A nurse is caring for a 12-year-old girl with a severe peanut allergy. The girl's parents are upset because the school does not permit her to carry her EpiPen with her
It must remain in the school's office per school regulations. Which response by the nurse would be most appropriate?
A) "She is allowed by law to carry her EpiPen with her; I will talk to school authorities."
B) "Let's file an action plan and keep it in the school office in the event of anaphylaxis."
C) "Make sure she wears a medical alert bracelet so that school staff know she has allergies."
D) "I will be happy to train school authorities and staff to recognize anaphylaxis."
Ans: A
Public Law No. 108-377, the Asthmatic Schoolchildren's Treatment and Health Management Act of 2004, was passed by the U.S. Congress. This law is intended to ensure that students with severe allergies can carry prescribed medications such as an EpiPen with them at all times. The nurse must contact the school and inform them of this law so that the girl is allowed to carry her EpiPen on her person at all times. The school staff should be trained to recognize anaphylaxis, there should be an action plan on file, and the girl should wear a medical alert bracelet as well. However, the most important action is to notify school authorities of the law.
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