HTML Preview Asthma Risk Management Plan page number 1.


School Aged Care (SAC)
Risk minimisation plan and communication plan for children at risk of Asthma
The following procedures should be developed in consultation with the parent or guardian and implemented
to help protect the child diagnosed at risk of Asthma.
Childs Name ………………………………… DOB __/__/____
In relation to the child at risk:
(Complete with Parent/s)
Yes
No
N/A
Person
Responsible
Risk Management
strategies
What allergens in the SAC program need
to be minimised? E.g. dust, pollen,
mould, chemicals, aerosols, etc
Has your childs management plan been
reviewed and signed off by a medical
practitioner in the last 12 months or when
there have been changes?
Has your childs enrolment form including
emergency contacts been updated in the
last 12 months?
Does your child need to be monitored
during times of exercise? eg. running,
ball games etc
Does your child require increased
supervision on special occasions such as
excursions or workshops, specifically in
high pollen season or outings of high
activity?
Should contact with animals be restricted
and closely supervised?
Does your child stay indoors on high
pollen, high air pollution days?
Is your childs asthma heightened during
times of colds or flu?
Can certain plants/gardens trigger an
attack?
Is your childs Asthma triggered by food or
food additives?
If the answer is YES,
Should bottles, other drinks and lunch
boxes, including any treats provided by
you be clearly labelled with the childs
name?
Is there a risk to your child should
children in care share food, food utensils
and containers?
Will you provide a safe treat box for your
child?
In relation to other program Educator(s)
practices, when asthma is triggered by food
or food additives, the program Educator(s)
will:
(Complete with Educator)
Yes
No
N/A
Person
Responsible
Risk Management
strategies
Restrict use of food and food containers,
boxes and packaging in crafts, cooking
and science experiments, depending on
the allergies of particular children
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