Asthma Policy Reviewed by Management/Staff and Families Jan 2011 Link to CCQA Principles
Quality Practices Draft (2007) – Standard 13
Quality Improvement and Accreditation System (QIAS)
Policy statement As of the 15th January 2007 children with asthma will need to have an Asthma Record Card and First Aid plan. Parents/guardians will need to make sure it is updated at least six monthly. Indicators that a child is having difficulty breathing include:
Dry, irritating, persistent cough that worsens with play.
Shortness of breath, which often shows as tummy breathing (abdomen looks more swollen than usual)
A wheeze / whistling sound that can sometimes be heard when the child is breathing out.
If the child does not have a formal asthma diagnosis then Queensland legislation prevents a Child Care Centre from administering blue reliever puffers such as Asmol / Ventalin as staff have first aid certificates NOT Asthma Management training. In an emergency staff can contact parents for authorisation to administer Ventolin to a child without an Asthma diagnosis. This is permitted under Section 256A or Section 256B of the Health Regulation 1996. If a child should present with breathing difficulties and does not have a diagnosis of Asthma then staff will: Step One
If the child is diagnosed with Asthma and is having difficulty breathing then staff will: Step one
Sit the child upright- Without hesitation Wait
The centre will no longer use Nebulisers at the centre without written consent from the
doctor and parental demonstration of their use to staff.
The centre will review its Asthma management policy yearly and modify it accordingly to
Holland Park Child Care Centre
meet the needs of the children with asthma and their family.
Staff will be given opportunities to attend yearly education by the asthma foundation of
Queensland. The centre will ensure staff are familiar with the first aid management of an asthma attack and how to use a puffer, spacer and facemask.
Staff are not qualified to give injections as they are not trained nurses but in the case
of an emergency will administer an Epi-pen to a child with diagnosed Anaphylaxis. This will be administered by the Director or Senior staff member. At all times the child’s health plan will be followed.
Policy review
The service will review the Asthma Policy and procedures, and related documents,
including behaviours and practices every 12 months
Families are encouraged to collaborate with the service to review the policy and
Staff are essential stakeholders in the policy review process and will be encouraged to
Procedures The following are examples of procedures that the service employs as part of its daily practices.
Parent induction / handbook Employee induction procedure. Policy development and review procedure. Student and volunteer induction procedure.
Measuring tools The centre will monitor compliance of asthma plans by regularly auditing the forms and procedures with staff and families. Links to other policies
The following are a list of examples: Allergies Employment of child care professionals Enrolment of new children and families to the service First aid Hygiene and infection control Illness Occupational health and safety Privacy and confidentiality Staff/carers as role models Supporting children’s individual needs
Sources and further reading Holland Park Child Care Centre
National Health and Medical Research Council. (2005). Staying healthy in child care:
Preventing infectious disease in child care (4th ed.). Canberra:
Poisons Information Centre Listing. (n.d.). Retrieved Dec 14th 2010, from
Therapeutic Goods Administration. (2007). Scheduling of medicines and poisons:
National Drugs and Poisons Schedule Committee (NDPSC). Retrieved Dec 14th 2010, from http://www.tga.gov.au/ndpsc/index.htm
Asthma Foundation of Queensland 2010
Useful websites
Anaphylaxis Australia - www.allergyfacts.org.au/foodalerts.asp Asthma Foundations Australia – www.asthmaaustralia.org.au Health Institute - www.healthinsite.gov.au National Health and Medical Research Council - www.nhmrc.gov.au National Prescribing Service - www.nps.org.au
All internet data reviewed and retrieved Dec 14th 2010
Policy reviewed date Jan 2011 Policy review date Jan 2012 The following is a sample of the centre’s Asthma plans: Asthma Record Form
1. This record form is to be completed by parents in consultation with their child’s doctor and returned to the centre. 2. It is the responsibility of the parents to ensure they inform any changes to their child’s condition or treatment immediately. Child’s Name;___________________ Date of Birth:____________________ Emergency Contact details: Name:
Work) Mob) Medication required to be administered whilst at the child care centre: Holland Park Child Care Centre
Medication Dosage
Signs and triggers of my child’s asthma: Signs of child’s asthma worsening Asthma Medication Plan Child’s Name:__________________________________ Date of Birth:__________________________________ In the event of an attack, please manage my child as per the ticked box: □ Standard Emergency Plan: Step one Step Three Step Four
Sit the child upright- Without hesitation Wait
Asthma attack. Continue with steps 2 and 3 whilst waiting for the
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□ My Child’s Emergency Action Plan: Medication Dosage How often (puffer or spacer) If my child’s condition suddenly deteriorates or if at any time you are concerned, telephone an ambulance on 000. In the event of an asthma attack, I agree to my child receiving the treatment described above. I will notify you of any changes to my child’s asthma treatment. Parent Signature:________________________________________ Directors Signature:______________________________________
11 July 2008 Funding of levetiracetam approved PHARMAC’s Board has approved the funding of the Keppra brand of the antiepilepsy agent levetiracetam for selected patients via a special access process, from 1 August 2008. The Board also approved funding of Rex Medical Ltd’s brand of levetiracetam (Levetiracetam-Rex) for all patients as soon as possible following Medsafe registration.