Public input on this draft document is welcome. Visit www.ugdsb.on.ca/policy or write to Policy, UGDSB, 500 Victoria Rd. N., Guelph ON N1E 6K2. Deadline is May 11, 2016. Asthma Friendly Schools Procedures Manual 516-A Category: Administered by: First Adopted: Revision History: Next Review: 1. Students Appropriate Superintendent June 2016 2020-2021 School Year General Asthma is a very common chronic (long-term) lung disease than can make it hard to breathe. It is the belief of the Upper Grand District School Board that all students are entitled to safe and healthy environments in our schools. In accordance with Ryan’s Law - Ensuring Asthma Friendly Schools, 2015, the Board is committed to minimizing the risks to students with asthma while in attendance at school or a school-related activity. Ryan’s Law states that: “If an employee has reason to believe that a pupil is experiencing an asthma exacerbation, the employee may administer asthma medication to the pupil for the treatment of the exacerbation, even if there is no preauthorization to do so under subsection (1).” s3(3). “No action or other proceeding for damages shall be commenced against an employee for an act or omission done or omitted by the employee in good faith in the execution or intended execution of any duty or power under this Act.” s.3(4). 2. Definitions Asthma Asthma is a very common chronic (long-term) lung disease that can make it hard to breathe. People with asthma have sensitive airways that react to triggers. There are many different types of triggers, for example poor air quality, mold, dust, pollen, viral infections, animals, smoke, cold air and volatile organic compounds (VOC). Symptoms of asthma are variable and can include coughing, wheezing, difficulty breathing, shortness of breath and chest tightness. The symptoms can range from mild to severe and sometimes could be life threatening. June 2016 Page 1 of 7 ASTHMA FRIENDLY SCHOOLS PROCEDURES MANUAL 516-A Emergency Medication “Emergency Medication” refers to medication that is administered by a staff member to a student at the time of an asthma exacerbation, for example reliever inhaler or stand-by medication. Medication “Medication” refers to medications that are prescribed by a health care provider and, by necessity, may be administered to a student, or taken by the student during school hours or school related activities. Immunity Ryan's Law (Ensuring Asthma Friendly Schools), 2015 states that “No action or other proceeding for damages shall be commenced against an employee for an act or omission done or omitted by the employee in good faith in the execution or intended execution of any duty or power under this Act.” 3. Background The Board’s policy and procedures regarding Asthma are designed to ensure compliance with Ryan’s Law. The Creating Asthma Friendly Schools manual, created by Ophea and available on UGShare, will be consulted when developing and implementing strategies to help ensure the safety of asthmatic students in schools. 4. The Role and Responsibilities of the Principal Principals or designates will: 4.1 Ensure that, upon registration, parents, guardians and pupils are asked to supply information about asthma. 4.2 Complete a Student Asthma Management Plan for each pupil who has asthma. Plans shall include: June 2016 personal identifying information, including a student photo emergency contacts known asthma triggers symptoms which may indicate an asthma reaction name of medication(s) and dosage Page 2 of 7 ASTHMA FRIENDLY SCHOOLS PROCEDURES MANUAL 516-A details relating to the storage of the pupil’s asthma medication, including: o if the pupil is under 16 years old, whether the pupil has his or her parent’s or guardian’s permission to carry his or her asthma medication o whether any spare medication is kept in the school and, if so, where it is stored monitoring and avoidance strategies any additional information may be attached to the Plan 4.3 Take into consideration any recommendations made by the pupil’s health care provider. Such recommendations shall be included or attached to Student Asthma Management Plans when available. 4.4 Permit a pupil to carry his or her asthma medication, if the pupil has his or her parent’s or guardian’s permission. 4.4.1 4.5 If the pupil is 16 years or older, the pupil is not required to have his or her parent’s or guardian’s permission to carry his or her asthma medication. Update the medical information of each student enrolled in the school to determine if new medical conditions have developed, if existing medical conditions have changed, and to ensure instructions and emergency contacts are up-to-date. 4.5.1 Communicate to parents and students so that they are aware of parent and student responsibilities as outlined in the policy. 4.6 Strongly recommend that all asthmatic students carry a physician prescribed reliever inhaler with them at all times (subject to a developmental capacity). 4.7 Strongly recommend that parents provide at least one additional reliever inhaler to be stored in a readily accessible location in the school. 4.8 Strongly recommend that students wear Medicalert® jewellery, and advise parents of elementary students of the availability through the “No Child Without®” program. June 2016 Page 3 of 7 ASTHMA FRIENDLY SCHOOLS PROCEDURES MANUAL 516-A 4.9 Provide a copy of all Student Asthma Management Plans of any students who are transported to and from school on the bus, to Wellington-Dufferin Student Transportation Services. 4.9.1 Provide copies of Student Asthma Management Plans to field trip bus drivers, of any student with asthma who will be on the trip. 4.10 Develop and implement strategies to reduce the risk of exposure to asthmatic triggers in classrooms and common school areas. (See the Creating Asthma Friendly Schools manual available on UGShare, which contains strategies for schools to reduce the risk of accidental exposure to common asthma triggers.) 