Sample Allergy Action Plan

Allergy Action Plan

Allergy Action Plan Template

For anyone managing Anaphylaxis, the following organisations in relevant locations have published sample Anaphylaxis Action Plans

 

Ireland

Managing Chronic Health Conditions in Schools

Is an invaluable resource pack for schools produced in association with Anaphylaxis Ireland, The Asthma Society of Ireland, Diabetes Ireland and Brainwave. It covers the management of Anaphylaxis and other chronic health conditions in schools and includes a Sample Anaphylaxis emergency plan for Anapen and Jext users. It is available here

Managing Chronic Health Conditions at School (download pdf)

There is also a sample action plan on managing and an allergic reaction from IFAN available at link below

http://ifan.ie/wp-content/uploads/2013/06/Safety-Plan.pdf

 

United Kingdom

For users of EpiPen®, Jext® or Emerade® you can access sample plans below from the British Society for Allergy & Clinical Immunology. There is also a link to a generic plan for those assessed as not needing an adrenaline auto injector

BSACI allergy action plan: http://www.bsaci.org/about/download-paediatric-allergy-action-plans?EID=38113711&CID=6242144

 

USA

For users of EpiPen®, Auvi Q® or Impax  you can access sample plans below from FARE

https://www.foodallergy.org/sites/default/files/2018-06/emergency-care-plan.pdf

 

Australia

For users of EpiPen®  you can access sample plans below from ASCIA

https://www.allergy.org.au/health-professionals/ascia-plans-action-and-treatment

All plans should be reviewed by your allergy consultant or healthcare professional 

Disclaimer:

“The information provided on this website is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis or treatment. Allergy Lifestyle Limited (t/a Allergy Lifestyle) uses reasonable endeavours to check the accuracy of information provided however no warranty is given that they are error-free. The user accepts that changes are made to protocols periodically and that the user shall be solely and absolutely responsible for using and administering any medication”.

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