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[quote=Anonymous][quote=Anonymous]Does she tell you that she forgets?  If you give her a final warning, do you think she will be honest if she knows it is a fireable offense?[/quote]
She's not going to have to tell her when her DD is in anaphylactic shock without an Epi-pen, waiting for EMS to arrive. 
I'm a nanny and I carry an epi-pen for myself. I'm not on to jump on the firing band wagon. However, this is a life or death situation. However, we can't guarantee your next nanny will *get it* either. People who have zero experience with serious allergies just don't get it. 
This is how I would handle it. I would get her a set of pens for her purse. I would compile some easy to understand peanut allergy information for her. If she doesn't get that she needs an epi-pen 100% of them time it's unlikely she's grasping the severity of the whole situation. I wouldn't feel confident that she understands safe foods, reading labels, cross contamination, accidental exposures, or even the early warning signs of exposure. I would take some time with just yourself and the nanny and have a *Come to Jesus* talk with her. Let her know just how serious her carelessness is. Lay it on the line. If she forgets this pen, not only will she be fired on the spot but your child could die. There is no second chances with this sort of health issue. 
If you fired her you would need to do the same sort of educational meeting with a new nanny. You might as well give her one more chance since you are happy with every other part of her performance. 
I wish you the best of luck. I don't answer these forums often but this one jumped out at me. It's been my experience (immediate anaphylactic shock with latex contact) that most people just don't get it. [/quote]

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