INTERNATIONAL COLLEGE INFIRMARY/snack-bar

1. INTERNATIONAL COLLEGEINFIRMARY/snack-bar Upgrade of the IC Infirmary according to International standards of school health centers Prepared by Sarah Abdelkhalek-RN Middle & Secondary School Infirmary

2. Mission • International STANDARDS • Infirmary services • Infection Control measures • Emergency Plan • EMERGENCY AT SCHOOL • Privacy and Confidentiality • New Clinic Furnishings • New Medical Supplies

3. INFIRMARY UPGRADE ACCORDING TO INTERNATIONAL STANDARDS OF SCHOOL HEALTH CENTERS The Middle & Secondary School infirmary at IC is now renewed according to the international standards of school health centers

4. INFIRMARY MISSION • IC Infirmary aims to provide excellent, efficient and primary health care services that is personalized, confidential, and meets the high standards of ambulatory health care by providing medical and urgent treatment, educating our students, emphasizing health promotion, healthy life styles and lifelong disease prevention through professional health care team.

5. INTERNATIONAL STANDARDS • Sensor sink to avoid the spread of bacteria and ensure medical hygiene needed at all times • Lockable storage space for first aid and medical supplies with proper labeling • Toilet facility that meets ADA standards for handicap access • Finishes on all surfaces, including floors, walls, counter tops, beds and all other fixtures in the clinic washable and waterproof due to exposure to blood and other body fluids as well cleaned on daily basis

6. INTERNATIONAL STANDARDS • New treatment room for ill patients • lockable filing cabinet for medical and confidential charts • Vinyl floors covering for hygienic purpose • All electrical outlets and wires placed safely for all equipments needed • School health clinic is located on the ground floor of the building, handicap accessible and away from noise-producing machines • Separate office is available, private and fully equipped for each healthcare provider • First aid kits are available in the examination and treatment room and all items needed are available in each kit • Examination rooms are equipped with oxygen bottles portable and wall-mounted (nasal canula and oxygen face mask are available) • The new IC Infirmary design is such fresh and welcoming for students, parents and employees. The colors are cheerful and vital, the lights are warm, the reception area is new, and a LCD television with DVD is placed for continuing health education and topics • Signage for students and patients guidance • New Refrigerator with plug and automatic ice maker • Emergency light in the clinic • Cleaning and sterilization of medical equipments and instruments • Collection of blood tubes in specific Biohazard container • Hazardous waste in specific trash bags and sent for incinerator

7. INTERNATIONAL STANDARDS • Emergency bag for any emergency transportation, fully equipped with all First Aid supplies, a CPR kit, an Ambu-bag ,a portable Oxygen bottle, a portable blood pressure machine, and a pulse oxymeter that measures O2 saturation in blood and heart rate • Wall mounted FIRE PACK Kit and Fire extinguisher • Waiting area that is not visible from an external corridor • Examination room separate from other infirmary sections which ensure always the privacy and safety of our students and patients

8. IC INFIRMARY SERVICES MEDICAL SERVICES HEALTH SERVICES PREVENTION SERVICES EDUCATION SERVICES FIRS-AID TREATMENT NEW EMPLOYEES PHYSICAL EXAM HEALTH PROMOTION PROGRAMS SCHOOL HEALTH INDEX EMERGENCY TREATMENT STANDARD HEALTH CARE PLAN VACCINATION SCREENING HEALTH EDUCATION CHRONIC ILLNESS TREATMENT HEALTH COUNSELING OBESITY PREVENTION PROGRAM PHYSICAL EDUCATION DISEASE DIAGNOSTIC SCREENING TESTS WELLNESS PROGRAM NUTRITION EDUCATION LABORATORY/ RADIOLOGY TESTS REFERRAL TO SPECIALIST STUDENT NEEDS IDENTIFICATION FOOD SAFETY EDUCATION NURSING SERVICES SPECIAL HEALTH CARE NEEDS DISEASE CONTROL &PREVENTION FOOD ALLERGY EDUCATION HEALTH CARE INTERVENTION EMERGENCY HEALTH CARE PLANS PUBLIC HEALTH PRECAUTIONS SEXUAL EDUCATION COMMUNICABLE DISEASE TREATMENT COMMUNITY HEALTH SERVICES DRUGS AWARNESS & PREVENTION SMOKING AWARNESS & EDUCATION

9. What are the medical services provided by the IC Infirmary? • Providing First aid treatment for any accident or health problem • Providing Emergency treatment according to international standards • Providing treatment of chronic illness such as asthma, Diabetes.. • Diagnosing diseases and other health problems • Ordering laboratory and other diagnostic tests • Prescribing medications and treatment of health problems • Issuing health care intervention orders • Issuing referrals to specialist when needed • Consulting with appropriate school personnel concerning the health of a student • Providing health education • Identifying health and safety concerns • Identifying communicable diseases and treatment • Promoting healthy life styles • Promoting community involvement • Supporting and advocating for nutritious foods • Ensuring food safety at school

