School nurses have a dilemma. When a student has an allergic reaction they can treat them with an EpiPen, but by doing so they are going against the regulations set in place for them. Nurses have methods that they believe are much more efficient and effective than the ones set in place. By carrying out their own method they are in “conflict with their current school district and the American Academy of Asthma, Allergy and Immunology guidelines.” Due to these guidelines recent studies carried out show “undertreatment of severe reactions with epinephrine”, and for this reason this dilemma needs to be solved. (Wahl et al. 2015, 97).