SCHOOL DISTRICT OF BELOIT SECRETARIES ANNUAL HEALTH UPDATES REVIEW Coordinated by Bette Carr, RN, Nursing Co-team Lead

1. SCHOOL DISTRICT OF BELOIT SECRETARIES� ANNUAL HEALTH UPDATES REVIEWCoordinated by Bette Carr, RN, Nursing Co-team Leader

2. School District of Beloit 2007-2008 Office of School Health Updates �Training for administering medication to students�shall be given to any secretary who is designated that responsibility�annually.� �Instruction in responding to accident and/or illness involving students�specific to a school setting�shall be given to all school secretaries in a seminar format annually�� ~Per secretaries� contract agreement

3. OBJECTIVES OF THIS SEMINAR School secretaries will know where to access information on medication administration and will review main points of medication policies and procedures. School secretaries will be able to give medications at school in an accurate and safe manner. School secretaries will respond to injuries and illnesses according to district policies and protocols. School secretaries will know where to access resources within the district that will provide support.

4. CONFIDENTIALITY All student health information, i.e. names of medications, diagnoses, chronic health problems, health conditions, and mental health problems are considered confidential. Do not share any of the above information with other students, other students� parents, or anyone outside the district. Be careful when calling a student down from class for medication or a health problem�state only that they are needed in the office or by the nurse or secretary. If the nurse is seeing a student for a health problem, she may or may not share the information with you. Don�t feel hurt if it is not shared. Health information is on a �need to know basis.�

5. HEALTH INFORMATION RESOURCES If you have questions regarding a student�s condition, medication, or First Aid protocols and health forms: Call your school�s nurse first. If you are unable to reach your school�s nurse call Marcia Woelfel, 4042. Or call Nursing Co-team Leaders Bette Carr, 3815, 3336 or Kathy Pohl, 3070, 4043.

6. Only those persons who have been appointed by the principal and who have been delegated and trained by the RN may give medications. MEDICATION ADMINISTRATION

7. MEDICATION ADMINISTRATION: Make sure any prescription medication brought in to school has a matching signed doctor�s order and is also signed by the parent. Check with your school nurse if you have new medications or questions. Most medications need to be kept in a locked cabinet. Check with your nurse if there are questions. Make sure to check the �5 R�s� with every medication administration. Initial each student�s medication log immediately after giving. Do not �pour out� medications ahead of time or wait until the end of the day to initial. You are not checking the 5 R�s if you do not look at the med sheet with each administration. Make sure to sign the bottom of each med log sheet. When documenting on the med log sheet use black or blue pen, not pencil, not red. If you make an error on the log sheet, cross off the mistake with one line and use the abbreviation �ME� for mistaken entry. Write on the back of the log what happened. DO NOT USE WHITEOUT!!

8. MEDICATION ADMINISTRATION: Find the child if they do not come down for their meds. Remember, ADHD kids don�t always remember to take their meds. If you should give the wrong medication or wrong dosage to a child, immediately contact your school nurse so that she can contact the family and the doctor. A medication incident report must then be completed. You have the right to refuse to give certain types of medications if you feel uncomfortable about giving them�such as injections, drops, or rectal medications. Talk with your nurse, your principal or your union regarding your rights.

9. MEDICATION ADMINISTRATION: ELEMENTARY All medications-prescription or over the counter, given at school, with the exception of cough drops, must have a signed physician/licensed health provider order form on file. Cough drops may be carried by the student if a written dated note from the parent accompanies the drops. MIDDLE SCHOOL Prescription medications must have a physician/licensed health provider order form on file. The only prescription medications that can be carried by students are inhalers, diabetic medications, and Epipens in certain instances. Students may carry or have in their lockers, over the counter medications, as long as there is a parental consent/responsibility form on file in the health office. If a parent is requesting that a staff member give an over the counter medication to their child, then there must be a physician/licensed health provider order form on file.

10. MEDICATION ADMINISTRATION: HIGH SCHOOL Prescription medications must have a physician/licensed health provider order form on file. Students may carry their prescription medications on their person if that is indicated by the health provider on the order form. Students may carry or have in their lockers, over the counter medications, as long as there is a parental consent/responsibility form on file in the health office.

11. MEDICATION ADMINISTRATION: FIELD TRIP PREPARATION Let the school nurse know about any upcoming field trips as you become aware of them. When possible, the school nurse will take the responsibility of packaging the medications for field trips. There may be times that the nurse will request your assistance. Let the nurse know if you are uncomfortable with that task.

12. FIRST AID PROTOCOLS Each year the school district�s medical advisor reviews and signs the district�s injury and illness protocols. A copy of the protocols should be available to you from your school nurse. Usually the protocols are found near the area where first aid is given. Ask your nurse where you can find these. The protocols are the treatments that our medical advisor has okayed for students to receive. If you find an injury or illness that does not fall within the guidelines you should call your school nurse for further direction. Secretaries need to log the injuries and illnesses that they treat in the injury and illness logbook. This is important for your protection�if it isn�t documented, it wasn�t done.

