2014-2015 PRINCIPAL MEMO PACKET

1. 2014-2015PRINCIPAL MEMO PACKET

2. TABLE OF CONTENTS SCHOOL OPENING CHECKLIST FOR PRINCIPALS IMMUNIZATION COMPLIANCE & MONITORING HEALTH SCREENING REQUIREMENTS CPR/AED/FIRST AID REQUIREMENTS AND WORKSHOPS MEDICATION ADMINISTRATION/TREATMENT PROTOCOL GUIDELINES FOR COMMUNICABLE DISEASE CONTROL MANAGING STUDENTS WITH MEDICAL NEEDS STAFF INCENTIVES FOR MEDICAL PROCEDURES REVISED HEALTH CODES/A06 PANEL HEALTH SCREEN PARTNERSHIPS IN HEALTH & WELLNESS PROMOTION INFLUENZA SEASON PREPAREDNESS FLORIDA KIDCARE INSURANCE ASTHMA FRIENDLY SCHOOL RECOGNITION PROGRAM FORMS

3. SCHOOL OPENING CHECK LIST FOR PRINCIPALS • Confirm that staff is trained in CPR, First AID and use of AED unit . • Check that an AED unit and supplies are in place. • 911 posters should be printed in color and displayed in health room, front office, cafeteria and physical education areas. • Ensure Student Emergency Cards are completed. • Ensure staff is trained to administer medications. • Ensure health room is adequately stocked with required equipment and supplies. • Ensure that State Mandated Health Screenings are conducted for students in KG, 1st, 3rd and 6th grade. • Ensure school is in compliance with CORE Monitoring and State Health Requirements . • Ensure the Universal Precautions/BloodbornePathogens s DVD is reviewed by staff. • Immunization Compliance & Monitoring2014-2015

4. IMMUNIZATION COMPLIANCE & MONITORING Effective for the school year 2014-2015 • Two doses of Varicella vaccine for kindergarten and grades one through six • One dose of Varicella vaccine for grades seven through twelve • One dose of Tetanus-Diphtheria-Pertussis (Tdap) for grades seven though twelve Important Reminders • Input all immunizations on the TERMS panel before October 1st deadline. • All schools are required to audit their immunization data throughout the school year to ensure compliance of 95%, which is required by the Florida Department of Health Broward. • Students who do not have verification of Immunization compliance will not be allowed to attend school. (This excludes student who qualify for the 30-day extension). Immunization requirement information, Parents Guide to Childhood Immunizations, Bureau of Immunization Guidelines and locations for immunizations and school physicals are available on the Coordinated Student Health Services (CSHS) website. Go tohttp://www.browarddhealthservices.com/ and select Immunization under Quick Links.

5. HEALTH SCREENING REQUIREMENTS • District Health Technicians and Consultants will perform vision, hearing, BMI and Scoliosis screening in the required grade levels. • Vision- K, 1st, 3rd, 6th grade • Hearing- K, 1st, 6th grade • Scoliosis- 6th grade • BMI- 1st, 3rd, 6th grade • Principals are required to designate two staff members to coordinate, assist with health screenings and screen absent or new students enrolled after scheduled screening date. • Designated staff must view training pod cast on the CSHS website as well as attend required screening workshops every two years. • Principals are to notify parents of scheduled screening dates and send home the opt-out letter at the beginning of the school year. • All screening results are to be entered on the TERMS A06 panel at the time of screenings. • Scheduled dates for Health Screenings at school sites will be posted on CSHS website/Health Screenings tab. • Health Screening Timeline: • 80% of Vision and Hearing must be completed and entered into TERMS by January 30, 2015 • 95% of Vision and Hearing must be completed and entered into TERMS by March 20, 2015 • 100% of Scoliosis and BMI screenings must to be completed and entered into TERMS by May 22, 2015. Please refer to the online version of the 2014-2015 Principal Memo packet for FAQ about BMI and for instructions on the responsibilities of the following: Principal, Classroom Teacher, IMT, Nurse, HST, District Health and Screening Team.

6. 2014-2015CPR/AED/FIRST AID REQUIREMENTS, AND WORKSHOPS • Ensure school has at least 2 staff members trained in CPR/AED/First Aid with current certification. • The name and location of trained individuals must be documented on the 911 emergency information poster. • The 911 poster should be placed in the health room, cafeteria, front office, and physical education areas. • AED units must be checked by trained staff every 2 weeks and the AED Readiness Inventory Log must be completed. • CPR/AED/First Aid certifications must be current and a copy kept in the health room. • A schedule of current 2014-2015 CPR classes are provided on the Coordinated Student Health Services website.

