POLICY
FORMS
CLINICAL
DIABETES
EMERGENCY RESPONSE
100

What two people should be spoken to before administering a PRN medication to students?

What is the RN and parent/guardian.

100

ECP's get scanned into what tabs in Synergy?

What is the Private Tab and the Documents Tab.

100

This simple habit prevents the spread of germs and disease.

What is handwashing.

100

What is the formal name of a diabetic student's orders.

What is a Diabetic Medical Management Plan.

100

It's 107 degrees outside at lunch recess and a student comes in with red cheeks, excessive sweating, and begins to vomit.  What do you do?

What is follow the Red Emergency Binder for Heat-related Illness.

200

We screen for color blindness in what grade?

What is first grade.

200

Medication boxes consist of the student profile, a copy of their order (ECP/RX form/OTC form), and what other form?

What is the Medication Tracking Form.

200

What is the generic medication name of Benadryl?

What is diphenhydramine.

200

A parent calls you and asks that you administer an additional 4 units of insulin to their student this morning.  What do you do?

What is immediately call the RN.

200

You respond to a student having a seizure and ensure they are in a safe place.  What question do you ask the person who identified the seizure?

What is the time the seizure started.

300

The Health Services Procedure Manual states that Health staff should disinfect surfaces and equipment when?

What is after each student use.

300

Health assistants should never share student health information with anyone without this.

What is the Authorization for Request of Release of Information.

300

When a student is having a severe, systemic allergic reaction, otherwise known as anaphylaxis, this emergency medication is administered to reverse symptoms.

What is epinephrine or an epipen.

300

State law states what about diabetic students and field trips?

What is a parent appointed and trained school employed personnel must accompany the student on the field trip.

300

This should be the first thing you physically check when responding to an unconscious student.

What is the pulse.

400

How much advanced notice is required for a PTO request?

What is two calendar weeks.

400

This document outlines a student's specific health care needs, including their medical history, health office interventions, emergency interventions if applicable, medications, and goals.

What is the Individualized Healthcare Plan

400

What is the appropriate action to take if a student has a nosebleed?

What is apply pressure.
400

A teacher calls you that their diabetic student is unconscious in the classroom.  What emergency medication do you take with you in response to this call?

What is the student's glucagon.

400

You get a call that one of your seizure ECP students is having a seizure.  You grab what?

What is the medication box and seizure bag.

500

When a student comes in with a minor cut or scrape, our standing orders state to clean with what to prevent prevent infection?

What is soap and water.

500

When the Health Office staff is informed of a field trip the day before, what form should be submitted?

What is an Incident Report.

500

A teacher fell and is brought to you for help.  She appears with no visible injuries or distress.  What is your next step?

What is defer to the principal and Workmans Comp (Alliance).

500

In addition to glucagon, snacks, insulin, accucheck machine and test strips, what should also be included in the student's diabetic kit?

What is ketone strips for high glucose readings (per the DMMP and ECP).

500

A student tripped and fell on the concrete.  He hit the back of his head and has a large laceration with excessive bleeding.  You run to his aid and apply pressure to the wound.  Within minutes, he begins to have altered mental status, followed by what appears to be seizure activity.  What do you do?

What is call 911.

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