4.11 Communicate information on asthma to students, parents, employees and regular volunteers a minimum of once per school year. 4.11.1 The communication strategy may include sharing general information about asthma, and on an age-appropriate basis information about the Asthma Friendly Schools policy and procedures, and the Creating Asthma Friendly Schools manual. 4.11.2 Communication techniques may include school newsletters, social media, email, video and audio announcements, printed materials, or any other appropriate method. 5. 4.12 Ensure that all employees and others who are in direct contact with a student on a regular basis are provided with access to a copy of the student’s individual Asthma Management Plan. 4.13 Communicate with the School Council regarding any issues with allergens or irritants in the school and advise that there are strategies in place which may have implications for fundraising or other events in the school. 4.14 Communicate to the school community, as required, that bullying of students regarding asthma will not be tolerated. The Role and Responsibilities of the Classroom Teacher/Occasional Teacher The classroom teacher/occasional teacher has the responsibility to: 5.1 June 2016 Follow the Board’s Asthma Friendly Schools Policy #516. Page 4 of 7 ASTHMA FRIENDLY SCHOOLS PROCEDURES MANUAL 516-A 6. 5.2 Be aware of and follow the Student Asthma Management Plan for each student in their classroom who has asthma. 5.3 Follow directions from the school principal for the dissemination of information on asthma to parents/guardians, students, other staff members, and volunteers. 5.4 Be aware that students with asthma are able to choose, without penalty, not to participate in an activity that may precipitate an asthma attack. 5.5 Take precautions choosing classroom materials and planning classroom activities, field trips or special events to minimize risks to students. 5.6 Participate in regular training on dealing with asthma. 5.7 Leave the Student Asthma Management Plan in a prominent and accessible location for occasional teachers. The Role and Responsibilities of Other School Personnel, Support Staff and Volunteers Other school personnel, support staff and volunteers who are in direct contact with pupils on a regular basis will: 7. 6.1 Participate in regular training on dealing with asthma. 6.2 Be aware of the school’s emergency action plan, and also the “Managing Asthma Attacks” information on the reverse side of every Student Asthma Management Plan. 6.3 Know who to contact in case of an emergency. The Role and Responsibilities of Parents/Guardians of Students with Asthma Parents / guardians have the responsibility to: 7.1 Inform the school principal and teacher(s) of their child’s asthma. 7.2 Meet with the principal or vice-principal to establish the Student Asthma Management Plan. June 2016 Page 5 of 7 ASTHMA FRIENDLY SCHOOLS PROCEDURES MANUAL 516-A 8. 7.3 Assist with the development of the Student Asthma Management Plan. 7.4 Review the Student Asthma Management Plan annually, and immediately when circumstances change. 7.5 Ensure emergency contact numbers are current. 7.6 If possible, provide the school with the student’s health care provider’s written instructions for the child’s care including administration of medication. 7.7 If possible, provide the school with a spare reliever inhaler, to be safely stored and used as needed. 7.8 Ensure all medications provided to the school are kept up to date. 7.9 If possible, provide their child with Medicalert® jewellery (See No Child Without® program for elementary students). 7.10 Consider participating in field trips. 7.11 Teach their child (contingent on the student’s physical and developmental capabilities) to: recognize the first symptoms of an asthma episode know where his/her medication is kept, and who can get it communicate clearly when he/she feels an asthma attack starting carry his/her own reliever inhaler and understand its purpose use the reliever inhaler, if capable of self-administration take as much responsibility as possible for his/her own safety and well-being The Role and Responsibilities of the Student with Asthma The asthmatic student has the responsibility to (subject to a developmental capacity in this regard): 8.1 Carry a reliever inhaler at all times, as applicable. 8.2 Ensure that teachers, principals and friends know where to find the reliever inhaler that they carry with them, in the event they have difficulty getting to the medication. June 2016 Page 6 of 7 ASTHMA FRIENDLY SCHOOLS PROCEDURES MANUAL 516-A 9. 8.3 Know how to use the reliever inhaler if capable of self-administration. 8.4 Wear Medicalert® jewellery (or equivalent), if available. 8.5 Follow expectations of health care provider, parent/guardian and strategies in the Student Asthma Management Plan. 8.6 Self-identify as asthmatic to occasional personnel associated with the school (i.e., occasional teachers, educational assistants, co-op student, parent volunteer, or board-approved transportation driver) as appropriate. 8.7 Promptly inform an adult as soon as symptoms appear. 8.8 Students with asthma are able to choose, without penalty, not to participate in an activity that may precipitate an asthma attack. The Role and Responsibilities of the School Council School Council has a responsibility to be aware of and comply with this policy to ensure the safety of all children, and consider implications for fundraising or other events in the school. 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