Weeroona College Bendigo
Anaphylaxis Management Plan
This Plan is to be completed by the Principal or nominee on the basis of information from the student’s
medical practitioner provided by the parents/careers. This form must be completed on Start up Day or when the
student commences their education at WCB.
School
Weeroona College Bendigo
Phone
Student
DOB
Year level
Severely allergic to:
Other health
conditions
Medication at school
EMERGENCY CONTACT DETAILS (PARENT)
Name
Name
Relationship
Relationship
Home phone
Home phone
Work phone
Work phone
Mobile
Mobile
Address
Address
EMERGENCY CONTACT DETAILS (ALTERNATE)
Name
Name
Relationship
Relationship
Home phone
Home phone
Work phone
Work phone
Mobile
Mobile
Address
Address
Medical practitioner
contact
Name
Phone
Emergency care to be
provided at school:
03 54432 133
Storage for
Adrenaline Autoinjector (device
specific) (EpiPen®/
Anapen®)
ENVIRONMENT
To be completed by the Principal or nominee on the basis of information from the student’s medical practitioner
provided by parents/carers. Please consider each environment/area (on and off school site) the student will be in
for the year, e.g. classroom, canteen, food tech room, sports oval, excursions and camps etc.
Name of environment/area:
Date
Completed
Internal Learning
• A copy of All students ASCIA action plan and Anaphylaxis All
Spaces, (including
Management Plan will be easily accessible in each
teachers/inc
special activity
Community, including PE and Technology
luding relief
groups, advisory
teachers.
groups)
• Liaise with parents about food-related activities ahead of
time.
•
Where possible use non-food treats, but if food related
treats are used choose an alternative option that does not
contain the substance to which the student is allergic, and
be applied to all students in the class.
•
Be aware of the possibility of hidden allergen potential in
food and food packaging (e.g. egg or milk cartons, empty
peanut butter jars).
•
Products labeled ‘may contain traces of nuts’ should not be
served to students allergic to nuts. Products labeled ‘may
contain milk or egg’ should not be served to students with
milk or egg allergy and so forth.
•
Never give food from outside sources to a student at risk
of anaphylaxis
•
Have regular discussions with students about the
importance of washing hands, eating their own food and
not sharing food.
Classrooms

Drama and
special activity
groups

Cooking/Food
Technology
Be aware of the possibility of hidden allergen potential in
activities which will be using food and objects for props etc.
such as Bean Bags made out of lentils.



All
teachers/inc
luding relief
teachers.
Engage parents in discussion prior to cooking sessions and Cooking/
Food
activities using food.
Technology
Be aware of the possibility of hidden allergen potential in teachers
food and food packaging (e.g. egg or milk cartons, empty and
assistant/in
peanuts butter jars).
cluding
Allocated workspace for each lesson and separate tools
relief
and utensils to be utilised if necessary that are thoroughly teachers.
cleaned and wiped down at the end of each lesson
including utensils washed using the dishwasher.

Cross contamination from previous classes, e.g. science
room/peanut oil. Food and lab technicians to ensure all
allergens removed prior to student’s attendance. Also
applies to general classrooms.

Products labelled ‘may contain traces of nuts’ should not
be served to students allergic to nuts. Products labelled
‘may contain milk or egg’ should not be served to students
with milk or egg allergy and so forth.




Science Classes
Art Classes
Music Classes
Part-time
educators,
casual relief
teachers &
welfare team
and external
group providers

Engage parents in discussion prior to activities containing
foods.

Be aware of the possibility of hidden allergen potential in
food and food packaging (e.g. egg or milk cartons, empty
peanuts butter jars).

Allocated workspace for each lesson that is thoroughly
cleaned and wiped down at the end of each lesson.

Cross contamination from previous classes, e.g. science
room/peanut oil. Food and lab technicians to ensure all
allergens removed prior to student’s attendance.

Engage parents in discussion prior to activities containing
foods.

Be aware of the possibility of hidden allergen potential in
food and food packaging (e.g. Egg and yogurt cartons
used for paint pots etc.)

Activities such as face painting or mask making (when
moulded on the face of the child),are discussed with
parents prior to the event, as products used may contain
food allergens such as peanut, tree nut, milk or egg.

Care to be taken with sculpting materials and paints to.
Check that nut oils have not been used in manufacture.

Discuss options with parents at all times.

Music teacher to be aware, there should be no sharing of
wind instruments, e.g. recorders.

