AAAAI designed this two-page plan for children whose asthma is managed both at home and in school. It sets green, yellow and red zone instructions, including controller medicines given at school, rescue and exercise medicine, and when to call the doctor or 911, and its second page makes it a school document: provider and parent decide on self-carry, the parent authorizes medication at school, and the school nurse records a review.
The child's asthma provider completes page 1 (severity, zones, medicines and triggers) and signs page 2 with printed name and contact information. The parent or guardian signs the medication authorization and communication consent, and the school nurse records their review.
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Asthma Action Plan for Home & School
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The plan has a checkbox for the asthma provider and parent to agree that the child may carry and self-administer their inhalers, and a separate checkbox for the school nurse to agree. Both appear on page 2, next to the provider signature and the parent's medication authorization.
Staff follow the yellow and red zone plans for rescue medicines according to symptoms. Unless otherwise noted, the only controller medicines given at school are those the provider lists as given in school in the green zone, and the parent's signature authorizes the nurse or other school staff to give them.