1 Student Health 2015/2016 Welcome Back!
2 Back-to-School Highlights
3 Bloodborne Pathogens Organisms in blood and other body fluids that can cause disease Examples: HBV HCV HIV AIDS Protect yourself! Observe universal precautions - Treat all blood/body fluid as if infected. Follow guidelines in our BBP Exposure Control Plan located in main office and on website.
4 Protective Measures
5 Exposure at Work Direct Transmission From one person to another through open cut, abrasion, sore, or membranes of nose, mouth, eyes Indirect Transmission Touching a contaminated object or surface
6 I m exposed! What now? Wash immediately Notify supervisor and Carol Eatman Complete Exposure Report & WC Form 19 Fast Med Urgent Care (near hospital)
7 Nurse Athletic Trainer Custodian NRMPS at-risk Jobs How do I know if I m at-risk for exposure to Bloodborne Pathogens? Contact your school nurse and Complete Exposure Determination Questionnaire
8 Red Bag/First Aid Kit In each classroom Assigned to room, not teacher. Accessed only by teachers Contents Gloves Band-Aids First-aid Supplies Emergency Action Plans and Emergency medications Asthma Inhalers Epi-pens Diabetic Supplies, medications, and snacks Take with you at all times when with students - fire drills, playground, cafeteria, field trips, etc.
9 First Responders Employees trained to respond in the case of an accident or illness if the school nurse is not on campus. (Please stand.) AED Automatic External Defibrillator Located:
10 Diabetes The body does not Use glucose properly Due to insulin problems. Emergency Action Plans Provides medical directions for care Kept in red first-aid bag Student keeps copy in book-bag If no care plan is provided, contact school nurse or parent/guardian to come and handle. May need to call Glucometer, Snacks, and Insulin Students allowed to: Carry items at all times, Check blood sugar anytime they feel symptomatic; and, Have a snack when needed.
11 Diabetic Care Managers School staff members -- trained by school nurse to handle diabetic care of students at school (Please stand.) How to count carbohydrates How to check blood sugar How to recognize signs of distress
12 Low Blood Sugar Early Signs & Symptoms Sweaty If in doubt, Treat as low blood sugar. Nervousness Pallor
13 Low Blood Sugar Late signs & Symptoms Sleepy Stubborn Irritable Sad Angry Uncoordinated Pass out Seizure
14 Treating Low Blood Sugar 2-4 glucose tablets 4 ounces of apple or orange juice 4-6 ounces of regular soda 2 tablespoons of raisins 3-4 teaspoons of sugar or syrup 1 cup of low fat milk 1 tube of cake gel or 2 packets honey (if unable to swallow or unconscious) Students will carry a juice with them at all times. Parents are responsible for providing snacks/supplies. Always keep a snack in red first-aid bag. Preparedness for lock-down.
15 Treating Low Blood Sugar Recheck blood sugar After 15 minutes, if still low give another snack. Check again in 15 minutes. If does not come up to normal call parent. Follow with carbohydrate/protein snack such as, peanut butter and crackers, meat, cheese, etc.
16 High Blood Sugar Signs & Symptoms Thirst Frequent urination Blurred Vision Drowsy Nausea Mood Changes
17 High Blood Sugar Insulin is the only way to the blood sugar. Treatment 1. Check care plan for orders. 2. Insulin per doctor s orders. 3. If no care plan is in place, contact parent/guardian. 4. Offer student clear noncalorie liquids. Exercise will not decrease the blood sugar! 5. Do not exercise if the blood sugar is over 300.
18 Diabetic Emergency! Loss of consciousness CALL Stay with student Send for nurse, DCM, 1 st Responder Give Glucagon, if ordered Call parent/guardian
19 Medications at School Medication form Required for staff to give meds Medication log Completed at time med is given Audited by school nurse Secure meds Lock box or drawer w/lock Self-medication Parent permission form required Controlled substances not allowed Rx Medication labels required Refer to School Nurse
20 Asthma Inhaler Must be easily accessible and available; (especially for PE, exercise, outside); Must never deny access to student; Kept with student or in red first-aid bag; EAP indicates where inhaler is kept; and, Administer as ordered, e.g., before exercise Case Management by School Nurse Refer students with: Frequent Absences; Severe/many episodes; Chronic cough; Sits out PE/recess; Abuse, misuse, overuse, and/or frequent use of inhaler; and, Student who has no inhaler.
21 Seizure Emergency Emergency Action Plan Lets you know what to look for and what to do. Notify School Nurse and Parent First time seizure More than one seizure in a day Call Seizure lasts more than 5 minutes Student doesn t arouse after a seizure Always call first Then the parent, nurse, 1 st Responder
22 Severe Allergies & EpiPens Emergency Action Plan - Refer to plan for care - Kept in red first-aid bag EpiPen Video Auvi-Q Video Call 9-1-1, immediately after using EpiPen Life threatening symptoms Immediate swelling Tightening of throat, hoarseness, hacking, repetitive cough Shortness of breath or wheezing Weak pulse, fainting, pale or blue color to skin
23 School Nurse Referrals Communicable diseases Rash MRSA Conjunctivitis Meds & Substance Abuse Child Abuse Mental Illness Fractures Squinting & Other Vision Problems Hearing problems Referrals to Healthcare Provider
24 School Nurse Referrals
25 Staff Training Modules NRMPS Website School Nurse
26 Questions? Have a Great Year!