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Schools Appendix Category

A.M.E.S. Booklet

Section I. Introduction  (modified 03-14-2005)
How to Use This Guide
Members of the 2004 Task Force
Members 2001 Task Force
Medical Task Force 2004
Section II. Asthma Basics  (modified 01-20-2005)
Overview of Asthma
Why do I need to know about asthma?
What is asthma?
What happens during an "asthma attack"?
What are the early warning signs and symptoms of an asthma attack in a student who is known to have asthma?
Possible Early Warning Signs and Symptoms
Possible Asthma Attack Signs and Symptoms
Call 911 for the following signs and symptoms
What Causes an Asthma Attack?
Managing Asthma
General Notes on Common Asthma Medications
How are asthma medications given?
What is a peak flow meter and how is it used?
Section III. Working with Parents and Students to Manage the Student's Asthma at School  (modified 01-20-2005)
What should be done before school begins?
What should be done when the school nurse is aware that a student has asthma?
What state and federal regulations assist in caring for the student with asthma?
What if non-routine asthma medications are given at school?
Delegation of care by registered nurses in schools
Who can monitor or give medications to students at school?
Monitoring- Peak Flow Measurements
Medication Administration- Nebulized Medications
Delivery
Medication Administration- Metered Dose Inhalers
Self Administration of Medications
Personnel Guidelines for Care of Children with Asthma in Schools
Section IV. Creating a Safe and Supportive School Environment for the Student with Asthma  (modified 01-20-2005)
What should school personnel know about students who have asthma?
What should I do if a student is having an asthma attack?
Are there any confidentiality issues related to asthma care plans?
What are concerns related to physical activity for the student who has asthma?
How can exercise-induced symptoms be prevented?
What are special concerns related to field trips or camp?
What are special concerns for bus drivers and playground supervisors?
How can a school improve the environment for students with asthma?
How can indoor air quality (IAQ) in schools be improved?
Ways to Manage Asthma Triggers in the School Environment
Section V. Resources and Links  (modified 01-20-2005)
Asthma Related Web-Sites
Section VI. Appendices by Alphabet  Appendices by Category

 

Ames Manual (MS Word Version without Appendices) (modified 02-02-2005)

 

Appendices by Category

Asthma Forms

Appendix A.1 Individual Emergency Medical Plan (IEMP) (modified 01-04-2005)
Individual Emergency Medical Plan (IEMP)  (MS Word Version) (modified 01-04-2005)
Appendix A.2 Asthma - Emergency Care Plan  (modified 01-04-2005)
Appendix A.3 Asthma History Update  (modified 01-04-2005)
Asthma History Update  (MS Word Version) (modified 01-04-2005)
Appendix A.4 General Asthma Cover Sheet   (modified 01-04-2005)
Appendix F Peak Flow Record   (modified 01-04-2005)
Appendix J Asthma Management Plans
American Lung Association® of Washington's Plans
Allies Against Asthma: King County's Plans
Children's Hospital and Regional Medical Center's Plans
Washington State's DSHS Asthma Medicine's Plans
Snohomish County
Appendix K Authorization for Administration of Oral Medications   (modified 01-04-2005)
Appendix M Authorization for Exchange of Medical Information   (modified 01-04-2005)
Appendix N.1 Parent Notice of Non-Routine Medication Administration   (modified 01-04-2005)
Appendix N.2 Agreement of Exemption - For Self-administration and Carrying of Medication   (modified 01-04-2005)
Appendix R Is The Asthma Plan Working?   (modified 01-04-2005)

Health Room Tools

Appendix G Asthma Checklist for School Nurses   (modified 01-04-2005)
I. Planning for Care before School Begins
II. Assigning Level of Care
III. Self Administration of Oral Medications
IV. Promoting Independence in the Student's Self Management
Appendix H Asthma Severity Assessment   (modified 01-20-2005)
Appendix H.2 Recommendations of Asthma Classification  (modified 01-04-2005)
These recommendations are for use by clinicians to communicate levels of severity with school personnel for the purpose of designating whether a child has life-threatening asthma.
Appendix P.1 Management of an Acute Asthma episode in the School   (modified 01-04-2005)
Appendix P.2 Asthma Attack Signs and Symptoms   (modified 01-04-2005)
Appendix P.3 Parent or Student Reported Signs and Symptoms   (modified 01-04-2005)
Appendix P.4 Asthma Management for Classroom Teachers   (modified 01-11-2005)
Appendix X Normal Lung Diagram   (modified 01-04-2005)
Appendix Y.1 How Asthma-Friendly Is Your School? - School Asthma Needs Assessment   (modified 01-20-2005)
Appendix Y.2 American Lung Association®'s Asthma-Friendly Schools Initiative   (modified 01-20-2005)
Appendix AA.1 - AA.2
Appendix AC.1 - AC.3 Idaho Daycare Indoor Air Quality Training:

