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Managing respiratory emergencies at school: A county-wide stock inhaler program
Ashley A Lowe1, Joe K Gerald2, Conrad J Clemens3
1Department of Health Promotion Sciences, the Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, Ariz; Asthma & Airway Disease Research Center, The University of Arizona, Tucson, Ariz.
The Journal of Allergy and Clinical Immunology
|February 13, 2021
Summary
Stock inhaler programs in schools effectively manage respiratory emergencies, with high satisfaction and successful implementation. These programs increase school capacity for emergency care.
Area of Science:
- Public Health
- School Health Programs
- Emergency Medicine
Background:
- 15 states permit schools to use stock albuterol inhalers for student respiratory emergencies.
- Stock inhalers are paired with disposable holding chambers for safe administration.
Purpose of the Study:
- Evaluate implementation barriers and facilitators of a school stock inhaler program.
- Assess satisfaction levels among school health personnel with the program.
- Examine the feasibility of stock inhaler programs in K-12 schools.
Main Methods:
- Utilized the RE-AIM framework to evaluate program implementation across Pima County, Arizona schools.
- Collected data through school documentation, surveys of health personnel, and interviews.
- Employed statistical analyses including chi-square tests and Poisson hurdle regression.
Main Results:
- 229 schools (68%) participated, reaching 82% of students.
- 152 schools (66%) utilized stock inhalers for 1038 events, primarily for asthma.
- High satisfaction reported, with 83.9% of events allowing students to return to class; all schools renewed participation.
Conclusions:
- Stock inhaler programs are feasible for schools with technical assistance.
- These programs enhance schools' ability to manage respiratory emergencies safely.
- Successful implementation supports broader adoption in diverse school settings.
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