SHA FORMS.Abbreviations
Due monthly to PHN and HK.
Form SH2
Section 2-2
"Pest of all Pest"!!!!!
UKU!!!!!
The months Epi-12 is due.
October and January
Category that needs emergency medical intervention and persons that should be notified.
Category 1
Admin, parent/legal guardian, PHN
PHN who has a 5 month old baby, Ariella.
Rialyn
Form due to Immunization Branch and PHN.
EPI 12B
Section 2-2
Health Room electronic documentation.
Health Office AnyWhere
Referred to when there is no EAP or IEAPP when student comes in for difficulty breathing.
Emergency Guidelines for Hawaii Public Schools
Section 3-3
The rule to follow when administering medication:
Right Student, Right Medication, Right Dose, Right Route, Right Time
5 RIGHTS
PHNs who covers the schools on the East Side.
Micah, Sheila and Kat
Form to give parent after head injury.
Form SH53
Section 3-3-77
Department of Health Initiative to partner with DOE to assure students will have an uneventful flu season.
Stop Flu as School
Person(s) referred to when there is a suspect of food poisoning.
PHN and/or Epidemiologist (Lisa Gelling)
Section 2-9
Requires 3 doses where the first one may be given at birth.
Hepatitis B
PHN who recently earned a master's degree.
Micah
Form used for student with special dietary needs.
J-1 Special Dietary Needs Medical Form
Section 5-6A
Medication label must state all 6 things.
For School Use, Name of Student, Name of Medication, Dosage, Time to be given and Name of Medical Provider
The act that assists students to enter school
without meeting school entry requirements.
McKinney Vento Act
3 Acceptable TB Clearances for School
Negative TB Risk Assessment
Negative TB Skin Test Reading
Negative Chest X-ray
PHNs who finished the Kauai Marathon in 2018.
Micah and Kat
To serve as a communication tool between the SHA and teacher regarding a student who is to receive medication in the school setting.
Memo to Teacher (SH36T)
Section 4-8A
Department of Education Superintendent
Christina Kishimoto
This is the law for the requirements for school entry.
See 7-1
Hawaii Administrative Rules, Chapter 157
Letter that is issued 90 days from entry when student does not meet the immunizations and physical examination requirements.
Epi 10 D
Section 7-12
PHN who rode a motorcycle while 8 months
pregnant!
Toni:-)