According to the Centers for Disease Control and Prevention, it is being reported that since 1997 there has been an increasing amount of children with food allergies. Consequently, this has led to a growing number of children having an allergic reaction in school.  School nurses are facing a dilemma of having to abide by the guidelines of their school district while some children are being given different instructions in case of an allergic reaction by their healthcare provider. Administering epinephrine is the standard protocol for school nurses however this may not be sufficient during severe allergic reactions which is worrisome (Boyce et al., 2010; Carlisle et a., 2010; Fleischer et al., 2012; Nowak-Wegrzyn, 2012b).