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AUTHORIZATION FOR ANAPHYLAXIS ACTION PLAN

AUTHORIZATION FOR ANAPHYLAXIS ACTION PLAN 2025

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The document is an authorization form for administering epinephrine in case of anaphylaxis at Fairfax County Public Schools. It outlines the responsibilities of parents or guardians, health care providers, and school personnel regarding the administration of epinephrine, including consent for unlicensed staff to administer it without waiting for symptoms. The form requires signatures from parents, health care providers, and school officials, and includes procedures for emergency response.

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Versions	Form popularity	Fillable & printable
2023	4.6 Satisfied (42 Votes)
2021	4.5 Satisfied (37 Votes)
2015	4.3 Satisfied (32 Votes)
2011	4 Satisfied (45 Votes)

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How do you describe anaphylaxis?

Anaphylaxis is a severe, life-threatening allergic reaction. It can happen seconds or minutes after youve been exposed to something youre allergic to. Peanuts or bee stings are examples. In anaphylaxis, the immune system releases a flood of chemicals that can cause the body to go into shock.

How do you report an incident of anaphylaxis?

Anaphylaxis is a life-threatening allergic reaction that happens very quickly. It can be caused by food, medicine or insect stings. Call 999 if you think you or someone else is having an anaphylactic reaction.

Can someone with a green ascia action plan still have anaphylaxis?

ASCIA Action Plan for Allergic Reactions (GREEN) for children or adults with medically confirmed food or insect allergies, who have not been prescribed adrenaline devices. These people are at low risk of anaphylaxis.

How do you document anaphylaxis?

To properly document an anaphylactic reaction, include the following: date and time the reaction started. assessment findings, such as tachypnea, dyspnea, and hypotension. emergency interventions required and supportive care provided. patients response to interventions.

What is required in an individual anaphylaxis management plan?

The purpose of the individualised anaphylaxis care plan is to document the childs allergies, treatment to be administered in the event of an allergic reaction including anaphylaxis, and the risk minimisation strategies that will be put into place to prevent exposure to known allergens.

Who writes the anaphylaxis risk management plan?

To identify potential risks in the school environment and implement risk management strategies,the Anaphylaxis Risk Management Plan should be developed by the school in consultation with: supervising teachers the parent a qualified health practitioner the student (where applicable).

What should you document in an anaphylactic reaction?

Document the acute clinical features of the reaction: rapidly developing, life‐threatening problems involving the airway (pharyngeal or laryngeal oedema), and/or breathing (bronchospasm with tachypnoea), and/or circulation (hypotension and/or tachycardia), and in most cases, associated skin and mucosal changes.

How do you write anaphylactic shock?

Anaphylaxis (or anaphylactic shock) is a life-threatening allergic reaction that needs to be treated right away. If you have an anaphylactic reaction, you need a dose of epinephrine (adrenaline) as soon as possible, and someone should call 911 for emergency medical help.

AUTHORIZATION FOR ANAPHYLAXIS ACTION PLAN 2025

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