The American Lung Association built this version of its asthma action plan for young children in child care. Green, yellow and red zones describe symptoms that fit small children, such as fussiness, trouble feeding, grunting and nostril flaring, and each medicine line marks whether it is taken at home, at childcare, or both. Signatures from the provider, parent and childcare staff make it the childcare's working plan.
The child's health care provider fills in severity, triggers, vaccination date, medicines and zones and signs. The parent gives permission for trained childcare staff to give the medicines and for the prescriber to communicate with them, and childcare staff sign the storage and handling section.
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My Asthma Action Plan for Home and Childcare
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Three people sign: the health care provider, who completes the medical sections; the parent or guardian, who permits trained childcare staff to give the listed medicines and allows the prescriber to discuss asthma care; and childcare staff, who acknowledge the medication storage and handling rules. Each signature line has a name, date and phone.
Staff follow the yellow and red zone instructions for quick-relief medicines based on the child's symptoms. For daily control medicines, they give only those the provider marked to take at childcare in the green zone. All medicines stay in their original labeled containers, stored out of children's reach.