School nurses in the U.S. are faced with the challenge of following strict rules, while also acting quickly and efficiently to treat children experiencing allergic reactions. Different school districts have certain rules in place that complicate the role of school nurses when administering epinephrine to school children. In addition, the American Academy of Asthma, Allergy and Immunology also have a set of guidelines that further blur the line of responsibility and authority school nurses have. Studies have shown that delaying  the administration of epinephrine increases the risk of severe, life-threatening allergic reactions, also known as anaphylaxis. Therefore, it is critical for school policy, healthcare laws, and parental consent to all be consistent and clear in the extent to which school nurses can act upon cases of allergic reactions (Wahl et. al 2015, 97).