10. What are the health services provided by the IC Infirmary? • Physical and mental health assessment • Development and implementation of individualized health care plans for students with special health care needs or those with chronic health conditions • Health counseling • Mandated screenings like vision, hearing, immunization status, evaluation of TB testing for new school employees, etc. • Monitoring for the presence of infectious diseases and use the public health precautions to prevent the spread of infection in the school • Skilled nursing services for students • Case management for students with chronic and special health care needs • Development and implementation of emergency health care plans and the provision of emergency care and first aid • Acting as a liaison for the school, parents, and community health services • Collaboration with other school professionals to address student’s health and their educational needs

11. Infection Control Measures • The health clinic should be designed to follow infection control practices and universal precautions as defined by Occupational Safety and Health Administration (OSHA) regulations. This includes environmental sanitation; cleaning and sterilization of equipment and supplies; and collection, storage, and disposal of hazardous and medical waste; Therefore Cleaning and sterilization of medical equipments is now done by the school nurse by using a disinfectant solution for used instruments • Collection of blood tubes is done on daily basis and sent labeled to the AUBMC Lab in a specific Biohazard container, as well all the medical supplies are stored properly in two store cabinets • Hazardous waste are now placed in specific trash bags and sent for incinerator • Finishes on all surfaces, including floors, walls, counter tops, beds and all other fixtures in the clinic is washable and waterproof due to exposure to blood and other body fluids as well a disinfectant spray cleaner is now used to clean furniture on daily basis

12. Emergency Plan • According To International standards for school health centers, Exit from clinic to outside of the school building is essential to accommodate Emergency Medical Services and transport of injured or ill students, as well Medical emergency vehicles or Ambulance should have easy access to the health center in case of Emergency or transportation to hospital, and all the mentioned criteria's are applicable for IC school infirmary • In case of any school Emergency, a new Emergency bag is now ready for any urgent transportation, it’s fully equipped with all First Aid supplies, a CPR kit, an Ambu-bag ,a portable Oxygen bottle, a portable blood pressure machine, and a pulse oxymeter that measures O2 saturation in blood and heart rate • Fire System alarm ,Fire Pac kit and Fire extinguisher are nowavailable in our Infirmary for any fire emergency

13. Emergency at school Faced with serious emergency at school, students are transferred without delay to the nearest hospital (AUBMC) Emergency cases are the following: • Cardiac and Respiratory arrest • Head Trauma or Injuries • Open Fractures • Severe Asthma attacks • Anaphylactic shocks The Infirmary will provide emergency aid and will call the Ambulance, then the parents will be informed The school nurse should accompany the student to the hospital until the arrival of parents A specific form must be filled See attached

14. Privacy and Confidentiality • Private office space is provided for each full-time provider at IC Infirmary and each office is wired for telephone, computer, and modem access to the Internet • The waiting area is not visible from an external corridor in order to secure privacy of students at all times as well the examination room is secluded from the rest of the health center by walls and partitions, and the phone is in a private enclosure to ensure safety and security of our students and patients • The mental and physical health of our students is confidential Therefore, our health center is newly equipped with locking filing cabinets for student and employees health records and storage spaces for medical supplies and medications. Each cabinet is now locked separately with its own key. All administrative files, information, and equipments are out of patients’ reach to ensure the confidentiality of medical records • The examination room is separate from the reception area and has its private door so its kind of isolated from sounds and noises

15. Clinic Furnishings Furniture at IC Infirmary is new, durable and easily sanitized The below list is now available at our Infirmary: • Physical examination bed with GYN exam facility • Computer with internet connection for record keeping and accessing web resources • Telephone with a separate line so it will always be accessible to place emergency calls • Fax machine for sending and receiving health information • New printer and photocopy machine • New File shelves for reference material and needed documents • Two new Bulletin boards for health education topics and promotion materials • New Chairs for the waiting and examination area • Refrigerator with automatic ice makerand secure lock for medications and vaccines

16. Medical Supplies None of the following list was available in the IC Infirmary, however its recommended by the International standards of school health centers. Therefore, with the upgrade of IC Infirmary, we now have all the medical supplies required as follows: • First Aid kit that includes all first aid supplies • Burn Kit that includes all burn supplies • CPR Kit that includes ambu-bag and resuscitation supplies • Sport-o-pac kit that includes all supplies needed for sports accidents or injuries • Pulse Oxymeter to measure oxygen in blood and heart rate • Vision testing charts • Diabetic monitor (was available before the renovation) • EKG machine • Thermometers (was available before the renovation) • Arm slings, finger splints and wrist guards • Wall-mounted blood pressure cuff • Re-charging portable otoscope and ophthalmoscope

17. Adult and baby scales and measuring rods • Personal protection kit, surface disinfectants and Biohazard Products, Antiseptic cleaners and closures • Bandaging equipments (was available before the renovation) • Hot and Cold packs • Sick bags • Stethoscopes • Petrolatum gauze pads • Sterile Dressing sets • Orthopedic supports • Inhalants and Swabs • Scissors and instruments • Nose bleed splint • Single use vaginal speculum • Sharps Container • Biohazard and Normal waste containers

18. Thank you…