I strongly recommend a comprehensive healthcare visit for all adolescents at age 11-12 years, or as early as possible thereafter. Schedule a flu shot for your student and family members. Take We are here to assist in any way that we can as a nurse in the school clinic. Sanitize toothbrushes by replacing or boiling them. In addition to documenting the care of ill or injured students according to district procedures, it is important to share your observations and recommendations for following up with the student's parents/ guardians. If a student passes, it is sufficient to just indicated passed. With the new state of health we, as the Nursing Department, have some new procedures that we would like to make you aware of for the 2020/2021 school year. Please complete the permission/refusal form by _____. If you're ready to apply for your next role, upload your resume to Indeed Resume to get started. During this time of remote learning one of the most important things you can do is to make sure your students immunizations are up to date. 1 0 obj City, State, Zip Code. Why is it important that your child receive treatment? [INSERT SCHOOL LOGO OR LETTERHEAD] Dear [INSERT PARENT/GUARDIAN NAME]: As children reach their teen years, their risk of becoming ill due to certain serious infectious diseases increases. 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. Students with PANDAS/ PANS may experience symptoms simply from being exposed to an infection. Any exclusion policies related to lack of documentation are in place and will be enforced per PA Department of Health/Department of Education mandates. PANS PANDAS is a medical condition in which symptoms affect a students ability to attend school and learn. 3 0 obj PDF. Sample School Letter to All Parents Sample WASSDA Policy Sample WASSDA Procedure . Wash Hands thoroughly wash your hands after wiping noses and before eating or preparing food. Please contact your school nurse for further guidance. 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. Expand All Save my name, email, and website in this browser for the next time I comment. This form allows you to provide that information. The sample communications below should be reviewed and approved by your school medical director and school administrator. You and your child are invited to join us in this activity. Younger adolescents have higher antibody levels to vaccination compared to older adolescents and young adults. It provides a referral plan by the private provider containing information on current symptoms and recommendations for RTL and RTP. The Texas School Nurse. 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. 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. If your child must have medication of any type, including over -the -counter drugs, given during school hours, you have the following choices: 1) You may come to school and give the medication to your child at the appropriate time(s). 1. Elastic waist pants or shorts for girls/boys, Disposable plastic Dixie cups Rubbing Alcohol. . This lists the steps to go through in the determination of supervised students. Aspire. Join our mailing list to receive the latest news and updates from our team. Nurse Letter to Parents 2020-2021 Welcome Back! You and your family excelled through another school year. Up to 20 percent of survivors will have serious long-term or permanent complications such as brain damage, kidney damage, deafness, or amputations. It is important that these families know if their child has been exposed to strep or other illnesses. In addition to school nursing, I have a background in the ICU taking care of patients with traumatic injuries, burns, bone marrow transplants and on the lighter side, many summers of camp nursing. Parents will only be called if we do not have any clothing for the child. Students must register at the ITHC before receiving services. Ideally, adolescents should get their vaccines during a routine pre-adolescent check-up at age 11-12 years. What should you do to prevent the spread of strep throat? %PDF-1.5 % Letter Samples - (not from template or form, my own work) May 2019. Note: Samples and Forms are provided as guidance based on current best practices. There are a wide variety of resources on the King County website. Immunization Request Letter to Parents/Guardians of Students in PreK-12 (NYSCSH 6/22)Sample letter that may be used with the Immunization Requirements for School Entrance/Attendance Chart to notify parents/guardians of students in grades PreK - 12 about immunization requirements for school entrance/attendance. The following is my calendar section. School health services contact information. Sample Generic Emergency Care Plan for Unlicensed School Personnel (NYSCSH 12/16)Information for unlicensed school staff to assist with emergency health issues. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> BJx^@d3%gGL5R/]cC[i;:$d"WYMv)1gjzepY To be completed by the parent/guardian no earlier than 30 days before the start of the sport. c;43iAKO"0J10{!F&/qiK CN/EQlHFnHx"T}B^&e5dxZ\6h/}zZ5=ow`MSS(S ! Sample Emergency Care Plan for Unlicensed School Personnel: ASTHMA (NYSCSH 11/21)Provides easy-to-understand information for unlicensed school staff to assist and respond to an asthma emergency. [INSERT SCHOOL NURSE SIGNATURE, NAME, AND TITLE] July 2015 & ' = U _ c m H I k l r pYK7 &*h&. All grade level mandates and immunizations are required for the 2020-21 school year regardless of the education platform (virtual or in person). Department of Public Health, you may find useful to be able to send to parents. Your involvement makes a difference. Adolescents are at increased risk of getting this infection. 