School health and school-based care — formative SAQs

SAQ 1 (10 marks)

A parent wants a school form signed for an 8-year-old with previous peanut anaphylaxis. There is no current school emergency plan. ^[4]

1. List the essential elements of an executable school allergy/anaphylaxis plan. (4) ^[4]
2. What operational checks must you make beyond writing the letter? (3) ^{[1] [4]}
3. Outline post-incident disposition and plan review principles after adrenaline at school. (3) ^[4]

Model answer

Plan elements: allergen/trigger list; early signs; IM adrenaline first-line steps and site; second-dose thinking; positioning; emergency services activation; contacts; antihistamine only as adjunct not replacement; excursion notes. ^[4]

Operational checks: on-site in-date autoinjector access; staff training; nurse coverage reality; self-carry rules if appropriate; medical-home linkage and review date. ^{[1] [4]}

After adrenaline: continuous supervision, emergency evaluation/transfer per plan, never immediate unsupervised class return, then update plan and training gaps. ^[4]