School Nurses in America are currently confronted with the issue of conflicting emergency response instructions. The instructions from health care providers can be different from instructions by the American Academy of Asthma, Allergy and Immunology which can create confusion for the school nurses that may delay the response and increase the risk of anaphylaxis. According to several studies, the lack of treatment to severe reactions with epinephrine has been a safety concern. (Boyce et al., 2010; Carlisle et al., 2010; Fleischer et al., 2012; Nowak – Wegrzyn, 2012b).  The school nurses must work with parents and the healthcare providers in order to ensure the safety of the students. (Wahl et al. 2015, 97).