Ryan s Law, 2015 (Ensuring Asthma Friendly Schools) Learning Session. June 2015

Transcription

1 Ryan s Law, 2015 (Ensuring Asthma Friendly Schools) Learning Session June

2 Agenda 1. Personal Safety and Injury Prevention 2. Understanding Asthma Carole Madeley- Director Respiratory Health Programs, Ontario Lung Association 3. Ryan s Law Overview 4. Resources to Support Implementation 5. Comprehensive Approach to Prevalent Medical Conditions 3 2

3 Vision for Education Four renewed goals for education: 1. Achieving Excellence 2. Ensuring Equity 3. Promoting Well-Being 4. Enhancing Public Confidence 4 3

4 Personal Safety and Injury Prevention Key activities: Student Injury Prevention Initiative Swim to Survive Ontario Concussion Strategy Sabrina s Law, 2005 Ryan s Law, 2015 The Foundations for a Healthy School resource provides strategies for the classroom, student and school for personal safety and injury prevention 5 4

5 Understanding Asthma The Need Asthma affects 1.9 million people in Ontario Asthma affects up to 1 in 5 children (approx 570,000) Asthma is the leading cause of hospital admissions for children Absenteeism from school and work because of asthma Asthma can be controlled Asthma can be fatal without proper management and access to medications One in five Ontario school-aged children have asthma, a potentially fatal lung disease. 5

6 What is Asthma? Asthma affects the airways of the lungs The muscle bands around the outside of the airways tighten up making it harder to get air in and out of the lungs The inside of the airways become red and swollen (inflammation) There may also be extra mucus (phlegm) that makes someone want to cough more This can make it hard to breathe 6

7 air air air air Normal Airway and Airway with Asthma mucus swelling 8

8 Asthma Triggers Colds, the flu Scented Markers / Chalk Dust Dust Strong odours such as smells from cleaning products Exercise Food allergies o Nuts, peanut butter Cold air/weather changes/humidity Moulds Pollens Pollution Building repairs Pets Cigarette smoke 9

9 Symptoms of Asthma Cough Trouble breathing Chest tightness Wheezing Sputum (mucus) from the lungs 9

10 Asthma Perception of Control Patient Perception of Control Actual Control Controlled asthma 97% Controlled Uncontrolled 47% 53% n = 474 n = TRAC Study Adapted from FitzGerald JM, et al. Can Resp J. 2006;13:5:

11 Recognizing Poor Asthma Control Asthma may not be under control if a child/student: is using a reliever inhaler (usually blue) four or more times per week is more tired than usual from nighttime coughing or other asthma symptoms is having difficulty with activities/sports Absenteeism from school due to asthma 11

12 Asthma Medications Controllers (preventers) Usually taken every day for long-term asthma control Relievers or rescue (usually blue inhalers)* Usually only taken when needed or before exercise, for quick relief 12

13 Schools/Parents/Students as Partners Schools, parents and students need to work together School personnel can play an important role in helping students manage their asthma Parents play a role through open communication with the school, and by keeping their child educated about their own asthma and medication Benefits: Reduction in school absenteeism and classroom disruption Achieving full participation in school-related activities including physical activity Healthy Kids 13

14 Ryan s Law Overview Ryan s Law requires all schools boards to establish and maintain an asthma policy. Examples of similarities to Sabrina s Law include: asthma policy with specific requirements individual plans for each student with asthma option for employee pre-authorization for medication administration right of employee to administer medication in the event of an asthma emergency without preauthorization Example of additional requirements include: students permitted to carry asthma medication 15

15 Discussion Policy Development Process Partnerships Implementation Supports Successes/Challenges 16 15

16 Resources to Support Implementation Presentations from the: Ontario Education Services Corporation Patricia Amos, Former Direction of Education Ontario Lung Association Carole Madeley- Director Respiratory Health Programs, Ontario Lung Association Ophea Muriel Rounthwaite - Projects Leader, Ophea 17 16

17 Sample Asthma Policy To support the implementation of the legislative requirements of Ryan s Law 2015, the Ontario Educational Services Corporation (OESC) in consultation with the Ministry of Education, Ministry of Health and Long Term Care, the Ontario Lung Association, the Asthma Society, Ophea and relevant stakeholder groups has developed: A Sample Asthma Policy; and A Sample Administrative Procedures - Asthma Management Plan 17

18 The Sample Asthma Policy includes the following: A policy statement Definitions What is Asthma? Emergency Medication Medication Immunity Requirements Reference Documents 18

19 Administrative Procedures Asthma Management Plan This document outlines the Administrative Procedures to support implementation of the Asthma Policy. The documents contain the following sections: Role of the School Administrator Registration Authorization Medication Staff Training Student Asthma Management Plan Student Medical File Documentation Prevention Communication Role of: School Staff, Teachers/Coaches, School Secretary, School Bus Driver, Parent Involvement Committee, School Councils, parent/guardian or adult student diagnosed, student diagnosed with asthma 19

