2 Minute Rule
The core concept behind emergency training within the Asthma Foundation of Tasmania Schools Program is the 2 Minute Rule. The rule states:
From when it is identified that a student may be having an asthma flare up or a severe allergic reaction, it will take two minutes for an appropriately trained staff member to give emergency treatment.
The rule has been developed in response to the fact that oxygen deprivation can cause permanent damage to a child in only two minutes.
Anaphylaxis emergency kit
- a back-up adrenaline auto-injector
- instructions on administering the auto-injector (ensure that the instruction are for the same brand of auto-injector contained in the kit)
Asthma emergency kit
A kit would usually comprise:
- a salbutamol puffer
- disposable spacers
- instructions on asthma first aid
High Risk Student
A High Risk Student is any student who, according to the criteria below, is in danger of a severe flare up of asthma or an anaphylactic reaction.
High Risk Students with asthma will have one or more of the following characteristics:
- use asthma reliever medication two times or more per week
- visit emergency or admitted to hospital due to asthma in the past 18 months
- in the past 18 months have been the subject of a 000 call due to an asthma flare up
- been prescribed oral medication for asthma – either a tablet or syrup in the 18 months
- is regularly absent due to asthma
- has been identified by a doctor as someone who needs extraordinary supervision because of asthma
A High Risk Student with anaphylaxis is:
- Any student who has been prescribed an adrenaline auto-injector
Key Staff are those staff members who:
- are ultimately responsible for the wellbeing of a High Risk student. E.G. Principal or Vice-Principal
- regularly see a High Risk Student (see above) E.G. Home/Class teacher
- are in a position to help a student avoid an allergen or are likely to be in a situation where an asthma flare or anaphylactic reaction up may occur E.G. canteen staff member, sports teacher, bus driver.
Personal Safety Plan
A Personal Safety Plan is an agreed set of precautions and protocols devised by the school to avoid or manage risks posed by the student’s asthma or anpahylaxis. See a hypothetical Personal Safety Plan.
Safety Planning Workshop
To assist the school in developing a Personal Safety Plan the Foundation conducts a workshop that shows Key Staff (see above) how to write a plan. For the most part it is a brainstorming session guided by an asthma and anaphylaxis educator using real-life case studies from your own school's student population.
The workshop lasts around 2-3 hours.
Staff First Aid Demonstration
Ideally, a demonstration consists of three staff members showing the rest of the staff how to deliver the emergency asthma medication and emergency anaphylaxis medication. One staff member acts as a patient, one reads out the emergency instructions from an asthma or anaphylaxis First Aid Poster while the other enacts giving the medication.