Florida School Health Administrative Guidelines

School Health Administrative Resource Manual

Permission to duplicate and distribute granted.

Revised 2017

Celeste Philip, MD, MPH State Surgeon General and Secretary

Acknowledgements Revision Reviewers (2017)

? Florida Department of Health: County Health Departments o Baker County o Broward County o Collier County o Orange County o Palm Beach County o Polk County o Sarasota County o Seminole County

? Florida Department of Health: Tallahassee Central Office o Public Health Dental Program o School Health Services Program

? Florida Department of Education o Student Support Services Project

? Florida County School Districts o Escambia County

School Health Administrative Resource Manual

Revised 2017

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Table of Contents

Chapter One: Introduction to School Health Services...................................................... 8

Purpose of the School Health Services Program

Manual............................................................................................. 8

Health Equity....................................................................................... 8

School Health Mission Statement........................................................... 8

Overview of School Health Services....................................................... 8

Responsibility for School Health Services................................................ 9

Statutory Program Requirements........................................................... 9

Key Components in the Development of an Effective School Health

Program........................................................................................... 9

School Health Advisory Committee........................................................ 10

Florida Organizations.......................................................................... 10

National Organizations........................................................................ 11

Chapter Two: Overview of School Health Services........................................................ 11

School Health Program Funding............................................................ 11

Basic School Health Services............................................................... 12

Comprehensive School Health Services Program..................................... 13

Full Service Schools........................................................................... 13

Charter Schools................................................................................. 13

Private Schools ................................................................................. 14

Chapter Three: Role of the School Health Staff............................................................. 15

Role of the Registered Nurse............................................................... 15

Role of the Licensed Practical Nurse...................................................... 15

Role of Unlicensed Assistive Personnel.................................................. 16

Chapter Four: Health Appraisal................................................................................. 16

Nursing Assessment.......................................................................... 16

Physical Assessment......................................................................... 17

Health History................................................................................... 17

Chapter Five: Health Screening............................................................................... 17

Recording Health Results and Referrals................................................. 18

Screening Procedures (see Appendix D for procedures) ............................. 18

Chapter Six: Medication Administration..................................................................... 18

Purpose............................................................................................ 18

Responsibilities.................................................................................. 19

School District Policies........................................................................ 19

Labels and Labeling of Medicinal Drugs.................................................. 19

Emergency Medications...................................................................... 20

Delegation to Unlicensed Assistive Personnel.......................................... 20

Non-Prescription/Over The Counter (OTC) Medications............................. 20

Field Trips, Before and After School Activities.......................................... 21

Medication Errors............................................................................... 21

Storage and Disposal of Medications...................................................... 21

Medication Administration Documentation................................................ 22

Chapter

Seven:

Students with Special Health Needs/Chronic Conditions............................. 22

Exceptional Student Education (ESE)..................................................... 22

Individualized Education Program (IEP)................................................... 23

Health Component of the IEP and Role of School Health Staff..................... 23

Identification of Potential ESE Students................................................... 23

School Health Administrative Resource Manual

Revised 2017

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Chapter Eight: Chapter Nine:

Chapter Ten:

Chapter Eleven: Chapter Twelve: Chapter Thirteen: Chapter Fourteen:

Section 504 of the Rehabilitation Act of 1973............................................ 23 Section 504 Evaluation of a Student with an IHP....................................... 24 Individual Health Care Plan (IHP)/Health Management Plan........................ 24 Individualized Student Emergency Plans................................................. 24 Components of the IHP........................................................................ 25 Medical Management Plan Signed by Physician....................................... 26 Resources for IHP Development............................................................ 26 Emergency Planning and Care.............................................................. 26 School Emergency Planning................................................................. 26 Legal Basis....................................................................................... 27 School Emergency Action Plan.............................................................. 27 Emergency First Aid for Anaphylaxis ...................................................... 27 First Aid/Cardiopulmonary Resuscitation/Automated External Defibrillators..... 27 Emergency Medical Supplies and Equipment........................................... 28 Disaster Preparedness........................................................................ 28 Crisis Disaster Plan............................................................................. 28 Schools as Shelters............................................................................ 28 Student Emergency Evacuation............................................................. 29 General Guidelines for Accidents and Injuries, Reporting and Follow-up........ 29 Do Not Resuscitate/Advance Directives.................................................. 29 Communicable Disease Control............................................................ 30 Nursing Role..................................................................................... 30 Coordination and Partnership................................................................ 30 Case Finding and Tracking................................................................... 30 Reporting Diseases and Outbreaks........................................................ 31 Head Lice......................................................................................... 31 Methicillin-Resistant Staphylococcus Aureus (MRSA)................................. 31 Bloodborne Pathogens/Universal Precautions.......................................... 31 Sexually Transmitted Diseases (STD)/Sexually Transmitted Infections (STI)... 32

Immunizations and School Entry Health Examination................................. 32 Annual Immunization Reports and Surveys.............................................. 34 Parent Notification Requirements........................................................... 34 School Entry Health Examinations......................................................... 34 Student Exemption for Entrance Documentation Requirements.................... 35

Dental Health Services........................................................................ 35 Referral for Dental Services.................................................................. 35 Dental Health Information..................................................................... 36

Nutrition Services............................................................................... 36 Food Allergies.................................................................................... 36 District Wellness and Physical Education Policies .................................... 37

Students in Transition.......................................................................... 37 Military Students................................................................................. 37 Students Experiencing Homelessness................................................... 37 Displaced and Refugee Students........................................................... 38 Migrant Students................................................................................ 38

School Health Administrative Resource Manual

Revised 2017

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