Allergies/Preferences
What Forms Do I Need?
Medications
Who Does it Go to?
Physicals/Immunizations
100

For a child to get a special milk or a food substitution, what special conditions must they meet?

They must have a medical intolerance or a religious preference.

100

A child has a religious preference for no pork. What form(s) do you need?

Allergy/Preference form

100

Are these forms correct? 

Slide 3

No - the asthma action plan should say 2 puffs every 4 hours. Not every 4-6 hours

Also, the parent and HS staff did not sign the asthma action plan

100

Who do you send physicals and immunizations to?

Alex

100

What is/are the basic form(s) you need for a child to start at a center? 

(No allergies, medications, or religious preferences)

APPROVED Immunizations
200

What besides allergies and religious preferences goes on the allergy list?

1. asthma

2. chronic/health conditions

3. immunization exemptions

4. no photo information

200

A child is allergic to cow's milk. What form(s) do you need?

Allergy/Preference form and Special Diet form

200

Are these forms correct? 

Slide 4

YES!
200

Who do you send Special Diet forms and Allergy/Preference forms to?

Crystal Fernatt

Mary Ingram

Alex Neal

200

How many days from enrollment does a child have to get a physical? 

30 days

300
After a child with an allergy starts at your center and you have completed and sent all the necessary forms - what do you do/update next?

Update the allergy list

300

A child has an inhaler. What form(s) do you need and when must you have them?

VA Asthma Action Plan - needed before the child starts

Medication Authorization Form - can be a 10 day form signed on the first day of enrollment then sent to the doctor

300

Are these forms correct? 

Slide 5

No - 14g is not the strength of this medication - it is the volume of the tube

Also, long term medication is not circled so I am not sure if this needs to be sent to a doctor for a long term signature

300

Who do you send the allergy lists to?

Crystal Fernatt

Mary Ingram

Alex Neal

Your center teachers

Your center kitchen aides

300

Does this count as a physical?

Slide 1

No because it is not signed by a physician. The note is not even signed off on yet. 

400

Name all the places in a center where the allergy list MUST be. 

1. in the red book

2. on the wall in the classroom (covered by the privacy sign)

3. in the kitchen on site

400

A child has a preference for no cow's milk and wants lactaid milk. What form(s) do you need?

None - the child cannot have a preference; they must have a medical or religious intolerance

400

Are these forms correct? 

Slide 6

YES!

400

A parent comes in a gives you aquaphor for their child. You fill out a 10 day medication form with them for the medication. What do you do with the form? (where does it go?)

1. in the red bag for their classroom

2. in their green file

3. scan to Alex to track the expiration date


*To the doctor if needed for a long term signature

400

Does this count as a physical?

Slide 2

Yes - it is electronically signed by a physician

500

Who is responsible for updating the allergy list at your center?

WFA

500

A child is enrolling with an allergy to peanuts, an Epipen, asthma, and an inhaler. 

What forms do you need for a child to start at your center?

VA Asthma Action Plan

Medication Form signed by the doctor for Epipen

Allergy/Preference Form stating allergy to peanuts

Special Diet Form signed by the doctor for peanut allergy*

At least a 10 day medication form for the inhaler*

500

Are these forms correct? 

Slide 7

No - the medication form should say 2 puffs every 4 hours. Not every 6 hours

500

A teacher tells you a child has a weird rash and they want to send them home. Who do you call?

Your education coordinator or Alex


A supervisor is also a valid answer

500

What must be on a physical for it to count as a physical?

1. statement of well baby or physical (can't be a sick visit)

2. date of exam

3. doctor's name AND signature (unless it is an electronic signature)

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