Asthma Management in the Classroom:    What Teachers Need to Know1
Developed by Carol V. McGotty, RN, MS    Produced by             Sponsored by2                                            ...
Contents    •   Why Do We Have to Know About Asthma?              - NJ Law and Asthma              - Other Laws that Affec...
Why Do We Have to Know        About Asthma?4                        www.pacnj.org
Because students who have their        asthma in good control:5                               www.pacnj.org
Miss FEWER Days of School6                            www.pacnj.org
Have an IMPROVED Quality of Life7                                www.pacnj.org
And are BETTER Learners…     You Can Make a Difference!8                             www.pacnj.org
New Jersey Law and         Asthma9                         www.pacnj.org
NJSA 18A:40-12.9 requires annual asthma     education opportunities for all teaching staff10                              ...
NJSA 18A:40-12.3 of the state law allows for     self-administration of medication by a pupil     with asthma under specif...
Some of your students may be carrying an inhaler     and need to use it during your class12                               ...
NJSA 18A:40-12.8 calls for a written asthma     treatment plan for pupils requiring asthma     medication at school13     ...
Other Laws that Affect     Students with Asthma14                          www.pacnj.org
FERPA & AsthmaThe Family Education Rights and Privacy Act (FERPA)allows for health information to be shared with teachers ...
IDEA, Section 504 and Asthma              The Individual with              Disabilities Education ACT              (IDEA) ...
This impacts the type of educational     activities you develop for your class,     including:     • Field trips     • Out...
NJ Public Employees’ Occupational  Safety & Health Act (NJPEOSH)     N.J.S.A 34:6A-25 et seq. provides for the     develop...
NJ Law & Indoor Air Quality (IAQ)N.J.A.C. 12:100.13 from the NJIAQ Standard covers indoorair quality in existing buildings...
Use the NJIAQ Standard to improve      indoor air quality in your school20                                   www.pacnj.org
NJ PEOSH Indoor Air Quality (IAQ)       Designated Persons Training21                                  www.pacnj.org
• The updated NJ Indoor Air Quality Standard N.J.A.C.     12:100-13 now requires public employers to select and     train ...
NJ DEP No-Idling Pledge     NJ Law prohibits idling by diesel vehicles     (most school buses and large trucks) for       ...
NJ Law on No Smoking in          Public Places          The New Jersey Smoke-Free Air Act,          N.J.S.A. 26:D-55 et se...
Integrated Pest Management in Schools     N.J.A.C. 7:30-13 Integrated Pest Management (IPM) in Schools     outlines an IPM...
What is Asthma?26                       www.pacnj.org
ASTHMA     • IS a long term (chronic) lung disease     • IS triggered by indoor and outdoor allergens     and irritants   ...
If you have 30 children in a class, you may have at                least 3 children with asthma           Combined NJBRFS ...
May                                                               Sept. Oct. Nov.                                         ...
What Happens During an     Asthma Episode (Attack)?30                           www.pacnj.org
Asthma affects the airways: the tubes that carry air                  in and out of the lungs31                           ...
 Airwaysbecome     inflamed/swollen     Muscles tighten     around the airways     Mucus increases,     blocking the ai...
What are the Early Warning     Signs of an Asthma Episode?     • Cough     • Shortness of breath     • Mild wheeze     • T...
Take action: Contact the school     nurse if a student with asthma has       any of the early warning signs34             ...
Your School Nurse will direct you according to the     specific plan of action for this student     Never send a student t...
What are the Signs of an Asthma Emergency?     • Chest sucking in/neck muscles bulging     • Difficulty or discomfort when...
This is an EMERGENCY            Initiate your school’s         “Emergency Response Plan”     TAKE ACTION: Call the school ...
While You Wait for the       School Nurse…38                              www.pacnj.org
Be sure the student has self-administered     medication if he/she is able to self-medicate39                             ...
• Limit moving a student who is in severe distress.   Go to the student instead • Assist him/her to an upright position aw...
Know Your School Policy and Procedure             Before You Need It!41                                      www.pacnj.org
Talk to your school     nurse at the start of the     school year about the     Asthma Treatment     Plans for your     st...
Be ready! Check           with your school nurse to:     Identify the students in your class with asthma     Know their in...
What Kind of Medications           are Given?44                           www.pacnj.org
1. Bronchodilators – (Quick Relief)     These are used to stop an asthma episode (wheezing,     coughing) before it gets w...
2. Anti-Inflammatory - (Long Term Control)     These are taken daily to control asthma and prevent     asthma episodes    ...
