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Writer's picturekelly young

Back to School: Managing Food Allergies with Confidence and EpiPens in Hand

It’s back-to-school season! For many families, that means school supplies, new routines, and excitement about the year ahead. But for parents of children with food allergies, it also means extra preparation to ensure their child’s safety in an environment where food is everywhere. With the right approach, managing food allergies at school can be smooth, stress-free, and even fun. Here’s how to keep your child safe while helping them enjoy every moment of the school year—with an EpiPen always at the ready!


Step 1: Team Up with the School


Start the year off strong by creating a support team at your child’s school. Meet with the teacher, school nurse, and cafeteria staff to explain your child’s allergies, outline any concerns, and review their allergy action plan. Use this opportunity to build a partnership so the school knows exactly how to help your child thrive.


Pro Tip: Personalize your child’s allergy action plan! Turn it into a colorful, easy-to-read document that includes photos, emergency contacts, and symptoms to watch for. Not only does this make it more engaging, but it also ensures that teachers and staff can quickly reference it if needed.


Step 2: Make EpiPen Safety a Priority


An EpiPen is a critical tool in managing severe allergic reactions, and making sure your child feels confident in using it can be empowering. At home, practice with an EpiPen trainer so they understand the process and can calmly explain how it works. You can even turn it into a game to help them feel more comfortable.


Key EpiPen Tips:

  • Always Accessible: Make sure your child’s EpiPen is kept in an easy-to-reach place at school—whether that’s in their backpack, with their teacher, or in the nurse’s office.

  • Double Up: Provide the school with at least two EpiPens—one for the classroom and one for the nurse’s office or other key locations.

  • Train the Team: Ensure that teachers, staff, and even after-school activity leaders know how to use the EpiPen and recognize the signs of an allergic reaction.


Using an EpiPen:


Using an EpiPen is simple, but it’s important to understand the correct steps, especially in the case of a severe allergic reaction (anaphylaxis). Here's a step-by-step guide on how to use an EpiPen:


1. Recognize the Signs of Anaphylaxis

Before using an EpiPen, ensure that your child or the person experiencing the allergic reaction is showing symptoms of anaphylaxis, such as:

  • Swelling of the face, lips, or throat

  • Difficulty breathing or wheezing

  • Rapid heartbeat

  • Hives or rash

  • Dizziness or fainting


2. Remove the EpiPen from Its Case

  • Open the carrying case and remove the EpiPen.

  • Hold the EpiPen with the orange tip pointing downward (the side with the needle).


3. Remove the Blue Safety Cap

  • With your dominant hand, firmly grip the EpiPen.

  • Use your other hand to pull off the blue safety cap at the top. This will "unlock" the EpiPen and get it ready to use.


4. Position the EpiPen

  • Aim the orange tip (the side with the needle) toward the outer middle thigh. You can administer the EpiPen through clothing if necessary.

  • Hold the EpiPen about 2 inches away from the thigh.


5. Inject the EpiPen

  • Firmly push the orange tip into the outer thigh until you hear a click. This indicates that the needle has been released and the epinephrine is being injected.

  • Hold the EpiPen in place for 3 seconds to ensure the full dose is delivered.


6. Remove the EpiPen

  • After the 3 seconds, remove the EpiPen from the thigh.

  • The orange needle cover will automatically extend to cover the needle.


7. Massage the Injection Area

  • Lightly massage the injection site for about 10 seconds to help the medicine absorb into the body.


8. Call 911 or Emergency Services

  • After using the EpiPen, immediately call 911 or go to the nearest emergency room. The effects of the EpiPen are temporary, and additional medical care may be needed.

  • Bring the used EpiPen with you to the hospital.


9. Monitor for Symptoms

  • Watch the person carefully in case symptoms return. If they do, a second EpiPen injection may be necessary (typically after 5-15 minutes)


Important Tips:

  • Do not hesitate: If in doubt, use the EpiPen. The risks of not using it during a severe allergic reaction are far greater than any side effects from using it unnecessarily.

  • Always carry two EpiPens: Some reactions may require a second dose, so having a backup EpiPen is essential.

  • Learn the signs of anaphylaxis: Early recognition can save lives, so make sure caregivers, teachers, and family members are educated on what to look for.


Regularly practice with an EpiPen trainer to stay confident in using one during an emergency.


Step 3: Teach Your Child to Be an Allergy Advocate


Helping your child take charge of their food allergies is a game-changer. Teach them how to politely ask about ingredients, avoid unknown foods, and recognize when they’re having a reaction. You can practice these scenarios at home through role-playing or quizzes, making it fun while reinforcing important safety skills.


For older children, consider creating an “Allergy Action Kit” that includes their EpiPen, antihistamines, and an allergy alert bracelet. Personalizing the kit with their favorite colors or characters can make it something they’re proud to carry with them.


Step 4: Allergy-Friendly Fun with Food


Class parties, field trips, and lunch periods can be tricky for children with food allergies, but with a little planning, they can be fun and inclusive. Send allergy-safe snacks for your child to enjoy, and consider sharing some with the class to reduce risks and make sure your child doesn’t feel left out.


Food Fun Tip: Collaborate with teachers on allergy-friendly classroom celebrations. You can introduce fun, creative ways to celebrate that don’t involve food—like themed crafts or games. If food is part of the event, provide safe, delicious alternatives that everyone can enjoy!


Step 5: Spread Allergy Awareness

Help your child’s classmates and teachers become allergy allies by organizing an Allergy Awareness Day or event. Kids love learning through hands-on activities, and a fun, informative session can help the entire class understand the importance of keeping certain foods out of the classroom.


Ideas for Allergy Awareness:

  • Create a fun poster together that highlights common allergens and shows how easy it is to be mindful of classmates’ needs.

  • Host a “No-Nut Day” or an allergy-friendly cooking demo to help others become more aware of allergen-free foods.

  • Encourage older students to lead a presentation on food allergy safety, giving your child the chance to shine as a leader in their school community.


Navigating food allergies during the school year doesn’t have to be overwhelming. With a clear plan, an empowered child, and strong support from the school community, your child can focus on learning, making friends, and enjoying all the excitement that comes with a new school year. Keeping food safety fun and practical, along with knowing how to use an EpiPen, ensures your child will not just survive but thrive this school year!


Here’s to a year filled with learning, laughter, and safe, happy memories!






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