Colorado School Asthma Care Plan
This document is also called “Colorado Asthma Care Plan and
Medication Order for School and Childcare settings”
Colorado School Asthma Care Plan
What is it?
Step-by-step asthma management plan developed by your family and your provider to guide school nurse in managing your child’s asthma in the school setting.
Who gets this form?
The school nurse needs to review and sign the completed form, and distribute the form to school personnel who may need it.
Why is it important?
This form completed by parents and providers is the basis for a child’s asthma management at school.
As part of this plan, families should provide a quick relief inhaler to the school for use at the school.
PRO TIP
Make sure the form is SIGNED by parents/guardians and provider.
If you have questions, ask your school nurse.
Zones
Similar to the Home Asthma Action Plan, this School Asthma Asthma Care Plans uses zones to help manage asthma symptoms.
There are green, yellow and red zones, which are categorized by symptoms and sometimes peak flow readings. This information helps your child’s healthcare provider determine how bad your child’s asthma is at that time. The school care plan may include exercise/activity pre-treatment in the green zone to prevent symptoms.
Resources
Families can learn more about helping kids with asthma:
Common Asthma Terms