Anaphylaxis/ Epi Pen
Name 2 symptoms of a severe allergic reaction for thew following systems:
- Skin
-Gastrointestinal
Skin: hives, swelling, itchy red rash, eczema
GI: cramps, nausea, vomiting, diarrhea
Demonstrate how to use the inhaler
based on demo
Name the 5 Rights of Medication administration.
right person, right time, right dose, right route, right medication
True or False: A seizure is always a 911 call?
False. Only first time seizures and seizures longer than 5 minutes. We notify parent and document for known seizures under 5 minutes.
Fullerton has a "No Live Lice" policy. True or False
True, students with lice should go home and be treated but can stay till end of day.
Nits do not warrant students to go home as long as progress is being made.
True or False: 911 is always called when an Epi Pen is given?
True
Why is it important to prime the asthma inhaler before use?
To ensure medication is being dispensed since meter may need additional priming for correct dosage may not be administered and not effective for the child.
A student with an ADHD medication at noon comes to the office at 12:40Pm? Can we administer the medication? True or False
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?
No, the California SB277 bill states, "no shots, no school'
Name 3 common causes of severe allergies...
food, bee, latex and medication
Can students self carry their inhalers at school?
Yes students can self carry inhalers but only with the medication form completed with the doctor checking the self carry box on the form.
*If students are under under age 9, it would be best to contact parents before proceeding with the order to 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.
What are the steps when you have a student with a head injury?
Treat the injury, call and notify the parent, complete head injury form, and notify the teacher.
A parent turns in a medical exemption signed by a doctor stating that their child cannot receive immunizations. Is this acceptable and can student start school with this medical exemption?
No. We no longer accept medical exemptions written by doctors. Parents must provide medical exemption through CAIR-ME registry that their doctor must complete.
According to the standing order, what grades would you give a Junior Epipen dose to?
2nd grade or lower
Do schools take all forms of asthma medications and administer as long as there is a medication form?
No. Schools do not administer maintenance asthma inhalers. Schools can take all rescue inhalers with correct medication form authorization..
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.
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
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 PowerSchool 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
True or False: you cannot administer an inhaler through the chamber without it being on the medication form?
False, you do not have to have a asthma chamber. You only need to have an order for the medication.
What is the procedure to follow if a medication error occurs? (wrong med to wrong student)
-notify nurse, notify parent, parent should call doctor depending on situation and medication, accident report should be filled out.
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?
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.