Nut-Free Zone
Health Care Plans
Suspected Allergies
Medication Rules
Exposure Protocols
100

True or False – Nut products are allowed in the staff lounge.

False

100

Who must sign the Allergy Health Care Plan?

 The child’s physician and parent/guardian must sign the Allergy Health Care Plan.

100

What form must families complete for suspected allergies?

 Suspected Allergy Form.

100

Can a child attend if their allergy medication is expired?

 No – Children cannot attend if their allergy medication is expired.

100

What should staff do if a child has trouble breathing?

Call 911 and follow the Allergy Health Care Plan.

200

What type of nut products are allowed at Bright Horizons?

None – No nut products are allowed at Bright Horizons.

200

How often must the Allergy Health Care Plan be updated?

Annually, or whenever there is a change in the child’s condition or treatment.

200

What is the difference between a suspected allergy and a food intolerance?

An allergy involves an immune response; a food intolerance does not.

200

What must be labeled on the medication?

 Child’s name, dosage, and expiration date must be clearly labeled.

200

What is the first step if an EpiPen is administered?

Call 911 immediately.

300

What must be checked before serving any food item?

Ingredient labels and allergy lists must be checked before serving any food

300

What three things must a physician-provided plan include?

Symptoms, medication instructions, and emergency procedures.

300

If medication is prescribed for a suspected allergy, what plan is required?

An Allergy Health Care Plan is required if medication is prescribed.

300

Is a Medication Authorization form required if dosage is listed in the Allergy Health Care Plan?

 Yes – A Medication Authorization form is still required.

300

Who should be contacted after an exposure?

Parents and the Regional Manager.

400

Can food labeled “processed in a plant that processes peanuts” be served?

No – Items labeled “processed in a plant that processes peanuts” cannot be served.

400

What additional form must be signed if a physician provides their own plan?

Bright Horizons Allergy Health Care Plan must still be signed and kept on file.

400

True or False – Suspected allergies do not require documentation.

False – Documentation is required for suspected allergies.

400

What should be kept with an EpiPen if it’s not in the original box?

 A copy of the prescription label.

400

What should staff follow if an exposure occurs?

The child’s Allergy Health Care Plan.

500

Name two prohibited items that may contain nut products.

Granola bars and baked goods (e.g., cookies, muffins) – often contain hidden nut ingredients.

500

 In which state does this policy also apply to medication allergies?

 Louisiana – the policy also applies to medication allergies in this state.

500

Who is responsible for notifying the center of a suspected allergy?

The child’s parent or guardian.

500

 What must be marked on EpiPen tubes?

  • Child’s name and expiration date must be marked on the EpiPen tube.
500

What should staff do after calling 911?

Notify the parent and Regional Manager after calling 911