Asthma Policy - Heath Mount Primary School

Asthma Policy - Heath Mount Primary School

Asthma Policy Agreed by the Governing Body: Date ………………………………………… Signature ……………………………… Name ……………………………………… Position ………………………………… An electronic c...

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Asthma Policy

Agreed by the Governing Body: Date ………………………………………… Signature ……………………………… Name ……………………………………… Position …………………………………

An electronic copy of this policy can be found on the school website: www.heathmount.bham.sch.uk

Asthma Guidance for Staff working in Birmingham Schools Version 1 January 2014

Heath Mount Prmary School Asthma Policy Working together to keep our pupils happy, healthy and safe. Policy Statement This school:  Welcomes pupils with asthma and recognises their needs 

Works towards ensuring the school environment is favourable to pupils with Asthma



Expects and encourages parents/carers to give appropriate information to the school regarding their child’s asthma and to provide a prescribed reliever (blue) inhaler and spacer device (if required)



Recognises that pupils need to have immediate access to their reliever/inhaler



Will encourage and help children who have asthma to participate fully in all aspects of school life



Will access regular Asthma Awareness training for all staff

On Admission To School 

All parents/carers will be asked to complete an admission form giving full details of their child’s asthma, regular medication, emergency contact numbers, family G.P. and any relevant hospital details.



Every child with an asthma diagnosis must have a reliever inhaler (blue) available in school and a spacer device if this is normally used.

Safety And Storage Of Asthma Inhalers 

All inhaler devices need to be clearly labelled with the child’s name.

Asthma Guidance for Staff working in Birmingham Schools Version 1 January 2014



Inhalers will be kept in the classroom in red medical bags under the supervision of the class teacher



Reliever Inhalers (blue) should be easily accessible to the child



Some pupils at this age are ready to be encouraged to become selfmanaging by the end of Year 6 by carrying their own reliever inhaler and using it when needed.



If there are any concerns about the child’s inhaler technique they should be referred to the school nurse



A spare reliever (blue) inhaler clearly labelled with the child’s name needs to be kept centrally in school



Most children will not need to use their reliever (blue) inhaler on a daily basis, therefore, if the child has experienced symptoms and has needed to use their inhaler, parents/carers will be informed.



Parents/carers will always be informed if their child has an asthma attack.



If pupils leave the premises for any activity they must have their reliever (blue) inhalers with them.



Parents/carers need to check all reliever inhalers/spacer devices termly or regularly, confirming that the inhalers are in date and are full of medication.



Inhalers should not be stored where there is excessive heat or cold.

Exercise And Activity 

Pupils with asthma are encouraged to participate in P.E lessons.



Some pupils with asthma may need to use their reliever inhaler before exercising.



Reliever inhalers must be readily available at all times, including all off site activities.

Asthma Attack Asthma Guidance for Staff working in Birmingham Schools Version 1 January 2014



It is essential that all staff know how to manage a child experiencing an asthma attack.



In the event of an asthma attack school staff should follow the procedure outlined in the “Asthma Attack Flowchart” (See Annex A). This flowchart should be visibly displayed in all key areas e.g:



staff room



first aid areas



P.E. hall.

Training All staff should access asthma awareness training and receive regular updates so that they recognise and know how to manage a child having an asthma attack, when and how to call an ambulance and what to do whilst waiting for the ambulance to arrive.

Use of emergency salbutamol inhalers in school From 1st October 2014 the Human Medicines (Amendment) (No. 2) Regulations 2014 will allow schools to keep a salbutamol inhaler for use in emergencies. The inhaler can be used if the pupil’s prescribed inhaler is not available (for example, because it is broken, or empty). This change applies to all primary and secondary schools in the UK. At Heath Mount Primary we hold Salbutamol Inhalers in our Emergency Asthma Kits in school and we ensure that it will only be used by children who have the following: 1) written parental consent for use of the emergency inhaler 2)diagnosis of asthma and prescribed inhaler or 3)prescribed an inhaler as reliever medication

A child may be prescribed an inhaler for their asthma which contains an alternative reliever medication to salbutamol (such as terbutaline). The salbutamol inhaler should still be used by these children if their own inhaler is not accessible – it will still help to relieve their asthma and could save their life. Asthma Guidance for Staff working in Birmingham Schools Version 1 January 2014