Asthma Education Parents

Appendix S Appendix S.1 - What is Asthma? (English)   (modified 01-04-2005)
What causes asthma?
What happens when I have an asthma attack?
What should I do when I have an asthma attack?
What do I tell other kids about my asthma?
Remember these things
Appendix S.2 - The Nebulizer (English)   (modified 01-04-2005)
What is a nebulizer?
Why do I need it?
How do I use it?
What can I do while I'm using the nebulizer?
Cleaning the Nebulizer
Why should I clean the nebulizer?
How often should I clean it?
What do I do if I have cleaned my nebulizer and the tubing is still wet?
Appendix S.3 - Peak Flow Meters (English)   (modified 01-04-2005)
What is a peak flow meter?
Why do I need it?
How do I use it?
Check you peak flow numbers two times every day for at least two weeks. Here's how:
How do I remember that?
What happens after two weeks?
Figure out your green zone
What about your yellow zone?
Figure out your red zone
Figure out your yellow zone
What do I do with my scores?
Appendix S.4 - Asthma Triggers (English)   (modified 01-04-2005)
What are asthma triggers?
What are some triggers of asthma attacks?
Why is it good to know my asthma triggers?
What are my asthma triggers?
Sometimes it's hard to avoid my triggers
Appendix T Appendix T.1 ¿Qué es Asma? (Spanish)   (modified 01-04-2005)
¿Qué causa el asma?
¿Qué pasa cuando tengo un ataque de asma?
¿Qué debo hacer cuando estoy teniendo un ataque de asma?
¿Qué les digo a otros niños acerca de mi asma?
Recuerda esto:
Appendix T.2: El Nebulizador (Spanish)   (modified 01-14-2005)
¿Qué es un nebulizador?
¿Por qué lo necesito?
¿Cómo lo uso?
¿Qué puedo hacer mientras estoy usando el nebulizador?
Limpiando el Nebulizador
¿Por qué debo limpiar el nebulizador?
¿Cada cuándo debo limpiarlo?
¿Qué hago si ya limpié mi nebulizador y el tubo todavía está mojado?
Appendix T.3: Medidores de Flujo Máximo (Spanish)   (modified 01-14-2005)
¿Qué es un medidor de flujo máximo?
¿Por qué lo necesito?
¿Cómo lo uso?
Comprueba tus resultados de flujo máximo dos veces al día durante dos semanas por los menos. Enseguida se te indica cómo:

¿Qué pasa después de dos semanas?

Calcula tu zona verde
¿Y en cuanto a tu zona amarilla?
Calcula tu zona roja
Calcula tu zona amarilla
¿Qué hago con mis puntuaciones?
Appendix T.4: Provocantes del Asma (Spanish)   (modified 01-04-2005)
¿Qué son los provocantes?
¿Cuáles son algunos provocantes de ataques de asma?
¿Por qué es bueno saber cuáles son mis provocantes de asma?
¿Cuáles son mis provocantes de asma?
Algunas veces es difícil evitar mis provocantes
Appendix O Living with Asthma   (modified 01-04-2005)
Self Care
Improving Indoor Air Quality at Home
Dust and Dust Mite Control
Animal Dander
Secondhand Smoke
Mold
Appendix Q.1 Managing Asthma at School: Tips for Parents   (modified 01-04-2005)
Preparation before school starts
Taking medications at school- the current rules
Your Child's/Teen's Rights at School
Medical Confidentiality
Appendix Q.2 Questions and Answers about Asthma Care at School   (modified 01-04-2005)
How can I help my child be prepared for asthma at school?
What do I need to do if my child/teen needs to take asthma medicine at school?
What do I do if I feel that my child's needs are not being met at school?
When should I keep my child home from school because of asthma?
When is it ok to send my child to preschool?
Appendix W.1 Reducing Triggers of Asthma Around the House   (modified 01-04-2005)
General tips to reduce allergens and irritants
Pets Cockroaches Mold Dust and dust mites Pollen and outdoor air quality Smoke and other irritants Cold air Food Other Tips
Appendix W.2 Trigger Checklist   (modified 01-04-2005)
General questions: Determine if your asthma symptoms are worse Check the ones that seem to make you sick
Appendix Z.1 - Z.5 Oregon Asthma Resource Bank:

