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Colorado Nurse Survey - 2 year follow up

Food Allergies in Schools: 2 Year Post-training Survey for School Nurses
A collaboration of Allergy Safe Kids, AllergyHome, Icahn School of Medicine at Mount Sinai and Colorado Department of Education

1. First 3 letters of your mother’s maiden name

2. Indicate the date you attended the 2015 training session:

3. Please select the choice that most accurately reflects how you feel for each of the statements

Space Cell	Very confident	Fairly confident	Somewhat confident	Not too confident	Not confident at all
How confident do you feel in your ability to manage students with life-threatening allergies?	How confident do you feel in your ability to manage students with life-threatening allergies?: Very confident	How confident do you feel in your ability to manage students with life-threatening allergies?: Fairly confident	How confident do you feel in your ability to manage students with life-threatening allergies?: Somewhat confident	How confident do you feel in your ability to manage students with life-threatening allergies?: Not too confident	How confident do you feel in your ability to manage students with life-threatening allergies?: Not confident at all
How confident do you feel in your knowledge about how to prevent exposure to food allergens?	How confident do you feel in your knowledge about how to prevent exposure to food allergens?: Very confident	How confident do you feel in your knowledge about how to prevent exposure to food allergens?: Fairly confident	How confident do you feel in your knowledge about how to prevent exposure to food allergens?: Somewhat confident	How confident do you feel in your knowledge about how to prevent exposure to food allergens?: Not too confident	How confident do you feel in your knowledge about how to prevent exposure to food allergens?: Not confident at all
How confident do you feel in your ability to recognize the symptoms of anaphylaxis (a life threatening allergic reaction)?	How confident do you feel in your ability to recognize the symptoms of anaphylaxis (a life threatening allergic reaction)?: Very confident	How confident do you feel in your ability to recognize the symptoms of anaphylaxis (a life threatening allergic reaction)?: Fairly confident	How confident do you feel in your ability to recognize the symptoms of anaphylaxis (a life threatening allergic reaction)?: Somewhat confident	How confident do you feel in your ability to recognize the symptoms of anaphylaxis (a life threatening allergic reaction)?: Not too confident	How confident do you feel in your ability to recognize the symptoms of anaphylaxis (a life threatening allergic reaction)?: Not confident at all
How confident do you feel in your ability to treat anaphylaxis (a life threatening allergic reaction)?	How confident do you feel in your ability to treat anaphylaxis (a life threatening allergic reaction)?: Very confident	How confident do you feel in your ability to treat anaphylaxis (a life threatening allergic reaction)?: Fairly confident	How confident do you feel in your ability to treat anaphylaxis (a life threatening allergic reaction)?: Somewhat confident	How confident do you feel in your ability to treat anaphylaxis (a life threatening allergic reaction)?: Not too confident	How confident do you feel in your ability to treat anaphylaxis (a life threatening allergic reaction)?: Not confident at all
How confident do you feel in your DELEGATED staff’s ability to recognize and treat anaphylaxis when you, the school nurse, are not in the building?	How confident do you feel in your DELEGATED staff’s ability to recognize and treat anaphylaxis when you, the school nurse, are not in the building?: Very confident	How confident do you feel in your DELEGATED staff’s ability to recognize and treat anaphylaxis when you, the school nurse, are not in the building?: Fairly confident	How confident do you feel in your DELEGATED staff’s ability to recognize and treat anaphylaxis when you, the school nurse, are not in the building?: Somewhat confident	How confident do you feel in your DELEGATED staff’s ability to recognize and treat anaphylaxis when you, the school nurse, are not in the building?: Not too confident	How confident do you feel in your DELEGATED staff’s ability to recognize and treat anaphylaxis when you, the school nurse, are not in the building?: Not confident at all
How confident do you feel in your DESIGNATED staff’s ability to recognize and treat anaphylaxis when you, the school nurse, are not in the building?	How confident do you feel in your DESIGNATED staff’s ability to recognize and treat anaphylaxis when you, the school nurse, are not in the building?: Very confident	How confident do you feel in your DESIGNATED staff’s ability to recognize and treat anaphylaxis when you, the school nurse, are not in the building?: Fairly confident	How confident do you feel in your DESIGNATED staff’s ability to recognize and treat anaphylaxis when you, the school nurse, are not in the building?: Somewhat confident	How confident do you feel in your DESIGNATED staff’s ability to recognize and treat anaphylaxis when you, the school nurse, are not in the building?: Not too confident	How confident do you feel in your DESIGNATED staff’s ability to recognize and treat anaphylaxis when you, the school nurse, are not in the building?: Not confident at all

