Policy and Procedure for Managing Allergies, Allergic Reactions and Intolerances
At St Peter’s Nursery, we are aware that children and adults may have, or develop an allergy resulting in an allergic reaction. Our aims are to ensure allergic reactions are minimised or, where possible, prevented and that staff are fully aware of how to support a child who may be having an allergic reaction.
No nuts or seeds allowed on the premises – signage provided
Children’s packed lunches must not contain seeds or nuts. If seeds and/or nuts are found in a lunch box, they are sealed up and a note placed in the bag, warning once more that these are forbidden items. Parent/carer is also emailed.
Crackers are kept in an airtight box
Parents/carers are invited to bring in milk alternatives for their child(ren) if required – but not nut based, such as almond
· All staff are made aware of the signs and symptoms of a possible allergic reaction in case of an unknown or first reaction in a child. These may include a rash or hives, nausea, stomach pain, diarrhoea, itchy skin, runny eyes, shortness of breath, chest pain, swelling of the mouth or tongue, swelling to the airways to the lungs, wheezing and anaphylaxis
· We ask parents/carers to share all information about allergic reactions and allergies on child’s enrolment form, including intolerances.
· We share all information with all staff and keep an allergy register in the staff kitchen, posted in full view, on the upper row of cabinets. We also post notes in each of the rooms as a reminder and a list is also placed on snack trays.
· Where a child has a known allergy, the parent(s) must complete an Allergy Action Plan (Appendix A) outlining allergens and triggers, and what steps to take to relieve symptoms. The parent must also provide TWO sets of medication – one to be stored at Nursery, the other to be kept in the outings rucksack. Expiry dates must be checked termly.
· Both medication and Allergy Action Plan must be stored together in a small box, clearly labelled with the child’s name. Box to be stored in kitchen cupboard (along with first aid kits)
· Medication Administration Form (Appendix B) to be completed by staff to record who dispensed medication, dosage and times. Staff and parent to sign – copy stored at Nursery.
· All food prepared for a child with a specific allergy is prepared in an area where there is no chance of contamination and served on equipment that has not been in contact with this specific food type, e.g. nuts
· All surfaces that have been in contact with a contaminant will be “double washed; ie, washed with detergent and water followed by disinfectant spray to remove al traces.
· Nursery staff and parents/carers will work together to ensure a child with specific food allergies receives no food at nursery that may harm them.
· Seating will be monitored for children with allergies. Where deemed appropriate, staff will sit with children who have allergies.
· If a child has an allergic reaction to food, a bee or wasp sting, plant etc. a member of staff will act quickly and administer the appropriate treatment, where necessary. Medication Administered Form(Appendix B) must be completed every time medicine has been administered, to prevent overdosage.
· All members of staff received epi-pen training in September 2018, as part of their Paediatric first aid course.
Food Information Regulations 2014
From 13 December 2014, we will incorporate additional procedures in line with the Food Information Regulations 2014 (FIR).
Transporting children to hospital procedures
The Head/staff member must:
· Call for an ambulance immediately if the allergic reaction is severe. DO NOT attempt to transport the sick child in your own vehicle
· Whilst waiting for the ambulance, contact the parent(s) and arrange to meet them at the hospital
· Arrange for the most appropriate member of staff to accompany the child taking with them any relevant information such as registration forms, relevant medication sheets, medication and the child’s comforter.
· Redeploy staff if necessary to ensure there is adequate staff deployment to care for the remaining children. This may mean temporarily grouping the children together
· Inform a member of the management team immediately
· Remain calm at all times. Children who witness an incident may well be affected by it and may need lots of cuddles and reassurance. Staff may also require additional support following the accident.