Welcome to Special Services Department

Section I

Organization

Job Descriptions and Responsibilities

-	Coordinator of Health Services
-	Staff Nurse
-	Licensed Vocational Nurse

Coordination of RN/LVN Services

Delegation of Nursing Care in a School Setting

Health Services Position Statement

Practice of Nursing in BISD and Nursing Process

Section II

< Download Section II for the following information >

Guidelines for Accomplishing Preplanned Health

Accident Reports

Animal Bites

Bus Accidents

Child Abuse

Classroom Aphabetical Rolls

Communicable Disease Log

CPR Instruction

-	Manikins

Daily Medical Log

Dental Program

Emergency Plan

-	Anaphylactic Shock
-	911 Calls
-	Poison Control

First Aid Training

Individual Health Plan (IHP)/Emergency Action Plan (EAP)

Immunizations

-	Exclusions from Compliance
-	Immunizations Enrollment Policy
-	Immunization Health Records

Medications

-	Medication Administration by School Personnel
-	Medication Card and PRN Medications
-	Emergency Medications
-	Exceptions
-	Topical Preparations Used in the Health Office

Needy Students

Pregnancy/Parenting Procedure

Puberty and Development Program

Screenings - Vision, Hearing and Spinal

School Health and Related Services (SHARS)

Smoking and Cancer Program

Special Education

Student Assistance Intervention

Section III

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Regulations Regarding Communicable Disease & Infection Control

Communicable or Contagious Disease Policy

Equipment and Cleaning

-	Blood Pressure Equipment
-	Otoscope/Ophthalmoscope/Thermascan
-	Thermometers
-	Manikin Decontamination

Fever Policy

General Sanitizing Policies to Prevent and Manage Infectious Disease

-	Prevention of Infectious Disease Through Handwashing
-	Guidelines for Handwashing
-	Diapering and General Classroom Cleanliness
-	Disposal of Sharps and Blood-tinged Soft Wastes

Head Lice Policy

Pink Eye/Conjuctivitis

Scabies

Strep Throat

Tuberculosis

Exposure Control Plan

Section IV

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Specialized Procedures for School

-	Clean Intermittent Catheterizations in the Public Schools

Procedure for Catheterization in School

General Information Sheet Children with Gastrostomy Feeding Buttons

Procedure for Gastrostomy Feeding via Button with G-Tube

Procedure for Feeding via Janeway Gastrostomy Tube

Procedure for Gastrostomy Feeding via a Mic-Key Button

Procedure for Manual Abdominal Decompression through Gastrostomy Tube

Possible Problems that Require Immediate Attention

Respiratory System

CPT

Disorders Affecting the Respiratory System

Oxygen Use

Nasal Cannula

Oxygen Mask

Oxygen Tank Set Up

Tracheostomy Collar

General Information Sheet Children Who Use Oxygen

Peak Flow Monitoring

Procedure for Administering Nebulizer Treatments

Procedure for Cleaning Nebulizer/Compressor

Procedure for Pulse Oximetry Monitoring in School

Tracheostomy

-	Required Equipment for Tracheostomy Care
-	Problems That Require Immediate Attention for Children With Tracheostomies
-	General Information Sheet
-	Tracheal Suctioning
-	Procedure for Tracheal Suctioning
-	Possible Problems of Trach Suctioning
-	Tracheostomy Tube Changes
-	Procedure to Change Trach Tube
-	Potential Problems With Tracheostomy Tube Changes
-	Manual Resuscitation Bag
-	Procedure for Use of Manual Resuscitator with Tracheostomy

Nose & Mouth Suctioning

-	Procedure for Nose & Mouth Suctioning Using Tubing and Suctioning Machine
-	Procedure for Nose & Mouth Suctioning with a Bulb Syringe
-	Procedure for Nose & Mouth Suctioning with a DeLee Catheter
-	Procedure for Suctioning Using Yankauer
-	Possbile Problems When Suctioning
-	Suction Machine Operation
Procedure for Medical Asepsis Cleaning of Equipment

Section V

I. Specialized Care

A. ARD

1	Explanation of ARD/School Health as a Related Service
2	ARD Checklist
3	ARD Agenda
4	Consent to Release Confidential Information
5	Disclosure Statement	< Spanish
6	Eligibility Report
7	Health Information	< Spanish	< Vietnamese
8	When to Write an IHP
9	Individual Healthcare Plan
10	Medical Procedures Instructions
11	Physician's Order Cover Letter
12	Physician's Order - blank
13	Physician's Order - Specialized Care
14	Physician's Report - Down's Syndrome
15	Health Information Card	< Spanish	< Vietnamese

B. Flow Sheet

1	Diabetes Management Plan Flow Sheet
2	Generic Flow Sheet
3	G-tube Feedings Flow Sheet
4	Peak Flow Sheet
5	Catheterization Flow Sheet
6	Diabetic [Insulin Pump] Flow Sheet

C. Reports

1	Accident/Incident Report
2	Down's Syndrome ATL Condition Report
3	Report of Children with Special Needs

D. Training

1	Gastrostomy Feedings Skills Checklist (pg 1-3)
2	Medication Administration Skills Checklist (pg 1-2)
3	Principals of Medication Administration

II. Communicable Disease

A. Communicable Disease Chart (pg 1-6)

B. Communicable Disease Log

C. Disposal of Blood-tinged Soft Wastes and Blood-Saturated Soft Wastes

D. Disposal of Needles and Sharp Objects

E. Formulas for Mixing Chlorine Bleach Solutions

F. Manikin Care

G. Notifiable Conditions in Texas/Disase Reporting (pg 1-2)

H. Varicella Reporting Form

III.

