Recent studies confirm the importance of school nurses, faculty, and staff properly knowing how to respond to incidences of anaphylactic shock. When dealing with younger students especially, a reaction to a previously unknown allergen may occur at any time. However, school nurses have to reconcile health care providers’ specific emergency action plan for their patients with the school standards and the “American Academy of Asthma, Allergy, and Immunology guidelines.”  The differences between the two guidelines can create confusion and lead to an inappropriate treatment for many students (Wahl et al. 2015,97).