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Nurse#:___SCHOOLASTHMAPLANANDMEDICATIONORDERS3419F1Childs Name:Grade/Schoolmate allergies:BUS #:Walk/Drive PE/Sports:Day/Time/Period:Place student picture Harriet MEDICAL HISTORY: INHALER and/or EPI
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How to fill out 3419f-1 school asthma plan

01
Obtain a copy of the 3419f-1 school asthma plan form.
02
Fill out the student's personal information such as name, date of birth, grade level, and emergency contact information.
03
Record the student's asthma triggers, symptoms, and medication information.
04
Provide details on how to manage asthma while at school, including instructions for using inhalers or other medications.
05
Include emergency contact information for healthcare providers and list any additional special instructions or considerations.
06
Review and sign the completed form, ensuring all information is accurate and up to date.

Who needs 3419f-1 school asthma plan?

01
Any student with asthma who attends a school and may require assistance in managing their condition while at school.
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The 3419f-1 school asthma plan is a structured guideline that helps schools manage and support students with asthma. It includes protocols for emergency situations and outlines how to accommodate students with asthma in the school environment.
Schools and educational institutions that have students diagnosed with asthma are required to file the 3419f-1 school asthma plan.
To fill out the 3419f-1 school asthma plan, schools must gather necessary information about each student's asthma condition, including medication details, triggers, and actions to be taken in case of an asthma attack. This information is then entered into the designated form structure.
The purpose of the 3419f-1 school asthma plan is to ensure the safety and well-being of students with asthma by providing clear protocols and support strategies for school staff.
The information that must be reported on the 3419f-1 school asthma plan includes the student's name, asthma diagnosis details, emergency contact information, prescribed medications, known triggers, and steps to take during an asthma attack.
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