Forms
Policies
IEP
Records
Restraints
100

You are observing a restraint.  This is the information you should record for the form.

The time the restraint starts/ends

Staff involved

100

This is where the policy and procedure manual is located

By Shannon's desk/Stefanie's office on the bookshelf

100

This is when an student's IEP can be implemented.

After it is signed by the parent/guardian/student

100

This is the person who has keys to the record cabinet.

Shannon

100
This is when you release students when implementing a restraint

When a student is calm

200

You got hit at work and need to go to ReadyMed.  This is where you can find the Employee Injury Form

On the Connector

200

We lose power in the building.  This is who determines if we should evacuate.

Jolene-Vice President of Children's Services

200

Name three members of the IEP team.

Parents

Student

Darnell School Staff

District Staff

200

This is the length of time that we keep student records

7 years after graduation

200

This is when a restraint should be implemented

When it is an emergency/to maintain safety
300

You filled out the form on the Connector.  You are now going to ReadyMed.  This is who you should see about additional forms you bring to ReadyMed.

Kelly or Administration

300

Name these three locations where the Darnell School Bullying Intervention Plan is located

In the policy and procedure manual

Student/Parent handbook

On the Darnell School website

300

This is the curriculum that Massachusetts follows

The Common Core Curriculum

300

Name three types of documents found in the student record.

IEPs

Progress reports

Medical 

Pertinent correspondence

Assessments

300
You were the staff assigned to a student during a restraint.  This is when you should fill out the form.

As soon as possible.

400

You get into an accident.  EMTs have arrived.  This is what you need to give to the EMTs.

Face Sheet

400

OH NO!  We lose heat in the building and its freezing outside.  This is what we do.

Remain calm.  Notify administration, await further instructions.

400

These are the three consultants for the Darnell School

PT

OT

SLP

400

This is the act that protects health information.

HIPAA

400

These are the staff who should respond to the student if there is a restraint

Trained in the restraint

500
Name the three pieces of information you need on your doctor's note when you are injured.

Restrictions (i.e. participate in restraints, lifting, etc.).

Any follow up appointment dates

Date you can return to work


500

DESE stands for....

The Department of Elementary and Secondary Education

500

These are changes to the educational environment that allow students with a disability to overcome the barriers created by their disability.

Accommodations/Modifications

500
An outside provider comes to view the student record.  This is the sheet they sign in the record when they access the record.

Access log

500

You are injured in a restraint.  While in the restraint, this is what you should do.

Step out

Notify administration

Fill out the staff injury report on the connector

Get medical paperwork