School Staff

Appendix P.2 Asthma Attack Signs and Symptoms   (modified 01-04-2005)
Appendix P.4 Asthma Management for Classroom Teachers   (modified 01-11-2005)
Appendix AD.1 - AD.2 Swimming Coach/PE Teachers Guidelines:

Custodians

Appendix B.1 Minimizing Triggers in the School Environment   (modified 01-04-2005)
Control Animal Allergens
Control Cockroach and Rodent Allergens
Clean Up Mold and Control Moisture
Eliminate Secondhand Smoke Exposure
Reduce Exposure to Dust Mites
Reduce Volatile Organic Compound (VOC) Exposure
Appendix B.2 Information for Custodial Staff   (modified 01-04-2005)
Appendix B.3 Mold Remedation in Schools & Commercial Building (EPA) (modified 06-29-2005) 
Appendix U School Environmental Health and Safety Program   (modified 01-04-2005)
Appendix AA.1 - AA.2
Appendix AC.1 - AC.3 Idaho Daycare Indoor Air Quality Training:

Legal Resources

Appendix I.1 New WA Law on Student Self-Carry/Self-Administration of Asthma or Anaphylaxis Medications   (modified 06-24-2005)
Appendix I.2 Legal Resources Appendix   (modified 01-04-2005)
A.M.E.S. Manual
  1. Nursing Options- Legal Resources Appendix
    2.   Student Self-Administration of Medication OSPI Medication
      Bulletin no.34.01
      Life Threatening Bulletin no.61-01 Lats September 2002
  2. Definitions
    3.   HIPAA
      FERPA
      Home/Hospital Instruction WAC 392-172-218
      House Bill 2821 Biodiesel Bill, July 2004
      Integrated Pest Management Bill (IPM) RCW 17.21.415, 2001
      IDEA Individuals with Disabilities Act
      504
  3. Emergency Rules- WAC 180-38
    4.   WAC 180-38-005 Purpose and Authority
      WAC 180-38-020 Definitions
  4. Related Nurse Practice Act RCWs and WACs
    5.   RCW 18.79.040 Registered Nursing- Practiced Defined
      RCW 18.79.260 Registered Nurse- Activities Allowed
      WAC 246-840-01 Definitions
      WAC 246-840-700 Standards for Nursing Conduct
      WAC 246-840-71 Violations of Standards
  5. Levels of Nursing Care for Student Diseases and Conditions: Severity Coding
    6.   Level A: Nursing Dependent
      Level B: Medically Fragile
      Level C: Medically Complex
        Staffing requirements
        Statutory Authority
      Level D: Health Concerns
        Staffing Requirements
        Statutory Authority
        Social/Emotional Factors, Comorbidity
        Transportation
Appendix AB American Association of School Administrators:

Medication List and Devices

Appendix C.1 Nebulizing Aerosol Medicines   (modified 01-04-2005)
Appendix C.2 Taking Asthma Medications - MDI   (modified 01-10-2005)
Appendix D.1 Taking Asthma Medications - MDI with Spacer   (modified 01-10-2005)
Appendix D.2 Taking Asthma Medications - Spacer with Mask   (modified 01-10-2005)
Appendix E Peak Flow Meters   (modified 01-04-2005)
Appendix V Understanding Asthma Medications   (modified 01-04-2005)
Long-Term Control Medications Used to Treat Asthma
Inhaled corticosteroids
Long-acting b2-agonists
Leukotriene modifiers
Oral corticosteroids
Cromolyn Sodium/Nedocromil Sodium
Methylzanthines (theophylline)
Quick-relief Medications Used to Treat Asthma
Short-acting b2-agonists
Oral (systemic) corticosteroids
Anticholinergics (ipratropium bromide)
Over-the-Counter Medications
Appendix V.2 Understanding Asthma Medications: Commonly Used Inhalers   (modified 01-20-2005)

DISCLAIMER

Information in the Asthma Management in Educational Settings (AMES) notebook is provided as a courtesy by Children's Hospital and Regional Medical Center (CHRMC) and the American Lung Association® of Washington (ALAW) and their related organizations and is not intended to replace clinical judgment or individualized consultation with medical care providers. Persons accessing this information assume full responsibility for its use and understand and agree that CHRMC and the ALAW are not responsible or liable for any claim, loss or damage arising from use of the information. References to specific products, processes, resources, websites, or services do not constitute or imply recommendation or endorsement by CHRMC or ALAW. The views and opinions of the document authors do not necessarily state or reflect those of CHRMC or ALAW. The authors have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor CHRMC nor ALAW nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from the use of such information. Readers are encouraged to confirm the information contained herein with other sources.

May 2004

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