Asthma Action Plan (AAP)

Everyone with asthma should have a written AAP in their language. The AAP provides you with information and instructions on how to manage your or your child's asthma. The AAP follows a three-zone "traffic light" scheme, progressing from a green to a yellow to a red zone.

The AAP tells caregivers what to do about your or your child's asthma. This could include:

  • family members
  • parents
  • grandparents
  • foster parents
  • school nurses
  • teachers
  • after-school care staff

Your physician prepares the AAP, and it:

  • Describes asthma symptoms to help you recognize when symptoms get worse.
  • Tells you want medications to take right away.
  • Tells you what to do in an emergency.

NOTE: All caregivers and school nurses should have a copy of the AAP.

Caregivers & School Nurses

Caregivers
Please give the AAP flyer to your child's doctor, who can complete the AAP.
School Nurses
Please have the child take home a printout of the AAP flyer to give to their caregiver. The caregiver can give the printout to their child's doctor who can complete the AAP.

AAP Flyer(PDF, 234KB)

Physicians

The South Texas Asthma Coalition (STAC) is proud to announce their most updated STAC Asthma Action Plan (AAP) in both English and Spanish, published in February 2024. Thanks to a wonderful team, STAC was able to revise the AAP to include the newest 2020 National Heart, Lung, and Blood Institute (NHLBI) and Global Initiative for Asthma (GINA) Guidelines. Metro Health is happy to house this form for STAC.

These revisions to the STAC AAP include:

  • The addition of SMART/MART therapy - Single Maintenance and Relieve Therapy.
  • Revisions to the wording in the pre-exercise area of the AAP.
  • Making this a PDF document with drop down selections, as most clinics and hospitals are using electronic formats.
  • Updating a significant number of drop-down choices, so the medications follow the new guidelines, and some wording edits.
  • Requiring one of the two self-carry box selections (either allowing self-carry or not) to be checked prior to the physician signing the AAP.

Instructions for physicians and the STAC AAP Form

Review the guide to using the STAC AAP Form(PDF, 1MB).

  1. Download the STAC AAP Form to your computer for full functionality of the drop-down menus.
    1. Open the STAC AAP Form for Home and School(PDF, 137KB).
    2. Right-click anywhere on the PDF (avoid clicking on text or links if possible).
    3. Select "Save As…" or "Save Page As…" from the context menu.
    4. In the file dialog box, select where to save the PDF and click Save.
    5. Open with Adobe Acrobat.
  2. Complete the STAC AAP Form
    • For an adult with asthma: Provide the patient with a copy of the completed STAC AAP
    • For a child with asthma: Please provide two copies of each completed STAC AAP to the family:
      • A copy for the school nurse in English
      • A copy for the family in their preferred language, as these become available.

STAC AAP Form for Home and School(PDF, 137KB)

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