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201 Anaphylaxis
202 Child Abuse Reporting
203 Clean Water
204 Emergency Management
205 Provincial Health Regulations
​206 Substance Abuse
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POLICY NAME:
Anaphylaxis Policy
POLICY NUMBER:
201
AWSNA POLICIES AND PRACTICES AREA:                    VERSION:
9                                       2
APPROVED:
September 20, 2022
ASSOCIATED POLICY:
Emergency Management Policy
ASSOCIATED POLICY NUMBERS:
204 & 403
DOCUMENT HISTORY
v2: under heading Definition, added “environmental material” to definition of allergy; under heading Definition, added “triggers such as” to definition of anaphylaxis; under heading Definitions, added “providing permission for medication administration” to definition of medical permission form.
REVIEWED:
January 22, 2024
Rationale
BC Waldorf Schools strive for healthy school environments for all students. This includes those students with allergies and life-threatening allergic conditions. Care for students with such health conditions is a responsibility shared among the individual, parents, schools and health care providers. The purpose of this policy is to minimize the risk of exposure to students with severe allergies to potentially life-threatening allergens without depriving the student of regular social interactions or placing unreasonable restrictions on the activities of other students in the school.
Policy Statement                    
BC Waldorf Schools recognize the dangers faced by students and staff with severe reactions to certain allergens. While the School cannot guarantee an allergen-free environment, all reasonable steps will be taken to ensure a safe environment for students with life-threatening allergies in an effort to maintain an appropriate learning environment for all students.
BC Waldorf Schools adhere to the BC Anaphylactic and Child Safety Framework and Anaphylaxis Protection Order when designing forms, policies, and procedures related to supporting students at risk of anaphylaxis.

Definitions 

Allergy – A condition in which the body has an exaggerated response to a substance (e.g. food, environmental material, drug).
Allergen – A normally harmless substance that triggers an allergic reaction in the immune system of a susceptible person.
Anaphylaxis – Anaphylaxis, or anaphylactic shock, is a sudden, severe and potentially life-threatening allergic reaction to triggers such as food, stings, bites, or medicines.
Epi-Pen – Brand name for syringe style device containing the drug Adrenalin which is ready for immediate intramuscular administration.
Minimized Risk Environment – An environment where risk management practices (e.g. Risk assessment forms) have minimized the risk of (allergen) exposure.
Health Management Plan – A detailed document outlining an individual student’s condition treatment, and emergency anaphylaxis response plan, including the location of an Epi-Pen.
Medical Permission Form - A detailed and parent/guardian signed document providing permission for medication administration that outlines the individual use and storage of a medication, including Epi-Pen.

Procedures
During the registration process, parents shall be required to provide information about medical conditions, including whether children are at risk of anaphylaxis, asthma, epilepsy and/or other serious health conditions. Parents shall complete appropriate forms when such a condition is flagged. Allergen aware areas will be noted and added to the faculty and staff notification process.

Parents of students with severe allergies shall advise the school administration of any changes or updates to a new or existing serious health condition upon diagnosis. Forms shall be updated by parents/guardians and teachers and staff notified and trained appropriately. A health management plan shall be completed by parents/guardians and signed by the parent, student (when appropriate), and a physician or allergist, when possible.

It is the responsibility of parents with children at risk of anaphylaxis to ensure their child has an allergy alert bracelet and an Epi-Pen (Epinephrine Auto-Injector). Teachers and staff will ensure the bracelet is worn and that Epi-Pen is stored appropriately during the school day.

In BC Waldorf Schools where an allergy has been flagged within the student body, practices that
reduce the risk of exposure shall be part of daily operating procedures and school activities.
  • Lunch supervisors shall ensure that procedures for proper hand washing and clean-up are being followed.
  • A “no sharing” policy of food, utensils, containers, straws, etc. shall be enforced.
  • The school community, including parents and guardians, shall be asked to keep specific products that may cause anaphylaxis out of designated allergen aware areas such as specific grade or subject classrooms.    
            
Planning, Training and Emergency Response                             
The auto-injector (Epi-Pen) provided by the parents/guardians shall be stored and available as outlined in the student's individual anaphylaxis emergency response plan and never in a locked location. Depending on the age and capacity of the student, the parents/guardians may request the epi-pen storage and availability be the responsibility of the school or they may assign that responsibility to their own child. Whoever is assigned the responsibility for the epi-pen should also ensure that it travels on off-campus activities such as field trips.                                            
  • Emergency Protocol - An individual anaphylaxis emergency response plan for each student requiring one shall be compiled and updated by the parents/guardians at the beginning of each school year on a Health Management Plan Form and Medical Permission Form. An alert must be indicated on the Permanent Student Record and appropriate forms will be stored there. 
  • Training - Training shall be held at the beginning of each school year by an individual trained to teach anaphylaxis management for staff including but not limited to an overview of anaphylaxis, signs and symptoms of the onset of an anaphylactic reaction and a demonstration on the use of an Epi-Pen (Epinephrine auto-injector). Training shall be reviewed as needed.
  • Emergency Response Plan - Available in all classrooms and in the main office. This guide shall serve in any emergency (See BC Waldorf Collective Policy #204/403 called Emergency Management Policy). Accompanying this document are school specific lists of alerts with updated information about how to respond to medical emergencies for flagged health conditions including anaphylaxis, asthma, and epilepsy.

All off-site activity service providers shall be notified of the student’s severe allergy, when necessary and appropriate (e.g. camp or overnight field trips). 

With the consent of the parent/guardian, the Principal and Teachers shall ensure that the student's classmates are provided with information on severe allergies in a manner that is appropriate for the age and maturity level of the students.

Principals shall report anaphylaxis activity to their Board of Trustees in aggregate form, as needed. Boards of Trustees shall report to the Ministry of Education regarding anaphylaxis policy and implementation.
“An effective response to anaphylaxis depends on the cooperation of all members of the school
community including students, parents, public health nurses, school personnel and volunteers.”
(MoECC

Authority
  • Anaphylaxis Protection Order
  • BC Anaphylactic and Child Safety Framework

Resources
  • Anaphylaxis: Health Link BC
  • Life Threatening Health Condition Admission/Registration Form (PDF)
  • Anaphylactic Student Emergency Procedure Plan (DOC)
  • Ministry of Education Anaphylaxis information
BC Waldorf Collective - AWNSA Registered Initiative, Associate, and Full Member Waldorf Schools of BC

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