Implementing a Universal Emergency Response Protocol with Stock Epinephrine for Anaphylaxis in Hawaii Schools

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Wilhite, Kari

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Nursing

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Hawaii is the only state without a stock epinephrine law in place. Childhood fatalities occur during episodes of childhood anaphylaxis. Up to 20% of the episodes of childhood anaphylaxis occur at school and are the child's first occurrence for the allergy. Childhood anaphylaxis is increasing annually. Mortality and morbidity is lessened with the rapid appropriate response of epinephrine during episodes of childhood anaphylaxis. Change is necessary to include a universal emergency response program including stock epinephrine in Hawaii schools. The use of John Kotter's steps of change in organizations, gives a framework to accomplish the change needed in Hawaii. A method for legislative change and for implementing a pilot program using change theory is described in this article. The pilot program would be set up comprehensively to allow for reporting data to be sent to a central location. The analysis of the data will be used to further research and to determine the success of the pilot program. Once the pilot program has been successfully implemented and evaluated, the program can be expanded statewide.

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Hawaii Pacific University

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