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Helping Belton ISD Students Stay Safe & Healthy What Every BISD Staff Needs to Know About: Helping Belton ISD Students Stay Safe & Healthy What Every BISD.

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Presentation on theme: "Helping Belton ISD Students Stay Safe & Healthy What Every BISD Staff Needs to Know About: Helping Belton ISD Students Stay Safe & Healthy What Every BISD."— Presentation transcript:

1 Helping Belton ISD Students Stay Safe & Healthy What Every BISD Staff Needs to Know About: Helping Belton ISD Students Stay Safe & Healthy What Every BISD Staff Needs to Know About: Belton ISD Health Services 2013-2014 Responding to Emergencies (Mr. MERT) Health Conditions: What Do I Do? Field Trip Process: Health Needs Communicable Disease Prevention Updates: Lice Blood Borne Pathogens SEVERE LOW BLOOD GLUCOSE

2 Is it an Emergency? Not responding? What you seeWhat you do They are not moving or responding when you tap their shoulders and yell: “Hey, are you Ok? Yell for help Tell someone to call a MR. MERT (Medical Emergency Response Team) to your location. Remind them to bring the AED If no one is with you and you are alone, go call 911 and get the AED If it looks like they are not breathing : Place the AED and give CPR if you know how

3 Automatic External Defibrillators (AEDs) Open the case and pull the handle Voice prompts will tell you: Place the pads on the bear chest Just like the picture on the pad Do not touch the person if the AED tells you a shock is needed Push the flashing orange button when it tells you to Start CPR if the AED tells you to and leave the pads on


5  Safe & Healthy Health Conditions: What Do I Do?

6  Safe & Healthy

7 Asthma Emergency Plan Safe & Healthy

8 Food Allergy


10 Severe Allergy Emergency Plan Safe & Healthy

11 Teacher/Coach Responsibilities Review the Emergency Plan for Severe Allergy plan with the school nurse, if available, and with the student and his/her parent/guardian. Keep the student’s plan accessible in the classroom and available for a substitute Ensure that an adult accompanies a student suspected of having an allergic reaction or ask the nurse to come to the student Notify the school nurse at least 48 hours before a field trip so that emergency plan and EPIPEN administration procedures can be reviewed with one to two staff going on the field trip. Educate classmates to avoid endangering, isolating, stigmatizing or harassing students with food allergies Ensure other staff, students and their parents comply with any risk- reduction strategies. Food Allergy

12 Risk Reduction Strategies No food sharing No utensil sharing Avoid serving food without appropriate ingredient labels Hand washing before and after eating snacks/meals. Soap and water are best. Avoid cross-contamination of food by wiping down eating surfaces before and after eating. Designate allergen safe zones, such as designated tables/seating areas Consider eliminating or limiting foods in the classroom, buses, after-school activities which may cause a life-threatening reaction to a student in a class Avoid or use caution when using food for classroom activities, such as for crafts, science projects, holiday celebrations, etc. Use non-food items as rewards instead of food Avoid high-risk areas for field trips, i.e. corn fields, exposure to latex balloons or seafood, etc. Food Allergy

13 Field Trips Medications/Procedures/Supplies Oral medications Epipens Inhalers Diabetic supplies Other equipment Other emergency meds Basic 1 st Aid supplies Emergency Care Plans Asthma Bleeding Disorder Cardiac Condition Diabetes Seizures Severe Allergies Other special conditions or procedures Medication Administration on Field Trips

14 Illness Prevention Examples of When a Student Would be Excluded from School: Possible Fever > 100° “Wet” Rash that cannot be covered Signs & Symptoms of a contagious disease, like pertussis, mmps, chickenpox, “pink-eye” Communicable Disease Prevention Illness Prevention Tips: Wash Hands Cover Cough Stay Home if Sick- See Your Dr. Get Flu Shot

15 Head Lice Updates New Texas Law: No School Exclusion for Head LIce Research & Recommendations from: American Academy of Pediatrics National Association of School Nurses Texas Department of State Health Services Communicable Disease Prevention Head Lice Guidelines Reviewed By: Belton ISD School Health Advisory Committee Belton ISD Administration

