The Edible Schoolyard Severe Allergic Reaction and Bee Sting Action Plan

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Published July 13, 2016 | Updated July 20, 2017
Subject: Professional Development
Place of Learning: Garden
Resource Type: Program Management
Uploaded by:
Kyle Cornforth
Program Affiliations:

If a student is stung by a bee or has an allergic reaction to nuts:

FIRST:

  1. If possible, bring student to the ESY office or move to a quiet place. A staff member needs to stay with the student until situation is resolved.

  2. Determine if the student has a known allergy:

    1. Look in the ESY bee kit (tool shed or office) to see if the student has a known bee allergy on record.

    2. Call King office, 510-644-4544, to check if student has any known allergies on record.

SECOND:

  1. Determine if allergic reaction is SEVERE:

  2. Symptoms of a SEVERE allergic reaction include:

    1. ONE OR MORE of the following:

  • LUNG: Short of breath, wheeze, repetitive cough
  • HEART: Pale, blue, faint, weak pulse, dizzy, confused
  • THROAT: Tight, hoarse, trouble breathing/swallowing
  • MOUTH: Obstructive swelling (tongue and/or lips)
  • SKIN: Many hives over body
  1. OR COMBINATIONS of symptoms from different body areas:

  • SKIN: Hives, itchy rashes, swelling (e.g., eyes, lips)
  • GUT: Vomiting, cramps, or pain
  1. If reaction is SEVERE:

  • If available, refer to student’s individualized allergy action plan.
  • INJECT EPI-PEN, note time of injection.
  • Call 911, tell rescue squad epinephrine was given, request ambulance with epinephrine.
  • Call the parents and inform them of the sting and treatment.
  • Call the King main office and inform them of the sting and treatment.
  • If symptoms persist or recur, a second dose of epinephrine can be given 5 minutes or more after first dose.
  • For severe reaction, consider keeping student lying on back with legs raised.
  • Stay with student and calmly reassure student until emergency help arrives. Stay with student (at King, in ambulance, at hospital) until a parent arrives.
  • Look, listen and feel for breath. If student stops breathing, start CPR.
  • Alert Janet, Vice Principals, and Agatha to the situation by using the walkie-talkie radio in Kyle’s office.

THIRD:

  1. Determine if allergic reaction is MILD:

    1. Symptoms of a MILD allergic reaction include:    

  • MOUTH: Itchy mouth
  • SKIN: A few hives around mouth/face, mild itch
  • GUT: Mild nausea/discomfort
  • EYES: Red, watery eyes
  • NOSE: Itchy, sneezing, runny nose
  1. If reaction is MILD:

  • Stay with student.
  • Call parents to inform them of the mild reaction.
  • GIVE ANTIHISTAMINE if ordered by a physician.
  • Any student who receives treatment should be sent home from school for the rest of the day.
  • Alert Janet, Vice Principals, and Agatha to the situation by using the walkie-talkie radio in Kyle’s office.

FOURTH:

If there is no treatment warranted, we should still monitor student for at least 2 hours as student may experience a delayed allergic reaction for up to 2 hours. Make certain that adults (the classroom teacher or, if the student is going to lunch, the Vice-Principal) supervising student for the next 2 hours are notified that the student has been stung and instruct the adults to watch for delayed symptoms of a severe allergic reaction.

FIFTH:

  1.    Always follow up the next day with a phone call to the family of affected student or to the adult who was stung.

If an ADULT is stung and the reaction is SEVERE, follow instructions for EPI-PEN. If reaction is not severe, offer options of antihistamine, ice, etc.  

IMPORTANT PHONE NUMBERS:

King Main Office:     (510) 644-xxxx

ESY Main Office:     (510) 558-xxxx

ESY Kitchen Office:    (510) 558-xxxx

ESY Garden Cell:    (510) 292-xxxx

Javier Mendieta:    (510) 644-xxxx

David Gold:        (510) 644-xxxx

Leslie Stenger:    (510) 644-xxxx

Rikki Moreno:        (510) 644-xxxx

This resource was included as part of the Edible Schoolyard Project Academy Training.
 

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