Helping Belton ISD Students Stay Safe & Healthy What Every BISD Staff Needs to Know About:

1. Helping Belton ISD Students Stay Safe & Healthy What Every BISD Staff Needs to Know About: • Responding to Emergencies (Mr. MERT) • Health Conditions: What Do I Do? • Field Trip Process: Health Needs • Communicable Disease Prevention Updates: Lice • Blood Borne Pathogens SEVERE LOW BLOOD GLUCOSE Belton ISD Health Services 2013-2014

5. Health Conditions: What Do I Do?  Safe & Healthy

6.  Safe & Healthy

7. Asthma Emergency Plan Safe & Healthy

8. Food Allergy

9. Food Allergy

10. Severe Allergy Emergency Plan Safe & Healthy

11. Teacher/Coach Responsibilities • Review the Emergency Plan for Severe Allergy plan with the school nurse, if available, and with the student and his/her parent/guardian. • Keep the student’s plan accessible in the classroom and available for a substitute • Ensure that an adult accompanies a student suspected of having an allergic reaction or ask the nurse to come to the student • Notify the school nurse at least 48 hours before a field trip so that emergency plan and EPIPEN administration procedures can be reviewed with one to two staff going on the field trip. • Educate classmates to avoid endangering, isolating, stigmatizing or harassing students with food allergies • Ensure other staff, students and their parents comply with any risk-reduction strategies. Food Allergy

12. Risk Reduction Strategies • No food sharing • No utensil sharing • Avoid serving food without appropriate ingredient labels • Hand washing before and after eating snacks/meals. Soap and water are best. • Avoid cross-contamination of food by wiping down eating surfaces before and after eating. • Designate allergen safe zones, such as designated tables/seating areas • Consider eliminating or limiting foods in the classroom, buses, after-school activities which may cause a life-threatening reaction to a student in a class • Avoid or use caution when using food for classroom activities, such as for crafts, science projects, holiday celebrations, etc. • Use non-food items as rewards instead of food • Avoid high-risk areas for field trips, i.e. corn fields, exposure to latex balloons or seafood, etc. Food Allergy

13. Field Trips Medications/Procedures/Supplies Emergency Care Plans Asthma Bleeding Disorder Cardiac Condition Diabetes Seizures Severe Allergies Other special conditions or procedures • Oral medications • Epipens • Inhalers • Diabetic supplies • Other equipment • Other emergency meds • Basic 1st Aid supplies Medication Administration on Field Trips

14. Illness Prevention Examples of When a Student Would be Excluded from School: Illness Prevention Tips: • Possible Fever > 100° • “Wet” Rash that cannot be covered • Signs & Symptoms of a contagious disease, like pertussis, mmps, chickenpox, “pink-eye” • Wash Hands • Cover Cough • Stay Home if Sick- See Your Dr. • Get Flu Shot Communicable Disease Prevention

15. Head Lice Updates New Texas Law: No School Exclusion for Head LIce Head Lice Guidelines Reviewed By: Research & Recommendations from: • American Academy of Pediatrics • National Association of School Nurses • Texas Department of State Health Services • Belton ISD School Health Advisory Committee • Belton ISD Administration Communicable Disease Prevention

16. Head Lice: Prevention • School Nurses provide Parental Education about identification, treatment and prevention in person & in writing, including on BISD website • Teachers avoid classroom activities that increase head to head contact (naptime) • All staff remind students about not sharing caps, hats, scarves, hairbrushes, combs • All staff avoid practice of having students pile coats, backpacks, etc. )Use separate hooks, cubbies) Communicable Disease Prevention

17. Head Lice: Identification & Referral • Refer those exhibiting signs (itching, visible nits or lice) • Check only those with possible close head to head contact- at discretion of nurse and principal • No head checks in the classroom Communicable Disease Prevention

18. Head Lice: Management of Confirmed Case • Nurse calls parent to inform of case and educate on treatment , encouraging parent to treat • Student may remain in class, but discouraged form close head to head contact • Head Lice Notice to Class sent only at discretion of nurse and principal with several cases Communicable Disease Prevention

19. Head Lice: Exclusion? • Student with > 2 cases in same week can be excluded at discretion of nurse & principal until free of live lice • Nurse will re-examine student before allowing to return • Nurse should collaborate with CIS staff to offer extra extra help for students with excessive absences due to head lice Communicable Disease Prevention

20. Head Lice: Educate! • Head Lice, American Academy of Pediatrics, published July, 2010 • Pediculosis Management in the SCHool Setting, National Association of School Nursing, August 2010. • Managing Head Lice in School Settings, Texas Department of State Health Services, December, 2012. • Lice Management: Staff Information, Belton ISD Health Services, BISD website, 2013. Communicable Disease Prevention

21. Helping Belton ISD Students & Staff Stay Safe & Healthy What Every BISD Staff Needs to Know About: Blood borne Pathogens Belton ISD Health Services 2013-2014 BBP