20 Administrative Procedures: Role of School Administrator Considerations may include: Registration Principal shall ask the parent/guardian/adult student if the student has been diagnosed with asthma and if so what asthma medications are used. When the school principal/designate is informed by the parent/guardian/adult student that the student has asthma, the school staff shall be informed. Where a student has been diagnosed with asthma, a Student Asthma Management Plan shall be established. Authorization If a student has been diagnosed with asthma, the Principal shall request that the parent/guardian/ complete the appropriate forms (e.g., Authorization for Administration of Asthma Medication Parent/Guardian Form) 20

21 Administrative Procedures: Role of School Administrator Considerations include: Medication Principal shall, with parental consent, allow a student to have a selfcarry reliever inhaler on the student s person at all times. If the student is 16 years or older, the student is not required to have parental consent to self-carry the reliever inhaler. Staff Training Arrange for annual asthma education sessions for all employees and others who are in direct contact with students on a regular basis. Student Asthma Management Plan Principal shall ensure parent/guardian in consultation with their health care provider, develop a Student Asthma Management Plan and share with staff who have regular contact with the student. 21

22 Administrative Procedures: Role of School Administrator Considerations include: Student Medical File Principal shall ensure that a copy of the plan is placed in the Student Medical File. Documentation Principal shall ensure that each time a student is assisted with the administration of the reliever inhaler or other asthma medication, that the incident be recorded on the Individual Student Log of Administered Medication. Prevention Principal shall work with staff and families to identify and minimize asthma triggers in the school setting. Communication Principal shall inform students, parents/guardians, volunteers and coaches about the importance of understanding asthma and known triggers. 22

23 The following Sample Appendices have been developed: Student Asthma Management Plan (Ontario Lung Association Resource) Authorization For Administration of Asthma Medication Parent/Guardian Form School Personnel Asthma Education Session Attendance Record 911 Communication Protocol Asthma Emergency Individual Student Log of Administered Medication Notification of Need to Administer Additional Medication 23

24 Managing Asthma In Our Schools DVD and Resource Package Managing Asthma In Our Schools DVD Overview of asthma Identifying worsening asthma How to manage worsening asthma, asthma emergency Roles of all members of the school Additional resources Online: ophea.net/asthma, ophea.net/fr/asthme Hardcopy: ophea.net/order, ophea.net/fr/commande Page 24

25 Resources Asthma in Schools: What Educators Need to Know Strategies for schools to create asthma friendly schools Steps to reduce exposure to triggers Access to reliever medication Exercise-induced asthma and strategies to manage Uncontrolled asthma Identification of an asthma emergency and emergency action steps Page 25

26 Resources Asthma and Physical Activity: What Physical Educators and Coaches Need to Know Strategies to create asthma friendly settings Preventive strategies for exercise-induced asthma Partner Resources Student Asthma Management Plan Managing Asthma Attacks Page 26

27 Additional Resources The Basics of Asthma, Allergies, and Anaphylaxis fact sheet, poster size Asthmainschools.com Creating Asthma Friendly Schools manual September 2015 Access: ophea.net/order, ophea.net/fr/commande Page 27

28 Asthmafriendlyschools.ning.com Page 28

29 Ontario Lung Association Resources and Infrastructure Lung Health Information Line LUNG (5864) Available Mon to Fri 8:30 to 4:30 p.m. Staffed by Certified Respiratory Educators We are health care professionals with additional training in respiratory health and smoking cessation 29

30 Existing Resources and Infrastructure Free print resources & e-newsletters Available to all Ontarians including patients, caregivers and health care professionals Referrals to community resources 30

31 Existing Resources and Infrastructure Resources for Schools and Child-care Centres Asthma management plans for students and children 31

32 Existing Resources and Infrastructure Resources for Children Activity booklets 32

33 Existing Resources and Infrastructure Resources for teachers, coaches and schools 33

34 Existing Resources and Infrastructure Resources for teachers, coaches and schools Teacher/School staff training about asthma YouTube videos and instruction sheets on how to use inhaler devices 34

35 Existing Resources and Resources for Parents Infrastructure 35

36 Existing Resources and Infrastructure The Ontario Lung Association and Ophea have been working together on asthma friendly schools 36

37 Management of and Response to Prevalent Student Medical Conditions - Methodology 1. Environmental Scan 2. Surveys of superintendents, principals and public and community health representatives 3. Key informant interviews 4. Parent and student surveys Page 37

38 Highlights Inconsistency in the application of policies and procedure and reporting Lack of clarity regarding roles and responsibilities Varying expectations of school responsibilities Partnerships A need for standardized education and training Preference for an overarching policy for medical conditions Page 38

39 Comprehensive Approach to Prevalent Medical Conditions Ministry commitment to move forward with a comprehensive approach that includes the development of a Policy/Program Memorandum (PPM) Ophea report to inform development of PPM Prevalent Medical Conditions Committee (PMCC) has been formed First PMCC meeting will be held in Summer

40 References The resources mentioned in this learning session are available on the ministry s website at:

41 Thank You! 41