Throughout the United States, one of the several major challenges that school nurses have to deal with is that each school district has a distinct action plan in case of emergency, which may contradict the health care provider’s plan for a given student; this plan set by health care providers may also conflict with the American Academy of Asthma, Allergy and Immunology Guidelines, which may expose the dangerous risk of anaphylaxis if the patient is not treated in a timely manner. Recently, numerous studies have shown that the inadequate treatment of these allergic reactions with epinephrine can be a safety concern (Boyce et al., 2010; Carlisle et al., 2010; Fleischer et al., 2012; Nowak-Wegrzyn, 2021b). Due to the fact that school nurses are in the position in which they have direct communication with both parents and health care providers, they have an increased potential to keep students safe under their care (Wahl et al. 2015, 97).