Download School Health Services and Program Manual

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Transcript
TABLE OF CONTENTS
Page Number
Philosophy and Goals .................................................................................... 1
Nursing Program Description ......................................................................... 2
Job Description .............................................................................................. 5
School Nurse Responsibilities and Services.................................................. 7
Table of Contents ................................................................................. 8
Appendices
Appendix A: New Jersey Statutes and Regulations............................. 91
Appendix B: ETSD Policies and Regulations....................................... 151
School Nurse
Responsibilities and Services
TABLE OF CONTENTS
Page
CHAPTER 1: RESPONSIBILITY FOR SCHOOL HEALTH SERVICES ............................................................ 9
1A. District Board of Education and Chief School Administrator ......................................................... 9
1B. The School Physician .................................................................................................................... 10
1C. The School Nurse .......................................................................................................................... 11
1D. The Supervisor of School Nurse.................................................................................................... 16
1E. The School Health Aide ................................................................................................................. 17
CHAPTER 2: PUPIL HEALTH APPRAISAL/ASSESSMENT ........................................................................... 19
2A. Health Appraisals/Physical Examination ....................................................................................... 19
2B. Audiometric Screening................................................................................................................... 21
2C. Scoliosis Screening........................................................................................................................ 23
2D. Vision Screening ............................................................................................................................ 25
2E. Growth Screening .......................................................................................................................... 27
2F. Blood Pressure Screening ............................................................................................................. 27
CHAPTER 3: COMMUNICABLE DISEASE AND INFECTION CONTROL ...................................................... 28
3A. Immunization Monitoring................................................................................................................ 28
3B. Tuberculin Testing ......................................................................................................................... 29
3C. Reportable Communicable Diseases ........................................................................................... 35
3D. Other Communicable Conditions................................................................................................... 36
3E. Sanitation and Prevention of Spread of Blood-Borne Pathogens.................................................. 38
CHAPTER 4: FIRST AID AND EMERGENCY CARE ....................................................................................... 42
4A. Procedures..................................................................................................................................... 42
4B. Standing Orders............................................................................................................................. 44
CHAPTER 5: ADMINISTRATION OF MEDICATION ........................................................................................ 50
5A. Guidelines for the Administration of Medication in School ............................................................ 50
5B. Self-Administration of Medication by the Student .......................................................................... 53
5C. Field Trip Medication Policy ........................................................................................................... 54
5D. Administration of Epinephrine to Students..................................................................................... 55
5E. Nebulizer Medication for Students with Asthma ............................................................................ 63
5F. Diabetes and Emergency Administration of Glucagon .................................................................. 67
CHAPTER 6: OTHER HEALTH SERVICES ...................................................................................................... 71
6A. Student Health Records................................................................................................................. 71
6B. Confidentiality ................................................................................................................................ 72
6C. Students with Special Needs and Chronic Health Conditions ....................................................... 73
6D. Care of the Student with Post-Concussion Syndrome .................................................................. 74
6E. Child Abuse and Referrals to Protective Services ......................................................................... 78
CHAPTER 7: HEALTH SUPERVISION OF SCHOOL PERSONNEL ............................................................... 79
CHAPTER 8: HEALTH TEACHING AND HEALTH COUNSELING ................................................................. 80
8A. Health Teaching............................................................................................................................. 80
8B. Health Counseling.......................................................................................................................... 81
CHAPTER 9: ENVIRONMENTAL HEALTH AND SAFETY .............................................................................. 82
9A. The Physical Environment ............................................................................................................. 82
9B. Eye Protection................................................................................................................................ 82
9C. The Emotional Climate................................................................................................................... 83
9D. Health Services Office ................................................................................................................... 83
CHAPTER 10: CRISIS MANAGEMENT ............................................................................................................ 85
10A. Nurse’s Responsibilities................................................................................................................. 85
10B. School District and Law Enforcement Crisis Plan.......................................................................... 86
10C. Emergency Medical Kit .................................................................................................................. 90









Ensure that a student-specific emergency plan, including the student’s specific triggers, is
well documented. This emergency plan should be developed in collaboration with school
administration, the district medical officer, community emergency personnel and the family;
Attend the educational planning meeting, review the health care plan which includes the
emergency plan and make recommendations for the delegate based on the student’s
health care needs;
Coordinate the student’s in-school health care as specified in the health care plan;
Educate the school staff about anaphylaxis, its causes, signs, symptoms and treatment;
Ensure that the delegate in the school has received competency-based training in
appropriate student-specific techniques and emergency management;
Provide information for other personnel and students in the educational setting about the
special medical needs of the student, when appropriate;
Maintain appropriate documentation;
Regularly review and update the health care plan based on the student’s condition; and
Regularly review and update training with the delegate at least once after the initial training
and as appropriate to the needs of the student.
6. Choosing a Delegate
When selecting a potential delegate, the following should be considered:





The delegate must be willing to learn the procedure for treating anaphylaxis and be willing
to assume the responsibility;
The potential delegate has a record of competency and good judgment, and can be
depended upon to report to the school nurse any changes in the student’s condition;
The delegate must successfully complete anaphylaxis training;
The delegate must be available to assist the student in the environment where anaphylaxis
is most likely to occur, e.g., cafeteria workers for a student with food allergies, playground
aides for a student with bee sting allergies; and
The task shall be delegated to only one designee, for one specific task, for one student.
This means that the designee cannot further delegate the task to someone else. This does
not mean, however, that the same designee cannot receive individual training and
delegation for more than one student.
7. Training the Delegate
The process of general and student-specific instruction for training the delegate by the school
nurse includes, but is not limited to:








Review of written procedures;
Verbal directions;
Demonstration of procedure;
Return demonstration of procedure by the delegate;
Directions for accessing the emergency medical system;
Adverse reactions and risks;
Documentation of an anaphylactic episode;
Evaluation and documentation of the learning process;