The Pediatric/Adult AsthmaCoalition of New Jersey (PACNJ)    Asthma Treatment Plan47                           www.pacnj.org
Your school nurse has a 24-hour     written asthma treatment plan for     students with asthma, completed     by their hea...
It indicates what     medicines the     student takes on a     daily basis to     control asthma49                        ...
It identifies the     student’s specific     triggers50                          www.pacnj.org
It indicates if the     student is     capable and     approved to self-     medicate51                           www.pacn...
And it indicateswhat medicines thestudent should takewhen his/herasthma is gettingworse, and what todo in an emergency52  ...
What are “Triggers”?53                            www.pacnj.org
Triggers are things that can make asthma worseand cause an asthma episode     Each person has different triggers, but ther...
Common Asthma Triggers        in the Classroom55                         www.pacnj.org
Allergens56                 www.pacnj.org
Dust and dust mites57                           www.pacnj.org
Furry and feathered animals like cats,     dogs, gerbils, guinea pigs and birds58                                      www...
Mold and mildew59                       www.pacnj.org
Pests, like cockroaches and mice60                                www.pacnj.org
Food allergies61                      www.pacnj.org
Indoor Air Quality Triggers62                             www.pacnj.org
Strong odors or fragrances63                              www.pacnj.org
Poor ventilation64                        www.pacnj.org
Temperature and humidity            problems65                            www.pacnj.org
Tobacco smoke66                     www.pacnj.org
Other Triggers67                      www.pacnj.org
Respiratory illness or infection68                           www.pacnj.org
Exercise69                www.pacnj.org
Sports or physical education70                               www.pacnj.org
Strong physical expressions of               feelings71                                 www.pacnj.org
What Can a Teacher do to       Control Exposure to      Classroom Triggers?72                           www.pacnj.org
Reduce exposure to dust and             dust mites73                              www.pacnj.org
Reduce classroom                                     clutter - stacks of                                     books, paper,...
Avoid furry or feathered pets in             the classroom75                                   www.pacnj.org
Pet dander, saliva, feathers, pet       feces and urine all contain the     allergens that can trigger asthma             ...
These allergens are transported to other rooms through the school’s ventilation system and cannot be isolated to one room7...
Identify other ways to bring in educational     experiences with animals that limit     exposure to pet allergens78       ...
Check your district/school policy     regarding live animals in the classroom79                                        www...
Report leaks, odors, and mold               problems80                                www.pacnj.org
Know the protocol for reporting problems inyour buildingFollow your school policy to report leaks, odors, mold, orother en...
Clean up small spills promptly and report         large spills to maintenance staff82                                     ...
Know your IAQ Designated Person83                                www.pacnj.org
Follow Procedures to     Reduce Pest Infestation84                           www.pacnj.org
Minimize eating in the classroom     Food stored in the classroom should be in sealed     containers     Clean up crumbs p...
Do not spray pesticides     Report pest problems to maintenance staff so they     can implement Integrated Pest Management...
What is IPM?87                    www.pacnj.org
Integrated Pest Management (IPM) is the use of pest     control methods that minimize hazards to people,     property, and...
IPM is a safer, less costly option for effective pest     management     An informative web page on the New Jersey School ...
To learn more about IPM go to:     www.epa.gov/pesticides/food/ipm.htm     Follow your school IPM plan90                  ...
Use low-odor instructional             supplies91                             www.pacnj.org
Be aware that strong odors from artprojects, science projects, markersand other instructional tools cantrigger asthma     ...
Eliminate chemical fumes          and fragrances93                           www.pacnj.org
• Avoid use of aerosol products, “air fresheners”     and personal care products     • Use only products that are district...
Go “Green” - use approved     natural cleaning products95                           www.pacnj.org
Do not bring in your own cleaning                 materials Low odor and low toxicity cleaning supplies should be provided...
Control temperature and             humidity97                           www.pacnj.org
Keep air vents clear of furniture, piles of           books or other stored items     Follow the NJIAQ Standard Guidelines...
Prevent allergic food          reactions99                             www.pacnj.org
Consult with your school nurse early in the school      year regarding foods that trigger life-threatening      food aller...
Common Outdoor Asthma            Triggers101                         www.pacnj.org
Exercise102                 www.pacnj.org
Pollen, ozone, and irritants such      as pollution and exhaust fumes103                                    www.pacnj.org
Weather changes104                        www.pacnj.org
Although exercise and outdoor      activities are strongly encouraged…105                                    www.pacnj.org
For students with asthma:                Check with your school nurse to                determine what the health care    ...
