Life Threatening Allergy Management

Since 2014, Maine law has allowed school administrative units (SAUs) to train unlicensed personnel in the administration of epinephrine autoinjector to students who may experience an allergic reaction to a food, insect, or other allergen for the first time at school or a school sponsored event through a collaborative practice agreement.  In addition, all schools must create and follow a life-threatening allergies protocol 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 autoinjector 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.   


National Association of School Nurses Food Allergies offers a comprehensive collection of resources that was compiled with the CDC, Food Allergy Research & Education, and the National School Boards Association to develop comprehensive guidance and resources for food allergy and anaphylaxis management in the school setting. 

Food Allergy Research and Education provides information about food allergies, including leading-edge research and treatment. 

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, RN
School Nurse Consultant
Coordinated School Health Team Leader