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For all children diagnosed with asthma to receive appropriate attention as required.
To respond to the needs of children who have not been diagnosed with asthma and
who have an asthma attack at the setting.
Raising awareness about asthma among the management, staff, parents/carers of
children attending the setting and any others dealing with children at the setting.
Providing a safe and healthy environment for al children enrol ed at the setting.
Providing an environment in which al children with asthma can participate in order to
Providing a clear set of guidelines and expectations to be fol owed with regard to the
Background and Relevant Legislation Asthma is a chronic health condition affecting approximately 15% of children. It is one of
the most common reasons for childhood admission to hospital. Community education and
correct management will assist in minimising the impact of asthma. It is general y accepted that children under the age of six do not have the skil s and ability
to recognise and manage their own asthma effectively. With this in mind, the management
recognises the need to educate the staff and parents/guardians about asthma and to
promote responsible asthma management strategies. Definitions Metered Dose Inhaler (puffer):
Common delivery device used to administer reliever
medication. Asthma Emergency:
The onset of unstable or deteriorating asthma symptoms requiring
immediate treatment with reliever medication. Asthma Action Plan:
A record of information on the child’s asthma and how to manage it,
including contact details, what to do when the child’s asthma worsens and emergency
treatment. Asthma triggers:
Things that may induce asthma symptoms e.g. pollens, colds/viruses, dust
mites, smoke, exercise, etc. Asthma triggers wil vary from child to child. Puffer:
Common name for a metered dose inhaler. Reliever Medication:
This comes in a blue container and is used to relax the muscles around
the airways to relieve asthma symptoms e.g. Airomir, Asmol, Epaq or Ventolin
. Spacer device:
A plastic device used to increase the efficiency of delivery of asthma
medication from a puffer. It may be used in conjunction with a facemask.
Where appropriate, organise Emergency Asthma Management training for staff.
Where appropriate, organise asthma management information sessions for
parents/guardians of children enrolled at the setting.
Encourage open communication between parents/guardians and staff regarding the
status and impact of a child’s asthma.
Ask al parents/carers as part of the enrolment procedure, prior to their child’s
attendance at the setting, whether the child has diagnosed asthma and document this
information on the child’s enrolment record.
Provide families whose child has asthma with an Asthma Action Plan to complete. On
completion, this wil be attached to the child’s enrolment record.
Compile a list of children with asthma and place it in a secure but readily accessible
Ensure that asthma components are included in the First Aid Kit taken on any activities
Consult with the parent/guardians of children with asthma, in relation to the health and
safety of their child and the supervised management of the child’s asthma.
Identify and, where possible, minimise asthma triggers as defined in the definition
section of the policy or in children’s Asthma Action Plans.
Promptly communicate any concerns to parents if it is considered that a child’s asthma
is limiting his/her ability to participate fully in al activities.
Where necessary, modify activities for the child with asthma in accordance with their
Administer al regular prescribed asthma medication in accordance with the Medication
Discuss with the parent/guardian the requirements of the Medication & Accident Book
Inform staff, either on enrolment or on initial diagnosis, that their child has a history of
Provide al relevant information regarding the child’s asthma via the Asthma Action
Notify the staff, in writing, of any changes to the information they entered on the
Asthma Action Plan during the year, if this occurs.
Provide an adequate supply of appropriate asthma medication and equipment (e.g.
blue reliever medication and spacer) for their child at al times.
Enter the required information in the Medication & Accident Book at the beginning of
Communicate al relevant information and concerns to staff as the need arises (e.g. if
asthma symptoms were present the previous night).
Consult with the staff, in relation to the health and safety of their child and the
supervised management of the child’s asthma.
Plan of action for a child with diagnosed asthma The staff, together with the parents/carers of a child with asthma, wil discuss and agree on
a plan of action for the emergency management of an asthma attack. This plan should include action to be taken where the parent/carer has provided asthma
medication, and in situations where this medication may not be available. As part of developing a particular plan of action, it may be appropriate to consider staff
receiving Emergency Asthma Management training. Action to be taken if a child suddenly collapses or has difficulty breathing with a
possible asthma attack Children with a known asthma condition: Staff wil follow the agreed plan of action for
the child for the emergency treatment of an asthma attack as detailed in the Asthma
Action Plan. If the child’s Asthma Action Plan is NOT available, staff should immediately
commence the standard asthma emergency protocol detailed below:
Step 1: Sit the child upright and remain calm to reassure them. Step 2: Without delay shake a blue reliever puffer (inhaler) and give 4 separate puffs
through a spacer. Use one puff at a time and ask the child to take 4 breaths from
Step 3: Wait 4 minutes. If there is no improvement repeat step 2. Step 4: If stil no improvement after a further 4 minutes - call an ambulance immediately
and state clearly that the child is “having an asthma attack.”
Continuously repeat steps 2 and 3 whilst waiting for the ambulance.
Children who staff are not aware have pre-existing asthma:
In this situation, staff will: Step 1: Call and ambulance and state that the child is having breathing difficulties. Step 2: Sit the child upright and calm them to reassure them Related documents
Evaluation In order to assess whether the policy has achieved the values and purposes the
Obtain feedback from the staff regarding the effectiveness of the policy.
Assess whether any issues/concerns raised in relation to children with asthma, or the
If appropriate, conduct annual surveys of parents/carer of children with identified
asthma, to gauge their satisfaction with the asthma policy in relation to their child.
HSBC Insurance (Singapore) Pte. Limited. (Reg. No. 195400150N) 21 Collyer Quay #02-01 Singapore 049320, Monday to Friday 9.30am to 5pm. www.insurance.hsbc.com.sg. Customer Care Hotline: (65) 6225 6111 Fax: (65) 6221 2188 Mailing address: Robinson Road Post Office P.O. BOX 1538 Singapore 903038. Chest Pain Questionnaire WARNING: Statement Pursuant to Section 25(5) of the Insurance Act,
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