Reduce exposure to pollen, ozone,             and other irritants107                                   www.pacnj.org
1. Before planning an outdoor activity check the Air  Quality Index for your geographic area  2. Try to plan an alternate ...
Where Do I Find the Air Quality        Index(AQI) Information?                   Index Legend                   Green-Good...
All students, especially those with  asthma, need to limit time outdoors  on:      High ozone days      High pollen count ...
Hot temperature and humidity Hot, humid air and wet weather encourage the growth of mold spores In certain areas, heat and...
Cold dry air Cold dry air irritates airways and can quickly cause severe symptoms. People with exercise-induced asthma who...
What about planning a party            or a field trip?113                              www.pacnj.org
Both state and federal laws require accommodations to be made so all students, even those with disabilities like asthma, c...
Avoiding asthma triggers        is an important step       to controlling asthma115                       www.pacnj.org
How can I remember all of these           recommendations?116                                  www.pacnj.org
The Pediatric Adult/Asthma Coalition of    NJ makes it easy to rememberTheserecommendations aresummarized on their“Kids Le...
And See the “Top Ten List” for      Administrators and Maintenance Staff        All 3 are available from the PACNJ website...
When a student’s asthma is well        controlled, the student…119                                  www.pacnj.org
• Participates in all activities  • Is not constantly coughing  • Has minimal side effects from medications  • Uses a quic...
Promote a total healthy       school environment121                            www.pacnj.org
Serve on your school’s indoor air quality teamto develop a regular program that promotes a         healthy school environm...
Are you ready?      Have you checked with your          school nurse to…123                               www.pacnj.org
1. Identify the students in your class      with asthma?      2. Discuss their asthma triggers?      3. Develop a plan of ...
PACNJ Asthma Friendly         School Award125                          www.pacnj.org
By participating in this training,      you have helped your school meet one of the        Six Steps for Success to qualif...
Other criteria include:        • Asthma management training for        school nurses        • An Indoor Air Quality team i...
Remember…128                  www.pacnj.org
Asthma  IS a long term (chronic) lung disease  IS triggered by indoor and outdoor allergens and  irritants  CAN’T be cured...
Resources for More Information130                         www.pacnj.org
•PACNJ    Website (www.pacnj.org) for:          -Asthma Treatment Plan and Patient/Parent Instructions          -Kids Lear...
Reilly, D. NASN. Managing Asthma Triggers:               Keeping Students Healthy: Air Quality Issues (an               NA...
Go To These Websites For      More Information on Asthma133                             www.pacnj.org
www.aanma.org      www.epa.gov/pesticides/food/ipm.htm      www.epa.gov/iaq      (Tools for School)      www.epa.gov/iaq/s...
Disclaimers      The Pediatric/Adult Asthma Coalition of New Jersey, sponsored by      the American Lung Association in Ne...
Disclaimers Continued      Information in this presentation is not intended to diagnose health problems                   ...
This program was developed                                          Special thanks to Elizabeth  by Carol McGotty, RN, MS ...
PACNJ Coordinating Committee Members:      Joslyn Bjorseth      Robyn D’Oria, MA, RNC, APN      Arnold Finkel, MD      San...