Community Services

A. Benevolent Services

B. Lela P/ Key Memorial Fund

C. Lion's Club Referral (Northeast) [English] [Spanish]

D. Lion's Club Referral (Haltom City) (pg 1-2) [English] [Spanish]

IV. Crisis Management

A. Emergency Protocol for the School Nurse's Office

B. Nurses' Support Network

C. Casualty Log

D. Emergency Assessment Information (pg 1-2)

E. Emergency Disaster Supplies (pg 1-2)

F. Minor Emergency Supply Kit

G. Emergency Medical Information & Assessment

H. Seizure Guidelines for Observing and Recording (pg 1-2)

I. Seizure Types

J. "Start" System of Triage Route Sheet

V. Employees

A. Information: Completing Employee Injury Forms
B. Cleaning Up Body Fluids
C. Employee Emergency and Health Information (pg 1-2)
D. Employee Report of Injury on the Job
E. Employee Vaccine Record
F. Minor Employee Incident Report
G. Pericutaneous/Perimucosal Exposures
H. Policies & Procedures for the Home Health Nurse Working in BISD
I.

Standard Precautions
J. Supervisor Report-Worker's Comp (pg 1-2)
K. Request for Approval of School Business Days

VI. Immunizations

A.	Checklist for Compliance
B.	Documented History of Chicken Pox
C.	Immunization Letter to Parents	< spanish	< vietnamese
D.	9th Grade Parent Letter	< spanish	< vietnamese
E.	Immunizations Require for School	< spanish	< vietnamese

VII. Inventory/Supplies

Ordering Explanation
B.

Inventory Form
C.

Requisition To Health Services
D.

Projected Needs

VIII. Logs/Lists/Notes

Check List for School Nurses (pg 1-3)
B.

Classroom Alphabetical Roll
C.

Daily Sign-In Log for Students
D.

Injury/Illness Log
E.

Nurse's Notes
F.

Approved Abbreviations

IX. Medications/Procedures

A.	Administration of Emergency Medication
B.	Behavior Evaluation
C.	End of Year Reminders to Pick Up Medications	< spanish	< vietnamese
D.	Medication/Medical Procedure Log 2010-2011
E.	Medication Permit/Physician's Orders	< spanish	< vietnamese
F.	Medication Permit/Physician's Orders for Use by Athletic Trainers
G.	Parent/Physician Authorization Reminder	< spanish	< vietnamese
H.	PRN/Short Term Medication
I.	Teacher's Medication Note
J.	Medication Incident Report

X. Parent Letters

A.	Allergic Reactions	<spanish	<vietnamese
B.	Chicken Pox	<spanish	<vietnamese
C.	Dental Problems	<spanish	<vietnamese
D.	Fifths Disease	<spanish	<vietnamese
E.	Growth and Development - 6th Graders	<spanish	<vietnamese
F.	Growth and Development - Girls, 4th & 5th	<spanish	<vietnamese
G.	Growth and Development - Boys, 5th	<spanish	<vietnamese
H.	Head Injury Information	<spanish	<vietnamese
I.	Head Lice - First Notice	<spanish	<vietnamese
J.	Head Lice in the Classroom	<spanish	<vietnamese
K.	Health Services Provided by the Nurse [Spanish]	<spanish	<vietnamese
L.	Pink Eye/Conjunctivitis	<spanish	<vietnamese
M.	Questionnaire for Parents of a Child with Asthma (pg 1-2)	<spanish	<vietnamese
N.	Ringworm	<spanish	<vietnamese
O.	Scabies	<spanish	<vietnamese
P.	Sprains	<spanish	<vietnamese
Q.	Streptococcal Infections	<spanish	<vietnamese
R.	Medical Referral Follow Up	<spanish	<vietnamese
S.	Mononucleosis	<spanish	<vietnamese

XI. Records

A. Categories of Health Services (pg 1-6)
B. Certificate for Destruction of Records
C. Monthly Tally Sheet
D. Procedures for Handling Records (pg 1-4)
E. Records Retention Worksheet (pg 1-4)

XII. Screenings

A.	Hearing
1.	Interpretation of Hearing Impairment
2.	Hearing Referral Form	< spanish	< vietnamese
3.	Sweep-Check Screening/Extended Recheck

B.	Spinal
1.	Parent Notification and Referral	<spanish	<vietnamese
2.	Spinal Screening Letters	<spanish	<vietnamese

C.	Vision
1.	Referrals
	a) Alexander Vision Center (pg 1-3)
	b) Texas Commission for the Blind Referral Form
	c) BISD Vision Referral Form	< spanish	< vietnamese]

2.	Tests
	a) Cover-Uncover Test [Page 1] [Page 2]
	b) Hirschberg Corneal Light Reflex (pg 1-2)

3.	Parent Letter - Photoscreening Permit	<spanish	<vietnamese

D.	Request for Exemption from Screening	< spanish	<vietnamese

E.	Acanthosis Nigricans
	1. Parent Information
	a) Parent Information Acanthosis Nigricans [English] b) Parent Information Acanthosis Nigricans [Spanish] c) Parent Information Acanthosis Nigricans [Vietnamese]
	2. Referrals
	a) Parent Referral [English] b) Parent Referral [Spanish] c) Parent Referral [Vietnamese]
	3. AN Reporting Sheet

XIII. Student Assistance

At Risk Procedure (pg 1-2)
B.

Identification of Child Abuse
C.

Child Abuse - Administrative Procedures (pg 1-8)
D.

Drugs and Their Effects (pg 1-2)
E.

Drugs and Their Dependence (pg 1-4)
F.

Parenting/Pregnancy Tally Sheet
G.

Impairment Assessment

XIV. Substitutes

A.Checklist for Substitute Folder
B.Information for the Substitute Nurse
C.Report from the Substitute Nurse