Get New Mexico Asthma Action Plan For Schools - Aps

The New Mexico Asthma Action Plan for Schools provides essential guidelines for managing asthma in students. This guide will help you fill out the form accurately and efficiently, ensuring that all necessary information is provided to support student health.

Follow the steps to complete the online form successfully.

1. Press the ‘Get Form’ button to access the document and open it in your preferred editor.
2. In the top section of the form, fill in your school district name and the current date. Add the school name, name of the school nurse or health assistant, and school phone and fax numbers.
3. In the parent/guardian section, provide the student's name, date of birth, student number, date of their last medical examination, and where the inhaler will be kept (options include with the student, health office, classroom, or other). Fill in the health care provider's office phone or fax number and name or title.
4. Complete the parent/guardian contact information, including their name, phone numbers, and emergency contact information. Include any known allergies to medications and the date of the last flu shot.
5. Indicate the inhaler expiration date, identify asthma triggers, and list any other relevant information.
6. The health care provider must indicate the asthma severity level (intermittent or persistent) and specify if it is mild, moderate, or severe. Fill out the green zone guidelines, including control medications, peak flow monitoring, and any additional medications for exercise.
7. Continue by completing the yellow zone guidelines for symptoms that require attention, and list the medications to administer in this situation.
8. Finally, complete the red zone guidelines, indicating that immediate medical assistance is needed and specifying the medications to use. A signature from the health care provider, parent/guardian, and school nurse is required to finalize the plan.
9. After filling out the form, review all entries for accuracy, then save the changes. You can download, print, or share the completed action plan as needed.

Complete your NEW MEXICO ASTHMA ACTION PLAN FOR SCHOOLS - Aps online today to ensure a safe environment for students with asthma.