Hypoglycemia Sample Emergency Care Plan (NYSCSH 10/17), Hyperglycemia Sample Emergency Care Plan (NYSCSH 10/17), Glucagon Training Documentation Form for School PersonnelDocuments understanding and skills attainment for staff voluntarily administering glucagon for students with patient-specific orders. Spanish Sample Recommended NYSED Interval Health History for Athletics (NYSED 6/22). City, State, Zip Code. Sample Letter to Families about Metered Dose Inhalers, Spacers, and Nebulizers (NYSCSH 9/20)Provides information on why an MDI and Spacer is preferable over a nebulizer during the COVID-19 Pandemic. Parents should also ask about a second type of meningococcal vaccine (meningococcal B) that may be appropriate for their child between ages 16-18 years. Sample Provider and Parent Guardian Permission for the use of School Provided Spacer/Valved Holding Chamber (NYSCSH 7/20)Provides schools the opportunity to provide a backup spacer in the event that the students is not available. For younger students --Children do have accidents at school; please be sure to send a change of clothing in their backpack to keep at school. CDC Diseases & ConditionsA-Z directory of information, NYSDOH Diseases & Conditions FactsheetA-Z directory of factsheets, NYSED Guidelines for Concussion Management In Schools(NYSED 7/2022). in Nursing. Sample Emergency Care Flow Sheet (NYSCSH 12/16), Sample Emergency Care Flow Sheet for Staff (NYSCSH 9/17), Sample Faculty/Staff Emergency Contact Information (NYSCSH 5/16), Sample Individual Health Care Plan (NYSCSH 8/18). The time to begin is nigh! The school nurse will help by giving first aid, administering prescribed medication, notifying parents of illness or injury, and providing education on health related matters. All grade level mandates and immunizations are required for the 2020-21 school year regardless of the education platform (virtual or in person). Use your teacher introduction letter to parents to let them know that you want to be a team. PANS PANDAS is a medical condition in which symptoms affect a students ability to attend school and learn. During remote learning, I will be reaching out to check in with students who have a health concern and to connect with students and families who may need extra support. gBk"wA76\1?B2J0J$k@-P+IoP5[1c9Cl*uJlL-^AC34f y ;fmpY^yt2"F`X7NeWkY+$He\ #vt4m7b/bk>kV^>/Q(d My name is Janet Boyett, I am your school nurse. SampleMedical History Update Form (NYSCSH 2/18)An optional form that may be used to obtain current health information from the parent/guardian in non-mandated health examination years or to provide student history prior to a school-provided physical exam. School sports, medication, and treatment forms are good for 1 year, so summer is a great time to complete them. Tia Petersen. As for infestation information, The Columbus City School offers information on lice and bedbug infestation. Sample Letters to Parents; School Medications; WV Health Programs; Newsletters; Health & Wellness; Search for: Sample Letters to Parents. School Nurse Professional Organizations and Resources, Sample Calendar reminders for a School Nurse. c# Children with a fever (100.4 or higher), vomiting, diarrhea, or other symptoms should be kept home from school until symptom free per the AGCS Sick Child Policy. School Nurse To Do List. Learn more about PANS PANDAS in the school setting. Sample Procedure for Unlicensed School Staff Responding to Severe Allergic Reactions (NYSCSH 4/17). Sample Students With Special Health Care Needs Record (NYSCSH 2/21)May be used to record students' health care concerns, medication, and emergency care plan status. Administrative Assistant for Grades 4-8 and Main Office State Road. Effingham County BOE Letter To Parents; Nurse. If your child is lacking school-district required vaccines, I will contact you. It does not indicate permission for the student to carry and use the medication independently. (111) 789-3456. If your child becomes sick, please let the School Nurse office know. A description of the illness, including the complaint's date, time, and details. They do not constitute a mandate nor imply liability should the school choose other options. In addition to these vaccines, the Centers for Disease Control and Prevention (CDC) also recommends that everyone age six months and older get an influenza vaccine every year. ASPIRE Facebook Group & ChitChat Meetings, Clinical Urgency of Diagnosing & Treating, Sample Letter Section 504 Determination Request, Sample Letter Request to an Evaluation for an IEP & 504 Plan, Sample Letter Request for Prior Written Notice PWN, Sample Letters Notification of Illness from School Nurse. [INSERT SCHOOL NURSE SIGNATURE, NAME, AND TITLE] July 2015 & ' = U _ c m H I k l r pYK7 &*h&. It can be found at. Letter Samples (not from template or form, my own work), Congratulations! The calendar for the school at which I hope to work can be found here: https://www.columbusacademy.org/events There is no specific nursing calendar available here. To be completed by the parent/guardian no earlier than 30 days before the start of the sport. Training must be completed annually. It is very common in children. Dear Parents and Guardians, Congratulations! Please keep our staff and the school nurse informed of any health conditions that could affect your child while at school. It is vital for the School Nurse to foster communication between the entire school population about who and when someone has an infectious illness. How Does a Parent/Guardian File a 310 Appeal? Parents have the first responsibility for their child's health. Supporting Student Success Through Health and Education. The COVID-19 pandemic has made clear the importance of health and health safety. If a case appears in your school the letters may help to provide information for parents and to allay anxiety Sample notification letters to parents for the following conditions are available: 1. Dose Counting Medication Record (Excel - NYSCSH 7/2018) Calendar view record of medication administration which provides a continuous count of medication given and medication remaining. Levels of Assistance in Administering Medications Guide (NYSCSH 9/2019) Provides guidance in determining how may and may not administer medications in school and how to determine who may do so. Sample TBI Return Monitoring (NYSCSH 11/17)Sample tracking tool schools may use to track students' symptoms for RTL and RTP. They do not constitute a mandate nor imply liability should the school choose other options. kK>L[gcW ifijV ?+ KM&7^}iAhfn#{Hn|V7N"&S,2p4ed-B^Z.[(SPxYXz\JPVm0INA4Xf2$m~BC!)O]D{us+"t)U36{T2d2GjT~Gq9(im6'bQbep0Q 3zK=~CKeGhcGz!(tWz:.WPU Er/HMW. You and your family excelled through another school year. School Nurse End of School Checklist(NYSCSH 11/21)- List of tasks for the end of the school year. Communicable Disease | Illness | Injury Notifications, General Information on Illness and School Attendance, Sample Health Office Visit for Illness | Injury Notification, Communicable Disease Information & Factsheets, COVID-19 Sample Consents | Non-Patient Specific Orders, Sample Non-Patient Specific Order for BinaxNow COVID-19 Testing, Sample School COVID-19 Testing Consent Form and Instructions, Disease Specific ECP | IHP | 504 |Diabetes Addendum | Flow Sheets, Asthma Care Plans | Asthma Action Plans (AAP) | Sample Letters, Diabetes Medical Management Plans (DMMPs) | DMMP Addendum, Diabetes Hypoglycemia | Hyperglycemia Plans, Generic Sample Care Plans and Other Emergency Documentation for Students and Staff, Seizure Sample Care Plans | 504 Plans | Interview Questionnaire for Seizure History, Health Examination & Dental Forms | Parent Letters | Notifications, School Health Examination Form and Instructions for an EHR Compatible Form, School Health Examination Form Sample Resources, Screening & Health Exam Requirements Charts | Determination for Ungraded Students, Dental Certificate | Letter to Parents/Guardians Regarding Dental Exams, School Medical Director Delegation Statement, Health Office: Daily Visit Logs | Cumulative Health Record | Summary Records, Implementation of Epinephrine Auto-Injector (EAI) Programs Sample Forms, Immunization Sample Letter & Forms for the 2022-2023 School Year, Sample Letter for Administrators/Principals to Inform Parents/Guardians of Exclusion & 310 Appeals Information, Medical Exemption Forms and Sample Letters, Medication Forms | Letters | Notifications, Sample Administration / Use Tracking Forms, Sample Administration Authorization / Permission Forms, Determining Who Can Administer Medication and Student's Capability, Parent/Guardian Medication Communications & Notification, Receipt Forms for Medications / Expiration of Medication Form / Documentation of Medication Errors, Training & Self-Determination Forms and Checklists, Responsibility Checklists | End of School Year Packet, School Nurse Responsibilities | Checklists | Overview of Tasks, School Health Office Data Collection | Reporting Tools, Health Data Documentation & Tracking Forms, Screening Charts | Forms | Letters | Notifications. Per AGCS handbook and CDC guidelines, parents will be required to assess their child(ren)s health daily prior to reporting to school. We are seeing an increase in the reported cases of Strep throat. 