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Transcript of "Asthma Management in the Classroom: What Teachers Need to Know"

  1. 1. Asthma Management in the Classroom: What Teachers Need to Know1
  2. 2. Developed by Carol V. McGotty, RN, MS Produced by Sponsored by2 www.pacnj.org
  3. 3. Contents • Why Do We Have to Know About Asthma? - NJ Law and Asthma - Other Laws that Affect Students with Asthma • What is Asthma? - What Happens During an Asthma Episode? - What Kind of Medication is Given? • The PACNJ Asthma Treatment Plan • What are Triggers? • Common Asthma Triggers in the Classroom - Allergens - Indoor Air Quality Triggers - Other Triggers • What Can a Teacher Do to Control Exposure to Classroom Triggers? • Common Outdoor Asthma Triggers • What Can a Teacher do about Exposure to Outdoor Triggers? • PACNJ Asthma Friendly School Award • Resources, Websites, Disclaimers, Credits3 www.pacnj.org
  4. 4. Why Do We Have to Know About Asthma?4 www.pacnj.org
  5. 5. Because students who have their asthma in good control:5 www.pacnj.org
  6. 6. Miss FEWER Days of School6 www.pacnj.org
  7. 7. Have an IMPROVED Quality of Life7 www.pacnj.org
  8. 8. And are BETTER Learners… You Can Make a Difference!8 www.pacnj.org
  9. 9. New Jersey Law and Asthma9 www.pacnj.org
  10. 10. NJSA 18A:40-12.9 requires annual asthma education opportunities for all teaching staff10 www.pacnj.org
  11. 11. NJSA 18A:40-12.3 of the state law allows for self-administration of medication by a pupil with asthma under specific conditions11 www.pacnj.org
  12. 12. Some of your students may be carrying an inhaler and need to use it during your class12 www.pacnj.org
  13. 13. NJSA 18A:40-12.8 calls for a written asthma treatment plan for pupils requiring asthma medication at school13 www.pacnj.org
  14. 14. Other Laws that Affect Students with Asthma14 www.pacnj.org
  15. 15. FERPA & AsthmaThe Family Education Rights and Privacy Act (FERPA)allows for health information to be shared with teachers andother school officials for “legitimate educational purposes”without written consent in accordance with school policy Questions from OTHER staff members regarding the health condition of your student should be referred to the school nurse15 www.pacnj.org
  16. 16. IDEA, Section 504 and Asthma The Individual with Disabilities Education ACT (IDEA) and Section 504 require arrangements to be made to include all students, even those with disabilities like asthma, to participate in all the educational experiences16 www.pacnj.org
  17. 17. This impacts the type of educational activities you develop for your class, including: • Field trips • Outdoor experiences • Learning about animals • Using chemicals with strong odors17 www.pacnj.org
  18. 18. NJ Public Employees’ Occupational Safety & Health Act (NJPEOSH) N.J.S.A 34:6A-25 et seq. provides for the development and enforcement of occupational safety standards for public employees throughout the state to encourage employers and employees in their efforts to improve the working environment18 www.pacnj.org
  19. 19. NJ Law & Indoor Air Quality (IAQ)N.J.A.C. 12:100.13 from the NJIAQ Standard covers indoorair quality in existing buildings occupied by publicemployees. This includes: 1. Ventilation 2. Microbial contamination 3. Remodeling/renovation issues including advance notice19 www.pacnj.org
  20. 20. Use the NJIAQ Standard to improve indoor air quality in your school20 www.pacnj.org
  21. 21. NJ PEOSH Indoor Air Quality (IAQ) Designated Persons Training21 www.pacnj.org
  22. 22. • The updated NJ Indoor Air Quality Standard N.J.A.C. 12:100-13 now requires public employers to select and train a Designated Person • NJ PEOSH provides the Designated Persons training and a certificate of attendance • Know who the “IAQ Designated Person” is in your school • This free training is now available for anyone who wants to know more about IAQ22 www.pacnj.org
  23. 23. NJ DEP No-Idling Pledge NJ Law prohibits idling by diesel vehicles (most school buses and large trucks) for more than three minutes23 www.pacnj.org
  24. 24. NJ Law on No Smoking in Public Places The New Jersey Smoke-Free Air Act, N.J.S.A. 26:D-55 et seq., (NJ SFAA) became effective April 15, 2006; the new law requires smokefree environments in essentially all indoor workplaces and places open to the public24 www.pacnj.org
  25. 25. Integrated Pest Management in Schools N.J.A.C. 7:30-13 Integrated Pest Management (IPM) in Schools outlines an IPM plan for your school in accordance with the NJ Law on Pesticide Control Regulations25 www.pacnj.org
  26. 26. What is Asthma?26 www.pacnj.org