16 Head Lice: Prevention School Nurses provide Parental Education about identification, treatment and prevention in person & in writing, including on BISD website Teachers avoid classroom activities that increase head to head contact (naptime) All staff remind students about not sharing caps, hats, scarves, hairbrushes, combs All staff avoid practice of having students pile coats, backpacks, etc. )Use separate hooks, cubbies) Communicable Disease Prevention

17 Head Lice: Identification & Referral Refer those exhibiting signs (itching, visible nits or lice) Check only those with possible close head to head contact- at discretion of nurse and principal No head checks in the classroom Communicable Disease Prevention

18 Head Lice: Management of Confirmed Case Nurse calls parent to inform of case and educate on treatment, encouraging parent to treat Student may remain in class, but discouraged form close head to head contact Head Lice Notice to Class sent only at discretion of nurse and principal with several cases Communicable Disease Prevention

19 Head Lice: Exclusion? Student with > 2 cases in same week can be excluded at discretion of nurse & principal until free of live lice Nurse will re-examine student before allowing to return Nurse should collaborate with CIS staff to offer extra extra help for students with excessive absences due to head lice Communicable Disease Prevention

20 Head Lice: Educate! Head Lice, American Academy of Pediatrics, published July, 2010 Pediculosis Management in the SCHool Setting, National Association of School Nursing, August 2010. Managing Head Lice in School Settings, Texas Department of State Health Services, December, 2012. Lice Management: Staff Information, Belton ISD Health Services, BISD website, 2013. Communicable Disease Prevention

21 Belton ISD Health Services 2013-2014 Helping Belton ISD Students & Staff Stay Safe & Healthy What Every BISD Staff Needs to Know About: Helping Belton ISD Students & Staff Stay Safe & Healthy What Every BISD Staff Needs to Know About: Blood borne Pathogens BBP

22 Why do I need this training? Your job duties may put you at risk of exposure to blood or other potentially infectious material (OPIM) Breaking up fights Assisting with nose bleeds, cuts Assisting diabetic student Working with combative students including those who bite and break the skin Providing swallowing therapy BBP

23 What are bloodborne pathogens? Viruses, bacteria, and other microorganisms that are carried in the bloodstream and can cause serious diseases The most common BBP are:  Human Immunodeficiency Virus (HIV)  Hepatitis B Virus (HBV)  Hepatitis C Virus (HCV)

24 These disease can lead to problems like cirrhosis, liver cancer, liver failure, aids and death. Many Symptoms appear months after exposure and HEP B can survive outside of the body for up to a week

25 How do BBPs enter your body? Direct contact with blood or other body fluids of an infected person through: Open cuts, wounds, skin abrasions Blood splashing into your eyes, nose, or mouth BLOOD + ENTER BODY

26 Belton ISD Provides the Hepatitis B vaccine to : Staff working in special-ed self-contained classrooms Staff working in the school health clinics Staff whose school duties placed them at risk to frequently come in contact with blood or other potentially infectious material 3shots: 1-2 months apart Notify the BeltonISD School Health Coordinator immediately if you have not received the vaccine (See Hep B form) Most insurances do not charge. Belton ISD will provide if your insurance does not cover the vaccine

27 Best Practice: Universal Precautions “All Blood is the Same” When you take Universal Precautions you act like all human blood may be infectious and treat everyone the same. You will take precautions with everyone’s blood.

28 Best Practice: Wear Gloves Wear gloves when you might be coming in contact with someone’s blood or body fluids. Wear goggles or gowns if needed.

29 Best Practice: Wash Hands Wash hands with soap and water before eating, after any contact with blood, body fluids, or soiled objects, After using the toilet, after assisting with personal hygiene, after the removal of gloves

30 Best Practice: Proper Cleaning Belton ISD trains staff to clean up blood & body fluids properly using the right cleaners and the right method. Waste such as bloody tissues should be disposed of in a plastic-lined trash and after being double-bagged, can be thrown in the dumpster

31 Best Practice: Sharps Containers Use sharps containers if you are diabetic and will be checking you blood sugar or give yourself injections at school and make sure students are using them as well. They are located in the health clinics, and we can make sure they are also available in staff lounges if needed.

