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Florida School Health Administrative Guidelines

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Florida School Health Administrative Guidelines Florida School Health Administrative Guidelines Permission to duplicate and distribute granted. April 2007 Updated May 2012 John H. Armstrong, M.D. State Surgeon General Acknowledgements Revision Reviewers (2012) • Florida Department of Health: County Health Departments o Collier County o Escambia County o Hernando County o Highlands County o Hillsborough County o Marion County o Orange County o Palm Beach County o Pinellas County o St. Johns County o St. Lucie County o Santa Rosa County o Seminole County o Suwannee County • Florida Department of Health: Tallahassee Central Office o Division of Family Health Services o Office of General Counsel o Bureau of Immunization o Division of Medical Quality Assurance o Office of Public Health Nursing o School Health Services Program • Florida Department of Education o Student Support Services Project • Florida County School Districts o Citrus County o Clay County o Escambia County o Lee County o Palm Beach County o Pasco County o Pinellas County o Seminole County o St. Johns County o Suwannee County o Volusia County Florida School Health Administrative Guidelines i April, 2007 Updated, May 2012 Table of Contents Section I: Introduction to School Health Services Purpose of the School Health Administrative Guidelines ………...............…......... I - 2 School Health Mission Statement ……...................................…..............…..…… I - 2 Overview of School Health Services …………………...........…………………....... I - 2 Responsibility for School Health Services .........................................……………. I - 2 Statutory Program Requirements ……...................................…………………….. I - 3 Key Components in the Development of an Effective School Health Program …. I - 3 Florida School Health History ……………...……........……………………………… I - 3 Florida Organizations …………….........…………......................………………….. I - 4 National Organizations ……...………….........…………….......................………… I - 4 Section II: Overview of School Health Services in Florida School Health Program Funding ……………......................................................... II - 2 Basic School Health Services ……………..........……............................................ II - 2 Comprehensive School Health Services Program ....…...........…...………………. II - 3 Full Service Schools ………………………....……............………………………….. II - 3 Charter Schools ……………………....……..……...................……………………... II - 4 Private Schools ………………………………......................………………………… II - 5 Other Health Related Programs ……………………...............…………………….. II - 6 Section III: Delivery of School Health Services Chapter 1 …………………….......................................................……..…………... 1 - 1 Role of School Health Staff General Responsibilities of the School Nurse Role of the Registered Nurse Role of the Licensed Practical Nurse Role of Unlicensed Assistive Personnel Delegation Chapter 2 ……………………...…..................................……………………………. 2 - 1 Health Appraisal Florida School Health Administrative Guidelines Section I - ii April, 2007 Updated May, 2012 Nursing Assessment Physical Assessment Health History Chapter 3 ….......................................................................................................… 3 - 1 Health Screening (see Appendix D for specific procedures) Recording Health Screening Results and Referrals Hearing Screening Vision Screening Growth and Development Screening with BMI Scoliosis Screening Chapter 4 …………………................................……………………….……………. 4 - 1 Medication Administration Purpose Responsibilities School District Policies Emergency Medications Delegation to Unlicensed Assistive Personnel Non Prescription/Over The Counter (OTC) Medications Field Trips, Before and After School Activities Medication Errors Storage and Disposal of Medications Medication Administration Documentation Special Situations Chapter 5 ……………….....................................................................................… 5 - 1 Students with Special Health Needs/Chronic Conditions Pre-enrollment Planning for Children with Special Health Care Needs Considerations for School Enrollment Delegation of Specific Procedures Exceptional Student Education (ESE) Individualized Education Program (IEP) Health Component of IEP and the Role of School Health Staff Florida School Health Administrative Guidelines Section I - iii April, 2007 Updated May, 2012 Identification of Potential ESE Students Common acronyms used in ESE programs Section 504 of the Rehabilitation Act of 1973 Identification of Potential 504 Students Comparison of Section 504 and the Individuals with Disabilities Education Act (IDEA) Chapter 6 ……….............................................................