and a mobile phone must be taken on all camps, excursions and overseas travel. The teacher in charge of the camp, excursion or overseas travel is responsible for completing a risk assessment including reviewing Individual Anaphylaxis Management Plans and assigning a designated staff member who will ensure the student s autoinjector, Action Plan and a general use autoinjector are correctly stored and available. Remote settings should also be assessed in terms of access to medical facilities, local emergency services and mobile phone coverage. Relevant third parties will be advised of any student at risk of anaphylaxis. Anaphylaxis Communication Plan SGG-FOR /10/18 08/10/20 Page 4 of 8

29 Appendix A: Sample Anaphylaxis Communication Letter to the Class Dear Parents, We are asking your help to support the children in Shelford Girls Grammar who are at risk of anaphylaxis. Anaphylaxis is a severe allergic reaction that is potentially life threatening. Food allergies are the most common cause of anaphylaxis. There is no cure for food allergy, therefore avoidance of known food allergens is crucial. Peanuts and tree nuts are the foods most likely to cause anaphylaxis. Shelford Girls Grammar is supporting children at risk of anaphylaxis by: Training staff; Encouraging children to wash their hands before and after eating; Educating children about food allergies; and Choosing not to sell food in the school cafeteria which contains nuts. We ask you to support children at risk of anaphylaxis by: Not sending food which has peanuts or tree nuts (eg hazelnuts, cashews, almonds etc) in themain ingredients list. Note: products containing traces of peanuts or tree nuts can be sent to school. Teaching your child not to share food with friends that have food allergy; Encouraging your child to wash their hands before and after eating; Asking your child to get help immediately if their allergic schoolmate gets sick; and Explaining to your child that teasing a child with an allergy or tampering with their medication, is bullying and could be life threatening. With your help we can provide a safe environment that meets the needs of all our children. Yours sincerely Staff Member Name Anaphylaxis Communication Plan SGG-FOR /10/18 08/10/20 Page 5 of 8

30 Appendix B: ASCIA Action Plan for Anaphylaxis (personal) for use with EpiPen Anaphylaxis Communication Plan SGG-FOR /10/18 08/10/20 Page 6 of 8

31 Appendix C: ASCIA Action Plan for Allergic Reactions (personal) for use when no adrenaline autoinjector has been prescribed Anaphylaxis Communication Plan SGG-FOR /10/18 08/10/20 Page 7 of 8

32 Appendix D: Action Plan for Anaphylaxis (general) for use with EpiPen Anaphylaxis Communication Plan SGG-FOR /10/18 08/10/20 Page 8 of 8