1 0 obj Hypo and Hyperglycemia Chart for School Staff Excerpted from NYSDOH Diabetes in Children with the permission of the NYSDOH. If not treated or not treated long enough, your child may continue to spread the infection. Sample Letters - Notification of Illness from School Nurse Students with PANDAS/ PANS may experience symptoms simply from being exposed to an infection. Samples do not constitute a mandate nor imply liability should the school choose other options. Additional permission from the provider and parent for Independent Medication Carry and Use must also be completed for that to occur. Data Collection Calendar for Secondary School Nurses (NYSCSH 8/12), Data Collection Calendar for Elementary School Nurses (NYSCSH 8/12), School Nurse Weekly Excel Worksheet (NYSCSH 3/22), School Nurse Monthly Activities Recording Form (NYSCSH 5/20), Sample Letter to Parent/Guardian Regarding Required Screenings (NYSCSH 12/18), Hearing Screening Parent/Guardian Notification Results and ReferralForm(NYSCSH 5/18), Sample Classroom Teacher Observations- Hearing (NYSCSH 5/18), Scoliosis Screening Parent/Guardian Notification Results and Referral Form (NYSCSH 5/18). Please use the hopefully less hectic summer months to have your child seen if they have not been already. Your childs personal information and identity will not be disclosed to anyone. Charlotte ISD School Nurse Phone: 830-277-1637 Fax: 830-277-1675 kgarza@charlotteisd.org . Monthly Medication Administration Record (Medicaid Compliant)(NYSCSH 2/2017)Records date, times, doses, exception codes, reactions, Medicaid-compliant signature boxes, and NPI number. Put preschoolers at ease. %PDF-1.5 % National Institute of Diabetes & Digestive & Kidney Diseases (NIH) ToolsSample DMMP, IHP, and ECPs under Health Care and Education Plans. school nurse. Sample COVID- 19 Exposure Notification Form(NYSCSH 1/22)Sample letter to parents/guardians to inform that their child was exposed to someone who tested positive for COVID-19. Human papillomavirus (HPV) vaccine protects against a cancer-causing infection. All students entering kindergarten must have had TWO varicella vaccinations All students entering 7th grade must have had one Tdap vaccination and one meningococcal vaccination These new requirements are in addition to the existing school immunization requirements. We are always available by phone or you may come to see me in the clinic. In an effort to have a smooth and successful transition into the next school year, we would like to meet with you and your child to go over information for this school year. Why is it important that your child receive treatment? What is strep throat? I can help you sort out possible COVID-19 symptoms and to access help for testing. Your involvement makes a difference. Pediatricians offices get very busy in the fall. With 5 years of expertise promoting health and safety at elementary schools, I believe my skills make me a perfect fit for your school. Helping the Student with Diabetes Succeed Sample Diabetes Medical Management Plan, a sample template for an Individualized Health Care Plan, and sample Emergency Care Plans for Hypoglycemia and Hyperglycemia. There are also vaccines that adolescents may need if they werent fully vaccinated when they were younger and vaccines for adolescents who have certain risk factors. It contains the required elements of an NYS non-patient-specific order. I look forward to meeting you in person when we are able, but I can speak to you on the phone, or through online platforms. These sample resources may be modified for your use consistent with NYSED, local district policy, and school medical director guidance. In the same way that you might reference resume samples, the following School Nurse cover letter example will help you to write a cover letter that best highlights your experience and qualifications. I can be