Better organization of the inhalers, for one. They should be able to pick out the right one with their eyes blindfolded. Better training of the office assistant would be crucial, because he/she seems to be the weakest link in this scenario. The teachers should also be aware of who in their classes have what medical problems, have some knowledge about those problems, and be on the alert during high physical exertion activities such as recess. All teachers should all be trained in basic CPR and first aid, as well. If the nurse is not present, she should at least be available via pager, so that in case of an emergency at a different school, she can better allocate her time to treating that case first, even if it is over the phone.


The parents of the little girl should also inform her better about asthma and the family should sit down and talk to the nurse together about how to manage the attacks, or what to expect in the case of an attack.


But of course, if the asthma attack, or the medical condition, was severe, then it is better to call 911.