SUMMARY of Suggested School Nurse's Roles and Responsibilities from the VERMONT SCHOOL CRISIS GUIDE CRISIS PRIORITIES ROLES & RESPONSIBILITIES ALL

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1 ALL Anaphylaxis (Severe Allergic Reaction) Health and safety of students, staff, and responders Locate and follow the individual's anaphylaxis plan. (1) Have emergency "GO" bag ready at all times. (2) Be knowledgeable of the Incident Command System and specific emergency protocols for your school. (3) If students are under your care at time of crisis, transfer their supervision to another staff member. (4) Provide medical attention to the sick and injured, only after the scene is declared safe by the Incident Commander (most often initially, the principal). (5) Transfer responsibility of care and provide assistance to EMS when arrives. (6) Document; maintain log of those treated and their disposition. Update Incident Commander as needed. (7) If multiple casualties, meet with MCI team, bring MCI supplies, assemble at staging area and prepare to provide triage/first aid. Ensure that EMS (911) is called. Administer emergency medication(s) as ordered and monitor response. Ensure notification of principal and parent/emergency contact. Assault / Fighting (If first upon the scene, assess situation to Assess extent of injuries, administer first aid, and seek / refer determine best course to for further medical intervention as needed. prevent injuries) Bioterrorism Take measures to prevent / minimize staff/student/responder contact with substance. Consult with the Vermont Department of Health for guidance. Determine those exposed, follow isolation procedures, provide first aid, and seek / refer for further medical intervention as needed. 1

2 Bomb threat Death of a student Demonstration / Riot Explosion Fire Flooding Hazmat Hostage If you, yourself, receive the threat, follow your school's bomb threat procedure If you discover student, assess for signs of life. Avoid disturbing the scene. Notify principal, Call 911. If first to note, activate fire alarm, notify principal If first to note, activate fire alarm, notify principal. safety to another staff member. Provide informal support for affected students and staff. safety to another staff member. Assist Incident Commander as directed. safety to another staff member. Assist Incident Commander as directed. 2

3 Infectious Disease Influenza Intruder Kidnapping Missing Student Motor Vehicle Accident Monitor illness trends within the school community. See "Infectious Disease" Consult with the Vermont Department of Public Health. Work with school staff to identify close contacts of ill student/staff member and proceed as directed by DOH. If applicable, determine immunization status of affected individuals. Educate school community on disease prevention measures (i.e. hand hygiene, cough etiquette). Provide information to parents/guardians and staff as allowed by FERPA. Provide on-going surveillance of disease spread within the school community and refer individuals for medical evaluation as indicated. Continually update school administration and DOH. If you notice an unauthorized visitor, direct him/her to check in with the office. However, if person is acting suspiciously, hostile or threatening, do not approach; report presence immediately to principal. Report missing student(s) to principal immediately. If you are first to witness MVA, Call 911 Provide first aid as appropriate, stay with victims until EMS arrives. As directed by Incident Commander. 3

4 Multiple Casualty Incident Natural Disaster Power Outage Recovery Relocation Serious Injury Severe Weather Shooter See specific causal event If you observe armed person(s) on school grounds, without drawing attention to yourself, notify principal immediately, As directed by Incident Commander. Assemble MCI team / MCI supplies at staging area (which will be designated by the IC) and wait until casualty site is declared safe before entering and conducting triage. School Nurse is MCI team leader and conducts triage using current evidencebased triage principles. MCI team members assist with organization, documentation, transportation, communication and first aid as directed by the team leader. Immediate Recovery: The crisis itself, the staff, the students, the community, and the scope of the loss will determine the shape and extent of the longer term recovery process. You, the students and staff will need emotional support. Be cognizant that mental and emotional stress is often manifested in physical symptoms. Assess extent of injuries, administer first aid, and seek / refer for further medical intervention as needed. 4

5 Student Threat Suicide Attempt Suicide Committed Weapons If recipient of threat, notify principal immediately. If witness, stay with victim and notify principal immediately. Do not approach, notify principal immediately. Provide immediate first aid as needed and as directed by Incident Commander. 5