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  • Anaphylaxis Epinephrine Training - Virginia
    The following resources may be used by local school divisions for policy development, training and meeting the needs of students experiencing an anaphylactic emergency in Virginia Public Schools
  • Student Health Services - Prince William County Public Schools
    Food allergy and anaphylaxis emergency care plans must be submitted annually at the beginning of each school year, dated after May 1, and whenever modifications are made to this plan
  • Allergy Action Plan - Prince William County Government
    1 Form fist around EpiPen®and pull off grey cap Make sure your thumb is closest to the grey cap end, and not over the black end 2 Place black tip against outer mid-thigh of the child (Note; there is no need to ‘swing and jab’ ) 3 Push HARD until a click is heard or felt and hold in place for 10 seconds 4
  • RPS Health Services Forms - Richmond Public Schools
    You may also contact your school's nurse for additional information regarding medical forms needed for your student Allergy and Anaphylaxis Emergency Plan (AAP) AllergyAnaphylaxisEmergencyPlan pdf
  • Medical Action Plans - Richmond County School Board
    In the event of an allergic reaction during school hours, this form provides step by step directions as to how to manage each child’s allergy If you have any questions regarding your child’s health, please feel free to contact their respective school nurse
  • Health Services - Forms Action Plans - Google Sites
    This form is an affidavit stating that the administration of immunizing agents conflicts with the student's religious tenets or practices, and must be notarized before being submitted to the
  • FCPS AUTHORIZATION FOR ANAPHYLAXIS ACTION PLAN
    The student is to carry epinephrine during school hours with the principal's knowledge but CANNOT administer the epinephrine themselves in an emergency One additional dose, to be used as backup, should be kept in health room or other approved school location
  • Physician’s Order Allergy Action Plan - Arlington County Virginia
    Students or parents who are concerned that a diagnosed condition may interfere with the student’s ability to access or participate in school activities should discuss their concerns with a school administrator
  • Loudoun County Public Schools Allergy Action Plan Physician s Order
    A new “Authorization for Medication Administration” form is required at the start of the school year and each time there is a change in the dosage or time at which a medication is to be taken Parents Guardians should not bring in more than a 60-day supply of prescription medicine at a time
  • Asthma Allergies - Virginia Beach City Public Schools
    Parents (or their adult designee) must bring all medications (i e Albuterol, Diphenhydramine and Epinephrine) to the school and given to the school nurse All medications must be in original containers labeled clearly with their child’s identifying information by the pharmacy





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