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Title: SCHOOL DISTRICT OF BELOIT SECRETARIES ANNUAL HEALTH UPDATES REVIEW Coordinated by School District of


1
SCHOOL DISTRICT OF BELOIT SECRETARIES ANNUAL
HEALTH UPDATES REVIEWCoordinated by School
District of Beloit School Nurses
2
School District of Beloit Office of School
Health Updates
  • Training for administering medication to
    studentsshall be given to any secretary who is
    designated that responsibilityannually.
  • Instruction in responding to accident and/or
    illness involving studentsspecific to a school
    settingshall be given to all school secretaries
    in a seminar format annually
  • Per secretaries contract agreement

3
OBJECTIVES OF THIS SEMINAR
  • School secretaries will know where to access
    information on medication administration and will
    review main points of medication policies and
    procedures.
  • School secretaries will be able to give
    medications at school in an accurate and safe
    manner.
  • School secretaries will respond to injuries and
    illnesses according to district policies and
    protocols.
  • School secretaries will know where to access
    resources within the district that will provide
    support.

4
CONFIDENTIALITY
  • All student health information, i.e. names of
    medications, diagnoses, chronic health problems,
    health conditions, and mental health problems are
    considered confidential.
  • Do not share any of the above information with
    other students, other students parents, or
    anyone outside the district.
  • Be careful when calling a student down from class
    for medication or a health problemstate only
    that they are needed in the office or by the
    nurse or secretary.
  • If the nurse is seeing a student for a health
    problem, she may or may not share the information
    with you. Dont feel hurt if it is not shared.
    Health information is on a need to know basis.

5
HEALTH INFORMATION RESOURCES
  • If you have questions regarding a students
    condition, medication, or First Aid protocols and
    health forms
  • Call your schools nurse first.
  • If you are unable to reach your schools nurse
    call Marcia Woelfel, 4042.
  • Or call Nursing Co-team Leaders Bette Carr, 3815,
    3336 or Kathy Pohl, 3070, 4043.

6
MEDICATION ADMINISTRATION
  • Only those persons who have been appointed by the
    principal and who have been delegated and trained
    by the RN may give medications.


Remember the 5 Rs when giving
medicationLook at the med log sheet, the
medication bottle and the student Right
person Right route Right medication Right
time Right dose
7
MEDICATION ADMINISTRATION
  • Make sure any prescription medication brought in
    to school has a matching signed doctors order
    and is also signed by the parent. Check with your
    school nurse if you have new medications or
    questions.
  • Most medications need to be kept in a locked
    cabinet. Check with your nurse if there are
    questions.
  • Make sure to check the 5 Rs with every
    medication administration. Initial each students
    medication log immediately after giving. Do not
    pour out medications ahead of time or wait
    until the end of the day to initial. You are not
    checking the 5 Rs if you do not look at the med
    sheet with each administration.
  • Make sure to sign the bottom of each med log
    sheet. When documenting on the med log sheet use
    black or blue pen, not pencil, not red.
  • If you make an error on the log sheet, cross off
    the mistake with one line and use the
    abbreviation ME for mistaken entry. Write on
    the back of the log what happened. DO NOT USE
    WHITEOUT!!

8
MEDICATION ADMINISTRATION
  • Find the child if they do not come down for their
    meds. Remember, ADHD kids dont always remember
    to take their meds.
  • If you should give the wrong medication or wrong
    dosage to a child, immediately contact your
    school nurse so that she can contact the family
    and the doctor. A medication incident report must
    then be completed.
  • You have the right to refuse to give certain
    types of medications if you feel uncomfortable
    about giving themsuch as injections, drops, or
    rectal medications. Talk with your nurse, your
    principal or your union regarding your rights.

