Showing posts with label anaphylaxis policies. Show all posts
Showing posts with label anaphylaxis policies. Show all posts

2014-06-25

is KLM intercontinental somewhat accommodating?

I'd like to from anyone who has any real-world experience with KLM intercontinental to Europe.

We are flying KLM to/from Amsterdam this summer - their policy on nuts is basically: nuts everywhere.  
"On intercontinental flights, we serve a mixed nut snack in Business Class and almonds in Economy Class... We recommend asking your doctor or KLM Cares about whether you should be travelling." (from https://www.klm.com/travel/ca_en/prepare_for_travel/travel_planning/special_meals/index.htm#p1, emphasis added).  

Besides waving epipens, allergist letter and own foods through the airport, and wiping down all reachable surfaces around the kids, is there anything else we can/should do?  they suggest a medical clearance signed by doctor is necessary - can anyone attest whether it would do more help than harm?

2013-11-02

Prevention planning in elementary schools

Had a chat with my kids school principal yesterday, in part about how last year's incident could have been avoided  (I haven't posted about that incident because of investigations that were underway, and honestly, I was too angry).  She also received my suggestions well and supported my idea to help facilitate prevention planning in elementary schools.
Two things all institutions (schools, hospitals, fundraisers, etc) need to do when placing special orders for an event
  1. FAX (don't phone) special orders, and specify you want detailed ingredients and allergy information.
  2. Have your order DELIVERED (federal labelling regulations don't apply if you or someone on your behalf pick up in person). That'll make for a proper paper trail and hold the bakery/deli/etc responsible, while giving you something to review before allowing your kid to eat it.
The principal recognized the order should have been faxed, and was shocked that large orders are not covered by labelling regulations unless delivered.  These are elements that should be mandatory elements of a prevention plan.  After four years of asking for one, and last years incident, the conditions are about right to develop one.

The principal agreed, and suggested a standardized prevention plan (best practices, checklist, guidelines, etc) would help parents and principals negotiate how they can best accommodate individual students with severe food allergies in the school environment (as required under Sabrina's law and board directives). Such a standardized list would also make it easier for principals when moving between schools.

If you are a parent and willing to help develop a recommended allergy prevention plan for elementary schools, or can point me to existing materials that can be used as starting points, please leave me a comment below.

2011-07-28

anaphylaxis at daycare

Due to an unfortunate series of misunderstandings, the daycamp offered Lucas a fudgecicle (with modified milk ingredients) last Thursday.

He started vomiting (a lot, reportedly) and got a red puffy face, so they gave him benadryl (which we've told them was ok for MINOR reactions when allergens weren't actually known or suspected). They also called to inform me (but neglected to say he had milk). Since it was close to pick up time anyway, I choose to go get him to comfort him at home.

When I arrived, Lucas was flush but playing with his friends. They pulled the box out of the trash and I zoomed right in to where it said "modified milk ingredients" in the main ingredients. I whisked him off to the hospital, and ran carrying both children from the car to the ER on the hottest day on record. "Anaphylaxis" I told the nurse, ignoring the queue. I must not have been in good shape, because she asked "You or them?" Other nurses came in right away, relieved me of the kids and guided me to a gurney to recover.
Regaining composure momentarily, I was brought to see Lucas plugged in to oxygen, IV and a bunch of monitors. Again. I was out-of-my-mind furious at the daycamp for being so negligent and careless despite all our awareness-raising efforts and trust I had in the staff.
The daycamp operator listened to what I had to say, conducted a quick investigation and convened an emergency board meeting to decide what to do.
No single person was responsible for the popsicle, but his assigned instructor was the last in line and was reprimanded partly for not double-checking the ingredients, and mostly for not recognizing the severity of the reaction or troubleshooting its cause for appropriate treatment.
The center's food policy is still being discussed - there is resistance among the members as to whether they should stop serving any food at all to anyone (saving everyone from any possibility of error) or just isolate Lucas by never giving him anything.
In the short term, we had signed him up for this week and intended to have him return, but he's had a fever and has stayed home most of the time. Perhaps tomorrow, so he can enjoy the (hopefully food-free) last day of the summer camp.