I have a student that has severe asthma. When she has an attack, I immediately give her a nebulizer treatment which is the only medication that I have in my clinic. Let me tell you, her attacks are scary! She wheezes, has contractions and my pulse ox reader normally registers her O2 at 94-95%! After treatment, contractions and wheezes are gone but her O2 usually doesn't get much higher than 97%.
Last week, she came in for a treatment in the early morning but returned an hour later, having another attack. Mom was working as a sub so I immediately paged her. After an assessment I offered to call 911 but mom was hesitant. Mom did give her an inhaler, and it helped a little bit. I called her pediatrician because I knew she needed help but I didn't want to overstep mom and call 911 without her permission. I'm a new school nurse and still get anxious about those kind of things...
Long story short, Mom took her to the pediatrician after the student calmed down a big and she was admitted to the hospital for a couple of days. Mom stopped by the clinic this morning with an update and informed me that the next time this happens, I need to call 911 immediately, not her but 911. I was taken back seeing how I suggested that last week and she said no.
Anyways, I'm curious when would you call 911 for an asthmatic patient? I don't want to be put in that situation again. Now thinking about it, I feel like I should call 911 on her initial attacks because they are so bad! Help..new school nurse and I'm second guessing everything!