Children with asthma need proper support in child-care settings
to keep their asthma under control and be fully active. Use the
questions below to find out how well your child-care setting
assists children with asthma:
1. Is the child-care setting free of tobacco smoke at all times?
2. Is there good ventilation in the child-care setting?
3. Are allergens and irritants that can make asthma worse
reduced or eliminated?
4. Check if any of the following are present:
Dust mites (commonly found in humid climates in pillows,
carpets, upholstery, and stuffed toys)
Pets with fur or feathers
Strong odors or fumes from art and craft supplies, pesticides,
paint, perfumes, air fresheners, and cleaning chemicals
5. Is there a medical or nursing consultant available to help
staff write policy and guidelines for managing medications in the
child-care setting, reducing allergens and irritants, promoting
safe physical activities, and planning field trips for students
6. Are child-care staff prepared to give medications as
prescribed by each child's physician and authorized by each child's
7. May children carry their own asthma medicines when
appropriate? Is there someone available to supervise children while
taking asthma medicines and monitor correct inhaler use?
8. Is there a written, individualized emergency plan for each
child in case of a severe asthma episode (attack)?
9. Does the plan make clear what action to take? Whom to call?
When to call?
10. Does a nurse, respiratory therapist, or other knowledgeable
person teach child-care staff about asthma, asthma management
plans, reducing allergens and irritants, and asthma medicines?
11. Does someone teach all the children about asthma and how to
help a classmate who has it?
12. Does the child-care provider help children with asthma
participate safely in physical activities? For example, are
children encouraged to be active?
13. Can children take or be given their medicine before
exercise? Are modified or alternative activities when medically
If the answer to any question is "no," children in your
child-care setting may be facing obstacles to controlling their
asthma. Uncontrolled asthma can hinder a child's attendance,
participation, and progress in school. Child-care staff, health
professionals, and parents can work together to remove obstacles
and promote children's health and development. Contact the
organizations listed on the index page for information about asthma
and helpful ideas for making school policies and practices more
asthma-friendly. Federal and State laws are in place to help
children with asthma..