Emergency Action Plans

1
Emergency Action Plans

• Rachel Gallagher, RN, CPNP, NCSN
• School Nurse Consultant
• Wisconsin Department of Public Instruction
• Rachel.gallagher_at_dpi.wi.gov
• [phone]

2
Outline

• Emergency in Schools
• Emergency Action Plan
• Resources
• Confidentiality

3
Emergencies in Schools

• Policies and procedure for life-threatening
  illness and injury per Standard G
• CPR/AED Not required but recommended
• All School Activities

4
What are emergency action plans (EAP)?

• It is plan for management of a specific child
  potential emergency in the classroom setting.
• See this do that - prescriptive
• Lay mans language and friendly
• Should align with policies and procedure of the
  school district.

5
Emergency Information Form for Children with
Special Health Care Needs

• Emergency Information Form (American College of
  Emergency Physicians and AAP) http//www.aap.org/
  advocacy/blankform.pdf

6
Diabetes

• Children with Diabetes (U.S. Department of Health
  and Human Services) http//www.childrenwithdiabet
  es.com/gifs/books/ndep2003.gif
• Children with Diabetes Resources Guide for
  Wisconsin Schools and Families (Wisconsin
  Department of Health Services)
  http//www.dhs.wisconsin.gov/health/diabetes/PDFs/
  srg13.pdf

7
Seizure

• Seizure Action Plan (Epilepsy Foundation)
  http//www.epilepsyfoundationgla.org/public/File/S
  eizure_Action_Plan_v1.pdf
• Seizure Action Plan (?) http//www.asdk12.org/for
  ms/uploads/Seizure_Action_Plan.pdf

8
Asthma

• Asthma Action Plan (American Lung Association)
  http//www.lungusa.org/atf/cf/7B7A8D42C2-FCCA-460
  4-8ADE-7F5D5E7622567D/AAP.PDF
• Asthma Action Plan (DPI/Chronic Disease/Asthma)
  http//www.dpi.wi.gov/sspw/schlnurse.html

9
Anaphylaxis

• Food Allergy Action Plan (Food Allergy Network)
  http//www.foodallergy.org/downloads/FAAP.pdf

10
What information can I share with school staff?

• Chapter 118.125(2)(d) Pupil records shall be
  made available to persons employed by the school
  district which the pupil attends who are required
  to hold a license and other school district
  officials who have been determined by the school
  board to have legitimate educational interest,
  including safety interests in the pupil records.

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Emergency Notification

• Emergency list - List of students with
  potentially life-threatening conditions that
  could be shared with all school personnel in
  school.
• Flag emergencies on Electronic Records
• Substitute Teacher
• Parent volunteers on fieldtrips limit
  information

12
Situation

• A 14 year old, Danielle with Von Willebrand
  Disease is new H.S. student competing on the
  girls swim team. The students has passed the
  WIAA physical exam for swimming participation.
• History of swimming since the age of 8.
• Last year, qualified for state participation in
  the 12-14 years of age 100 m breast stroke.
• Danielle is on continuous birth control with no
  menses in the last 3 months.

13
Situation Continues

• History of two bleeds while swimming
• Right knee bleed as result of fall on the pool
  deck
• Right wrist bleed as result of impact on hitting
  the pool wall at the end of a swimming event
• Mom is a single parent and works full-time at
  Department of Transportation and part-time at
  Kohls Department Store.
• Medications
• desamino-8-arginine vasopressin (DDAVP) daily
• Factor VIII as needed

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What does the school nurse need to do?

• Release of information -more info from M.D.
• M.D. and parent authorization for treatment
• Parent and student history
• Emergency action plan
• Training of coaching and teaching staff

15

• Questions???