In the yellow zone, the child is symptomatic and having some trouble breathing with coughing, wheezing, or chest tightness; wakes up at night due to asthma symptoms; and has some activity restrictions. The child may be having an acute exacerbation or an acute respiratory infection causing asthma symptoms. Instructions are listed for using the rescue inhaler, possibly increasing the controller medication(s), and contacting the asthma provider. The red zone is more serious, with the child experiencing difficulty breathing, talking, and/or walking. There are signs of respiratory distress, such as retractions, nasal flaring, and possibly cyanosis. In the red zone, medication may or may not help symptom progression. If the rescue inhaler does not help the child move out of the red zone, the child needs immediate medical attention at the primary care provider’s office or the ED. The zones are general guidelines that need to be individualized on the AAP for each child. The NP will give the family a number to call if they do not have a PCP or asthma specialist. The school nurses in CPS are well trained in the emergency asthma protocols. They have good relationships with the asthma collaborative NPs and many community primary care providers.