Allergy and Suspected Allergic Reaction Procedure

Purpose

This procedure outlines the steps to be taken where a child displays signs or symptoms of a suspected allergic reaction whilst attending nursery.

The nursery is committed to promoting the health, safety and wellbeing of all children and ensuring staff respond appropriately to suspected allergic reactions and medical emergencies, including anaphylaxis.

Signs and Symptoms of an Allergic Reaction

Symptoms may include:

  • Rash, redness or hives

  • Swelling to face, lips or eyes

  • Itching

  • Vomiting or stomach pain

  • Coughing or wheezing

  • Difficulty breathing

  • Swelling of tongue or throat

  • Pale, blue or grey skin

  • Dizziness or collapse

Staff should treat any sudden or rapidly worsening symptoms seriously.

Procedure for Suspected Mild Allergic Reaction

Where a child develops signs of a possible allergic reaction:

  • Staff will remain with and closely monitor the child.

  • Parents/carers will be contacted and informed of symptoms observed.

  • Parents/carers may be asked to collect the child and seek medical advice where appropriate.

  • The child’s condition will continue to be monitored until collected.

  • Where appropriate and in line with nursery procedures, photographic evidence may be obtained to support monitoring and communication with parents/carers or healthcare professionals.

  • Symptoms and actions taken will be recorded in line with nursery procedures.

Procedure for Suspected Anaphylaxis

Anaphylaxis is a medical emergency.

If a child displays signs of suspected anaphylaxis:

  • A member of staff will immediately call 999 and request an ambulance stating:

    “Child with suspected anaphylaxis.”

  • Parents/carers will be contacted immediately.

  • A staff member will remain with the child at all times.

  • The child will be supported into the most appropriate position depending on symptoms and breathing difficulties, in line with emergency anaphylaxis guidance.

  • If prescribed and available, an adrenaline auto injector pen will be administered by trained staff.

  • If a second prescribed auto injector is available, it may be administered after 5–15 minutes if symptoms continue and emergency services have not yet arrived.

  • Staff will continue to monitor the child until emergency services arrive.

  • A second staff member will support management of the environment and other children where possible.

Signs and Symptoms of Possible Anaphylaxis

All staff should be aware of symptoms including:

  • Swelling of throat or tongue

  • Difficulty breathing or noisy breathing

  • Wheezing or persistent coughing

  • Difficulty swallowing

  • Hoarse voice

  • Sudden tiredness or confusion

  • Dizziness, fainting or collapse

  • Pale, blue or grey skin, lips or tongue

  • Cold or clammy skin

  • Raised, swollen or itchy rash

Children Arriving at Nursery Unwell

Where a child arrives at nursery displaying symptoms suggestive of an allergic reaction or unexplained rash:

  • Staff will discuss concerns with parents/carers.

  • Parents/carers may be encouraged to seek medical advice where appropriate.

  • The nursery will assess whether the child can safely remain within the setting.

  • Decisions will be based on the child’s wellbeing, safety and ability of staff to meet the child’s needs safely.

Individual Healthcare Plans

Children with diagnosed allergies or prescribed emergency medication must have:

  • An Individual Healthcare Plan

  • Parental consent for medication administration

  • Clearly labelled medication supplied by parents/carers

  • Up-to-date emergency contact information

Relevant staff will be made aware of:

  • allergens/triggers

  • signs and symptoms

  • emergency procedures

  • medication requirements

Staff Training

  • Staff will receive awareness training regarding allergic reactions and anaphylaxis.

  • Paediatric first aid trained staff will be present within the setting at all times. 

  • Staff administering medication must receive appropriate instruction and/or training where required.

Recording and Reporting

All allergic reactions, suspected reactions and medication administration will be:

  • recorded appropriately

  • shared with parents/carers

  • reviewed by management where necessary

Procedures and risk assessments will be reviewed following:

  • incidents

  • changes in medical guidance

  • identification of new risks or needs.