Anaphylaxis Risk Management Plan

Billy Johnson, 4y/o

Anaphylaxis Risk Management Plan - Billy Johnson Version No.1.0

© Compliant Learning Resources Page 1

Name of Child: Billy Johnson

Date of Birth: 5 August 2011

Hazards/Risks Recommended Control Measures Yes

Detail how this will be implemented

and any additional strategies

Equipment/

Materials

Adrenaline auto-injectors (auto-injectors) such as

Epi-pen and Anapen are stored in a safe, unlocked

and accessible, easy-to-find location.

▪ List location/s of autoinjectors:

▪ Auto-injectors are put in a

bag and labelled Billy are

kept in medication cabinet in

the Kitchen inaccessible to

children; and away from

direct sources of heat.

Auto-injectors are stored in a cool place 15-25

degrees (not below 15 degrees or a refrigerator).

Kept in the kitchen where the

temperature is always set at 22 to

24degree.

Auto-injectors and copies of ASCIA Action Plan for

Anaphylaxis (Action Plans) are located together.

A copy of Action plan is kept with the

medication in the medication cabinet or

stuck on the cabinet door.

Auto-injectors & Action Plans are labelled with

students’ names.

Auto injectors and action plans are

labelled and kept in separate bags.

Student’s Action Plans have up-to-date photos of

the students.

The photos on Action plans will be

updated every month.

Expiry dates of adrenaline auto-injectors are

checked regularly and parents informed in a timely

manner.

▪ Routinely, the service

will review each child’s

medication to ensure it

hasn’t expired. A list

will be kept in the

office and medication

will be checked once a

month when first aid

checks are done to

make sure they are in

date.

Staff members know where adrenaline autoinjectors and Action Plans are stored.

The service will ensure that the autoinjection device kit is stored in a

location that is known to all staff,

including relief staff; easily accessible

to adults (not locked away)

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