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Trinitypawling.org
Trinity-Pawling School Health Center 700 Route 22 Phone 845 855-4848 Pawling, New York 12564 Fax 845 855-4851 Ema [email protected] Emergency Care Plan – Allergy School Year 2011-2012 Student Name___________________________ Birthdate ___________________________ Grade ________ Identified Allergen(s) (drug/food/environmental) ___________________________________________________ History of Asthma yes (w/ asthma, student has no higher risk of severe reaction) Contact Info:
Mother’s name _________________________ Phone (h) _______________ (w/c)________________ Father’s name _________________________ Phone (h)_______________ (w/c)_______________ Emergency contact ______________________ Phone (h)_______________ (w/c)________________
Parent signature _________________________ Date _______________ TREATMENT – To be completed by a healthcare professional If the student is e xperiencing the following symptoms, administer the indicated medication: Symptoms Give Checked Medication General: Dizziness, loss of consciousness, feeling of panic or doom, chills ……………….( ) Epinephrine ( ) Benadryl Mouth: Itching, tingling, swelling of lips, tongue, and/or mouth ………………………….( ) Epinephrine ( ) Benadryl Breathing: Shortness of breath, wheezing, congestion, coughing, tightness in throat ….( ) Epinephrine ( ) Benadryl : Nausea, vomiting, abdominal cramps, diarrhea…………………………….….( ) Epinephrine ( ) Benadryl Hives, swelling on face or extremities, rash……………………….………….( ) Epinephrine ( ) Benadryl Treatment sho uld be initiated IMMEDIATELY following exposure without waiting for symptoms to appear. Treatment sh ould be initiated only if symptoms (indicated above) appear. Epinephrine: Inject intramuscularly - Epipen, 0.3 mg Benadryl: Give __________________________________________ (dosage/route) Give __________________________________________ (medication/dosage/route) Please check one of the following: Student is capable of self-administration the following medication(s) ………………( ) Epinephrine ( ) Benadryl Student is NOT capable of self-administration the following medication(s) .…….( ) Epinephrine ( ) Benadryl Student c arries the following with him at all times………………………….…….( ) Epinephrine ( ) Benadryl Physician’ s signature ___________________________ Date _______________________________ Physician’s name (print) ________________________ Phone number ______________________ If Epi-pen is administered, call 911 immediately!
Cette année le fil rouge de l’édition est « Les Finistères… ». La notion de finistères, ou terres des bouts du monde, est forcément relative : la terre étant ronde, elle ne « finit » jamais ! Nous traiterons donc de ces lieux géographiquement éloignés de notre pays, qui font ou ont fait rêver les occidentaux à toutes les époques modernes, du XVIIè au XXIè siècle. Nous
Bundì e buin Carnevâl a duç oms, feminas e frus. Un an a l’è già pasât e come che i vi vevi prometût i soi tornât. Cun dut il cûr i vi àuguri un bon doimilesièt, ma cul gnûf governo no sin partis cul pit drèt. In veretât i stenti a crodi che a capo dal governo al seti inchiamò Romano Prodi. A lu àn sopranomenât mortadèla, ma mi par che al samei plui a una sanganèla: al meri