7. MEDICATION ADMINISTRATION/TREATMENT PROTOCOL • Ensure that a minimum of two staff are trained to administer medication excluding the on-site health care personnel. • Before medication/treatment can be administered, the student must have a completed Authorization for Medication form signed by healthcare provider and parent/guardian. • Each prescribed medication administered by school personnel must be kept in original container, clearly labeled with student’s name, date, name of drug, physician’s name, pharmacy name/number, and stored under lock and key in a medicine cabinet. • No student shall transport medication to or from school unless there is a signed Medication Authorization form from a healthcare provider stating they have been trained by their Healthcare personnel • All expired or discontinued medication must be picked up by parents. If parent does not pick up the medication, Risk Management must be notified. • School district personnel must complete the medication training course prior to administering any medication. Staff are required to attend a live class every two every two years. • Notify CSHS, the onsite school nurse or on call nurse, for any students requiring special procedures in regards to the training of school personnel.

8. GUIDELINES FOR COMMUNICABLE DISEASE CONTROL • Review the Reportable Communicable Diseases in Florida document for a list of reportable diseases (see slide 17). • Report all communicable diseases to Coordinated Student Health Services. Further instructions will be provided. • If a communicable disease is suspected, the student should be removed from class and parents should be notified. • If an employee is suspected of having a communicable disease, contact the Risk Management Department.

9. MANAGING STUDENTS WITH MEDICAL NEEDS • To request health services or health training, fax a completed Health Service Request (HSR) form to Coordinated Student Health Services (fax forms to 754-321-1692). • If your school does not have an onsite healthcare personnel. An HSR form must be submitted for each student that requires individualized health or when direct nursing care is needed. • To receive health services, schools must submit a new HSR form each school year. • A copy of the student’s current Authorization for Medication must be submitted at the same time as the Health Services Request form. • The Authorization for Medication/Treatment form remains current for one calendar year.

10. STAFF INCENTIVES FOR MEDICAL PROCEDURES • Ensure paraprofessionals assisting students with medical procedures receive supplement. • The Collective Bargaining Agreement with the Broward Paraprofessional Association makes provisions for a $1500 annual supplement to be paid to paraprofessionals who perform the following medical procedures. • Catheterization • Gastrostomy tube feeding • Surface suctioning of tracheostomies • Administration of emergency injectable medication • Blood glucose monitoring • Administration of emergency Diastat suppositories or rectal gel • If a nurse or trained healthcare personnel is assigned to the school, the paraprofessional is assigned as a backup performer and will be annually paid $200. • All required forms are available on the CSHS website and must be submitted within the first 30 days of school or the first 30 days after training is completed. • To request training for staff, a completed Health Service Request form along with the student’s Authorization for Medication/Treatment form must be faxed to CSHS, 754-321-1687.

11. REVISED HEALTH CODES/A06 PANEL HEALTH SCREEN • Parents should be encouraged to provide any medical conditions of the student, on the Emergency Contact Card. • Any known student with a health condition noted must have the applicable health code entered into the A06 panel in TERMS. • The school’s Information Management Technician (IMT) is responsible for entering student health conditions into the Terms database at the beginning of the school year, as new students register, and as new conditions are reported. • Students with a 504 plan in place require a 504 code. 504 codes have a 26 prefix and should only be entered when requested by the designated 504 liaison. • A revised list of the A06 health codes is available online, on the CSHS website www.browardhealthservices.com. Click on School Health Room/Documentation, then A06 Health Information, and then Health Codes (at the bottom of the page).

12. PARTNERSHIPS IN HEALTH AND WELLNESS PROMOTION Broward County Public Schools collaborates with community partners to provide schools with tools to develop an environment of health and wellness. The Fit-Friendly School Recognition Program Established by the American Heart Association Physical inactivity doubles the risk of diseases such as heart disease. The American Heart Association (AHA) Fit-Friendly Program is designed to increase positive life changes. The program recognizes employers (e.g. schools) who champion the health of their employees by creating physical activity practices within the workplace. Schools may gain “recognized” status by committing to the program, utilizing AHA resources and support, and by submitting an application for recognition. Alliance for a Healthier Generation Healthy Schools Program The evidence–based approach of the Alliance Healthy Schools Program creates a guide for schools to encourage students to eat healthy and increase activity. The Program consists of policy/systems, school meals, food and beverages, health education, employee wellness, physical education and student wellness. Schools who participate in the program may receive a Healthy Schools Program National Recognition Award. The Colgate Bright Smiles, Bright Futures Oral Health Education and Dental Screening Program The primary focus of the Colgate Program is to educate children through storybooks, videos, computer CD-ROM and interactive activities. Mobile Dental Vans staffed by volunteer dentists conduct free dental screenings and educate children and their families about the importance of maintaining good oral health. The program is designed for children ages 1 through 12 years. Please contact Ann Conaway in the Coordinated School Health Services Department at 754-321-1575, for more information on these programs and how they can be initiated in your school.