reached: Monday-Wednesday 8:30-4:00Phone: 206 252-3887Fax: 206 743-3130jpboyett@seattleschools.org. Sample Exclusion Letter for Principals to Send to Parent/Guardian (NYSCSH 9/22)This sample may be customized to send to parents/ guardians whose children have not received the required immunizations for school attendance. Head Lice/Nits 4 . These services are rendered for accidents and illnesses that occur during the school day. Note: HCP orders only allow the parent to provide proposed adjustments or dosages and require the health care professional to make the ultimate decision after exercising his/her professional judgment. Schedule a flu shot for your student and family members. Sample School Health Office Data Collection Tool (NYSCSH 5/21)Customizable, easy-to-use documentation tool to collect data on school health care staffing, student health data, vision & hearing deficits, and student outcomes. If you go dont forget these [attach sports physical, medication forms, treatment plan forms and link to web forms], These are the forms your child will need [attach and link forms], Please update your health and emergency contact information on this website, These are the forms to have filled out and bring with you so we can update our plans together [forms]. Its a great way to stay up to date about PANS/PANDAS and to see what events are available in your area. This letter should be reviewed and approved by the School Medical Director prior to use. 2. And there is that word:infectious. Sample Permission to Share Protected Health Information(HIPAA) (NYSCSH 8/12)Allows the parent to designate health care providers who may share information with designated school staff. $3.00. Sample Letter: Notice to Parents and Guardians Sample Letter: Notice to Parents and Guardians [School Letterhead] [Date] Dear Parent or Guardian: The [name of school district or region] wants to provide a healthy school environment for all students. The letter is designed to be sent by the school nurse. 8$1:gcS$G OA; a335:Y;&4(@$uaMVW*PK8V'R'k^Q7wd|XK^K[\M mFjVDsf%^-co24l*AIDwe%^e>,Gg^:O(B$vw@P=Yawl$ G#7$X>Aw!Z!@N 19@^,OLULUNc'v!,QD|"`JC{u7 >OvD" This is not mandated, but data collection is important to demonstrate the response of the school nurse in a medical emergency, to help advocate for staffing needs, to create policies and programs, and to create a healthy and safe environment. These sample resources may be modified for your use consistent with NYSED, local district policy, and school medical director guidance. AGeorgia physicians signature is required on all Medical Care Plans and Administration of Medication forms for prescription medications and medications given for longer than a 2 week period of time on a routine basis. Note: Samples and Forms are provided based on current best practices. Please feel free to call us anytime at 770-887-6161. Please do not hesitate to contact your school nurse to make this a Happy and Healthy school year together! It can be found at https://www.ccsoh.us/Page/1215. Calendar/Schedule for the Licensed School Nurse Yearly/Monthly from: https://www.health.state.mn.us/docs/people/childrenyouth/schoolhealth/lsncalendar.pdf, New York State Center for School Health, n.d.,2016. Epi-pens, Albuterol, Benadryl, Childrens Tylenol, Childrens Motrin or any other medications are. NYS law (Chapter 281) permits schools to request an oral health assessment when requesting a health exam. endobj JDRF School Advisory ToolkitContains information on Section 504, Legal Rights of the Child, common 504 Plan questions, and references. This information is important to the nurses as soon as the school year starts, even if your child is not on campus right now. Includes options for the provision of medication to students who require medication on field trips. Those two things will help keep you and our community healthy. Clear communication between you and your child, your health care provider and school staff is the key to managing asthma at school. As for infestation information, The Columbus City School offers information on lice and bedbug infestation. I know, I know you dont want to hear about it yet, but August will be here before you know it. Sincerely, References: National Pediculosis Association Texas Department of State Health Services These letters are provided as guidance based on current best practices. There are students at our school who have a serious autoimmune condition related to strep throat and other common infections. Sample Student Daily Visit Form (NYSCSH 1/18)Aids school health personnel in tracking follow-up on student visits to the health office. Copyright 2023. Sample Dental Certificate (NYSED 3/18)This form aligns with health exam grade levels. It is essential to maintain the confidentiality of affected students when sending notifications. cic]i"F-?