  27. 27. ASTHMA • IS a long term (chronic) lung disease • IS triggered by indoor and outdoor allergens and irritants • CAN’T be cured • CAN be controlled27 www.pacnj.org
  28. 28. If you have 30 children in a class, you may have at least 3 children with asthma Combined NJBRFS results from the 2005-2006 NJBRFS indicate that approximately 313,379 children have a history of asthma (14.8%) and that approximately 218,914 children (10.3%) currently have asthma28 www.pacnj.org
  29. 29. May Sept. Oct. Nov. 10-13 14-7 AGE 5-9 July 0-4 18+ "New Jersey Department of Health and Senior Services, Unpublished Data" The number of overnight hospital stays for asthma is:  lowest for all age groups in July  highest for children in May, September, October29 and November www.pacnj.org
  30. 30. What Happens During an Asthma Episode (Attack)?30 www.pacnj.org
  31. 31. Asthma affects the airways: the tubes that carry air in and out of the lungs31 www.pacnj.org
  32. 32.  Airwaysbecome inflamed/swollen Muscles tighten around the airways Mucus increases, blocking the airway  Less air can get in and out32 www.pacnj.org
  33. 33. What are the Early Warning Signs of an Asthma Episode? • Cough • Shortness of breath • Mild wheeze • Tight chest • Exposure to a known trigger33 www.pacnj.org
  34. 34. Take action: Contact the school nurse if a student with asthma has any of the early warning signs34 www.pacnj.org
  35. 35. Your School Nurse will direct you according to the specific plan of action for this student Never send a student to the health room alone or leave a student alone35 www.pacnj.org
  36. 36. What are the Signs of an Asthma Emergency? • Chest sucking in/neck muscles bulging • Difficulty or discomfort when breathing • Nasal flaring • Trouble walking and/or talking • Breathing does not improve or is worse after quick reliever medication is used36 www.pacnj.org
  37. 37. This is an EMERGENCY Initiate your school’s “Emergency Response Plan” TAKE ACTION: Call the school nurse37 www.pacnj.org
  38. 38. While You Wait for the School Nurse…38 www.pacnj.org
  39. 39. Be sure the student has self-administered medication if he/she is able to self-medicate39 www.pacnj.org
  40. 40. • Limit moving a student who is in severe distress. Go to the student instead • Assist him/her to an upright position away from trigger, if possible • Provide a calm, reassuring atmosphere and stay with the student • The student should always be in an adult’s presence until medical care arrives40 www.pacnj.org
  41. 41. Know Your School Policy and Procedure Before You Need It!41 www.pacnj.org
  42. 42. Talk to your school nurse at the start of the school year about the Asthma Treatment Plans for your students with asthma Help them avoid triggers42 www.pacnj.org
  43. 43. Be ready! Check with your school nurse to: Identify the students in your class with asthma Know their indoor and outdoor triggers Have a plan of action to respond quickly when you notice the early warning signs43 www.pacnj.org
  44. 44. What Kind of Medications are Given?44 www.pacnj.org
  45. 45. 1. Bronchodilators – (Quick Relief) These are used to stop an asthma episode (wheezing, coughing) before it gets worse *You should begin to see some relief immediately. It will take 15-20 minutes for the full effect.45 www.pacnj.org
  46. 46. 2. Anti-Inflammatory - (Long Term Control) These are taken daily to control asthma and prevent asthma episodes *They take effect over a period of time and are continued even when the person feels well46 www.pacnj.org
  47. 47. The Pediatric/Adult AsthmaCoalition of New Jersey (PACNJ) Asthma Treatment Plan47 www.pacnj.org
  48. 48. Your school nurse has a 24-hour written asthma treatment plan for students with asthma, completed by their health care providers48 www.pacnj.org
  49. 49. It indicates what medicines the student takes on a daily basis to control asthma49 www.pacnj.org
  50. 50. It identifies the student’s specific triggers50 www.pacnj.org
  51. 51. It indicates if the student is capable and approved to self- medicate51 www.pacnj.org
  52. 52. And it indicateswhat medicines thestudent should takewhen his/herasthma is gettingworse, and what todo in an emergency52 www.pacnj.org
  53. 53. What are “Triggers”?53 www.pacnj.org
  54. 54. Triggers are things that can make asthma worseand cause an asthma episode Each person has different triggers, but there are common asthma triggers that a teacher can address to make the classroom healthier for all Avoiding asthma triggers is an important step in controlling asthma54 www.pacnj.org
  55. 55. Common Asthma Triggers in the Classroom55 www.pacnj.org
  56. 56. Allergens56 www.pacnj.org
  57. 57. Dust and dust mites57 www.pacnj.org
  58. 58. Furry and feathered animals like cats, dogs, gerbils, guinea pigs and birds58 www.pacnj.org