13. INFLUENZA SEASON PREPAREDNESS Influenza (Flu) is a contagious disease caused by influenza viruses, which spreads mainly from person to person when an infected person coughs or sneezes near others. Touching an inanimate object with the Influenza A virus or Influenza B virus on it, such as doorknobs, elevator buttons, desktops, and then touching their mouth or nose may also infect people. Important The Center for Disease Control (CDC) recommends vaccination as the best way to protect against the flu. Not only does the vaccination help protect you from getting the flu; it also helps stop the spread of the virus to others at school, work and home. Health experts also suggest that performing proper hand washing is another way to prevent acquiring the flu. School Responsibility The school should maintain adequate supplies of soap and hand sanitizers for their students, staff, and visitors. CDC has made the following recommendations to help prevent the spread of the virus. Please educate staff and students to: • Cover mouth and nose with a tissue when sneezing or coughing • Wash hands often with proper hand washing techniques and/or use hand sanitizers. • Avoid touching eyes, nose or mouth • Stay home when sick and encourage parents of sick children to keep them at home • Do not share eating utensils, drinking glasses, or other personal items • Additional information may be obtained from the Center for Disease Control (CDC)’s website at www.cdc.gov/flu/school or Coordinated Student Health Services website at www.browardhealthservices.com, and then click on Communicable Disease.

14. FLORIDA KIDCARE INSURANCE • Florida KidCare is a State operated Health Insurance for uninsured children under age 19 living in Florida. • Information packets, postcards and a fax sheet to request additional forms for the Florida KidCare Health Insurance Program will be delivered to all schools by the Department of Health-Broward at the beginning of the school year. • Please distribute the information packets and postcards to every child registered in the school. Q. How is Children’s Medicaid eligibility different from other Florida KidCare programs? Medicaid eligibility depends on the child's age along with household income and household size. Q. How often does Florida KidCare re-determine eligibility? What is the process? All children in Florida KidCare have at least 12 months of continuous coverage, if monthly premiums are paid. Continuous coverage is different for Medicaid. (Children’s Medicaid have no premiums.) Children under five years of age in Medicaid have twelve months of continuous coverage. Covered Benefits/Services Doctor visits, checkups, shots, hospital stay, surgery, prescriptions, vision, hearing, behavioral health, referred services, emergencies, and dental services. Applying and Enrolling in KidCare • Applications take up to 8 weeks, may enroll online at www.floridakidcare.org • Attach a current W-2 form, or four weeks of pay check stubs to the application, as proof of income Statewide: 1-888-540-5437 In Broward: 954-467-8737

15. THE FLORIDA ASTHMA FRIENDLY SCHOOL RECOGNITION PROGRAM • Asthma is the leading chronic health condition and cause of school absenteeism. • The Broward County Comprehensive School Advisory Committee (BCCSHAC) has recommended that Broward County Public Schools join other school districts in Florida in seeking the Florida Asthma Friendly School Recognition. • The goal of this program is to improve student health attendance, and academic achievement. • Recognition is offered at four levels: Bronze, Silver, Gold and Platinum. Each level have different requirements. • For more information about the Florida Asthma Friendly School Recognition Program requirement, go to http:floridaasthmacoalition.com/schools/or call Coordinated Student Health Services at 754-321-1575.

16. FORMS • Health Screening Op-Out Form • http://www.browardhealthservices.com/wp-content/uploads/2013/11/7b-Health-Screening-Opt-Out-Form-13-14-.pdf • Vision Screening Result Form • http://www.browardhealthservices.com/wp-content/uploads/2013/11/7c-Vision-Screening-Form-13-14.pdf • Body Mass Index Screening Result Form • http://www.browardhealthservices.com/wp-content/uploads/2013/11/7d-BMI-Screening-Form-13-14.pdf • Reportable Diseases/Conditions In Florida • http://www.browardhealthservices.com/wp-content/uploads/2013/11/10b-Reportable-diseases.pdf • Health Service Request Form • http://www.browardhealthservices.com/wp-content/uploads/2013/11/11b-Health-Services-Request-form-13-14.pdf • Health Codes in Numeric Order • http://www.browardhealthservices.com/wp-content/uploads/2013/11/13b-2013-14-HEALTH-CODES-.pdf • Parent Health Information Letter • http://www.browardhealthservices.com/wp-content/uploads/2013/11/15b-Parent-Health-Information-13-14.pdf • Kid Care Local Brochure • http://www.browardhealthservices.com/wp-content/uploads/2013/11/18b-Kid-Care-Local-Brochure-2013.pdf