Table 5.

Data Elements for Documentation of Stock Albuterol Usage Event Reporting in Schools

Description	Data Element
Date	Date the event occurred
Time	Time of d the event occurred
Responding person	Fill-in-the-blank space for name and role
Student’s or individual’s name	First name
	Last name
Student’s or individual’s age or date of birth	Fill-in-the-blank space
Student’s or individual’s gender	Male
	Female
	Nonbinary
Student’s or individual’s race	American Indian or Alaska Native
	Asian
	Black or African American
	Native Hawaiian or Pacific Islander
	White
	Multiracial
Student’s or individual’s ethnicity	Hispanic or Latino
	Non-Hispanic or non-Latino
Previously known asthma diagnosis	Yes
	No
	Unknown
Reason for stock albuterol use (e.g., symptoms)	Fill-in-the-blank space
Number of inhaler actuations (e.g., puffs)	Checkboxes for number of puffs based on protocol; also provide option for off-protocol with blank for number puffs and reason
Student or individual’s disposition status	Returned to class
	Sent home
	Summoned EMS and not transported
	Summoned EMS and transported
Contact with parent/guardian	Open-ended
Comments (e.g., why stock albuterol inhaler was used)	Open-ended

Definition of abbreviation: EMS = emergency medical services.

Additional information can be recorded at the school level or individual level, including the national drug code and lot number of the albuterol medication.