Parents are encouraged to provide students own
instrument.
All educators at school will be informed of the identities of
children at risk of anaphylaxis and will be made aware of the
ASCIA Action Plans & Individual Anaphylaxis Management
Plans.
A designated staff member will inform casual relief teachers
and specialist teachers of students at risk of anaphylaxis, the
preventive strategies in place and the school’s emergency
procedures. Provide casual relief teachers with a procedure
sheet and a copy of the student’s ASCIA Action Plan for
Anaphylaxis and a copy of the student’s Individual
Management Plan.
Casual staff who have not received training in anaphylaxis
management and emergency treatment will need to be
considered when allocated a class with a child at risk of
anaphylaxis and if this teacher is on yard duty.
Suggestions for CRT management in school:
• Casual staff, who work at school will be invited to be
Science
Teachers
and Lab
Technician/i
ncluding
relief
teachers.
Art
Teacher/inc
luding relief
teachers
Music
Teacher/inc
luding relief
teachers.
First Aid,
Coordinator
Daily
Organiser.
included in anaphylaxis training sessions to increase the
likelihood that they recognise an allergic reaction and know
how to administer the adrenaline auto injector.
• First Aid coordinator and Secondary School Nurse have
interim educational tools such as auto injector training
devices and DVDs available to all staff who wish to
familiarise themselves further in between training.
•
•
PE Classes
•
Staff may discuss with parents/carers of students whose
allergy is to insects in regard to wearing long sleave
garments when participating in outdoor PE activities.
•
Encourage students who are anaphylactic to insects to
stay away from water and flowering plants during outdoor
activities.
Yard Duty
Students with Anaphylaxis will be excused from Yard duty
and non-rubbish collecting duties allocated instead.
The school will have sufficient staff on duty trained in the
administration of a EpiPen®



•

Students with anaphylactic responses to insects will be
encouraged to stay away from water and flowering plants

Staff may also liaise with parents/carers re wearing long
sleave garments when outdoors.

Staff should encourage students to keep drinks and food
covered while outdoors.
Food brought to 
school for
special event

days etc.


•
Emergency procedures will be understood by all staff and
ideally all staff will be Anaphylaxis trained.
Staff will follow the emergency procedures to be taken in
the event of an allergic reaction.
Staff will stay with the student who is experiencing the
reaction and direct another person to bring the students’
EpiPen® to them. Staff will not move the student
experiencing the reaction or leave them unattended.
School camps
Engage parents in discussion prior to events and activities
which will be using food.
School staff should avoid using food in activities/games,
including rewards.
Liaise with parents about food-related activities ahead of
time to discuss an alternative menu.
Party balloons should not be used if any student is allergic
to latex.
Parents are encouraged to organise a meeting with school
staff/camp coordinator prior to camp to discuss safety
including the following:
•
School’s emergency response procedures, roles and
responsibilities of the teachers in policing prevention
strategies and their roles and responsibilities in the event
of an anaphylactic reaction
PE Teacher
Yard duty
coordinator.
All
teachers/
First aid
staff.
Teachers/
First aid
staff.
Class
teacher or
staff
organizing
the event.
Principal,
Parents,
First aid
coordinato
r, staff
organizing
event.
•
Advice prior to camp on what foods are not allowed or
whether Parents preference is to provide all children’s food
for the duration of the camp. If this is the case, storage
and heating of food needs to be organised as well.
•
Parents are encouraged to provide two adrenaline auto
injectors to be accompanied with the Action Plan for
Anaphylaxis and any other required medications whilst the
child is on the camp. An insulated bag with anaphylaxis
and asthma medication will go with the student to the
camp and is to accompany them everywhere, e.g. in
backpack
•
Teachers attending the camp will have current anaphylaxis
training and at least one staff member will have current
Level 2 First Aid and ensure they investigate the following:
 Contacting local emergency services and hospital prior
to camp and advice that xx children in attendance at
xx location on xx date including child/ren at risk of
anaphylaxis.
 Ascertain location of closest hospital, ability of
ambulance to get to camp site area i.e. consider
locked gates etc. in remote areas.
 Confirmation of mobile phone network coverage for
standard mobile phones prior to camp. If no access
to mobile phone network, alternative needs to be
discussed and arranged.
•
•
Discussions by school staff and parents with the operators
of the camp facility should be undertaken well in advance
of camp.
Topics that need to be discussed would be:
Possibility of removal of allergens from menu for the
duration of the camp. If the camp operator cannot confirm
with the school that it is able to provide food that is safe or
that is can demonstrate sufficient awareness and
satisfactory training in the management of food allergens,
alternate camp providers will need to be considered.
•
Creation of strategies to help reduce the risk of an allergic
reaction where the allergen cannot be removed i.e. egg,
milk, wheat.
•
Awareness of cross contamination of allergens in general
i.e. during storage preparation and serving of food.
•
Games and activities should not involve the use of known
allergens.
•
Camp organisers need to consider domestic activities which
they assign to children on camp.
(Further information is outlined in publication Preparing for
Camps and Overnight School Trips with Food Allergies.
Available from Anaphylaxis Australia.)

Canteen

Parents are encouraged to visit the canteen kitchen to view Parents/first
products available and methods of preparation to discuss. aid
officer/cant

Excursions,
Sports and
Swimming
programs

Canteen Manager to be fully aware of all foods that contain een
allergens and to have reviewed the ‘Safe food Handling’ in manager
the school policy and advisory guide.

Canteen staff should demonstrate satisfactory training in
food allergen management and its implications on foodhandling practises, knowledge of the major food allergens
triggering anaphylaxis, cross-examination specific to food
allergy, label reading etc…

Canteen staff, including volunteers should be briefed about
students at risk of anaphylaxis and, where the principal
determines, have up to date training in anaphylaxis (in
accordance of clause 12.1.2 of Ministerial order 706).

