Manual for School Health Programs

Manual for

School Health Programs

June 2014

Missouri Department of Elementary and Secondary Education In Cooperation with the Missouri Department of Health and Senior Services

Manual for School Health Programs

June 2014

Missouri Department of Health and Senior Services In Cooperation with the

Missouri Department of Elementary and Secondary Education

Acknowledgements

We would like to thank the following Missouri school nurses for their review and comments of the revision of this manual:

Tracy Allman, RN - McDonald County School District Angie Anderson, BSN, RN - Mexico School District Katie Cook, BSN, RN ? Center School District, Kansas City

Chris Conway, RN ? Potosi School District Carol Generally, RN ? Union School District Amanda Mitchell, RN ? West Plains School District Mary Rhodes, BSN, RN ? Grandview School District Cindy Sanders, BSN, RN ?Neosho School District Sandy Van Aken, BSN, RN, President, Missouri Association of School Nurses Sheryl Talkington, BSN, RN ? Poplar Bluff School District

And SUSAN GOLDAMMER

KELLY HOPKINS From the Missouri School Boards Association:

And Ray Patrick From the Missouri Association of Rural Educators

This manual is a revision of the Manual for School Health Programs, 2005, Missouri Department of Elementary and Secondary Education and Missouri Department of Health and Senior Services.

This manual can be accessed from the DHSS website ? Manual for School Health Programs:

Table of Contents

Coordinated School Health Program...................................................................................................................................... 1 INTRODUCTION ......................................................................................................................................................................... 1 ESTABLISHING OR STRENGTHENING A CSH PROGRAM............................................................................................................. 2 Appendix A.1.............................................................................................................................................................................. 7

Suggested School Nurse Roles in ........................................................................................................................................... 7 Coordinated School Health Programs .................................................................................................................................... 7

Appendix A.2.............................................................................................................................................................................. 9 Resources for School Health Advisory Committees................................................................................................................ 9

Appendix A.3............................................................................................................................................................................ 10 Sample Resource Map ......................................................................................................................................................... 10

Appendix A.4............................................................................................................................................................................ 11 Examples of Activities, Services and Policies to ................................................................................................................... 11 Support a Coordinated School Health Program.................................................................................................................... 11 Missouri School Improvement Program............................................................................................................................... 13 School Health Services ......................................................................................................................................................... 14

INTRODUCTION...................................................................................................................................................................... 14 Scope and Standards of Practice for .................................................................................................................................... 15 Professional School Nursing................................................................................................................................................. 15 School Health Services Personnel ........................................................................................................................................ 16 Guidelines for the New School Nurse .................................................................................................................................. 20 Resources for School Health Programs ................................................................................................................................ 22

Appendix B.1 ............................................................................................................................................................................ 24 School Health Services Plan ................................................................................................................................................. 24

Appendix B.2 ............................................................................................................................................................................ 25 Sample School Health Services Plan..................................................................................................................................... 25

Appendix B.3 ............................................................................................................................................................................ 29 Sample Agreement for Supervision ..................................................................................................................................... 29

Appendix B.4 ............................................................................................................................................................................ 30 Sample List of Responsibilities for........................................................................................................................................ 30 Registered Nurse Supervising LPNs...................................................................................................................................... 30

Appendix B.5 ............................................................................................................................................................................ 31 Sample List of Responsibilities for........................................................................................................................................ 31 Licensed Practical Nurse ...................................................................................................................................................... 31

Appendix B.6 ............................................................................................................................................................................ 32 Joint Statement on Delegation............................................................................................................................................. 32 Appendix A .......................................................................................................................................................................... 35

Appendix B .......................................................................................................................................................................... 36

Appendix B.7 ............................................................................................................................................................................ 39

School Health Facilities and Supplies.................................................................................................................................... 39

Appendix B.8 ............................................................................................................................................................................ 41

Retention of Health Records ................................................................................................................................................ 41

Appendix B.9 ............................................................................................................................................................................ 42 Appendix B.10 .......................................................................................................................................................................... 44

Role of the School Nurse in the Homebound ........................................................................................................................ 44

Instruction Process .............................................................................................................................................................. 44

Appendix B.12 .......................................................................................................................................................................... 46

Laws, Rules and Regulations Relating to School................................................................................................................... 46

Health Programs .................................................................................................................................................................. 46

Recommended Policies and Procedures .............................................................................................................................. 48

INTRODUCTION ....................................................................................................................................................................... 48 CONFIDENTIALITY .................................................................................................................................................................... 48 COMMUNICABLE DISEASE CONTROL....................................................................................................................................... 49 CARE OF ILLNESS AND INJURY ................................................................................................................................................. 50 ADMINISTRATION OF MEDICATIONS IN SCHOOLS .................................................................................................................. 51 CHILD ABUSE AND NEGLECT.................................................................................................................................................... 54 SCREENING AND REFERRAL PROGRAMS.................................................................................................................................. 55 SPECIAL HEALTH CARE NEEDS.................................................................................................................................................. 56 DO NOT RESUSCITATE (DNR) ORDERS ..................................................................................................................................... 56 HEAD LICE ................................................................................................................................................................................ 57 Appendix C.1 ............................................................................................................................................................................ 58

Policy Guidance on Communicable Diseases ....................................................................................................................... 58

Appendix C.2 ............................................................................................................................................................................ 62

Infection Control Procedures for Schools............................................................................................................................. 62

Screening Program Recommendations and Standards......................................................................................................... 65

INTRODUCTION........................................................................................................................................................................ 65 HEALTH AND DEVELOPMENTAL HISTORY ................................................................................................................................ 66 PHYSICAL GROWTH (NUTRITIONAL ASSESSMENT) .................................................................................................................. 66 VISION...................................................................................................................................................................................... 66 HEARING .................................................................................................................................................................................. 67 DENTAL .................................................................................................................................................................................... 67 SPINAL SCREENING .................................................................................................................................................................. 68 BLOOD PRESSURE .................................................................................................................................................................... 68 HEALTH RISK APPRAISALS ........................................................................................................................................................ 69 TUBERCULOSIS SCREENING ..................................................................................................................................................... 69

Special Health Care Needs: .................................................................................................................................................. 70

AdministrativeGuidelines.................................................................................................................................................... 70

INTRODUCTION........................................................................................................................................................................ 70 Purpose .................................................................................................................................................................................... 71 Determination of Services Required......................................................................................................................................... 71 Identification of Care Providers ............................................................................................................................................... 71 Competencies of Personnel...................................................................................................................................................... 71 Documentation of Plans of Care .............................................................................................................................................. 72 Emergency Action Plan ............................................................................................................................................................ 72

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