We have arrangements for the supply, storage, care, and disposal of the inhaler and spacers in line with the schools policy on supporting pupils with medical conditions. Also in place will be the following: 1) Childs Health List in each classroom of children in the school that have been diagnosed with asthma or/and prescribed a reliever inhaler 2) Centrally held list of parental permission for the use of the Emergency Inhaler. (see Annex B for Emergency Asthma permission form). Consent will be updated regularly – ideally annually - to take account of changes to a child’s condition. The Emergency Asthma Kit Our emergency asthma inhaler kit includes: - a salbutamol metered dose inhaler - at least two single-use plastic spacers compatible with the inhaler - instructions on using the inhaler and spacer/plastic chamber - instructions on cleaning and storing the inhaler; - manufacturer’s information - a checklist of inhalers, identified by their batch number and expiry date, with monthly checks recorded - a note of the arrangements for replacing the inhaler and spacers - a list of children permitted to use the emergency inhaler as per parental consent form. - a record of administration (i.e. when the inhaler has been used). We keep two emergency kits. One is kept in the SCHOOL OFFICE which is known to all staff, and to which all staff have access at all times. The other is kept in the First Aid area. The inhaler and spacer will not be locked away but will be out of the reach and sight of children. The emergency inhaler will be clearly labelled to avoid confusion with a child’s inhaler.

Storage and care of the inhaler There will be least two named volunteers amongst school staff should have responsibility for ensuring that: Asthma Guidance for Staff working in Birmingham Schools Version 1 January 2014

 on a monthly basis the inhaler and spacers are present and in working order, and the inhaler has sufficient number of doses available  replacement inhalers are obtained when expiry dates approach  replacement spacers are available following use  the plastic inhaler housing (which holds the canister) has been cleaned, dried and returned to storage following use, or that replacements are available if necessary An inhaler should be primed when first used (e.g. spray two puffs). As it can become blocked again when not used over a period of time, it should be regularly primed by spraying two puffs. To avoid possible risk of cross-infection, the plastic spacer should not be reused. It can be given to the child to take home for future personal use. The inhaler itself however can usually be reused, provided it is cleaned after use. The inhaler canister should be removed, and the plastic inhaler housing and cap should be washed in warm running water, and left to dry in air in a clean, safe place. The canister should be returned to the housing when it is dry, and the cap replaced, and the inhaler returned to the designated storage place. However, if there is any risk of contamination with blood (for example if the inhaler has been used without a spacer), it should also not be re-used but disposed of.

Responding to asthma symptoms and an asthma attack Salbutamol inhalers are intended for use where a child has asthma. The symptoms of other serious conditions/illnesses, including allergic reaction, hyperventilation and choking from an inhaled foreign body can be mistaken for those of asthma, and the use of the emergency inhaler in such cases could lead to a delay in the child getting the treatment they need. For this reason the emergency inhaler should only be used by children who have been diagnosed with asthma, and prescribed a reliever inhaler, or who have been prescribed a reliever inhaler AND whose parents have given consent for an emergency inhaler to be used.

Annex A Asthma Attack Flow Chart Asthma Guidance for Staff working in Birmingham Schools Version 1 January 2014

Annex B

Asthma Guidance for Staff working in Birmingham Schools Version 1 January 2014

CONSENT FORM: USE OF EMERGENCY SALBUTAMOL INHALER Child showing symptoms of asthma / having asthma attack 1. I can confirm that my child has been diagnosed with asthma / has been prescribed an inhaler (delete as appropriate). 2. My child has a working, in-date inhaler, clearly labelled with their name, which they have in school that is kept in the designated area in the classroom. 3. In the event of my child displaying symptoms of asthma, and if their inhaler is not available or is unusable, I consent for my child to receive salbutamol from an emergency inhaler held by the school for such emergencies. Signed:…………………………………………… Date: ……………………………………………… Name (print)……………………………………………………………………………………………………

Child’s name: …………………………………………………………………………………………… Class: ……………………………….. Parent’s address and contact details: ………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………… Telephone: ……………………………………………………………………………………………… E-mail: ………………………………………………………………………

Asthma Guidance for Staff working in Birmingham Schools Version 1 January 2014