  59. 59. Mold and mildew59 www.pacnj.org
  60. 60. Pests, like cockroaches and mice60 www.pacnj.org
  61. 61. Food allergies61 www.pacnj.org
  62. 62. Indoor Air Quality Triggers62 www.pacnj.org
  63. 63. Strong odors or fragrances63 www.pacnj.org
  64. 64. Poor ventilation64 www.pacnj.org
  65. 65. Temperature and humidity problems65 www.pacnj.org
  66. 66. Tobacco smoke66 www.pacnj.org
  67. 67. Other Triggers67 www.pacnj.org
  68. 68. Respiratory illness or infection68 www.pacnj.org
  69. 69. Exercise69 www.pacnj.org
  70. 70. Sports or physical education70 www.pacnj.org
  71. 71. Strong physical expressions of feelings71 www.pacnj.org
  72. 72. What Can a Teacher do to Control Exposure to Classroom Triggers?72 www.pacnj.org
  73. 73. Reduce exposure to dust and dust mites73 www.pacnj.org
  74. 74. Reduce classroom clutter - stacks of books, paper, and cardboard boxes Utilize covered bins for classroom materials to make cleaning easier Avoid area rugs, upholstered furniture and plants which are reservoirs for dust, mold and other allergens74 www.pacnj.org
  75. 75. Avoid furry or feathered pets in the classroom75 www.pacnj.org
  76. 76. Pet dander, saliva, feathers, pet feces and urine all contain the allergens that can trigger asthma and skin rashes76 www.pacnj.org
  77. 77. These allergens are transported to other rooms through the school’s ventilation system and cannot be isolated to one room77 www.pacnj.org
  78. 78. Identify other ways to bring in educational experiences with animals that limit exposure to pet allergens78 www.pacnj.org
  79. 79. Check your district/school policy regarding live animals in the classroom79 www.pacnj.org
  80. 80. Report leaks, odors, and mold problems80 www.pacnj.org
  81. 81. Know the protocol for reporting problems inyour buildingFollow your school policy to report leaks, odors, mold, orother environmental conditions to your buildingadministrators and your maintenance staff81 www.pacnj.org
  82. 82. Clean up small spills promptly and report large spills to maintenance staff82 www.pacnj.org
  83. 83. Know your IAQ Designated Person83 www.pacnj.org
  84. 84. Follow Procedures to Reduce Pest Infestation84 www.pacnj.org
  85. 85. Minimize eating in the classroom Food stored in the classroom should be in sealed containers Clean up crumbs promptly See that food waste is removed daily85 www.pacnj.org
  86. 86. Do not spray pesticides Report pest problems to maintenance staff so they can implement Integrated Pest Management (IPM) strategies86 www.pacnj.org
  87. 87. What is IPM?87 www.pacnj.org
  88. 88. Integrated Pest Management (IPM) is the use of pest control methods that minimize hazards to people, property, and the environment88 www.pacnj.org
  89. 89. IPM is a safer, less costly option for effective pest management An informative web page on the New Jersey School IPM Program can be viewed online at: http://www.state.nj.us/dep/enforcement/pcp/pcp- ipm.htm89 www.pacnj.org
  90. 90. To learn more about IPM go to: www.epa.gov/pesticides/food/ipm.htm Follow your school IPM plan90 www.pacnj.org
  91. 91. Use low-odor instructional supplies91 www.pacnj.org
  92. 92. Be aware that strong odors from artprojects, science projects, markersand other instructional tools cantrigger asthma Use supplies and products that are non-toxic, district approved, and have an MSDS (Material Safety Data Sheet) on file if required92 www.pacnj.org
  93. 93. Eliminate chemical fumes and fragrances93 www.pacnj.org
  94. 94. • Avoid use of aerosol products, “air fresheners” and personal care products • Use only products that are district/school approved for use and be sure there is an MSDS on file if required • Be aware that aerosols and strong odors can trigger breathing problems in, and rashes on sensitive individuals94 www.pacnj.org
  95. 95. Go “Green” - use approved natural cleaning products95 www.pacnj.org
  96. 96. Do not bring in your own cleaning materials Low odor and low toxicity cleaning supplies should be provided by your school in compliance with your IAQ program96 www.pacnj.org
  97. 97. Control temperature and humidity97 www.pacnj.org
  98. 98. Keep air vents clear of furniture, piles of books or other stored items Follow the NJIAQ Standard Guidelines on acceptable room temperature and humidity levels98 www.pacnj.org
  99. 99. Prevent allergic food reactions99 www.pacnj.org
  100. 100. Consult with your school nurse early in the school year regarding foods that trigger life-threatening food allergies and asthma in students100 www.pacnj.org
  101. 101. Common Outdoor Asthma Triggers101 www.pacnj.org
  102. 102. Exercise102 www.pacnj.org
