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School preparation for the asthmatic student
1University of New Mexico Health Science Center, Department of Emergency Medicine, Albuquerque 87131, USA. rsapien@salud.unm.edu
Summary
Many students with asthma lack emergency action plans in schools. School nurses often lack involvement and necessary equipment, impacting asthma management and student safety.
Area of Science:
- Pediatric Healthcare
- School Nursing
- Asthma Management
Background:
- Asthma is a prevalent chronic respiratory disease in children.
- Effective asthma management in schools requires clear emergency plans and appropriate equipment.
- School nurses play a critical role in managing students' asthma during school hours.
Purpose of the Study:
- To assess the availability and utilization of emergency asthma equipment and action plans in schools.
- To understand the extent of school nurses' involvement in developing and implementing these plans.
- To identify gaps in asthma emergency preparedness within the school setting.
Main Methods:
- A questionnaire-based survey was administered to school nurses.
- Data collected focused on the frequency of asthma-related visits, the presence of emergency asthma action plans, and the availability of specific equipment.
- Statistical analysis was performed on the collected data.
Main Results:
- A significant percentage of school nurses reported that a majority of students with asthma do not have a complete emergency action plan (only 20% reported 75%-100% coverage).
- 24% of nurses were unaware if students had an emergency plan, and only half had input into plan development.
- Availability of emergency equipment was limited: oxygen (16%), peak flow meters (45%), metered-dose inhalers (MDIs) (0%), and nebulizers (20%).
Conclusions:
- Many students with asthma lack adequate emergency action plans in schools.
- School nurses' involvement in asthma action plan development and the availability of essential emergency asthma equipment are insufficient.
- There is a critical need to improve asthma emergency preparedness in schools to ensure student safety and well-being.