Get the free Student Asthma Action Plan - Brookfield Academy - brookfieldacademy

BROOKFIELD ACADEMY Student Asthma Action Plan PARENT SECTION Students Name: D.O.B. Grade Emergency Contact Phone numbers Licensed Prescriber Phone numbers LICENSED PRESCRIBER SECTIONMEDICAL TREATMENT

How to fill out student asthma action plan

How to fill out a student asthma action plan:

1. Start by gathering all necessary information about the student's asthma condition. This includes their medical history, any known triggers, medications they are currently taking, and emergency contact information.
2. Meet with the student's healthcare provider or school nurse to go through the action plan template. They will provide guidance on how to fill out the plan correctly and tailor it to the specific needs of the student.
3. Begin by filling out the basic information section of the asthma action plan. This includes the student's name, date of birth, grade level, and contact information for both the student and their parent or guardian.
4. Move on to the emergency contact section of the plan. List the name, phone number, and relationship of the person who should be contacted in case of an asthma emergency.
5. Fill out the student's medical history section. This should include any past hospitalizations, surgeries, or significant asthma-related events. Also, note any allergies or other medical conditions that may impact the management of the student's asthma.
6. Next, list the student's current asthma medications. Include the names of the medications, dosage instructions, and any specific times they need to be taken. It's important to update this section regularly as medications may change over time.
7. Work with the healthcare provider or school nurse to identify the student's asthma triggers. This could be exercise, pollen, smoke, or other environmental factors. Note these triggers in the appropriate section of the action plan.
8. Determine the student's asthma severity level. This level is typically categorized as intermittent, mild persistent, moderate persistent, or severe persistent. The severity level will help guide the appropriate management and treatment strategies for the student's asthma.
9. Collaborate with the healthcare provider or school nurse to establish an asthma action plan for both daily management and emergency situations. This plan should include step-by-step instructions on how to handle asthma symptoms, when to use medication, and when to seek medical help.
10. Review and revise the student's asthma action plan regularly, especially if there are any changes in the student's condition or medications. It's important to keep the plan up to date to ensure the most effective management of the student's asthma.

Who needs a student asthma action plan?

1. Students with diagnosed asthma: Any student who has been diagnosed with asthma should have an asthma action plan in place. This helps to ensure their condition is properly managed and that everyone involved in their care understands how to handle asthma-related situations.
2. School staff and personnel: Teachers, coaches, school nurses, and other staff members who interact with students should be aware of which students have asthma action plans. This enables them to provide appropriate support and assistance during school hours or extracurricular activities.
3. Parents or guardians: It is essential for parents or guardians of students with asthma to have access to the student's asthma action plan. They should be familiar with its contents and know how to follow the instructions outlined in the plan. This allows them to advocate for their child's needs and ensure their safety both at school and at home.

Remember, an asthma action plan is a crucial tool for managing asthma effectively. By following the steps outlined above and involving the necessary individuals, students with asthma can enjoy a safer and healthier academic environment.

For pdfFiller’s FAQs

What is student asthma action plan?

A student asthma action plan is a written document prepared by medical professionals that outlines the necessary steps to manage a student's asthma in school.

Who is required to file student asthma action plan?

Students who have been diagnosed with asthma and require medication or specific treatment during school hours are required to have a student asthma action plan on file with the school.

How to fill out student asthma action plan?

To fill out a student asthma action plan, a medical professional must assess the student's asthma condition and create a personalized plan that includes information on triggers, symptoms, medication, and emergency contact information.

What is the purpose of student asthma action plan?

The purpose of a student asthma action plan is to ensure that school staff and administrators are aware of a student's asthma condition and are prepared to provide appropriate care in case of an asthma attack.

What information must be reported on student asthma action plan?

A student asthma action plan should include the student's name, emergency contact information, asthma triggers, symptoms, medication details, and step-by-step instructions on how to manage an asthma attack.

How can I send student asthma action plan to be eSigned by others?

When you're ready to share your student asthma action plan, you can swiftly email it to others and receive the eSigned document back. You may send your PDF through email, fax, text message, or USPS mail, or you can notarize it online. All of this may be done without ever leaving your account.

How do I fill out student asthma action plan using my mobile device?

You can quickly make and fill out legal forms with the help of the pdfFiller app on your phone. Complete and sign student asthma action plan and other documents on your mobile device using the application. If you want to learn more about how the PDF editor works, go to pdfFiller.com.

How do I fill out student asthma action plan on an Android device?

Use the pdfFiller app for Android to finish your student asthma action plan. The application lets you do all the things you need to do with documents, like add, edit, and remove text, sign, annotate, and more. There is nothing else you need except your smartphone and an internet connection to do this.