Life Threatening Allergy Management

Life threatening Allergy Protocol is required for all schools  which must be available on the governing body's publicly accessible website or the publicly accessible website of each school under the governing body's jurisdiction or, if those websites do not exist, make the protocol publicly available through other means as determined by the governing body. 

Collaborative Practice Agreement (Optional) this allows a school to enter a collaborative practice agreement with the school health advisor (physician, DO, PA or nurse practitioner). This agreement directs trained unlicensed school staff to “administer an epinephrine auto-injector in good faith to any student experiencing anaphylaxis during school or a school-sponsored activity.” This agreement will be in force for twelve months and must be renewed annually.   

Sample Forms & Training

Sample Collaborative Practice Agreement [Includes both Naloxone and Epinephrine] (PDF) (Word)

Epinephrine Standing Order Sample   

Food Allergy Action Plan 

Student Self-Carry Assessment

Life Threatening Allergy Protocol Sample

Training materials that can be used by school nurses.

Anaphylaxis Management Training  Pre-Test  Post-Test


National Association of School Nurses: Allergies and Anaphylaxis offers a comprehensive collection of resources developed by the Epinephrine Policies and Protocols workgroup, made up of members of NASN, the American Academy of Pediatrics as well as the National Association of State School Nurse Consultants.

Allergy Home, whose mission is to bring food allergy awareness and education to your community by providing practical teaching tools to those who care for children with food allergies. 

Center for Disease Control and Prevention (CDC) provides many resources for families and agencies as they work to create a safe and healthy educational experience for all children. You can find the Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs on their website.


Emily Poland, MPH RN, NCSN 
School Nurse Consultant
Coordinated School Health Team Leader