9
MEDICATION ADMINISTRATION
  • ELEMENTARY
  • All medications-prescription or over the counter,
    given at school, with the exception of cough
    drops, must have a signed physician/licensed
    health provider order form on file.
  • Cough drops may be carried by the student if a
    written dated note from the parent accompanies
    the drops.
  • MIDDLE SCHOOL
  • Prescription medications must have a
    physician/licensed health provider order form on
    file. The only prescription medications that can
    be carried by students are inhalers, diabetic
    medications, and Epipens in certain instances.
  • Students may carry or have in their lockers, over
    the counter medications, as long as there is a
    parental consent/responsibility form on file in
    the health office.
  • If a parent is requesting that a staff member
    give an over the counter medication to their
    child, then there must be a physician/licensed
    health provider order form on file.

10
MEDICATION ADMINISTRATION
  • HIGH SCHOOL
  • Prescription medications must have a
    physician/licensed health provider order form on
    file. Students may carry their prescription
    medications on their person if that is indicated
    by the health provider on the order form.
  • Students may carry or have in their lockers, over
    the counter medications, as long as there is a
    parental consent/responsibility form on file in
    the health office.

11
EPIPEN ADMINISTRATION
  • Epipen Video

12
MEDICATION ADMINISTRATION
  • FIELD TRIP PREPARATION
  • Let the school nurse know about any upcoming
    field trips as you become aware of them.
  • When possible, the school nurse will take the
    responsibility of packaging the medications for
    field trips. There may be times that the nurse
    will request your assistance. Let the nurse know
    if you are uncomfortable with that task.

13
FIRST AID PROTOCOLS
  • Each year the school districts medical advisor
    reviews and signs the districts injury and
    illness protocols.
  • A copy of the protocols should be available to
    you from your school nurse. Usually the protocols
    are found near the area where first aid is given.
    Ask your nurse where you can find these.
  • The protocols are the treatments that our medical
    advisor has okayed for students to receive. If
    you find an injury or illness that does not fall
    within the guidelines you should call your school
    nurse for further direction.
  • Secretaries need to log the injuries and
    illnesses that they treat in the injury and
    illness logbook. This is important for your
    protectionif it isnt documented, it wasnt
    done.

14
  • Highlights of First Aid Protocols
  • Protocols state that if a childs temperature is
    100. or above and they do not have any symptoms
    that you should recheck the temperature in an
    hour. If it continues to be the same the child
    should be sent home.
  • If the student has a fever of 100. or above with
    symptoms, they should be sent home. Any child
    sent home with a fever should remain home until
    they have been without a fever for 24 hours.

15
Highlights of First Aid Protocols
  • If a child has fallen and you suspect a head or
    neck injury or a broken bone, call for help, and
    recommend the child not be moved until they are
    evaluated by the nurse, the principal, someone
    trained in First Aid, or by the paramedics. If
    the fall has been from an elevated height, be
    especially careful in deciding whether to move
    the child or not.
  • If it is an area such as the wrist or arm and you
    are able to splint the area until the parent
    arrives and further care can be given, do so.
    Apply the splint and ice and remain calm. If the
    child becomes shockyvery pale and sweaty, call
    for help.

16
Highlights of First Aid Protocols
  • ASTHMA If a student continues to have difficulty
    breathing even after using their inhaler, call
    your nurse for evaluation, or 911 if breathing
    worsens.
  • BEE STINGS Check for allergy, apply ice, observe
    for 30 minutes, call 911 if breathing
    difficulties or hives occur. Follow emergency
    plan for students who have known allergies.
  • DIABETES If a known diabetic feels sleepy, weak,
    or there is a change in behavior, suspect low
    blood sugar. Test blood sugar if equipment is
    available. If no equipment is available, assume
    low blood sugar and give fast-acting sugar item
    such as 4-6 oz. of juice or sweetened pop.

