Secretary In-Service June 2010

1. Secretary In-ServiceJune 2010 SCOE Health Services 842-8405

2. Beginning August 2010 • Patty Morris, Health Services Manager 842.8425 or pmorris@siskiyoucoe.net • Angela Martinez, Administrative Secretary 842.8405 or amartinez@siskiyoucoe.net

3. Changes for 2010-2011TB Skin Tests • SCOE Clinics North and South County will now only be in the fall (Check for staff requiring test anytime during school year) • NEW! Staff who have tested positive in the past and have negative chest x-ray on file must now be screened every four years and questionnaire kept on file. No charge. • Dates, locations, & cost in “Back to School” Packet

4. Changes for 2010-2011 CPR/First Aid • For coaches, staff who have students with health concerns, and secretaries • North and South County in the fall • Dates, locations & cost in the “Back to School” Packet • Individual school CPR classes depends on availability of nurses so take advantage of fall courses

5. Changes… • Illnesses and Injuries • Call nurse if question (should have monthly calendar, call Angela) • Head lice • Let nurse know about chronic conditions, medications, ongoing health concerns, attendance problems, SST’s • First aid course recommended • Nurse will do trainings for health concerns when required

6. Changes 2010-2011 (actually, this is a reminder) Flu Surveillance Or let’s call it monitoring absences and illnesses • Forms on SCOE Health Services Department(HSD) website • Calling on all absences and logging • Report to Public Health Department (PHD) weekly • WHY? Required if a severe flu outbreak Helpful for SARB Process Identify problems early

7. Back to School Packet • E-mail and hardcopy, important stuff so read it • TB and CPR/FA Dates and locations • Immunization clinics (also on PHD website) http://www.co.siskiyou.ca.us/PHS/pershealth/pershealth.aspx

8. Back to School Packet • NEW! Type 2 Diabetes Letter for all incoming 7th graders. Sent out in BTS packet and will be on SCOE HSD website. Adapt letter for your school and administrator. Send out letter, information sheet developed by the state, and list of providers in your BTS Packet You have completed the requirement Concerned parents? Connect them with your school nurse.

9. Health Insert • You order Health Insert from: KP Education Service product 3700 Seaport Blvd. West Sacramento, CA. 95691 800.498.4377 • Blue CSIR’s are order from PHD: Kara Lemere, PHN 841-2148 klemere@co.siskiyou.ca.us

10. Health Insert (cont.) • Kindergarten: set up with identifying and CHDP information and immunization (see CSIR) • Enter hearing and vision • Color vision 1st grade boys • Scoliosis for 7th grade girls and 8th grade boys The school nurses have promised to give you legible records and to be available for questions. They will also enter all the failed screenings and referrals.

11. Immunizations Checking for required immunizations • Use the California Immunization Handbook • Page 1, steps in brief • Pages 2-8, basic procedure and determining if requirements are met

12. Immunizations • Page 7&8, Exemptions “Exemptions” can be medical (Physician’s note, temporary or permanent) or personal beliefs. Must keep a list in case of an outbreak requiring exclusions Can be all or just some immunizations. Should not be for convenience (but I fear it is done). Emphasize importance for their child’s safety and the safety of all students, economic implications, possible long term exclusion (handout). Parent signs on back (be sure it is in the correct spot). Specify which immunizations if not all. Still fill out CSIR if child does have some immunizations.

13. Immunizations Conditional Admissions • Page 9-11, “conditional” admission. Can get complicated, ask your school nurse Requires ongoing follow-up Notices of Required Immunizations with clinic schedule • Pages 12-14, system for follow-up on conditional admissions. It can be done… Letters home. Once you let them in, it’s hard to get results. No longer need to do 7th grade assessment

14. Immunizations • Page 15, records • Page 16 & C-66, preparing HS students for college • Page 17, computerized records. • PDF form on DHS website

15. Immunizations Reviewing CSIR or immunization record of incoming students • Let school nurses know about new students • School nurse can access PHD Immunization Registry if parent cannot find or access record (it may be there). She can also do verification of disease for chickenpox. • Pages B 50&51, Windows for Immunizations (here we go!)

16. Immunizations Kindergarten • When parent picks up the K Registration Packet, remind her/him that their child will probably need four year shots and it should be done before the child is registered and the record needs to accompany the registration material. Information is in packet. • When parent brings in registration packet, an immunization record should be with it • Check the record while the parent is there. If immunizations are missing, give them a completed Required Immunizations letter and a clinic schedule.

17. Immunizations Kindergarten • Emphasize that the child is not officially registered until immunizations are completed. If you allow the child to attend school, most likely you will have a long, time-consuming process of bringing the child into compliance. • Work with your administrator & school nurse

18. Immunizations Kindergarten • You have an additional step of entering identifying information (do not need address) and the immunizations on to the CSIR. Enter M/D/Y • Then use the window • Immunization Waiver (Exemption)on the back of the CSIR • Update immunization schedule in K Packet in May (on PHD’s website) • Forms and letters will be on website

19. Immunizations Kindergarten • Report of Kindergarten Immunizations due to state October 15th, so not much time to deal with noncompliant students (read “parents”). State no longer sends you a hardcopy. • Will send you a letter with instructions on doing report online • Make a copy of report before you forward it to the state or you may lose it (cannot be saved).

20. Immunizations Kindergarten • Copy to local PHD, school nurse, and one for school County of Siskiyou Public Health Department Immunization Coordinator 806 South Main St. Yreka, CA. 96097 • Use Assessment Worksheet (also can use for tracking OHA & First Grade Physical)

21. First Grade Physical (CHDP) • Information and physical form are in K Packet (Also, will be on SCOE HSD website), but not needed until 1st grade. • Physical can be within 18 months of starting first grade. So March 2009 is OK for a 2010 first grader or 2010 kindergartner. • Required to have physical or waiver signed within 90 days of starting 1st grade (before Thanksgiving break) • Report goes to school nurse by Jan. 15th.

22. First Grade Physical (CHDP) • Suggested timeline for implementing mandate: First notification in K Packet Track with immunizations Fall for FIRST Graders: F/U letter with physical form start of school Final letter with physical form and waiver enclosed beginning of Oct. Compile and report to school nurse by Jan. 15. F/U letter with physical form in May for kindergartners • Can claim Mandated costs

23. Oral Health Assessment (will this ever end?) • Initial information is in K packet. All forms will be on SCOE HSD website. • Dental screening can be done within 12 months of starting kindergarten (Sept. 2009 is OK for student starting 2010-2011 school year) • Send out reminder with form and list of dental providers and Family Resource Centers in the fall • Track with immunizations and 1st grade physical • In May, compile data on report form and give to school nurse.

24. Apology This is a ton of information. Your school nurse will be available to help with the processes. Also, do not hesitate to contact Angela Martinez at the Health Services Department at 842-8405 She will connect you with the Health Services Manager, Patty Morris, RN.