4. Please select the choice that most accurately reflects how you feel for each of the statements

Space Cell	Strongly agree	Agree	Not sure	Disagree	Strongly Disagree
It is reasonable to keep allergens out of the classroom where there are students with food allergies.	It is reasonable to keep allergens out of the classroom where there are students with food allergies.: Strongly agree	It is reasonable to keep allergens out of the classroom where there are students with food allergies.: Agree	It is reasonable to keep allergens out of the classroom where there are students with food allergies.: Not sure	It is reasonable to keep allergens out of the classroom where there are students with food allergies.: Disagree	It is reasonable to keep allergens out of the classroom where there are students with food allergies.: Strongly Disagree
It is reasonable to not allow outside food (like baked goods, candy or fruit) in the classroom for celebrations or parties.	It is reasonable to not allow outside food (like baked goods, candy or fruit) in the classroom for celebrations or parties.: Strongly agree	It is reasonable to not allow outside food (like baked goods, candy or fruit) in the classroom for celebrations or parties.: Agree	It is reasonable to not allow outside food (like baked goods, candy or fruit) in the classroom for celebrations or parties.: Not sure	It is reasonable to not allow outside food (like baked goods, candy or fruit) in the classroom for celebrations or parties.: Disagree	It is reasonable to not allow outside food (like baked goods, candy or fruit) in the classroom for celebrations or parties.: Strongly Disagree
Students with food allergies are at risk of being bullied by others in school.	Students with food allergies are at risk of being bullied by others in school.: Strongly agree	Students with food allergies are at risk of being bullied by others in school.: Agree	Students with food allergies are at risk of being bullied by others in school.: Not sure	Students with food allergies are at risk of being bullied by others in school.: Disagree	Students with food allergies are at risk of being bullied by others in school.: Strongly Disagree
If you witness food allergy related bullying it is your responsibility to intervene.	If you witness food allergy related bullying it is your responsibility to intervene.: Strongly agree	If you witness food allergy related bullying it is your responsibility to intervene.: Agree	If you witness food allergy related bullying it is your responsibility to intervene.: Not sure	If you witness food allergy related bullying it is your responsibility to intervene.: Disagree	If you witness food allergy related bullying it is your responsibility to intervene.: Strongly Disagree
Yearly food allergy staff training is important.	Yearly food allergy staff training is important.: Strongly agree	Yearly food allergy staff training is important.: Agree	Yearly food allergy staff training is important.: Not sure	Yearly food allergy staff training is important.: Disagree	Yearly food allergy staff training is important.: Strongly Disagree
Food Allergies in school are an important issue	Food Allergies in school are an important issue: Strongly agree	Food Allergies in school are an important issue: Agree	Food Allergies in school are an important issue: Not sure	Food Allergies in school are an important issue: Disagree	Food Allergies in school are an important issue: Strongly Disagree
Families in your school have reasonable concerns and expectations about the management of their child with food allergies.	Families in your school have reasonable concerns and expectations about the management of their child with food allergies.: Strongly agree	Families in your school have reasonable concerns and expectations about the management of their child with food allergies.: Agree	Families in your school have reasonable concerns and expectations about the management of their child with food allergies.: Not sure	Families in your school have reasonable concerns and expectations about the management of their child with food allergies.: Disagree	Families in your school have reasonable concerns and expectations about the management of their child with food allergies.: Strongly Disagree

Please select one answer for each question

5. Which method is an effective way to clean hands of allergens?

6. Which method is an effective way to clean tables of allergens?

7. Which classroom item may be a source of a potential food allergen?

8. Which of the following sequences of actions is in an appropriate order in the event that a child with a known allergy is experiencing anaphylaxis (a life threatening allergic reaction)?

9. It is okay to wait and see if a mild anaphylactic reaction will resolve before giving epinephrine?

10. If you know a child has eaten a food safely before you don’t need to read the label again.

11. Using a sponge is a preferred method to clean the table tops in the cafeteria.

12. Which of the following would not require epinephrine?

13. Which of the following is TRUE?

14. Which of the following is TRUE?

15. Epinephrine auto injectors are given in the:

16. For students with anaphylaxis, they should be transported to the hospital by

17. When should someone be transported to the hospital by an ambulance?

18. How many times did you use an epinephrine autoinjector since last year’s Regional Workshops?

19. When do you think the next in-person food allergy training should occur at our Regional Workshops?

20. How did the food allergy training impact your management this past year? Check ALL that apply:

There was no impact
The training allowed me to better educate my staff
I encouraged my staff to use the online module for their training
I was more confident recognizing and diagnosing anaphylaxis
I did not hesitate to give an epinephrine for a severe allergic reaction
I reported all severe allergic reactions to the CDE (online)
I instructed my staff to report all severe allergic reactions to the CDE (online)

Please let us know if you have any comments about the survey or the trainings

References:
Abstract: Effectiveness of a computer module to augment the training of school staff in the management of students with food allergies
Thank you for your participation!