The challenge of making the school environment safe for children with food allergies.

An ever-increasing number of children are entering schools with life-threatening food allergies. Despite efforts of well-educated school nurses, Sampson, Mendelson, and Rosen (1992) found more children succumbed to a fatal anaphylactic shock at school than at home or another setting. The strain on the school nurse who works on the front lines in an attempt to keep these children safe is evident. Because so many schools do not have a full-time nurse, it is essential for faculty to recognize when children are having a reaction and know what emergency steps to take. The school nurse has the responsibility for devising an emergency plan for the school in the event of her absence. Disseminating general information about anaphylactic reactions and specific information about how to read a label in order to avoid an allergen is essential. Legal ramifications regarding the children's right to privacy and the right to be educated along with their peers as well as laws that protect the non-nursing professional who gives nursing care, including use of an Epi-pen, need to be explained to staff. Because parents of children with food allergies are often frightened of the dangers their children may encounter when in the school environment, they require support and affirmation.