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Asthma Protocols

Lake Zurich Community Unit School District 95
Asthma Episode Emergency Response Protocol
 
The purpose of this document is to provide assistance to a student experiencing asthma episode symptoms of wheezing, coughing, shortness of breath, chest tightness, and/or breathing difficulty.
 
Equipment/Supplies:
  • Prescribed quick relief medication (inhalers). Many students self-carry their inhalers as allowed by Illinois law. If the asthma inhaler is not on the student, immediately summon a school staff member with access to the medication.
  • All equipment and supplies necessary for administration of asthma medication (spacer, nebulizer, etc.)
  • Student’s Asthma Action Plan (if available)
 

Condition 1

Asthma Episode
If a student exhibits any of the following signs such as wheezing, coughing, shortness of breath, chest tightness or difficulty breathing...
Action
  • Assess student for any asthma episode symptoms.
  • A student reporting the "need for my inhaler" should be given priority even in the absence of other symptoms.
  • Summon or notify the health office/school nurse of student's condition regardless of severity of symptoms and report findings.

Condition 2

Severe Asthma Episode
If the student has one or more of the following severe asthma episode symptoms:
  • Very fast or hard breathing
  • Nasal flaring
  • Skin retracting/sucking over child's neck, stomach, or ribs with breaths
  • Breathing difficulties so that they cannot walk or speak
  • Lips/nail beds appear blue
Action
Do the following in this order:
  • Call 911 immediately
  • Call school Nurse if not already present
  • Call Parent/Guardian

Condition 3

Loss of Consciousness
If student appears to lose consciousness or an ability to participate in care/self-treatment
Action
Call 911 immediately, if not already done

Condition 4

No Quick Relief Medication Available
If student has no quick relief medication...
Action
Do the following in this order:
  • Call 911 immediately
  • Call school Nurse if not already present
  • Call Parent/Guardian

Condition 5

Quick Relief Medication Available
The Student has medication and the episode is not an emergency
Action
Assess respiratory status
  • Give/assist with giving prescribed asthma quick relief medication (with delivery device) as authorized by the student's Asthma Action Plan / medical orders.
  • Stay calm, speak softly, staying with the student, observing for improvement.
  • Position student comfortably, indoors if possible.
  • Remove outerwear, if present; loosen restrictive clothing
  • Do not permit to lie down or fall asleep

Condition 6

Improvement
If improves after quick relief medication is given..
Action
Monitor student for 15-20 minutes then allow student to class and resume activity
  • Repeat quick relief medication every 10-20 minutes or as authorized in student's Asthma Action Plan, until help arrives or breathing improves.
  • Stay with student until care is transferred or student recovers.
  • Call parent/guardian or ensure that they are notified by someone.

Condition 7

No Improvement
If no improvement within 10 minutes of quick relief medication administration, if symptoms worsen, or if student develops any of the following symptoms:
  • Very fast or hard breathing
  • Nasal flaring
  • Skin retracting/sucking over child's neck, stomach, or ribs with breaths
  • Breathing difficulties so that they cannot walk or speak
  • Lips/nailbeds appear blue
Action
Call 911 immediately

Condition 8

Recording Incidents
Action
Record all incident information per district guidelines

 

 

This document was prepared with modification from the recommended document prepared by the Illinois State of Education in collaboration with the American Lung Association, Illinois Asthma Partnership, Chicago Asthma Consortium, and Illinois Association of School Administrators in compliance with Public Act 99-0843.

Health Services News

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Pertussis (Whooping Cough) Health Alert A case of pertussis (whooping cough) has been confirmed at Lake Zurich High School. Please read the attached letter.
 
 
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