Here is a checklist with the steps required to implement the program. The forms highlighted in maroon

are accessible as hyperlinks on the website:

Step 1 - Include your school district's medical and nursing director in the planning

Step 2 - Download and use these forms. It’s helpful to put them into a 3-ring notebook for ready reference.

• R7-2-810 Emergency Administration of Inhalers
  
• Stock Albuterol Inhaler Protocol & Action Plan
  
• School Stock Inhaler Program COVID-19 Guidelines
• School Staff Training Form & Checklist
  
• Online Training Curriculum Instructions
  
• Stock Albuterol Documentation Log
  
• Stock Inhalers for Schools Program - Pima County
• Standing Medical Order Template
  
• Prescription Template Form
  
• Template Letter for Parents from Schools (English)
  
• Template Letter for Parents from Schools (Spanish)
  

Step 3 - Enroll school in program (enrollment doesn't commit you to being in the program but it does provide us with your information so we can assist you).

• Pima County schools, use this School Enrollment Form. 

• Maricopa County schools, enroll here: https://ssmp.maricopa.gov/

Step 4 - Obtain approval to implement the program from your school district. The School Board just needs to adopt the state regulation R7-2-810 Emergency Administration of Inhalers

Step 5 - Designate at least two staff members at your school to complete online training curriculum and be certified to administer inhalers. These staff members will also be responsible for storing medication, completing forms and maintaining records onsite – use the School Staff Training Form & Checklist

Step 6 - Complete training - follow the Online Training Curriculum Instructions

Step 7 - Obtain a Standing Medical Order (a prescription) from the Medical Director, a licensed Physician or Nurse Practitioner for the school or schools that will participate - use the Prescription Template Form

Step 8 - Fill prescriptions and store in secure location that is accessible by trained school staff member. Schools should not accept donated inhalers or spacers but may accept cash donations to purchase

Step 9 - Optional: Send letters to parents to announce the new program –see the following templates:

• Template Letter for Parents from Schools (English)
  
• Template Letter for Parents from Schools (Spanish)