22. Why do I need this training? Your job duties may put you at risk of exposure to blood or other potentially infectious material (OPIM) • Breaking up fights • Assisting with nose bleeds, cuts • Assisting diabetic student • Working with combative students including those who bite and break the skin • Providing swallowing therapy BBP

24. Many Symptoms appear months after exposure and HEP B can survive outside of the body for up to a week

33. BBP: INFORMATION ACCESS Belton ISD BBP Exposure Control Plan • Annual Training • Web Access: Staff Training Tab of School Health Service Page • Written Access: BBP Exposure Control Plan @ the school health office of each campus or department in the district BBP

34. Questions or Comments?References & Resources Emergency: American Academy of Pediatrics (AAP). (2008) Disaster planning for schools. Pediatrics, 122 (4) pp. 895‐ 901. doi:10.1542/peds.2008‐2170 Cole, V., Henry, B., Tyson, D., Fitzgerald, R., Hopkins, R. (2007). In the face of danger: Comprehensive emergency preparedness and response for schools. Penn GSE Perspectives on Urban Education, Retrieved from http://urbanedjournal.org/archive/Vol.%205%20Iss.%202%20Order%20in%20Schools/Articles/Article_ 2_In%20the%20Face%20of%20Danger.html Doyle, J., & Loyacono, T. (2007). Disaster preparedness guidelines for school nurses. Silver Spring, MD: National Association of School Nurses. Fitzpatrick, B. (2006). Emergency management, crisis response and the school nurse’s role. In J. Selekman (Ed.) School nursing: A comprehensive text. (pp. 205‐ 233). Philadelphia: F.A. Davis Company. Diabetes Care, 34(Supp 1), S70‐S74. American Association of Diabetes Educators (AADE). (2008). Position statement: Management of children with diabetes in the school setting. The Diabetes Educator, 34(3), 439‐443. American Nurses Association /National Association of School Nurses (ANA/ NASN). (2011). Scope and standards of practice: School nursing, 2nd ed. Silver Spring, MD: Nursebooks.org. Food Allergy American Academy of Allergy, Asthma and Immunology Board of Directors (1998). Position Statement-Anaphylaxis in schools and other child-care settings. Journal of Allergy Clinical Immunology: 102(2), 173-175. Food Allergy Network (2001). Information about anaphylaxis: Commonly asked questions about anaphylaxis. www.foodallergy.org. Mudd, K. E. & Noone, S. A., (1995). Management of severe food allergy in the school setting. Journal of School Nursing: 11(3), 30-32 National Association of School Nurses (2000). Position Statement-Epinephrine use in life-threatening emergencies. Scarborough, ME: Author.

35. Questions or Comments?References & Resources Medication Belton Independent School District Board Policy (2012). FFAC Legal and Local: Wellness and Health Services: Medical Treatment: Administering Medication. Retrieved June 22, 2012 from http://pol.tasb.org/Policy/Code/164?filter=FFAC Belton Independent School District Board Policy (2012). FFAF Legal: Wellness and Health Services: Individualized Health Plan. Retrieved June 22, 2012 from http://pol.tasb.org/Policy/Search/164?filter=FFAF Texas Department of State Health Services (2011). Texas School Health Guidelines: School health Manual: Chapter 5, 208. Retrieved June 22, 2012 from http://www.dshs.state.tx.us/schoolhealth/pgtoc.shtm American Academy of Pediatrics. (2009). Policy statement guidance for the administration of medication in school. Pediatrics 124, 1244‐1251. American Nurses Association / National Council of State Boards of Nursing (ANA/NCSBN). (2006). Joint statement on delegation. Retrieved from https://www.ncsbn.org/Joint_statement.pdf American Nurses Association (ANA). (2005). Principles of delegation. Silver Springs, MD: Author. Canham, D.L., Bauer, L., Concepcion, M., Luong, J., Peters, J., & Wilde, C. (2007). An audit of medication administration: A glimpse into school health offices. Journal of School Nursing, 23, 21‐27. doi: 10.1177/10598405070230010401 Clay, D., Farris, K., McCarthy, A.M., Kelly, M.W., Howard, R. (2008). Family perceptions of medication administration at school: errors, risk factors and consequences. Journal of School Nursing, 24, 95‐102. doi: 10.1177/10598405080240020801 Gursky, B. S., & Ryser, B. J., (2007). A training program for unlicensed assistive personnel. Journal of School Nursing, 23, 92‐97. doi: 10.1177/10598405070230020601 BBP http://www.dir.ca.gov/dosh/dosh_publications/expplan2.pdf http://www.odh.ohio.gov/ASSETS/BF89785CAD2F478BB75134D8219D2A5F/bbpath.pdf http://www.setonresourcecenter.com/safety/written/pdf/bbpschools.pdf Contact info: Belton ISD Health Services charlotte.smith@bisd.net