Actions for the School Nurse

  • School-based Asthma Management Program (SAMPRO™) and Toolkit
    The goal of SAMPRO™ is to improve health and school-related outcomes for children with asthma, using school-based partnerships that focus on integrated care coordination amongst families, clinicians and school nurses. SAMPRO™ advocates four components to integrate schools, and specifically school nurses, within the asthma care team:
    • The creation of a Circle of Support amongst the families, clinicians and schools nurses centered around the child with asthma;
    • The creation and transmission of Asthma Management Plans to schools,
    • A comprehensive Asthma Education Plan for school personnel; and
    • A comprehensive Environmental Asthma Plan to assess and remediate asthma triggers at home and in school.


  • Nursing protocol for students having asthma symptoms who don't have a personal asthma action plan

  • For schools/settings where a nurse is not available

  • National Assoc. of School Nurses has asthma resources available to any school or school nurse

  • Assist with the administration of medication in accordance with school policy, making sure medication is administered in a timely fashion. Michigan's law that allows students to carry their quick-relief inhalers with them at school, for use in preventing or treating asthma symptoms, if permission is given by the doctor and parent.
  • Monitor response to treatment using a peak flow meter, if possible.
  • Communicate with parents about acute episodes, if any, and about the student’s general progress in controlling asthma at school.
  • Conduct inservices on asthma, and consult with staff to help develop appropriate school activities for students with asthma.
  • Collaborate with the PTA to offer a family asthma education program after school hours. Consult asthma organizations, including your local asthma coalition and the American Lung Association of Michigan for assistance in setting up this program.
  • Additional links that may be useful to you:
    Michigan Association of School Nurses (MASN) – Includes suggested school action plans, and position papers on administration of medications in schools and the delegation of school health services to unlicensed staff.

    National Association of School Nurses (NASN) – Includes many position statements and briefs about use of inhalers, care plans, medication administration, role of school nurse, indoor air quality, the laws about reasonable accommodation, and more.