……..…………………… 6 - 1 Individual Health Care Plan (IHCP)/Health Management Plan Individualized Student Emergency Plans Components of the IHCP Medical Management Plan Signed by Physician Resources for IHCP Development Chapter 7 ………………………..................................………..............……………. 7 - 1 Emergency Planning and Care School Emergency Planning Legal Basis School Emergency Action Plan Emergency First Aid for Anaphylaxis First Aid/Cardiopulmonary Resuscitation/Automated External Defibrillators Emergency Medical Supplies and Equipment Disaster Preparedness Crisis Disaster Plan Schools as Shelters Pandemic Planning Bomb Threats Student Emergency Evacuation General Guidelines for Accidents and Injuries, Reporting and Follow-up Do Not Resuscitate/Advance Directives Chapter 8 ……………………............................................……………..…………... 8 - 1 Communicable Disease Control Nursing Role Florida School Health Administrative Guidelines Section I - iv April, 2007 Updated May, 2012 Coordination and Partnership Case Finding and Tracking Reportable Diseases Reporting Outbreaks Head Lice Methicillin-Resistant Staphylococcus Aureus (MRSA) Bloodborne Pathogens, Universal Precautions Sexually Transmitted Diseases (STD)/Sexually Transmitted Infections (STI) Human Immunodeficiency Virus (HIV), Acquired Immune Deficiency Syndrome (AIDS), District AIDS Policy Chapter 9 ……......................................................................…………………..….. 9 - 1 Immunizations & School-Entry Health Examination Annual Immunization Reports and Surveys Parent Notification Requirements School-Entry Health Examinations Student Exemption for Entrance Documentation Requirements Chapter 10 ……………...................………………...……..……………...………..... 10 - 1 Dental Health Services Preventive Dental Programs Referral for Dental Services Dental Health Information Chapter 11 ……………...................……………………….…………………...…….. 11 - 1 Nutrition Services Nutrition Referral, Follow-up and Counseling Requirements for Food/Beverage Substitution in School Lunch Program Food Allergies District Wellness and Physical Education Policies Florida School Health Administrative Guidelines Section I - v April, 2007 Updated May, 2012 Chapter 12 ………………………….....………………………..……..……….………. 12 - 1 Students in Transition Military Students Students Experiencing Homelessness Displaced and Refugee Students Migrant Students Home Visits Chapter 13 ………………............................…………………..……………….....…. 13 - 1 Mental Health and Social Services Substance Abuse (Alcohol, Tobacco, and Other Drugs) Mental, Emotional, and Behavioral Disorders Common Mental Health Disorders Conduct Disorder Attention Deficit Disorder with Hyperactivity (ADHD) or without (ADD) Depression Eating Disorders Other Mental Health Issues and Behaviors Violence Bullying and Harassment Self-mutilation Child Abuse and Neglect Domestic and dating Violence Crisis Intervention - Grief and Trauma Chapter 14 ………..............................………………………..………………....….... 14 -1 Interdisciplinary Collaboration Student Services Team Members Exceptional Student Education Staff Health Room Staff School Administrators, Teachers, Other School Staff Chapter 15 ………....................……………………….………………………...……. 15 -1 Health Education Florida School Health Administrative Guidelines Section I - vi April, 2007 Updated May, 2012 Health Promotion, Physical Activity, and Physical Fitness Skin Cancer Prevention/Sun Protection Essential Health Related Skills Abstinence Education, Teen Pregnancy Prevention Education, Sexuality Human Immunodeficiency Virus (HIV), Acquired Immune Deficiency Syndrome (AIDS), Sexually Transmitted Diseases (STD) Injury, Violence, and Suicide Prevention Section IV: Program Administration Chapter 16 ………......................................……………….........……………...…… 16 - 1 Program Management Funding Sources Local School Health Policy Development County Health Department School Health Coordinator The Local Education Agency School Health Coordinator Staffing Ratio Recommendations Background Screening Requirement School Health Plan and Report Chapter 17 ………......................................……………….........……………...…… 17 - 1 Personnel / Human Resources School Nurse Training and Preparation Licensed Practical Nurses School Health Aides/Paraprofessionals/Unlicensed Assistive Personnel Volunteers Liability Private Duty Nurses/Agency Nurses Staff Monitoring, Supervision, and Evaluation Staff Development Florida School Health Administrative Guidelines Section I - vii April, 2007 Updated May, 2012 Chapter 18 ………......................................……………….........……………...…… 18 - 1 Documentation Federal Laws Family Education Rights and Privacy Act (FERPA) Health Insurance Portability and Accountability Act of 1996 (HIPAA) Florida Statutes Student Health Record Health
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