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. Speak with the school nurse or your child's doctor for advice. Take your child to work day is April 27th. Here is the link to the English form letter https://odh.ohio.gov/wps/wcm/connect/gov/ac81b8d7-ddde-4820-8235-da7da62bfd90/Vision+Screening+Requirements+Letters+a.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=ROOTWORKSPACE.Z18_M1HGGIK0N0JO00QO9DDDDM3000-ac81b8d7-ddde-4820-8235-da7da62bfd90-mO6iKmF. endobj Were so excited to see you back on campus next week. The time to begin is nigh! 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). 2. Sample Recommended Medical Certificate of Limitations Form (NYSED 2022)May be used to document private provider recommendations for PE accommodation. 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. All students should have a face covering with them. 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. For more information on the Role of the School Nurse. School Nurse End of School Checklist(NYSCSH 11/21)- List of tasks for the end of the school year. Sample letters 1- Notification letter to parent for a school activity Dear parents, This is to inform you that the annual bake sale for charity will be held on Saturday, October 06, 20xx. These are: Hepatitis A (2 doses), Meningococcal B (2 doses), Meningococcal A (1 or 2 doses), HPV (2 or 3 doses). Sample Dental Certificate (NYSED 3/18)This form aligns with health exam grade levels. This letter should be reviewed and approved by the School Medical Director prior to use. 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. School sports, medication, and treatment forms are good for 1 year, so summer is a great time to complete them. The NYSED Dominic Murray Sudden Cardiac Arrest Prevention Act Memo can be found on the Laws | Guidelines | Memos - Athletics. You can see more information about this screening tool at www.sdqinfo.com. Though we do not know when we will resume in-person learning, for emergency medications, please have these forms back to me at the start of the year. Sample Classroom Teacher Observation - Vision (NYSCSH 5/18), Sample Faculty/Staff Emergency Contact Information (NYSCSH 5/16)Documents emergency contact information for staff, Sample Emergency Care Flow Sheet for Staff (NYSCSH 10/17)School Nurse documentation form, Physical Examination Report for New Employees (NYSCSH 5/16)Documents physical exam/certificate of fitness for employment for school employees. The COVID-19 pandemic has made clear the importance of health and health safety. Hand, Foot and Mouth Disease 3. The HPV vaccine is given as a three-dose series over a six-month period to protect both females and males. Sincerely, References: National Pediculosis Association Texas Department of State Health Services <> Children with strep infections may return to school after taking medicine for at least 24 hours and fever is gone. School Nurse Professional Organizations and Resources, Sample Calendar reminders for a School Nurse. Sample School Recommendations Following Concussion (NYSCSH 12/19)A customizable checklist which can be provided to the health care provider to allow them to indicate what Return To Learn (RTL) and Return To Play (RTP) accommodations they recommend for the student. R R R R R $ v v v P 4 v X% P , , , , ` ` ` $ $ $ $ $ $ $ $ ' Z* $ R ` ` $ R R , , 4 % G G G ^ R , R , $ G $ G G V " G$ , P!~+ # $ (% 0 X% # x * * G$ G$ * R [$ h ` 0 " G ` ` ` $ $ ` ` ` X% * ` ` ` ` ` ` ` ` ` : Letter/Email to Parents: School Nurse The following template can be personalized and sent via mail or email to families to educate them about the vaccinations that adolescents should receive and to encourage them to make an appointment with their healthcare professional. There are students at our school who have a serious autoimmune condition related to strep throat and other common infections. Communicable disease prevention, surveillance, notification, and reporting are important roles provided by the school health team. Dose Counting Medication Record(PDF - NYSCSH 7/2018) Calendar view record of medication administration which provides a continuous count of medication given and medication remaining. Information may include: When to Keep a Child Home - Instructions to Parents/Guardians (NYSCSH 12/19)Sample letter to share district guidelines. Please use the hopefully less hectic summer months to have your child seen if they have not been already. School Nurse To Do List. A description of the illness, including the complaint's date, time, and details. Sample Immunization Notification Letters and Packet for Non-Compliant Students Schools have immunization notification requirements stipulated in DC law and regulation (DC Official Code 38-504 and DCMR 5-E 5300.5). There are two forms, please complete both. Appointments are required to drop off medication. NYSDOH Sample DMMPThis document is from the NYSDOH Diabetes in Children: A resource guide for families and schools pages 82-86. <>/Metadata 141 0 R/ViewerPreferences 142 0 R>> If modified, it should be reviewed and approved by the School Medical Director and Administration prior to use. Sample Student Daily Visit Form (NYSCSH 1/18)Aids school health personnel in tracking follow-up on student visits to the health office. 