Anaphylaxis/ Epi Pen
Name 2 symptoms of a severe allergic reaction for the following systems:
- Skin
- Gastrointestinal
Skin: hives, swelling, itchy red rash, eczema
GI: cramps, nausea, vomiting, diarrhea
Demonstrate how to use an inhaler
Bonus: How long must you wait between each inhalation?
based on demo
Bonus: 1 minute
What are the 6 Rights of Medication administration?
Right Patient, Right Medication, Right Dose, Right Route, Right Time, and Right Documentation
True or False
A seizure is always a call to 911?
False
Only first time seizures and seizures longer than 5 minutes. We notify parent and document for known seizures under 5 minutes.
True or False
You can send a kid home who has lice?
False
You can NOT send them home, but they can't return until treatment.
True or False:
911 is always called when an Epi Pen is given?
TRUE
Also must let the school nurse know...
Why is it important to prime the asthma inhaler before use?
Bonus: When should this be done?
If you do not prime an albuterol inhaler, you may receive the wrong mix of medicine and propellant, meaning you might get a lower dose of medicine than you need.
Bonus: Brand new inhaler: Shake for 5 seconds and spray into the air 3 to 4 times.Not used recently or dropped: Shake for 5 seconds and spray into the air 1 to 2 times.
True or False
A student with an ADHD medication at noon comes to the office at 12:40Pm? Can we administer the medication?
False
You have exceeded the 30 minute before or 30 minutes after time. You must notify parent and discuss what the next steps would be.
What route is emergency seizure medication administered?
- rectally (diastat)
- nasally (Nayzilam, Valtoco)
During registration, you notice a Kindergarten student is missing a dose of polio. Can the student start school without their dose of polio?
Yes, but they have 30 days from notification to be up-to-date or can be suspended or expelled.
Name 3 common causes of severe allergies...
Food, bees, latex, medication
True or False
Can students self carry their inhalers at school?
BOTH!
6th graders and above can, if the properly follow the self carry contract AND their Care Plan states that they can self carry.
What is something we do differently when schools receive substance controlled medication vs OTC or other prescription medication?
We must count each pill in front of parent/guardian and counter must sign, including parent to verify amount received.
Medication must be in a locked cabinet.
Name 3 situations in when should 911 be called?
Student that is unconscious, having difficulty breathing, first time seizure, Epipen administered, severe head injury, bleeding that won't stop
What types of immunization exemptions are allowed in the Colorado?
Bonus: Where do you get an Certificate of Exemption?
Medical and non-medical
Bonus: CDPHE Website to download and have a provider sign it.
According to the Anaphylaxis Standing Order (Care Plan), what are the types of "Epi Pens" that can be used?
Bonus: What is the weight limit for the Jr Epi Pen and Nasal Epi Spray?
Injectables and Nasal Spray
Bonus: 33-66 lbs
True or False
You can administer asthma medication through a chamber without it being on the medication order?
False
The medication order should have the chamber required marked on the order.
You have been notified that a student is taking a 10 day antibiotic during her lunch time. What should you do?
You will need to notify parents that medication authorization form needs to be filled out if they would like it to be administered/taken during school hours.
What are the necessary steps if a student came to school with a cast on his left leg and crutches?
- Should check for medical note with any school restrictions and that crutches are being used at school.
- Notify PE teacher and teacher regarding injury and restriction
- Help support accommodations i.e. does student need to come to health office bathroom, help with lunch tray etc?
A teacher is asking you to print a list of health problems of her class so she have it with her on a field trip. What is the correct response:
a. you may provide her with a list as health and safety comes first.
b. you can tell her that student health info is confidential but she can review it on PowerSchool for her reference.
c. you can provide the health list as long as the teacher shreds the health list after use.
b. you can tell her that student health info is confidential but she can review it on Infinite Campus for her reference.
Health information is private and confidential. This is under the FERPA.
Name 4 typical symptoms of a severe allergic reaction for the respiratory system.
-itchy watery eyes, runny hose, stuffy nose, sneezing, coughing, itching or swelling of lips, tongue or throat, change in voice, difficulty swallowing, tightness of chest, wheezing, shortness of breath, and repetitive throat clearing
When do you call 911 for an asthma attack?
Severe symptoms -
Coughs constantly, Struggles to breathe, Trouble talking (only speaks 3-5 words), Skin of chest and/or neck pull in with breathing, Lips/fingernails gray/blue
What is the procedure to follow if a medication error occurs?
Notify nurse, notify parent, parent should call doctor depending on situation and medication, accident report should be filled out.
What are the steps when you have a student with an injury at school?
Treat the injury, call and notify the parent, complete accident report form, and notify the nurse and administration staff.
What are 2 Universal Precautions you should practice to protect yourself?
- wash hands w soap and water,
- wear gloves when dealing with blood or bodily fluids, and use disinfectants.