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Latex Precautions at School

GUIDEANCE FOR ADMINISTRATORS AND SCHOOL NURSES:

LATEX PRECAUTIONS AT SCHOOL

Background Information:

Latex allergy is an emerging health issue believed to affect 5-10% of health care workers.   While statistics are unavailable for the prevalence of latex sensitivity or allergy in the general population, it is estimated that between 1and 6% of the general population may be affected.   Symptoms can range from mild to severe and can be potentially life-threatening.   There is no "cure" for this health condition.   Avoidance of latex-containing products is the only way to prevent a reaction.

The most common "culprits" in causing allergic reactions among latex-sensitive persons are: balloons, gloves, and condoms.

Latex precautions are not in place in all LPS building locations.   When a student or employee has a concern about latex exposure, they must notify the school nurse or building administrator.   The school nurse will assist the parent/guardian of the affected student with developing an individualized health care plan.   The building administrator will oversee modifications or accommodations in the school environment and/or the student's education plan.   Employees, and supervisors of employees, with latex concerns should contact Human Resources for assistance.

Individualized Health Care Planning for the Child with Latex Allergy:

The key components of the individualized health care plan for the individual with latex allergy or sensitivity are:

Assessment , including medical information about the student's condition, previous exposures, response to medical interventions, the student's knowledge level, self-care skills, and communication skills.

Planned Interventions including: latex identification and avoidance in the school environment; enhancing the student's own knowledge level and self-care needs with regard to latex identification and avoidance, as well as effectively communicating onset of symptoms of reaction; education of school personnel on measures to take in the event of suspected or apparent exposure; and the development and implementation of an emergency medical response plan in the event of reaction.

Completion of the Anaphylaxis/Severe Allergy Information Action Card. To be completed by parent/guardian annually.  Please turn completed form into school health office.

Information for Administrators on Establishing and Maintaining Latex Precautions at School:

School personnel should be educated about latex-containing products in school settings, and the appropriate planned response if an exposure is suspected or apparent.  

Communications for the school community of parents and families may be appropriate to make them aware that a child is (or children are) in attendance for whom latex poses a potentially severe health hazard.   The individual affected child should not be named to individuals other than school personnel unless specifically requested and consented by the parents of the student with the health concern.  

Post signs on school entries refusing receipt of balloons (except mylar type):   "Latex precautions are in place here".

Locations where latex products may commonly be found at school include: kitchens, custodial closets, athletics, art, and science labs.   Useful web resources to identify latex-containing products commonly found in schools and suitable alternates include:*** At LPS, custodians and nutrition services workers may be using latex-containing gloves unless specific precautions are in place to provide alternate products.

Only non-latex gloves and non-latex bandaids are in use in school health offices.   The School Nurse will be responsible for identifying and replacing a latex stethoscope, latex CPR mask(s), latex containing tubing and mask for emergency response to breathing emergencies in a building where latex precautions are in place.  

Parents/guardians of the student affected by latex allergy should be aware that with "latex precautions", the school will make an effort to identify latex products, remove or replace them with a non-latex substitute where feasible and reasonable, assist in helping the student learn to avoid exposure to the extent possible, and assure that qualified school personnel are available to implement planned emergency medical response in the event of exposure.  

The school cannot guarantee complete removal of latex from any environment.   The emphasis of the student's IHP is on teaching the child successful self-care and communication skills to obtain appropriate and effective assistance immediately in the event of reaction.

Key Points for Administrators, Teachers, and School Nurses:

Parents/guardians cannot and should not be assured that the district will be responsible for protecting their child from ANY or ALL potential latex exposures.

School Administrators may choose to work in their school communities to remove and replace latex products to the extent that is feasible without creating an unreasonable burden for the school.

The director of student services is, with district legal counsel, available to consult with district administrators concerning the reasonable limitations of latex precautions.

The most important assurance that must be in place for the latex-allergic child is the emergency medical response plan.   Please see the school nurse for more information.