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Policy 3420

Anaphylaxis Prevention And Response

Anaphylaxis is a life-threatening allergic reaction that may involve systems of the entire body.  Anaphylaxis is a medical emergency that requires immediate medical treatment and follow-up care by an allergist/immunologist.

The La Center Board of Directors expects school administrators, teachers and support staff to be informed and aware of life threatening allergic reactions (anaphylaxis) and how to deal with the resulting medical emergencies.  For students, some common life threatening allergens are peanuts, tree nuts, fish, bee or other insect stings, latex and some medications. Affected students require planned care and support during the school day and during school sponsored activities. Additionally, any student could potentially have a life threatening allergic reaction even without a history of such.

Parents/guardians are responsible for informing the school about their student’s potential risk for anaphylaxis and for ensuring the provision of ongoing health information and necessary medical supplies. The district will take reasonable measures to avoid allergens for affected students. The district will also train all staff in the awareness of anaphylaxis and prepare them to respond to emergencies. Additionally, student specific training will be provided for appropriate personnel.

Even with the district’s best efforts, staff and parents/guardians need to be aware that it is not possible to achieve a completely allergen-free environment. However, the district will take precautions to reduce the risk of a student  with a history of anaphylaxis coming into contact with the offending allergen in school.

The district will maintain at designated school locations a supply of epinephrine auto injectors based on the number of students enrolled at the school. Undesignated epinephrine auto injectors must be obtained with a prescription in the name of the school by a licensed health professional within the scope of their prescribing authority and must be accompanied by a standing order protocol for their administration.

In the event a student with a current prescription for an epinephrine auto injector on file at the school experiences an anaphylactic event, the school nurse or designated trained school personnel may use the school supply of epinephrine auto injectors to respond if the student’s supply is not immediately available. In the event a student with a current prescription for epinephrine on file with the school or a student with undiagnosed anaphylaxis experiences an anaphylactic event, the school nurse may utilize the school supply of epinephrine to respond under the standing order protocol according to RCW 28A.210.380 and RCW 28A.210.383.  

The school’s supply of epinephrine auto injectors does not negate parent/guardian responsibility to ensure that they provide the school with appropriate medication and treatment orders pursuant to RCW 28A.210.320 if their student is identified with a life-threatening allergy.

The superintendent will establish procedures to support this policy and to ensure:

  1. Rescue protocol in cases of suspected anaphylaxis will follow OSPI’s Guidelines for the Care of Students with Anaphylaxis (2009);
  2. A simple and standardized format for emergency care plans is utilized;
  3. A protocol is in place to ensure emergency care plans are current and completed
  4. Medication orders are clear and unambiguous; and
  5. Training and documentation is a priority.
  6. Each school’s supply of epinephrine auto injectors, if any, is maintained pursuant to manufacturer’s instructions and district medication policy and procedures.

Cross References:

3420 – Anaphylaxis Prevention and Response


3419 – Self-Administration of Asthma and Anaphylaxis Medications


3418 – Emergency Treatment


3416 – Medication at School




Legal References:

WAC 392-380 Public School Pupils—Immunization Requirement And Life-Threatening Health Condition


RCW 28A.210.383 Anaphylaxis — Policy guidelines — Procedures — Reports.




Management Resources:

2018 – August Issue

2013 – December Issue


2012 – August Issue


2009 – February Issue


OSPI, March 2009 Guidelines for the Care of Students with Anaphylaxis







La Center School District Adoption Date: February 26, 2019; Revised April 28, 2020