Across the United States, school nurses have been facing a distinct issue regarding protocol having to do with allergic reactions. Certain health care providers choose to have their own emergency action plan for their patients and these may conflict with the guidelines set forth by the American Academy of Asthma, Allergy, and Immunology and the school district itself. This conflict in turn can cause a delay in treatment which contributes to added risk. Undertreatment of severe reactions has been deemed a “significant safety concern” by several recent studies. (Boyce et al., 2010; Carlisle et al., 2010; Fleischer et al., 2012; Nowak-Wegrzyn, 2012b). School nurses must work together with both healthcare providers and parents continuously to provide the greatest possible care for their students.