13. Highlights of First Aid Protocols:

14. Highlights of First Aid Protocols: If a child has fallen and you suspect a head or neck injury or a broken bone, call for help, and recommend the child not be moved until they are evaluated by the nurse, the principal, someone trained in First Aid, or by the paramedics. If the fall has been from an elevated height, be especially careful in deciding whether to move the child or not. If it is an area such as the wrist or arm and you are able to splint the area until the parent arrives and further care can be given, do so. Apply the splint and ice and remain calm. If the child becomes �shocky��very pale and sweaty, call for help.

15. Highlights of First Aid Protocols: ASTHMA: If a student continues to have difficulty breathing even after using their inhaler, call your nurse for evaluation, or 911 if breathing worsens. BEE STINGS: Check for allergy, apply ice, observe for 30 minutes, call 911 if breathing difficulties or hives occur. Follow emergency plan for students who have known allergies. DIABETES: If a known diabetic feels sleepy, weak, or there is a change in behavior, suspect low blood sugar. Test blood sugar if equipment is available. If no equipment is available, assume low blood sugar and give fast-acting sugar item such as 4-6 oz. of juice or sweetened pop.

16. Highlights of First Aid Protocols: HUMAN BITES: Wash areas involved with soap and water. Contact school nurse for further evaluation. Contact parents of involved students�do not mention the name of the other child involved. Advise parent to check with their medical provider for further evaluation if desired. Complete the SDB Exposure Incident Investigation form and send it to the Office of School Health. RASHES Extreme caution should be used when treating rashes. Sometimes rashes that look like an allergy, may actually be bacterial or fungal. If hydrocortisone is used on bacteria or fungus infections, a super infection may occur. Only the nurse should be using hydrocortisone creams. If you suspect a ringworm infection, check with your school nurse before applying anti-fungal creams. Sometimes doctors will want to scrape the infection for diagnosis first.

17. Highlights of First Aid Protocols: SEIZURE FIRST AID Protect the student�s head from injury. Look at the clock for the time the seizure began. Remove the other students from the area. Call for help from other staff. Turn the student on his/her side if possible so that mouth secretions will drain and not cause choking. If the seizure lasts for more than 5 minutes or the person is not known to have seizures before or the person is having difficulty breathing, call 911.

18. LICE POLICY

19. IMMUNIZATION COMPLIANCY At the beginning of the school year, it is the responsibility of the school secretary to input immunizations as children are entered, i.e. the kindergartners. After the initial entry load, the school nurse or health room assistant is then responsible for additional immunization entry. Working as a team to input immunizations and to get out compliancy letters is always helpful.

20. Conclusion: Summary of Annual Review Format: Review the entire First Aid Standing Orders. Find the School District of Beloit Health Services Handbook in your health office area Find the red 3-ring binder that houses the Bloodborne Pathogens Procedures and Exposure Incident Report Complete the evaluation form that is attached to this PowerPoint and send to Karen Peck. Resources for Secretaries: Wisconsin Immunization Registry https://www.dhfswir.org School District of Beloit First Aid Standing Orders School District of Beloit Policies and Procedures regarding School Health http://www.sdb.k12.wi.us/boardpolicy/New%20Topical%20Index.htm Nursing Co-team leaders: Kathy Pohl or Bette Carr Chris Wesling, Director of Pupil Services

21. EVALUATION OF HEALTH REVIEW: Content evaluation: Please answer the following questions: What are the 5 R�s of giving medication? When should you initial the medication log sheet? When can you use white out on a medication sheet? A student with a fever of 100. or more must go home: ____if symptoms occur ____if fever continues after an hour If a child has lice, the current policy states that the child may stay in school. True or False If a diabetic child is feeling �low� or is looking tired or weak, and he/she does not have their glucometer, the best treatment is to give a sugary item and call parent and nurse. True or False Name:_________________ Building: ____________ Send to Karen Peck when completed. Evaluation of format: Please circle the number that best identifies your feelings, with 1 being do not agree at all and 5 being highly agree: 1 2 3 4 5 This type of format was easy for me to access. 1 2 3 4 5 I prefer this type of session for reviewing health updates. 1 2 3 4 5 I would prefer to meet face to face with a nurse for health updates. 1 2 3 4 5 I have the needed resources for health information. 1 2 3 4 5 I feel sufficiently prepared to give medications. 1 2 3 4 5 I feel sufficiently prepared to administer minor first aid. Suggestions for further seminars or health related information:

22. Return to the website PLEASE NOTE - Now, please go back to the web page to download the 2007 First Aid Protocols The evaluation (to be completed and submitted to Karen Peck)