The school nurse plays a critical role in identifying and referring chil- dren who are not yet diagnosed with asthma (Baker, Friedman, & Schmitt,
2002). Some studies have shown, however, that it is not worthwhile to spend valuable resources in school- wide asthma screening or with follow up of children having less asthma morbidity (Wheeler et al., 2006). Due to limited resources, therefore, school nurses in selected high-poverty schools will identify children with persistent asthma not receiving regular care or those currently experiencing asthma symptoms through a health history completed by the parent, during stu- dent encounters in the health office, by reviewing medication logs, by teacher report of in-class symptoms or history of inhaler use, and/or through self-report. The nurse will also obtain parental consent for treatment