  103. 103. Pollen, ozone, and irritants such as pollution and exhaust fumes103 www.pacnj.org
  104. 104. Weather changes104 www.pacnj.org
  105. 105. Although exercise and outdoor activities are strongly encouraged…105 www.pacnj.org
  106. 106. For students with asthma: Check with your school nurse to determine what the health care provider recommended on the student’s Asthma Treatment Plan regarding exercise and physical activity Some students may need to take asthma medication prior to exercise106 www.pacnj.org
  107. 107. Reduce exposure to pollen, ozone, and other irritants107 www.pacnj.org
  108. 108. 1. Before planning an outdoor activity check the Air Quality Index for your geographic area 2. Try to plan an alternate indoor activity if the air quality is poor for the day108 www.pacnj.org
  109. 109. Where Do I Find the Air Quality Index(AQI) Information? Index Legend Green-Good Yellow-Moderate Orange-Unhealthy For Sensitive Groups Red-Unhealthy Maroon-Very Unhealthy Dark Brown-Hazardouswww.njaqinow.net Gray-No Index Data109 www.pacnj.org
  110. 110. All students, especially those with asthma, need to limit time outdoors on: High ozone days High pollen count days Hot and humid days Cold, windy days110 www.pacnj.org
  111. 111. Hot temperature and humidity Hot, humid air and wet weather encourage the growth of mold spores In certain areas, heat and sunlight combine with pollutants to create ground-level ozone111 www.pacnj.org
  112. 112. Cold dry air Cold dry air irritates airways and can quickly cause severe symptoms. People with exercise-induced asthma who participate in winter sports are especially susceptible. Dry, windy weather can stir up pollen and mold.112 www.pacnj.org
  113. 113. What about planning a party or a field trip?113 www.pacnj.org
  114. 114. Both state and federal laws require accommodations to be made so all students, even those with disabilities like asthma, can participate in all the educational experiences Talk with your school nurse to ensure compliance with the New Jersey Law and the Federal Laws Work with your school nurse when planning parties and field trips114 www.pacnj.org
  115. 115. Avoiding asthma triggers is an important step to controlling asthma115 www.pacnj.org
  116. 116. How can I remember all of these recommendations?116 www.pacnj.org
  117. 117. The Pediatric Adult/Asthma Coalition of NJ makes it easy to rememberTheserecommendations aresummarized on their“Kids Learn Better ina Clean and HealthySchool” Top Ten List117 www.pacnj.org
  118. 118. And See the “Top Ten List” for Administrators and Maintenance Staff All 3 are available from the PACNJ website at118 http://www.pacnj.org/schools.html www.pacnj.org
  119. 119. When a student’s asthma is well controlled, the student…119 www.pacnj.org
  120. 120. • Participates in all activities • Is not constantly coughing • Has minimal side effects from medications • Uses a quick reliever medication no more than 2 times per week, unless needed before exercise • Has no hospitalizations or emergency room visits due to asthma120 www.pacnj.org
  121. 121. Promote a total healthy school environment121 www.pacnj.org
  122. 122. Serve on your school’s indoor air quality teamto develop a regular program that promotes a healthy school environment122 www.pacnj.org
  123. 123. Are you ready? Have you checked with your school nurse to…123 www.pacnj.org
  124. 124. 1. Identify the students in your class with asthma? 2. Discuss their asthma triggers? 3. Develop a plan of action to respond quickly when you notice the early warning signs?124 www.pacnj.org
  125. 125. PACNJ Asthma Friendly School Award125 www.pacnj.org
  126. 126. By participating in this training, you have helped your school meet one of the Six Steps for Success to qualify for the PACNJ Asthma Friendly School Award126 www.pacnj.org
  127. 127. Other criteria include: • Asthma management training for school nurses • An Indoor Air Quality team in each school • School administration signs a NJDEP no-idling pledge for school buses: http://www.stopthesoot.org/sts-pledge.htm127 www.pacnj.org
  128. 128. Remember…128 www.pacnj.org
  129. 129. Asthma IS a long term (chronic) lung disease IS triggered by indoor and outdoor allergens and irritants CAN’T be cured CAN be controlled129 www.pacnj.org
  130. 130. Resources for More Information130 www.pacnj.org
  131. 131. •PACNJ Website (www.pacnj.org) for: -Asthma Treatment Plan and Patient/Parent Instructions -Kids Learn in a Clean and Healthy School and Top Ten Lists for Teachers, Administrators and Maintenance Staff -Top Ten Cards for Controlling Asthma Triggers in the Home •National Asthma Education and Prevention Program -NAEPP School Asthma Education Subcommittee & NASN -Is the Asthma Action Plan Working? -A tool for school nurse assessment www.nhlbi.nih.gov/health/prof/lung/asthma/asth_act_plan_frm.pdf131 www.pacnj.org