The ASCIA Action plans of all students identified with
anaphylaxis, including an up to date photo, will be
displayed in the canteen area.

Be aware of the risk of cross-contamination of foods said
to be “not safe” when preparing, handling or displaying
food. For example, a tiny amount of peanut butter left on
a knife.

Gloves to be worn before and after use when handling
lunch orders of students with anaphylaxis.

Students are encouraged to write on lunch order that they
are anaphylactic to alert canteen staff.

No peanut oil/peanut butter is used or stocked in the
canteen.

Products labelled “this product contains traces of nuts”
should not be served to students allergic to peanuts/nuts.

Ensure tables and surfaces are wiped down with warm
soapy water regularly.

Teachers organising/attending excursion or sporting event
will plan an emergency response procedure prior to the
event that outlines the roles and responsibilities of
teachers attending, and their duties if an anaphylactic
reaction occurs.



Community
Leaders/Ad
visors/Desig
nated staff
member of
the
The students EpiPen® and ASCIA Action plan, as well as excursion/s
the generic use EpiPen® and a mobile phone will be taken ports or
swimming
by staff members on all school activities.
programs.
Party Balloons and swimming caps shall not be used for a
student who is allergic to latex.
Students may need to bring their own sunscreen, to avoid
any potential allergen.
Staff will also endeavour to:

Check prior to the event, that mobile phone reception is
available and if not, consider other form of emergency
communication i.e. walkie talkie.

Consider increased supervision depending on size of
excursion/sporting event i.e. if students are split into
groups at large venue e.g. zoo, or at large sports venue for
sports carnival.
•
•
School Bus

Ensure the EpiPen®’s are signed in and out of the
EpiPen® excursion log.

Ensure the EpiPen®’s are stored correctly (at room
temperature and away from light) in an unlocked, easily
accessible place.

Discourage eating on buses (which increases likelihood of
exposure to allergen).

Check if excursion includes a food related activity, if so
discuss with parent.

Ensure that all teachers are aware of the location of the
emergency medical kit containing the EpiPen®.

Have first aid stations at athletic days
•
Parent/carers will be involved in discussions with the
school and encouraged to discuss safety strategies with
the bus company, including the emergency medication and
responses for anaphylaxis prior to the students travelling
on the bus.
•
Student encouraged to carry their home epipen on them or
in their bags during transit between school and home.
Overseas Travel •
•
•
Maintenance of
epipens
•
Parent/carers will be involved in discussions well in
advance of the excursion, with the school. They will
discuss safety strategies with the staff member, including
the emergency medication and responses for anaphylaxis.
It could require the lengthy process of translating names of
allergens, emergency information and the students ASCIA
Action plan.
All individual student epipens and school generic epipens
are stored correctly - away from light, at room
temperature, and easily accessible (unlocked)
•
All individual student epipens are stored in the first aid
room clearly labelled & distinguishable from those of the
other students, with a copy of the ASCIA action plan and
individual management plan.
•
Generic epipens will be stored in:
Katyil Learning Community.
Wannop Learning Community.
Kappen Learning Community
Merrin Learning Community.
General Office – First Aid.
•
All Generic epipens in each Learning Community & General
Office are stored in a clear plastic container labelled
EPIPEN in the Learning Community Leader’s office.
•
All epipens will be signed in and out when taken from its
usual place.
Principal
and First
aid
coordinat
or.
Parents.
Parents
and staff
organizin
g
overseas
trip.
First Aid
Officer/Pr
incipal/N
ominated
staff
member/
Learning
communi
ty
Leaders.
•
All school epipens will be checked at the end of each term
to ensure they are not out of date, and solution is clear
(not cloudy or changed in colour).
•
All individual student epipens are checked at the end of
each term and parents notified one month prior to expiry
to arrange for new epipen to be brought to the school.
•
All individual students’ epipens and generic epipens details
(expiry date etc…) is stored on the EpiClub website to
notify the First Aid Office of the impending expiry date.
The schools generic epipen will be used when;
A students prescribed epipen does not work, is misplaced,
out of date, has already been used or is not readily
accessible during a life-threatening emergency
• Where a student is having a first time reaction
• When instructed by a medical officer after calling 000
This Individual Anaphylaxis Management Plan will be reviewed on any of the following occurrences (whichever
happen earlier):
• Annually;
• If the student's medical condition, insofar as it relates to allergy and the potential for anaphylactic reaction,
changes ;
• As soon as practicable after the student has an anaphylactic reaction at School; and
• When the student is to participate in an off-site activity, such as camps and excursions, or at special events
conducted, organised or attended by the School (e.g. class parties, elective subjects, cultural days, fetes,
incursions).
I have been consulted in the development of this Individual Anaphylaxis Management Plan.
•
I consent to the risk minimisation strategies proposed.
Risk minimisation strategies are available at Chapter 8 - Prevention Strategies of the Anaphylaxis Guidelines
Signature of Parent
Date
I have consulted the Parents of the students and the relevant School Staff who will be involved in the
implementation of this Individual Anaphylaxis Management Plan.
Signature of Principal (or nominee)
Date