I'm a RN with 10yrs experience. I recall from nursing school I can never forget.." From your very detailed post of actual situation, you guys are excellent nurses. " you went with your nurses instincts." The child presented with what described as being in possible acute respiratory distress, reported SOB and chills. No medical hx or meds on file, the parent seemed unsure. In settings like schools you I would believe theres limited resources to assess a child, your " Nursing Assessment" is in my opinion is most important. As a parent, even though the outcome was stable I would be thankful as the kids are like your own when caring for them. Your excellent nurses and compassionate. Good job.