Forms
ANAPHYLAXIS EMERGENCY CARE PLAN
Anaphylaxis care plan and medication orders for students with history of anaphylaxis and prescribed epinephrine injector.
NO HISTORY OF ANAPHYLAXIS EMERGENCY CARE PLAN (ANTIHISTAMINE ONLY)
Allergy care plan and medication orders- No history of anaphylaxis. If Epinephrine has been prescribed, this plan cannot be used.
NO HISTORY OF ANAPHYLAXIS, ANTIHISTAMINE FIRST. EPINEPHRINE AVAILABLE CARE PLAN.
Allergy care plan and medication orders- Antihistamine first. Epinephrine has been prescribed as a precaution. Cannot use this plan if student has history of anaphylaxis.
ASTHMA EMERGENCY CARE PLAN
Asthma care plan and medication orders
DIABETES ORDERS FOR INJECTIONS
Diabetes care plan and medication orders for injections.
DIABETES ORDERS FOR INSULIN PUMP
Diabetes care plan and medication orders for insulin pump
MEDICATION AUTHORIZATION
Medication authorization orders for school. (One form per medication)