Crews should allow the patient to administer their own Salbutamol MDI via spacer wherever possible
Allow patient to self-administer Salbutamol per their asthma management plan or under crew direction; stand clear and wait a minute before approaching the patient
If you have to use SJA supplied Salbutamol MDI, assess whether it can be reused and wipe with Clinell wipe after use. Discard the MDI in the sharps bin if the patient is very unwell or highly symptomatic of infectious respiratory condition.
Note: If administering St John supplied medication, crews are NOT to leave the remainder of the medication with the patient. This is a violation of the St John WA poisons licence and the Medicines and Poisons Act
Crews may tolerate lower oxygen saturations in patients with infective respiratory symptoms prior to considering intervention, as the use of MDI’s may precipitate a cough. See Oxygenfor
specifics regarding SpO2 tolerance and Oxygen Delivery for COVID-19 precautions.