ESY Allergic Reaction and Bee Sting Action Plan, and Bee Email to the Community
Place of Learning: 
Garden Classroom
Contributor

ESY Berkeley Teaching Staff
Edible Schoolyard Project
Berkeley, CA

Tags: 
Bees
Safety
Allergic Reaction
Allergy
Summary: 
Many people are cautious when bringing bees into the schoolyard. This resource outlines the protocol for responding to a severe allergic reaction caused by a bee sting, as well as the letter we send to the school community to reassure folks and get them excited about having a hive on campus.
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.
    • Look in the ESY bee kit (tool shed or office) to see if the student has a known bee allergy on record.
    • 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:
    • 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
    • OR COMBINATIONS of symptoms from different body areas:
      • SKIN: Hives, itchy rashes, swelling (e.g., eyes, lips)
      • GUT: Vomiting, cramps, or pain
  3. If a 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. e. 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. j. 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:
    • 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
  2. 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

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