Chronic Conditions
Fill In The Blank
The Chronic Illness List will state the names and conditions of students and can be found in the _________.
Medication Book
Sub Nurse Folder
Redbook
A student 18 yrs of age or older can complete their own medication consent form.
True or False
True
Name the three (3) background clearances required to work with school children
Child Welfare, PA Criminal & FBI Fingerprints
Although many COVID-19 mitigation protocols have been lifted, students and staff are still required to wear a _____ in the school health office.
Mask
A child who submits an immunization/medical plan card should be excluded from school if they do not receive a vaccine on or after the date shown on the immunization/medical plan card.
True
False
True
Name at least (4) symptoms of Asthma
Wheezing
Coughing
Short of Breath
Nausea
Rapid Breathing
Chest Tightness/Pressure
Rapid Heartbeat
Bluish Lips/ Fingers
Fill In The Blank
A student comes to the health office requesting Tylenol for menstrual cramps. After a brief assessment, the nurse should confirm that the student has a __________________ form on-file.
Medication/Tylenol Consent
The administrator brings a student to the health office before the nurses shift begins. The student is not in need of immediate care, but the administrator insists you assess them. Which form do you use to be compensated?
Payment Voucher
When is it appropriate to have both sick and well students in the health office:
When there is 6ft. - 10 ft. separation and all parties are masked.
If one dose of ________was given at 16 years of age or older, that shall count as the 12th grade dose.
MCV
MMR
DTP
MCV
Just before going to lunch, an insulin dependent diabetic student receives 3 units of insulin, per the blood glucose reading, and 4 units of insulin, per the expected carbohydrate intake. Approximately 1.5 hrs. after lunch, the student returns to the heath office with symptoms of hypoglycemia. You check the blood sugar and its now 58. What happened?
Probably too much insulin administered because student did not eat all of the lunch. Not enough carbs consumed.
Daily Double: What can be done to reduce the potential of this happening again.
What packet is sent home at the beginning of the school year informing parents of what to expect when their child gets sick at school as well as, medication administration procedures
Welcome Back Packet
What are the (4) Incentive Fund Criteria?
Employee must have an acceptable attendance record. (5 or less unexcused absences/tardiness).
Employee must have submitted monthly reports or requested documents in a timely fashion.
Employee must have attended the most recent mandatory staff meeting.
Employee must have worked their scheduled shift the day before and after the holiday or emergency school closing.
A student comes to the health office with complaints of stomach pain . Vitals are WNL. Student has not eaten and you believe the pain to be flatulence. Student is advised to eat, use the restroom, and wait at least 30 mins after eating to return to the health office. Within 10 mins. the school administrator comes to your office and wants the student sent home without any medical justification. You...
A) Call parent, explain what is going on and ask that the student be picked up.
B) Ignore the administrator and return the student to class.
C) Tell administrator to do it themselves.
D) Call parent and tell them to call the administrator because the student should remain in school.
A) Call parent, explain what is going on and ask that the student be picked up.
At least one (1) dose of which of the following are required for school entry.
A) Dtap, Polio, HPV, MCV, Varicella
B) Dtap, Polio, MMR, Varicella Hepatitis B
C) Polio, MMR, Influenza, Hepatitis B, MMR
D) Tdap, MCV, Polio, Hepatitis B, MMR
B) Dtap, Polio, MMR, Varicella Hepatitis B
A known epileptic student is observed having a seizure in the restroom. The episode lasts for 90 seconds and the student appears to be experiencing a normal recovery.
You:
A) Call the parent to pick-up the student.
B) Call 911, and send to hospital
C) Allow student to rest and return them to class. Notify parent of the incident.
C) Allow student to rest and return them to class. Notify parent of the incident.
If warranted by the information collected on the ________ ________ ________ form, the nurse can remove a student from the chronic illness list.
Chronic Condition Confirmation
To assess staffing needs for the upcoming school year, the MACCS office has asked for the submission of what document?
Intent To Return Form
Daily Double: Fill in the blank - The Intent To Return Form is due no later than ________________.
Answer: May 20, 2022
You are in the health office with (1) sick student, appropriately spaced, waiting for pick up. Another student scheduled for a treatment, not yet started, and two students injured on the play ground when you received an emergency call and must go to the school gym. What do you do?
A) Leave the student in the health office and attend the emergency.
B)Take all students to the emergency with you.
C) Send everyone back to class and attend to the emergency.
D) Sick student - Main office or other designated location all other back to class, will call when okay to to come down.
D) Sick student - Main office or other designated location all other back to class, will call when okay to to come down.
A student born on 1/3/2010 received a Tdap vaccine on 6/2/2018. It is now 4/21/22. This student is compliant with Tdap immunizations requirements.
True or False
False
A student with life threatening allergies is escorted to the health office with c/o SOB, itchy throat and swollen lips. There is a prescribed Epi-pen on hand for the student. You administer the Epi-pen, symptoms begin to subside and parent is notified. Parent states they are on the way and insist that you NOT call EMS.
You:
A) Notify the principal and have them speak with the parent
B) Notify the principal, have a school representative drive the student to the hospital.
C) Notify the principal, Call EMS, let parent refuse services.
D) Notify the principal, Do Not Call EMS, allow parent to pick-up student from health office.
C) Notify the principal, Call EMS, let parent refuse services.
The nurse enters the main office of the school to sign-in for the day. The secretary hands the nurse a students medication that was dropped off by the parent. There is no MED 1. The nurse returns the medication to the parent along with a __________ Form.
Refusal to Administer Medication or Return of Unauthorized Medication.
Fill In The Blank
There's an uptick in the number of staff and students exhibiting flu-like symptoms. The rapid COVID tests administered have all been negative however the school admin decided to close the building for the next two (2) days for deep cleaning and have everyone work from home. During that time, you will be entering screening data, completing parental referrals, checking PhillyVax & calling parents to request missing information. The MACCS office must receive a _____________________ in order to bill the school and process payment for the day.
Virtual Nursing Activity Log
A student falls at recess and injures his head. He is escorted to your office by school personnel. Explain the assessment process.
Physical & neurological assessment, apply ice/cool compress, observe for 30 minutes.
If okay, return to class and call parent.
Reassess in 1hour, if still okay, send home M-34 and Head Injury Form (MEH51).
If exhibiting signs/symptoms of serious injury, call parents for pick-up, or EMS, if warranted.
What is the recommended age to received the COVID vaccine?
CDC recommends everyone ages 5 years and older get vaccinated to help protect against COVID-19.
Daily Double: At least one (1) booster is recommended who? When?
Answer: 1 booster recommended for everyone 5+ yrs, 4-6 months after the first dose depending on the type of vaccine received.