|JAD66Jmx~>-R)$tik:]oVP)FPWy?WGgqsA_Ks?1-RG/biiVrWv.\V:Bit9 .~W:%euk unJ&V.oIRC)L%> F}FIbW`4_hz1! A parent or guardian must sign a consent form for the student to be seen, except in the areas of mental health and sexual health where minors can self-consent per state law. Sample School COVID Testing Consent Form(Fillable PDF NYSCSH 10/21)This sample consent form was created to assist schools with the requirement to have parent/guardian permission on file prior to testing a child. 2022-2023 School Year NYSDOH Immunization Requirements for School Entrance/Attendance Chart, Chronological Age/Grade Chart (NYSCSH 6/22), Meningococcal Vaccine School Requirement Flyer. Currently I am employed as a Nurse . You can access free COVID-19 screening through the Public Health SCAN program for your children. 1 0 obj <>>>>> endobj 2 0 obj <>>>/Filter/FlateDecode/Length 36>>stream Epinephrine District Staff Training Summary (NYSCSH 4/17)Provides a form to document staff trained in the administration of EAI. Please complete the permission/refusal form by _____. Sample Recommended NYSED Interval Health History for Athletics (Fillable Word NYSED)This form now includes questions related to the Dominic Murray Sudden Cardiac Arrest Act effective 7/1/22 and COVID-19. End of School Year Parent Letter (NYSCSH 3/23) To be sent home with the NYS Required Health Examination Form and the NYS Immunization Requirements for School Entrance/Attendance to complete the End of School Year Packet. Please let me know if I can be of any assistance. Last Modified on November 9, 2022. Ideally, this information should be communicated when the exemption is granted. Expand All The clinic runs on donations only and supplies of new underwear are sometimes low or out. Use the code SCANKIDS as a quick way to bypass the daily limits for testing. Subjects: ~~G@Q2Gq)ZNR wQ:]oZql96s(a V5Xt}6E/ V.n`:}/I5#1]X"(cdKnZ?5-y#/l'#Ax$d\mOBPC8168c!f| x]rG}W ^UG idYI$PYLHpdr{O=[[/^O_^\^\]|}78Ex}5R-sK7~_fy.Z>rQPvQ?G(?=|hqy1-~xF&M|~Pz*BH//D/D;FI9mjQezYY7xL:iIL';@_T~BSXUxzuBU9T C"=#J(F. Before we. Observed on the fourth . Sample Letter to Parents About Cold Weather Precautions (NYSCSH 2/18). School Health Examination Guidelines (NYSED 2022)Requirements and guidance for administrators and school health personnel on mandated student health examinations and establishing a health program. You and your child are invited to join us in this activity. If you have trouble accessing this page and need to request an alternate format, contact u@osu.edu. If the local health department, in collaboration with the NYS Department of Health (NYSDOH), determines that there is an outbreak of a reportable communicable disease, they will provide response guidance to schools' medical directors and the Broad of Education (BOE). Over-the-counter treatment: Head lice may be treated with shampoos specifically labeled for head lice. We thank you in advance for your cooperation in helping us maintain a safe, healthy environment for all of our students. Treatment will also prevent other rare, but possibly dangerous, complications such as PANS/PANDAS, a form of autoimmune encephalitis resulting in OCD, tics, anxiety and other symptoms. Laws & Commissioner's Regulations by Content Area, Searchable Bills, Codes, Laws, Rules, and Regulations, NYSCSH e-Learning and Learning Management System (LMS), Athletics Forms | Letters | Notifications, Student-Athletes with Medical Conditions - Confidential List, Sample Recommended NYSED Interval Health History for Athletics. (BDP>c%:] &n`,N^QEY> 4"%f9+Tsce;3WoPx6e|@[[[7boat #]0MCvc4,Qe[&NzY]U afb /-L%5:le,R]dgTSdcZUZLXQcff61}lQMPEPQ4030eZo#kR[A&i%\;GQr=NMGe a:aJGWFH_M*q< +'QtGXSs\}V$`WLBjsaE+:$m#~w{A$,aAsAEVQbpv7aj]QysQjw t-Hz4pbfdfVF%XA`U<wU)u(a]t*0hcYU#yQQ8XF@_go8M3-A[F9@$OThlw"lE`LA% XZED e1a.NIcOaR$Im;Jnu2TX]Y|d A~f{4c[PfRm`,Gq4v,!4KEhkm^a -8>(I0Iuah5+m]_av9dl(gY_DdraJ$g%7Y)XF.v27p,x{`TT*)5rk**Q3&KPWiLH0O N@0/frY#Kz}{N^T?Da|Yq^'Ymh