17
Highlights of First Aid Protocols
  • HUMAN BITES
  • Wash areas involved with soap and water.
  • Contact school nurse for further evaluation.
  • Contact parents of involved studentsdo not
    mention the name of the other child involved.
  • Advise parent to check with their medical
    provider for further evaluation if desired.
  • Complete the SDB Exposure Incident Investigation
    form and send it to the Office of School Health.
  • RASHES
  • Extreme caution should be used when treating
    rashes.
  • Sometimes rashes that look like an allergy, may
    actually be bacterial or fungal. If
    hydrocortisone is used on bacteria or fungus
    infections, a super infection may occur.
  • Only the nurse should be using hydrocortisone
    creams.
  • If you suspect a ringworm infection, check with
    your school nurse before applying anti-fungal
    creams. Sometimes doctors will want to scrape the
    infection for diagnosis first.

18
Highlights of First Aid Protocols
  • SEIZURE FIRST AID
  • Protect the students head from injury. Look at
    the clock for the time the seizure began.
  • Remove the other students from the area. Call for
    help from other staff.
  • Turn the student on his/her side if possible so
    that mouth secretions will drain and not cause
    choking.
  • If the seizure lasts for more than 5 minutes or
    the person is not known to have seizures before
    or the person is having difficulty breathing,
    call 911.

19
LICE POLICY
  • If a child is found to have active head lice, the
    parent is to be contacted and given the option of
    coming to pick the child up or of leaving the
    child in the classroom. The parent is advised
    that a lice treatment is needed and that proof of
    treatment (i.e. note , boxtop, mayo label, etc.)
    is to be sent the next day.
  • If upon inspection the next day the child is
    found to still have live lice, the parent is to
    be contacted again and given the same options as
    previously given. The child is not to be excluded
    from the classroom.
  • This is our current policy a new recommendation
    has been given to the Board, but has not been
    approved yet.

20
IMMUNIZATION COMPLIANCY
  • At the beginning of the school year, it is the
    responsibility of the school secretary to input
    immunizations as children are entered, i.e. the
    kindergartners.
  • After the initial entry load, the school nurse or
    health room assistant is then responsible for
    additional immunization entry.
  • Working as a team to input immunizations and to
    get out compliancy letters is always helpful.

21
Conclusion
  • Summary of Annual Review Format
  • Review the entire First Aid Standing Orders.
  • Find the School District of Beloit Health
    Services Handbook in your health office area
  • Find the red 3-ring binder that houses the
    Bloodborne Pathogens Procedures and Exposure
    Incident Report
  • Complete the evaluation form that is attached to
    this PowerPoint and send to Karen Peck.
  • Resources for Secretaries
  • Wisconsin Immunization Registry
    https//www.dhfswir.org/PR/logoff.do
  • School District of Beloit First Aid Standing
    Orders
  • School District of Beloit Policies and Procedures
    regarding School Health http//www.sdb.k12.wi.us/b
    oardpolicy/series_400.htm
  • Nursing Co-team leaders Kathy Pohl or Bette Carr
  • Chris Wesling, Director of Pupil Services

22
EVALUATION OF HEALTH REVIEW
  • Content evaluation
  • Please answer the following questions
  • What are the 5 Rs of giving medication?
  • When should you initial the medication log sheet?
  • When can you use white out on a medication sheet?
  • A student with a fever of 100. or more must go
    home
  • ____if symptoms occur
  • ____if fever continues after an hour
  • If a child has lice, the current policy states
    that the child may stay in school.
  • True or False
  • If a diabetic child is feeling low or is
    looking tired or weak, and he/she does not have
    their glucometer, the best treatment is to give a
    sugary item and call parent and nurse.
  • True or False
  • Evaluation of format
  • Please circle the number that best identifies
    your feelings, with 1 being do not agree at all
    and 5 being highly agree
  • 1 2 3 4 5 A web-based format is easy for me
    to
  • access.
  • 1 2 3 4 5 I prefer a computerized session for
  • reviewing health
    updates.
  • 1 2 3 4 5 I would prefer to meet face to face
    with
  • a nurse for health updates.
  • 1 2 3 4 5 I have the needed resources for
    health
  • information.
  • 1 2 3 4 5 I feel sufficiently prepared to
    give
  • medications.
  • 1 2 3 4 5 I feel sufficiently prepared to
    administer
  • minor first aid.
  • Suggestions for further seminars or health
    related information
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