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Welcome Megan and Lily! 


I agree 100% that field trips tend to increase risk of reactions, mainly because it's "out of the routine", but also because like you mentioned--there are snacks, lunches and other environmental curveballs.  


You could always start by contacting the head of your district's health program (there is usually someone that oversees the school nurses) and ask them about their policies regarding field trips and epinephrine. 


FWIW, In our district it's standard procedure for an emergency tote to be brought on field trips by the teacher.  It has the usual first aid stuff in it, but if a child on the field trip is known to be at risk for life-threatening allergies epinephrine auto-injectors are included in the tote if the parent requests it.  However, those auto-injectors are provided by the parents of said child.  Stock epinephrine generally isn't used, mainly because the stock needs to stay back at the school to protect the hundreds of children that aren't on the field trip.  If a school wanted to purchase multiple sets of auto-injectors to stock multiple emergency totes for field trips that would be an option, but I'm guessing that most schools don't have funding for that, so financial considerations will most probably be the hurdle you'll need to help them work around somehow. 




Interesting....I hadn't thought about them taking stock epis in the emergency bag on field trips.  I'm sure there are members w/ far more knowledge about that than I have.  My suggestion would be to post your question on the School Age Kids forum.  There are a number of stickies at the top of that forum with all sorts of resources for dealing w/ schools/504 plans/etc.


Many of us have become much better cooks and would love to have you join us in the Food & Cooking forum too - we all support each other w/ creative ideas for scratch cooking and ways to recreate foods without different allergens.

One thing I could use some advice on--where to start with getting school districts to send stock epinephrine on field trips?  We're in Maryland, our county stocks schools with Epi-Pens and Epi-Pen Jrs.--but they don't go on field trips with the kids (you know, when they'd be most likely to get stung by a bee or exposed to potential allergens!).  Any ideas on how to get that ball rolling?

Thanks for the warm welcome, Kathy!  Her food allergies have been an extra challenge, because she also was diagnosed with PICA (she ate non-food items, doesn't discriminate food from non-food...which makes discriminating safe food and allergy food even more difficult!)...after LOTS of intensive therapy, that has diminished significantly, lessening my worries!

Lily was originally diagnosed at 18 months with allergies to: tree nuts/peanuts/shellfish/fish/wheat/pork/beef/eggs/dairy.  It was overwhelming and scary, but we did what we needed to do!  At 2, she was re-tested with skin tests, and her allergies were narrowed to tree nuts, shellfish, and egg (YEAH!!!).  At 3, she food challenged egg and shellfish, and passed!  After specific individual tree nut skin tests, we're narrowed to pistachio and cashew, but avoid all tree nuts.  


While it's been tough, we've found the silver linings in this journey.  We are all far more educated about food, its origin, healthy ingredients, whole foods, GMOs, artificial dyes/flavoring/sweetener; we've become much healthier, and really good cooks, as we make so much from scratch to avoid cross-contamination.  There's something good in everything!

Lily is allergic to tree nuts.  Specifically, skin tests have shown her to be allergic to cashews and pistachios.  A few months ago, she had to go to the ER after getting Epi for an anaphylactic reaction to food processed on shared equipment with tree nuts (VERY poorly labeled, on the BOTTOM of the package!)...she has a speech disorder, but has learned to say "Tree Nut Allergy" and show her AllerMates bracelet before eating!  I'm so proud of this little one!

Kids With Food Allergies
A Division of the Asthma and Allergy Foundation of America
1235 South Clark Street Suite 305, Arlington, VA 22202
Phone: 1-800-7-ASTHMA (1.800.727.8462)
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