Food Allergies: Exercise Your Plan - School Nutrition · Title: PowerPoint Presentation Author: eileen will Created Date: 7/20/2018 11:19:11 AM

© COPYRIGHT 2018 SCHOOL NUTRITION ASSOCIATION | #ANC18 | LAS VEGAS, NV


Food Allergies: Exercise Your Plan


Speaker Slide

Charlsia Fortner, MS

Food Safety Specialist

Office of Food Safety

USDA Food and Nutrition Service

Liz Dixon, MS

Education and Training

Specialist

Institute of Child Nutrition


• This session provides one (1) CEU

⎻ Key Area: Operations - 2000

⎻ Key Topic: Food Safety and Hazard Analysis and Critical

Control Point (HACCP) (2600)

Professional Standards Code

EARN

CONTINUING

EDUCATION

CREDITS


• >3 million children have a food allergy

• Food allergies for children ↑ 18% during 1997–

2007

• ≈ 4 out of 100 children have a food allergy (4 –

6% of children)

Food Allergies – Background

Food AllergyAdverse reaction to a food protein (allergen)


Caitlin Remembered Video


• Personal reflection

⎻ How did you feel?

• In groups

⎻ Share your reflection


Food AllergyTabletop Exercise


• Early release after lunch at Zinnia Glade

Elementary School

• Bus 715 has 48 excited K-5th graders

and guest riders

• Tammy: regular driver, experienced, and

conscientious

• “No eating” policy on bus

Friday, October 6, 1:47 pm Scene


Are bus drivers recognized as school

officials?

• Access to student information?

• If yes, know where documents are

kept?

• If yes, authorized to have information

in vehicle? In what form?

Friday, October 6, 1:47 pm Questions


• At first stop, students shout from back

of the bus

• Celia, a 3rd grade guest rider, in distress

⎻ Swollen face

⎻ Struggling to breathe

• Tammy stops the bus, and goes to Celia



Medical emergency training offered

to school transportation officials?

• Who provides the training?


Focus AreaTraining on food allergies


• Tammy reaches the back of the

bus

• She calls 9-1-1 from her cell

phone

• Then goes to front of bus to use

radio to call school



Procedures to handle medical

emergencies for students on

buses?


Focus AreaEmergency situations


• Celia’s condition deteriorates

⎻ More trouble breathing

⎻ Worsened swelling in face

• Tammy concerned

• Ambulance arrives

• Determines anaphylactic shock

• Administers epinephrine

• Transports Celia to the hospital



• State laws for epinephrine use?

⎻ Procedures for bus driver for allergic

reaction?

• Bus drivers/transportation aides carry

stock epinephrine?

• Training for bus drivers/transportation

aides who carry stock epinephrine?

⎻ Who conducts the training?


Focus Area

Epinephrine storage


• Tammy reassures other students

although she is shaken

• Completes her route

• Returns to the school for debrief

with manager



• Buses routinely cleaned using methods that will

remove allergens?

• Procedures for bus drivers to relay information

about emergencies to management?

⎻ Who receives the reports?


Focus AreasCleaning procedures

Communication


• After holiday, Principal Skinner visits the SN

Department with Anna, the nursing supervisor

• Celia fully recovered

• Celia is allergic to soy

• Principal and nurse need records for last week’s

menu and what food Celia purchased

• Based on school records, Celia purchased a

school prepared meal

Tuesday, October 10, 8:30 am Scene


• Documentation of Celia’s allergy?

⎻ Where is it located?

• POS records for meals/a la carte

items purchased by students?

⎻ Easily accessible by school

authorities?

⎻ Time information kept on file?

Tuesday, October 10, 8:30 am Questions

Focus AreaDocumentation


• Records show Italian chicken

was on the menu

• Suspicion of soy as ingredient

• Celia purchased Italian chicken

Tuesday, October 10, 9:15 am Scene


Procedure to identify students with

food allergies during meal service?

⎻ How often procedures and

records reviewed?

Tuesday, October 10, 9:15 am Questions

Focus AreasStandard Operating Procedures


• Cold pressed soy oil is ingredient in Italian

dressing used to marinate chicken

• SN staff regularly check incoming product

labels, but soy oil is a recent formula change

by vendor

• Ingredient change went unnoticed until this

incident

Tuesday, October 10, 2:00 pm Scene


• Staff review incoming product labels for

ingredient changes and food allergens?

⎻ Part of a SOP?

• Vendors required to provide notice of

formula changes?

Tuesday, October 10, 2:00 pm Questions

Focus AreaReading food labels


• Zinnia Glade Elementary School reviewing all SOPs

after Celia’s allergic reaction

• Include responding to emergency events in training

Conclusion

Focus AreaIs your school prepared for an emergency like this?


Food Allergy Management Plan

Prepare for food allergy emergencies

1

2

3

4

5

Ensure the daily management of food allergies in individual

children

Educate children and family members about food allergies

Provide professional development on food allergies for staff members

Create and maintain a healthy and safe educational

environment


Debrief


ICN Resources

• Face-to-face

training

• Online course

• Posters

• Fact Sheets

• Videos


USDA Resources


• USDA FNS Office of Food Safety

⎻ https://www.fns.usda.gov/ofs/food-safety

• The Institute of Child Nutrition

⎻ www.theicn.org

⎻ 800-321-3054

Contact Us!

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Documents

Food Allergies: Exercise Your Plan - School Nutrition · Title: PowerPoint Presentation Author: eileen will Created Date: 7/20/2018 11:19:11 AM