32 Best Practice: Report Exposure When blood or body fluids gets in through non-intact skin or mucous membranes, or if you are poked with a needle, do the following: Wash the exposed area with soap and water, or irrigate the eyes with water Report the incident to the Health Services Coordinator for investigation and proper referral The district will provide for additional medical evaluation and treatment if needed Health Services: Charlotte Smith, RN 215-2510

33 BBP: INFORMATION ACCESS Annual Training Web Access: Staff Training Tab of School Health Service Page Written Access: BBP Exposure Control Plan @ the school health office of each campus or department in the district Belton ISD BBP Exposure Control Plan BBP

34 Questions or Comments? References & Resources Emergency: American Academy of Pediatrics (AAP). (2008) Disaster planning for schools. Pediatrics, 122 (4) pp. 895 ‐ 901. doi:10.1542/peds.2008 ‐ 2170 Cole, V., Henry, B., Tyson, D., Fitzgerald, R., Hopkins, R. (2007). In the face of danger: Comprehensive emergency preparedness and response for schools. Penn GSE Perspectives on Urban Education, Retrieved from 2_In%20the%20Face%20of%20Danger.html Doyle, J., & Loyacono, T. (2007). Disaster preparedness guidelines for school nurses. Silver Spring, MD: National Association of School Nurses. Fitzpatrick, B. (2006). Emergency management, crisis response and the school nurse’s role. In J. Selekman (Ed.) School nursing: A comprehensive text. (pp. 205 ‐ 233). Philadelphia: F.A. Davis Company. Diabetes Care, 34(Supp 1), S70 ‐ S74. American Association of Diabetes Educators (AADE). (2008). Position statement: Management of children with diabetes in the school setting. The Diabetes Educator, 34(3), 439 ‐ 443. American Nurses Association /National Association of School Nurses (ANA/ NASN). (2011). Scope and standards of practice: School nursing, 2nd ed. Silver Spring, MD: Food Allergy American Academy of Allergy, Asthma and Immunology Board of Directors (1998). Position Statement-Anaphylaxis in schools and other child-care settings. Journal of Allergy Clinical Immunology: 102(2), 173-175. Food Allergy Network (2001). Information about anaphylaxis: Commonly asked questions about anaphylaxis. Mudd, K. E. & Noone, S. A., (1995). Management of severe food allergy in the school setting.Journal of School Nursing: 11(3), 30-32 National Association of School Nurses (2000). Position Statement-Epinephrine use in life-threatening emergencies. Scarborough, ME: Author.

35 Questions or Comments? References & Resources Medication Belton Independent School District Board Policy (2012). FFAC Legal and Local: Wellness and Health Services: Medical Treatment: Administering Medication. Retrieved June 22, 2012 from Belton Independent School District Board Policy (2012). FFAF Legal: Wellness and Health Services: Individualized Health Plan. Retrieved June 22, 2012 from Texas Department of State Health Services (2011). Texas School Health Guidelines: School health Manual: Chapter 5, 208. Retrieved June 22, 2012 from American Academy of Pediatrics. (2009). Policy statement guidance for the administration of medication in school. Pediatrics 124, 1244 ‐ 1251. American Nurses Association / National Council of State Boards of Nursing (ANA/NCSBN). (2006). Joint statement on delegation. Retrieved from American Nurses Association (ANA). (2005). Principles of delegation. Silver Springs, MD: Author. Canham, D.L., Bauer, L., Concepcion, M., Luong, J., Peters, J., & Wilde, C. (2007). An audit of medication administration: A glimpse into school health offices. Journal of School Nursing, 23, 21 ‐ 27. doi: 10.1177/10598405070230010401 Clay, D., Farris, K., McCarthy, A.M., Kelly, M.W., Howard, R. (2008). Family perceptions of medication administration at school: errors, risk factors and consequences. Journal of School Nursing, 24, 95 ‐ 102. doi: 10.1177/10598405080240020801 Gursky, B. S., & Ryser, B. J., (2007). A training program for unlicensed assistive personnel. Journal of School Nursing, 23, 92 ‐ 97. doi: 10.1177/10598405070230020601 BBP Contact info: Belton ISD Health Services

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