FIRST

1. If possible, bring student to the ESY office or move to a quiet place. A staff member needs to stay with the student until situation is resolved.
2. Determine if the student has a known allergy.
   
   • Look in the ESY bee kit (tool shed or office) to see if the student has a known bee allergy on record.
   • Call King office, 510-644-4544, to check if student has any known allergies on record.

SECOND

1. Determine if allergic reaction is SEVERE:
2. Symptoms of a SEVERE allergic reaction include:
   
   • ONE OR MORE of the following:
     
     • LUNG: Short of breath, wheeze, repetitive cough
     • HEART: Pale, blue, faint, weak pulse, dizzy, confused
     • THROAT:Tight, hoarse, trouble breathing/swallowing
     • MOUTH: Obstructive swelling (tongue and/or lips)
     • SKIN: Many hives over body
   • OR COMBINATIONS of symptoms from different body areas:
     
     • SKIN: Hives, itchy rashes, swelling (e.g., eyes, lips)
     • GUT: Vomiting, cramps, or pain
3. If a reaction is SEVERE:
   
   • If available, refer to student’s individualized allergy action plan.
   • INJECT EPI-PEN , note time of injection.
   • Call 911, tell rescue squad epinephrine was given, request ambulance with epinephrine.
   • Call the parents and inform them of the sting and treatment. e. Call the King main office and inform them of the sting and treatment.
   • If symptoms persist or recur, a second dose of epinephrine can be given 5 minutes or more after first dose.
   • For severe reaction, consider keeping student lying on back with legs raised.
   • Stay with student and calmly reassure student until emergency help arrives. Stay with student (at King, in ambulance, at hospital) until a parent arrives.
   • Look, listen and feel for breath. If student stops breathing, start CPR. j. Alert Janet, Vice Principals, and Agatha to the situation by using the walkie-talkie radio in Kyle’s office.

THIRD

1. Determine if allergic reaction is MILD:
   
   • Symptoms of a MILD allergic reaction include:
     
     • MOUTH: Itchy mouth
     • SKIN: A few hives around mouth/face, mild itch
     • GUT: Mild nausea/discomfort
     • EYES: Red, watery eyes
     • NOSE: Itchy, sneezing, runny nose
2. If reaction is MILD:
   
   • Stay with student.
   • Call parents to inform them of the mild reaction.
   • GIVE ANTIHISTAMINE if ordered by a physician.
   • Any student who receives treatment should be sent home from school for the rest of the day.
   • Alert Janet, Vice Principals, and Agatha to the situation by using the walkie-talkie radio in Kyle’s office.

FOURTH

If there is no treatment warranted, we should still monitor student for at least 2 hours as student may experience a delayed allergic reaction for up to 2 hours. Make certain that adults (the classroom teacher or, if the student is going to lunch, the Vice-Principal) supervising student for the next 2 hours are notified that the student has been stung and instruct the adults to watch for delayed symptoms of a severe allergic reaction.

FIFTH

Always follow up the next day with a phone call to the family of affected student or to the adult who was stung.

If an ADULT is stung and the reaction is SEVERE , follow instructions for EPI-PEN. If reaction is not severe, offer options of antihistamine, ice, etc.

IMPORTANT PHONE NUMBERS:

• King Main Office: (510) 644-xxxx
• ESY Main Office: (510) 558-xxxx
• ESY Kitchen Office: (510) 558-xxxx
• ESY Garden Cell: (510) 292-xxxx
• Javier Mendieta: (510) 644-xxxx
• David Gold: (510) 644-xxxx
• Leslie Stenger: (510) 644-xxxx
• Rikki Moreno: (510) 644-xxxx