Anaphylaxis Risk Management Plan
Billy Johnson, 4y/o
Name of Child: Billy Johnson
Date of Birth: 5 August 2012
Detail how this will be implemented
Hazards/Risks Recommended Control Measures Yes
and any additional strategies
Equipment/Mat Adrenaline auto-injectors (auto-injectors) such as List location/s of auto-injectors:
erials Epi-pen and Anapen are stored in a safe, unlocked
and accessible, easy-to-find location. Auto injectors are kept in a box labelled
Billy and stored in the medication
cabinet in the kitchen inaccessible to
children and away from direct heat.
Auto-injectors are stored in a cool place 15-25 .Auto injectors are kept in the kitchen
degrees (not below 15 degrees or a refrigerator). where the temperature is always from
22 to 24 degrees.
Auto-injectors and copies of ASCIA Action Plan for A copy of Action Plan is kept with the
Anaphylaxis (Action Plans) are located together. medication box containing auto-
injectors in the medication cabinet and
also stuck on the cabinet door.
Auto-injectors& Action Plans are labelled with Auto injectors and the Action Plan are
students’ names. kept together in a labelled box
Student’s Action Plans have up-to-date photos of The photos on Action Plans will be
the students. updated every month.
Expiry dates of adrenaline auto-injectors are Routinely, the service will review each
checked regularly and parents informed in a timely child’s medication to ensure it hasn’t
manner. expired. A list will be kept in office and
medication will be checked once a
month when first aid checks are done
to make sure they are in date.
Staff members know where adrenaline auto- The service will ensure that the auto-
injectors and Action Plans are stored. injection device kit is stored in a
location that is known to all staff,
including relief staff; easily accessible
to adults (not locked away)
Staff members are aware of the Anaphylaxis Guidelines will be displayed in areas of
Guidelines for Queensland State Schools. prominence to ensure all practices and
procedures are followed accordingly
Students Staff members are aware of which students are at All action plans will be labelled and
risk of anaphylaxis and the actions required. have photo of the child and displayed in
the main locations,so that staff
members are aware of it.
The school has received a copy of Action Plansfor Parents will supply a copy of the
all students at risk of anaphylaxis. Medical
ManagementPlan/AnaphylaxisActi
Anaphylaxis Risk
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