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. Math CalculationCheckerWorksheet for Insulin DeviationThis worksheet may be used to verify math calculations performed by the RN. 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). Subjects: {og"3"" sh"LvE8&/lsg9f%^G5~]?4 5,"5`5j9+R/J-C You and your family excelled through another school year. All action plans food/insect allergies, asthma, diabetes, seizures, etc must be signed by a Georgia physician. Seizure ECP (NYSCSH 6/12)Customizable template for the HCP to document the type of seizure and treatment plan. Includes options for the provision of medication to students who require medication on field trips. National Institute of Diabetes & Digestive & Kidney Diseases (NIH) ToolsSample DMMP, IHP, and ECPs under Health Care and Education Plans. If you have any questions, please feel free to contact me. For more information on which vaccines adolescents need, visit HYPERLINK "http://www.adolescentvaccination.org/"adolescentvaccination.org. Your childs personal information and identity will not be disclosed to anyone. School Nurse To Do List. x+2T0 BQW\ E Providers can fax any paperwork to my confidential fax: 206 743-3130 . Hypo and Hyperglycemia Chart for School Staff Excerpted from NYSDOH Diabetes in Children with the permission of the NYSDOH. Provider attestation must be included for independent medication use. 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. Treatment reduces the spread of illness. Sample Parent Letter - Animals in the Classroom (NYSCSH 3/17), Sample Permission Form - Animals in the Classroom (NYSCSH 3/17). This form also informs the parent/guardian of their childs test results and other information which may be disclosed as permitted by law. Please use the sign up genius to make an appointment before school starts. Additional permission from the provider and parent for Independent Medication Carry and Use must also be completed for that to occur. SAMPLE Rev 11/2019 LETTER TO PARENT/GUARDIAN Dear Parent/Guardian of _____ Our school is excited to offer an education and prevention program for school aged students in collaboration with . School Nurse Beginning of School Checklist(NYSCSH 11/21)- List of tasks for the beginning of the schoolyear. 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. Join us by subscribing to our newsletter. Children entering or attending school in New York State, including summer school and distance learning, must comply with immunization requirements. 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" Again, welcome! We missed you. A LETTER FROM THE SCHOOL NURSE CHARLOTTE ISD 2015-2016 . Get email updates from Copyright 2002-2018 Blackboard, Inc. All rights reserved. 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. <> Eviction can cost $1,000 to $10,000 in legal fees, and . x[mo8 Cz"&^%Ecf$De_w__w=g=-8[pgY,'Xg#9?cy!,fV^~uUGy)O =,qy`9~0=qdLM~=? It can be found at. 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. SampleAthlete with Special Needs Supplemental History Form (AAP-Bright Futures, 3/2018)May be used to obtain additional health information from athletes with special needs. Dear Parents and Guardians, Congratulations! 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. ACE (Acute Concussion Evaluation) Care PlanThis form is part of the "Heads Up: Brain Injury in Your Practice" toolkit developed by the CDC. 4v(w"Eyh?y,/X[#Y _c[ We promise to give your students the quality care they deserve. With 5 years of expertise promoting health and safety at elementary schools, I believe my skills make me a perfect fit for your school. The 2019-2020 school year, Pennsylvania school immunization requirements include the . Instructions for Completion of the New York State School Health Examination EHR Compatible Form (NYSED 2020)Provides directions for health care providers on the required components and presentation order of those components for an electronic health record form to be an equivalent form. Your email address will not be published. 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. Clear communication between you and your child, your health care provider and school staff is the key to managing asthma at school. May be modified by local school districts. Author: Charlene Schexnayder 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). They do not constitute a mandate nor imply liability should the school choose other options. If your child becomes sick, please let the School Nurse office know. The purpose of the activity is to inculcate a sense of responsibility towards underprivileged people. Sample End-of-Year Medication Pick-Up (NYSCSH 3/2017)Medication pick-up information for end of year. If you have any questions, please feel free to contact me. Provider & Parent Permission to Administer Medication at School/School Sponsored Events (NYSCSH 3/2019) Documents provider order & parent permission for medication use at school. Thank you for your cooperation. This poster can be printed and displayed to make students aware of school staff members' responsibility to share information that could result in self-harm or harm to others, according to school policies. 