  132. 132. Reilly, D. NASN. Managing Asthma Triggers: Keeping Students Healthy: Air Quality Issues (an NASN training program for school nurses) U.S. Department of Education & U.S. Department of Health and Human Services, 2008. Joint Guidance on the Application of the Family Educational Rights & Privacy Act (FERPA) and the Health Insurance Portability and Accountability Act of 1996 to Student Health Records, (4)132 www.pacnj.org
  133. 133. Go To These Websites For More Information on Asthma133 www.pacnj.org
  134. 134. www.aanma.org www.epa.gov/pesticides/food/ipm.htm www.epa.gov/iaq (Tools for School) www.epa.gov/iaq/schools/bulletins.html (Electronic bulletins and updates on (IAQ) www.healthyschools.org www.state.nj.us/health/fhs/asthma/index.shtml www.pacnj.org134 www.pacnj.org
  135. 135. Disclaimers The Pediatric/Adult Asthma Coalition of New Jersey, sponsored by the American Lung Association in New Jersey, and this publication are supported by a grant from the New Jersey Department of Health and Senior Services (NJDHSS), with funds provided by the U.S. Centers for Disease Control and Prevention (USCDCP) under Cooperative Agreement 1U59EH000491-01. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NJDHSS or the USCDCP. Although this document has been funded wholly or in part by the United States Environmental Protection Agency under Agreement XA97250908-2 to the American Lung Association in New Jersey, it has not gone through the Agency’s publications review process and therefore, may not necessarily reflect the views of the Agency and no official endorsement should be inferred. Information in this publication is not intended to diagnose health problems or take the place of medical advice. For asthma or any medical condition, seek medical advice from your child’s or your health care professional.135 www.pacnj.org
  136. 136. Disclaimers Continued Information in this presentation is not intended to diagnose health problems or take the place of medical advice. This program does not represent a certification program in asthma management in the class room, but is designed to present guidelines for school personnel in New Jersey. The Pediatric/Adult Asthma Coalition of New, the American Lung Association in New Jersey and all parties to or associated with the production of this program, disclaims any responsibility for any action taken by viewers as a result of their interpretations of information provided.136 www.pacnj.org
  137. 137. This program was developed Special thanks to Elizabeth by Carol McGotty, RN, MS Craft and the Paterson School Nurses for their help in Technical Advisors: reviewing this presentation Arthur J. Torre, MD and providing valuable Clatie Campbell, RRT feedback. Special thanks Dr. Marguerite This program was reviewed and Larainne Koehler Leuze, Supervisor of the approved by the PACNJ School Marguerite Leuze, PhD Newark Health Services, for and Environmental Task Force Juliet McGuinness, MAT her preview of the program Ailene A. McGuirk and valuable feedback. Linda Bonanno, Ph.D Barbara Peterson Elizabeth Craft, MS, RN Elyse Pivnick, MCP Some pictures taken from the Robyn D’Oria, MA, RNC, APN Barry Prystkowsky, MD American Lung Association in Melinda Dower Elaine Suehnholz New Jersey video, “Asthma Nancy C. Gerrity, MSN, RN Rita Thornton, JD, PhD and Your Family.” Joanna Hayden, RN, PhD, CHES LaCoyya Weathington Jeanne Horsey, RN, CPNP Clifford P. Weisel, PhD Some pictures taken from the Rosemary Horkay Stanley H. Weiss, MD, FACP, FACE PACNJ video, “Steps to Lisa Jones, MSN, RN Karen Worthington, MS, RN, COHN-S Controlling Asthma in the Tommie Lou Judson, RN Brenda Zemo Child Care Setting.” Ellen Keane, RN, APN-C, CSN Lung graphic on slide 32 taken from the NHLBI/NAEEP program, Asthma Basics137 for Schools, PowerPoint ® www.pacnj.org
  138. 138. PACNJ Coordinating Committee Members: Joslyn Bjorseth Robyn D’Oria, MA, RNC, APN Arnold Finkel, MD Sandra J. Fusco-Walker Lisa Jones, MSN, RN Tommie Lou Judson, M.Ed., RN, NCSN Larainne G. Koehler Roberto Nachajon, MD Nuris Rodriguez, MSW Sharon Rainer, MSN, APN Elaine Suehnholz Nancy Thomson, M.Ed Melissa Vezina, MPH Stanley Weiss, MD, FACP, FACE Linda Whitfield Spinner, LCSW Teresa Lampmann, PACNJ Coordinating Manager, PACNJ Maris Chavenson, Associate Coordinator, PACNJ Bonnie Veaner Parks, MPH, MLIS, Asthma Friendly School Award Project Coordinator HBR Productions Gladys Bensimon, Director, Producer Drew Oberholtzer, Editor138 www.pacnj.org
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