Secretary Inservice

1
Secretary Inservice

• Klamath County School District
• Health Services
• Ginny Brollier, RN
• August 23, 2004
• EpiPen check out from bus shop
• Not to leave school

2
Healthy Kids Learn Better

• Good health and learning go hand in hand
• If we can improve childrens health and
  well-being
  
• We can raise educational outcomes

3
Role of the School Nurse (with lots of help from
the secretaries!)

• Medication Administration
• Immunizations
• Documentation
• First Aid
• Medically at Risk Students

4
Health Folders

• Should include
• CIS forms
• TB Clearance Certificate
• birth certificates
• no medication sheets (unless related to IEP)
• no nurses notes
• Send Health Folders when requested
• Medical information must request signed by parent

5
Schoolmaster Health Alerts

• Registration Forms
• Every student must have one completed and signed
  each year
  
• Health Alert
• Medical Conditions
• Medications (include those given at school)

6
Health Alerts

• Only enter the information once, not once each
  year
  
• Linda will run Health Alert Report and mail
  letters from DO
  
• Emergency Care Plans in office, including STEPS

7
Immunizations are to
Protect Our Students

• Accurate information necessary in case of an
  outbreak
  
• Must be able to access during night, weekends, or
  vacations
  
• Secretaries enter the information

8
Klamath County Health Department Immunization
Clinic

• Tuesday, August 31st, 900 am 600 pm
• 10 per shot at time of service
• 15 if billing is required
• Will bill insurance

9
Bonanza Merrill Clinics

• No appointment necessary
• 10 for first two shots
• 5 for each additional shot
• Will bill insurance

10
Immunizations

• Refer to Immunization Handbook for Schools and
  Childrens Facilities
  
• Rules and regulations are in yellow

11
CIS Forms

• Ink
• Not legal unless signed and dated
• Illegal to have a parent pre-sign

12
Adding Info to CIS Form

• Parent
• Initial date
• Sign date bottom of form
• Someone other than a parent
• Add info
• Initial date
• Sign date bottom of form
• Copy original attach

13
New Enterer

• Attending an Oregon school for the first time
• Kindergarten
• Home School
• Foreign Exchange Students

14
New Enterer

• Must have one dose of each required vaccine to
  attend
  
• If born outside of US may need TB test
• Administrator must not allow child to attend
  without these
  
• Homeless
• Enter data right away, update vaccination status

15
Transfer Student

• Students transferring from another school in the
  U.S.
  
• Yellow exclusion notices must be signed and a
  copy handed to parent if transfer student enrolls
  without immunization record
  
• Exclude in 30 days if no record

16
Schoolmaster Immunizations

• View Vaccinations
• Dates in chronological order
• Hep B Varicella for each student
• Varicella
• history of disease or vaccination date

17
Medical Exemptions

• Only KCHD can determine if it is permanent
• Enter all as Temporary, nurse can change if
  necessary

18
Immunizations

• Do not file until reviewed by a nurse and entered
  in SchoolMaster
  
• Exclusion orders do not expire or have a time
  limit

19
Basic First Aid

• Soap Water
• Apply Pressure
• Ice Elevate
• Splinter Removal
• Dont look at students private areas

20
First Aid/CPR

• You are the designated first aid provider
• CPR/First Aid Classes
• This afternoon for you
• Coaches
• Wed Sept 1, 1130-100
• Rest of district
• Thurs, Sept 2, 900 1130 or 1200 300

21
In Case of Emergency

• Call 9-1-1
• Can cancel
• No transport, No charge
• Pull Emergency Care Plan
• Call parent
• Call nurse
• Nurse can transport students for one time
  emergencies
  
• Know where EpiPen is kept

22
Transportation Request Slips

• Outdoor field trips
• First Aid Kit
• EpiPen

23
Medication Administration

• Sign In Sheet
• Law
• Nurse responsible for teaching you
• You are responsible for doing correctly

24
Training

• Nurse
• Two people at each school

25
Five Rights of
Medication Administration

• Right Student
• Right Medication
• Right Dose
• Right Time
• Right Route

26
Prescription Medications

• Childs name
• Name of the medication
• Date of authorization
• Dosage
• How it is to be given
• When it is to be given
• Written permission of parent
• Order from health care provider

27
Over-the-Counter Medication

• Written authorization from parent
• Including dose
• Can be faxed
• Must provide own medication
• Must be in original container
• Must have the students name

28
Self-Administration

• Grades 9 - 12
• Any student can self-administer if parent writes
  it under instructions with doctor and nurse
  approval

29
No Baggies





No Envelopes





No Medication Boxes
30
Medications
Must

be stored in a
Locked Area
31
Handling Medication

• Hand washing
• Avoid touching medication
• Cutting or Crushing Tablets
• Measuring Liquid Medication
• Follow oral medications with water
• Topical medications
• Inhalers and nebulizers

32
Delegated Task

• Nebulizers
• Glucometers
• copies of flow sheets to MDs/parents
• Insulin

33
Record-Keeping

• Permanent record
• INK (one student per sheet)
• Students name (Legal)
• Name of medication
• Medication Allergies
• Dosage
• Route
• Time
• Initial and Sign

34
Record-Keeping

• Legal Document
• send to DO
• at end of year
• when completed
• if student moves
• Confidential

35
Unexpected Situations

• Field Trips Outdoor School
• Student does not come for medication
• Refuses medication
• Vomits or spits out medication
• Document
• Contact school nurse or parent

36
Side Effects Allergic Reactions

• All medications can have side effects
• All medications can cause allergic reactions
• Teachers should be aware of students taking
  medications
  
• EpiPens

37
Additional Medication Responsibilities

• Monitoring Medication Supply
• Disposing of Medication
• Confidentiality

38
Accidental Errors

• What is a medication error?
• forgetting a dose of medication
• medicating the wrong child
• giving wrong medication or wrong dose
• giving medication at the wrong time
• Accidents do happen
• Contact school nurse and parent
• Incident Report to Health Services

39

• Questions on Medications?

40
Bloodborne Pathogen Update

• Sign-In Sheet

41
Bloodborne Pathogen Class for New Employees

• Thursday, September 2, 900 1000 a.m.
• Klamath Community College
• First Wednesday of every month
• District Office, 1000-1100 a.m.

42
Bloodborne Pathogens

• Hepatitis B
• Hepatitis C
• HIV

43
Bloodborne Pathogens

• Sharps Containers
• Gloves
• Spill Kits
• Exposure Control Manual

44
If its Warm,
Wet, and Not Yours,
Dont Touch It!
45
Bloodborne Pathogens

• Teach kids to care for their own injuries
• Children learn from watching us
• Disposing of Contaminated materials

46
Bloodborne Pathogen Clean-Up

• Call custodian for clean-up
• If not immediately available
• B arrier
• A bsorb
• D isinfect
• D iscard
• Virex or Bleach solution

47
Hand Washing is the Single Most Effective Barrier
to the Transfer of Germs
48
Possible Exposure

• Wash with soap and water
• Call Ginny or your school nurse

49
Hepatitis B Vaccines

• If your job description requires that you
  provide first aid or are regularly exposed to
  blood, you should be vaccinated
  

50
Questions?

• Have a Great
  
  Year!