The Basics
True or False
It is not necessary to inform the school nurse of students that received services during her/his absence or period unavailability.
False
Daily Double: Only the school nurse must document medical care, treatment or medication administered to students.
True or False
On what document would you find the chronic conditions of students attending your school?
Chronic Illness List
Where are the First Aid Protocols located?
In the front of the Red Book
True or False
It is okay to administer medication to students without expressed written parental consent.
False
Daily Double: When is it okay to share a student's medication with another person?
A) If it's the same exact medicine
B) During an emergency
C) If the person is related to the student
D) Never
The below symptoms are related to what chronic condition/
1) Chest tightness
2) Wheezing
3) Shortness of Breath
4) Coughing
Asthma Attack
When is it okay to discuss student health information with others?
Need-To-Know Basis
(Parental or student consent sometimes required)
True or False
A student can have multiple chronic conditions.
True
True or False
A medical assessment is required before administering Ice.
True
What are Standing Orders and who provides them?
Authorized procedures for medication administration and student care provided by the School Physician.
A student with swollen lips, itchy throat and difficulty swallowing is brought to your office. You check the Chronic Illness List and see that they have severe peanut allergies and may have come in contact with peanut residue. You:
A) Administer an Epi-Pen. Call 911. Call the parent.
B) Administer an Epi-Pen. Call parent for pick-up.
C) Administer an Epi-Pen. Send student back to class. Notify parent.
A) Administer an Epi-Pen. Call 911. Call the parent.
The Red Book gives step-by-step procedures for:
1) First aid provision
2) Medication administration
3) Chronic illness & emergency management
True or False
All students on the Chronic Illness List have medication available in school.
False
Daily Double: When EMS/parent is en route, what non medicinal home remedies may used to manage the effects of an asthma attack in the absence of an approved rescue inhaler?
Fill In The Blank
Bodily fluids and aerosol droplets can be potentially infectious. For that reason appropriate ______ should be worn and 6ft of distance provided between symptomatic students and those that are well.
Personal Protective Equipment (PPE)
Daily Double: What does PPE include?
Where would you document the administration of a student's prescribed medication or treatment?
Medication Log Book found in the school health office.
Daily Double: How would you determine if a student has consent to receive Tylenol in school?
Break To Share Medication Books
A student known to have epilepsy has a seizure in the restroom. The student appears to recover quickly, but seems slightly disoriented and tired. You:
A) Call the parent to pick-up the student
B) Call 911
C) Allow the student to rest and return them to class. Notify the parent of the incident
C) Allow the student to rest and return them to class. Notify the parent of the incident.
Daily Double: When is it required to call EMS for seizure activity?
Fill In The Blank
Primary rules of first aid/emergency care include:
1) ______ over treatment & over excitement
2) Do not give anything by ______ to an unconscious or semi-conscious person
3) Rest and quiet are often _____ , until return to class, parent pickup or professional care is obtained.
1) Avoid
2) mouth
3) sufficient/enough/appropriate
What is the most common chronic condition for school age students?
Asthma
When time permits, this document is provided to emergency responders at the time of student pick-up.
Emergency Medical Services (EMS) Report
Daily Double: Name (5) common complaints that are usually NOT an emergency:
1) Headache
2) Stomachache/Menstrual Cramps
3) Sore Throat
4) Stuffy Nose
5) Coughing/Sneezing
6) Rash (not related to allergic response)
7) Minor Cuts/Abrasions
8) Seasonal Allergies
Name the only three oral medications authorized by the Standing Orders/School Physician for in-school use.
1) Acetominophen (Tylenol)
2) Ibuprophen (Advil/Motrin)*
3) TUMS*
A diabetic students complains of feeling fatigue, slightly dizzy and shaky. The student's blood sugar is 58 when a normal reading is 80-120. The student is experiencing hypoglycemia - low blood sugar. What do you do?
1) Give glucose tabs, milk, orange juice, hard candy/chocolate
(Recheck BS in 15 mins)
Infection Control Basics:
1) A person with a positive COVID diagnosis is to isolate for a period ___ days then if symptoms permit, return to school/work masked for another ___ days.
2) A person with a positive Influenza or RSV diagnosis can return to school/work ____________. The number of isolation days will _____ based on symptoms.
3) _______ & _______ is recommended following a positive case of an infectious disease.
1) 1, 5
2) when fever free without medication and symptoms improved. / vary
3) Cleaning & disinfection
Name three (3) illnesses that you would expect to find on the Chronic Illness List.
1) ADHD
2) Allergies
2) Asthma
3) Cardiac Conditions
4) Cerebral Palsy
5) Diabetes
6) Seizures
7) Spina Bifida
8) Tourettes Syndrome
9) Bleeding Disorders
It is okay for a student complaining of which of the below to travel home unescorted?
A) Headache, nausea, light-headed
B) Injured ankle in gym, limping,complaining of pain
C) "Not feeling like themself" /change in mental status
None
Daily Double - Possible exceptions for a student traveling home unescorted?
Name four (4) of eight (8) conditions that would prohibit the administration of Tylenol/Ibuprofen.
1) Lack of parental consent (18yrs*)
2) Allergic to the medication
3) Malnutrition/Dehydration aka empty stomach
4) Abdominal pain, other than menstrual cramps
5) They also have a temperature of (1000F/380C)
6) Following a head injury
7) During pregnancy*
8) During the first or last period of the school day
Name 5 reasons to call 911 (EMS).
1) Heart attack/cardiac arrest
2) Airway obstruction/respiratory arrest
3) Massive bleeding
4) Poisoning/Drug Overdose (*Narcan)
5) Serious neck/back injury
6) Penetrating stab/crushing chest wound
7) Severe allergic reaction
8) Mental health emergency
Daily Double: When is Narcan administered? How is it administered? By whom?