E%\JV%s#]2PSGv[w}]Q"eM;,Z>U'r"](./,v*rQKlJF{pu Food allergies are not recognizedunless we have a food/insect allergy action plan signed by a Georgia physician listing the specific allergen. Letter to Parents Regarding Health and Dental Examination Requirements (NYSCSH 5/21)Informs parents/guardians of the mandated requirements for health appraisal within 30 days of school entry. Get email updates from 1. Sample Recommended Form - Medical Certificate of Limitations (NYSED 2022)Used to document private provider recommendations for accommodation for PE. It may be completed by a registered dentist or NYS-registered dental hygienist. Sample Medication Delivery Information for Parents (NYSCSH 7/2020)Provides information for Parents/Guardians on what is needed to administer medications at school, including recommendations for a spacer for MDI use vs. a nebulizer. It includes a care plan and information sheet for parents and students. I used the cited calendars for idea and inspiration, but the list is my own, not a template. Vaccines are recommended to protect adolescents now and into adulthood. I am wanting to make parents aware and to remind their students to wash hands frequently, . School Nurse Beginning of School Checklist(NYSCSH 11/21)- List of tasks for the beginning of the schoolyear. We request that everyone does this consistently. We missed you. All Rights Reserved. Adapted from the AAP with permission. School Nurse Phone (225)924-1054 Fax (225)923-2201 cindy.vinning@olomschool.org www.olomschool.org . As we begin this extraordinary start to the new school year, please know that Seattle School nurses have been working behind the scenes to prepare for a safe return to in-class education and strategizing to support students and families during remote learning. If your child has an accident, they will be provided wipes to help with their own cleanup. Full training found here: NYSCSH e-Learning & Learning Management System (LMS), Model 504 Plan from the American Diabetes Association. <> If there is a known life-threatening concern such as diabetes, seizures or anaphylaxis, if I have not already done so, I will be contacting you before school begins. Educational Service District 105, July 2016. Build relationships with parents. SCHOOL NURSE WELCOME LETTER . from: https://www.schoolhealthny.com/cms/lib/NY01832015/Centricity/Domain/85/Calendar%20Template%202016.pdf, Your email address will not be published. @&>D8q!""u]WMvsE&H|+ BJx^@d3%gGL5R/]cC[i;:$d"WYMv)1gjzepY We want to protect every student from communicable diseases especially during COVID-19. The Ohio Department of Health has a brochure that can be shared with families: https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/school-nursing-program/media/what_should_i_do_if_my_child_gets_head_lice_brochure, When it comes to vision and hearing screenings, the Ohio Department of Health provides templates for letters to families to inform them of the upcoming screenings. <>/Metadata 141 0 R/ViewerPreferences 142 0 R>> Appointments are required to drop off medication. We are always available by phone or you may come to see me in the clinic. Similar School Nurse qualifications are visible in the example cover letter provided below. If your child develops a sore throat and any of these other signs, please see your healthcare provider; tell her or him that other children in the school have been diagnosed with strep and ask to have your child tested for strep throat. Hand, Foot and Mouth Disease 3. Author: Charlene Schexnayder Separate from the School Nurse, the Ingraham Teen Health Center (ITHC) is a safe, confidential place where students from Ingraham can receive: well-child exam, sports physicals, immunizations and flu shots, mental health support, reproductive health care, access for health insurance, and prescriptions for medications for chronic conditions such as asthma. When to Keep a Child Home - Instructions to Parents/Guardians(NYSCSH 12/19)Sample letter to share district guidelines. Please let me know if I can be of assistance to you. Diabetes Medical Management Plan Addendum (NYSCSH 5/2017)Role of Parents/Guardians in Adjustment of Insulin Dose Documents provider permission to allow parents/guardians to adjust the insulin dose. Speak with the school nurse or your child's doctor for advice.
sample letter to parents from school nurse
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