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Table of Contents 2019 Defib9933FpFin 1 TABLE OF CONTENTS WV COUNCIL OF SCHOOLS RECCOMMENDATIONS ............................................................................................ 1-25 Body Mass Index (BMI) .................................................................................................... 1 Dental Inspections/Screening..............................................................................................5 Injectable Cortisol ...............................................................................................................7 Intramuscular (IM) Imtrex ................................................................................................. 9 Intravenous (IV) Clotting Factor ......................................................................................10 Peritoneal Dialysis ............................................................................................................11 Postural Screenings ...........................................................................................................13 Public School Lice Policy/Procedures ..............................................................................16 Pure Tone Hearing Screening ..........................................................................................19 Pulse Oximeters ................................................................................................................22 Reinsertion of Gastrostomy Tube (G-tube) ..................................................................... 24 Vision Screening ...............................................................................................................25 POSITION STATEMENTS…………………………………………………………30-31 Immunizations for West Virginia Public Schools……………………………………….30 Insulin Administration at School INFORMATIONAL GUIDES .................................................................................. 33-44 Chest Vests for Airways Clearance ...................................................................................33 Intrathecal Baclofen Therapy .............................................................................................35 Pacemaker and ICD ...........................................................................................................37 Pressure Garments for Burns .............................................................................................39 Real-time Continuous Glucose Monitoring System ..........................................................41 Venous Access Devices .....................................................................................................43 Mitrofanoff………………………………………………………………………………. Malone Antegrade Continence Enemas (MACE)………………………………………… Assessing Behavioral and Mental Health Needs of Students …………………………….35 EMERGENCY ACTION PLANS (EAPS)/INTERVENTION GUIDES ............. 46-52 Asthma Intervention Guide ................................................................................................46 Diabetes (Insulin Dependent) Guide ..................................................................................48 Severe Allergic Reaction Guide .........................................................................................50 Seizure Intervention Guide ................................................................................................52 Asthma Intervention Guide ................................................................................................46 Diabetes (Insulin Dependent) Guide .................................................................................48 Severe Allergic Reaction Guide .........................................................................................50 Seizure Intervention Guide ................................................................................................52 1 SCHOOL NURSE PERFORMANCE EVALUATION TOOLS .............................. 55-59 SAMPLE AED POLICY AND PROCEDURE ……………………………………61-74 SKILLS PERFORMANCE CHECKLIST…………………………………………75 APPENDIX EARLY DEFIBRILLATION PROGRAM REGISTRATION GUIDELINE West Virginia Council of School Nurses 2018 WVCOSN Region I – Allison St. Clair, Monroe County Region II – Kristi Scaggs, Logan County Region III – Linda Parsons, Kanawha County Region IV – Jenny Friel, Pocahontas County Region V – vacant Region VI – Tiffany Heizeman, Wetzel County Region VII –Rebecca Wise (Secretary), Monongalia County Region VIII – Rhonda Dante (Chair), Hampshire County 2015 WVCOSN RESA I – Amanda Ashley, Raleigh County RESA II – Kristi Scaggs, Logan County RESA III – Melinda Embrey, Kanawha County RESA IV – Jenny Friel, Pocahontas County RESA V – Kristin Stover, Jackson County RESA VI – Carol Cipoletti, Brooke County RESA VII – Rebecca Wise, Monongalia County RESA VIII – Rhonda Dante, Hampshire County Rebecca J. King - WVDE, Office of Special Programs We are also grateful to Paula Fields, WVDE-Community Schools Coordinator. 2 2009 WVCOSN RESA I - Donna (Susie) Poindexter, Wyoming County RESA II - Melinda Gibson, Wayne County RESA III - Delberta Riffe, Putnam County RESA IV - Sarah E. Jordan (Beth), Nicholas County RESA V - Elaine Rinehart, Wirt County RESA VI - Diana Baker, Marshall County RESA VII - Debbie Derico, Upshur County RESA VIII - Sharon Clark, Mineral County Rebecca J. King - WVDE, Office of Healthy Schools Special Thanks to the 2010 New WVCOSN Members RESA VI - Carol Cipoletti, Brooke County RESA VII - Debbie Stine, Berkeley County 2006 WVCOSN RESA I - Debbie Kaplan, Raleigh County RESA II - Teresa Ryan, Lincoln County RESA III - Nancy Doss, Boone County RESA IV - Rhonda Tabit, Fayette County RESA V -Alisa Shepler, Ritchie County RESA VI - Diana Barker, Marshall County RESA VII - Nancy Bradshaw, Upshur County RESA VIII - Sharon Clark, Mineral County Rebecca J. King - WVDE, Office of Healthy Schools We are also grateful to Mary Jane Rinard of Berkeley County (RESA VII) and Barbara Hart of Marshall County (RESA VI), for contributing in the development of this document. Both were members of the West Virginia Council of School Nurses from 2001-2005. 3 Recommendations by the WV Council of School Nurses 4 2018 RECOMMENDATION BODY MASS INDEX (BMI) SCREENING AND REFERRALS IN THE SCHOOL SETTING In reviewing current research and research-based recommendation regarding body mass index (BMI) screenings for children in the school setting, the West Virginia Council of School Nurses feels this is a clinical screening which should be performed by the student’s medical home. The student’s medical home is able to provide the student and parent with individualized medical advice, continued follow-up, community resources including behavioral interventions, education and/or prescribed physical activity and nutritional plans. While the school is able to provide screening with medical home referrals and some education, the ability to follow-up, provide comprehensive science-based prescribed strategies around physical activity, nutrition and behavioral interventions for individual students does not exist. Schools provide evidence-based health strategies and programming for all students, not prescribed medical strategies for individual students. Public schools are educational models with a health component to provide for individualized special health care needs based on the prescribed order of a medical provider during the school day. The HealthCheck medical provider manual requires the measurement of height and weight for ages 0-21 years with the option to plot measurements on a standard growth chart or use BMI calculations. In 2010, the HealthCheck documentation form began incorporating BMI along with the height and weight measures. The United States Prevention Services Task Force (USPSTF) recently recommended clinicians screen children aged 6 to 18 years for obesity and offer or refer them to comprehensive weight management programs. Comprehensive weight management programs incorporate 1 counseling and other interventions targeting diet and physical activity along with intensive behavioral interventions to promote improvement in weight status (USPSTF, 2010). Interventions that focused on younger children incorporated a parental involvement component in the program. Over the past several years, research into weight management in obese children and adolescents has improved in quality and quantity. Despite important gaps, available research supports at least short-term benefits of comprehensive medium- to high-intensity behavioral interventions in obese children and adolescents (Whitlock, 2010). As public school systems continue to work with the student’s medical home, the medical provider must be made aware of the importance of documenting the student’s height and weight along with BMI calculation on the HealthCheck/comprehensive screening form. If the height, weight and/or BMI are not documented on the HealthCheck or comprehensive screening form, please request the parent complete a school HIPAA/FERPA consent to allow school health/entry personnel to speak directly to the medical provider’s office or have the parent request the proper documentation from the medical provider. The West Virginia Department of Health and Human Resources (WVDHHR)-HealthCheck Program has incorporated the BMI into the 2014 Periodicity Schedule and the HealthCheck documentation form (WVDHHR, 2014) The Centers for Disease Control and Prevention (CDC) recommends BMI surveillance, as seen with the WVU-Coronary Artery Risk Detection In Appalachian Communities (CARDIAC) Project,
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