School nurses are responsible for children’s health and safety. Children who are allergic to epinephrine should receive the correct treatment. However, school nurses have to contemplate over both the medical instructions provided by the children’s health care providers and the rules and guidelines provided by school district and the American Academy of Asthma, Allergy and Immunology. While the nurses waver over the two, treatment for children are often delayed, leading to severe harms like anaphylaxis and “severe reactions with epinephrine” (Wahl et al. 2015, 97). It would help for the school nurses to be familiar with the possible treatments, including the use of EpiPens.



Wahl, Ann, Hilary Stephens, Mark Ruffo, and Amanda L. Jones. 2015. “The Evaluation of a Food Allergy and Epinephrine Autoinjector Training Program for Personnel Who Care for Children in Schools and Community Settings.” Journal of School Nursing 31, no. 2: 91-98. doi: 10.1177/1059840514526889.