Quote from donnacee
Middle school we have one per student. But my concern, if the student is having a possible reaction in class and is poin need of an epi-pen, shouldnt the nurse be there to assess before a teacher injects an epipen? Is the teacher trained properly and why is benadryl not given first?
I'm short on time, so I'll give you my Reader's Digest answer.
In a perfect world, there would be a nurse available to every individual having a health emergency in every school. Time and money constraints don't allow that, so we must do our best within our resources. School is a preparation for real life, where no one has a personal health attendant at all times, either, unless you are Michael Jackson, and that didn't work out too well.
Seriously, there are 2 different scenarios in which an Epi-pen may be needed. The first is an individual with a known allergy who has a detailed plan of care worked out prior to the start of school between the healthcare provider, parents and school. In this case, there may be a progession of meds to follow. Possibly Benadryl first, then and Epi-pen if needed based upon an assessment by the trained responder
(nurse, health assistant, teacher, administrator, etc.)
The second scenario is an individual experiencing a severe allergic reaction who either has no known history, or despite a known history, has no plan of care in place. In that circumstance, we follow our state mandated protocol, which calls for admnistration of an Epi-pen first, followed by nebulizer treatments if needed, until EMS arrives.
I am lucky fo live in a state which has such a protocol. Every school in Nebraska (public and private) must have a stocked emergency kit and trained responders capable of carrying out the mandated protocol while awaiting EMS.
More information here:http://www.education.ne.gov/legal/we...RULE592006.pdf
The last page of this file provides a good summary.