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. Effective 7/1/18). Sample Spanish School COVID Testing Consent Form(PDF NYSCSH 11/21). Sample Letters to Parents Rob Wickham 2015-01-14T18:01:38+00:00. 2022-2023 School Year NYSDOH Immunization Requirements for School Entrance/Attendance Chart, Chronological Age/Grade Chart (NYSCSH 6/22), Meningococcal Vaccine School Requirement Flyer. Neither text, nor links to other websites, is reviewed or endorsed by The Ohio State University. Dear Ms. Snodgrass, I would like to apply for the School Nurse position with the Clark County Elementary School. endstream The sample resources may be modified for your district's use consistent with NYSED, local district policy, and school medical director guidance. This includes all physician prescribed medications and any over- . Similar School Nurse qualifications are visible in the example cover letter provided below. Minnesota Department of Health, May 2016. Vaccines are recommended to protect adolescents now and into adulthood. We are asking your assistance in providing the student with a safe learning environment. Full training found here: NYSCSH e-Learning & Learning Management System (LMS), Model 504 Plan from the American Diabetes Association. You can access free COVID-19 screening through the Public Health SCAN program for your children. Letter to Parents: School Nurse Letter/Email to Parents: School Nurse The following template can be personalized and sent via mail or email to families to educate them about the vaccinations that adolescents should receive and to encourage them to make an appointment with their healthcare professional. Letter Samples (not from template or form, my own work), Congratulations! Instructions for School Nurses and School Medical Directors Related to Completion of the Required Health Examination Form (NYSCSH 1/21)Effective 1/31/2021. from: https://www.schoolhealthny.com/cms/lib/NY01832015/Centricity/Domain/85/Calendar%20Template%202016.pdf, Your email address will not be published. No nebulizer treatments will be provided at school. [Hiring Manager's Last Name], It's with great excitement that I learned of your school nurse vacancy at [School Name]. 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. I begin my calendar in May because planning and preparation for the next school year begins long before August! Welcoming preschoolers to an adventure can help reframe the experience and make it more exciting. Immunization Requirements for School Attendance Medical Exemption Statement for Children 0-18 years of Age FormThis form must be completed annually. This is a gentle reminder if your son or daughter is playing middle school or high school sports they must have an updated physical form on file before they will be allowed to practice. kK>L[gcW ifijV ?+ KM&7^}iAhfn#{Hn|V7N"&S,2p4ed-B^Z.[(SPxYXz\JPVm0INA4Xf2$m~BC!)O]D{us+"t)U36{T2d2GjT~Gq9(im6'bQbep0Q 3zK=~CKeGhcGz!(tWz:.WPU Er/HMW. Treatment with antibiotics can usually prevent rheumatic fever. Many sports practices begin August 1. Finally, If working to find health topics to educate or celebrate each month, one resource is the National Health Observances page at HealthFinder.gov: Columbus City Schools Board of Education, n.d. 2019. Letter to Parents Regarding Health and Dental Examination Requirements (NYSCSH 5/21)Informs parents/guardians of the mandated requirements for health appraisal within 30 days of school entry. If not treated or not treated long enough, your child may continue to spread the infection. SCHOOL NURSE WELCOME LETTER . ~~G@Q2Gq)ZNR wQ:]oZql96s(a V5Xt}6E/ V.n`:}/I5#1]X"(cdKnZ?5-y#/l'#Ax$d\mOBPC8168c!f| Please do not hesitate to contact your school nurse to make this a Happy and Healthy school year together! NYS law (Chapter 281) permits schools to request an oral health assessment when requesting a health exam. 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. All controlled substances must be brought to school by a parent or guardian. Here is the link to the English form letter, https://odh.ohio.gov/wps/wcm/connect/gov/ac81b8d7-ddde-4820-8235-da7da62bfd90/Vision+Screening+Requirements+Letters+a.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=ROOTWORKSPACE.Z18_M1HGGIK0N0JO00QO9DDDDM3000-ac81b8d7-ddde-4820-8235-da7da62bfd90-mO6iKmF. Last Modified on November 9, 2022. Spanish Sample Recommended NYSED Interval Health History for Athletics (NYSED 6/22). We look forward to establishing a relationship with you and your child. Wash dishes carefully in hot, soapy water or a dishwasher. Sample Recommended NYSED Interval Health History for Athletics (Fillable PDF NYSED)This form now includes questions related to the Dominic Murray Sudden Cardiac Arrest Act effective 7/1/22 and COVID-19. Please complete the following forms if the emergency medication or treatment listed is used: *Note: All naloxone use should be reported in accordance with district policy utilizing the NYSDOH Reporting Form located on the NYSDOH website. This includes: Dental and Tdap and Menactra for 7th grade. RequiredNYS School Health Examination Form FAQ's Provides answers to questions the Center has received regarding the use and completion of the form. Customizable, available in landscape and portrait. Welcome to Ingraham High School. Operated by Public Health and Kaiser Permanente, the ITHC is located next to the attendance and counseling office. (111) 789-3456. Sample Injury Notification (NYSCSH 9/22)This letter may be customized to alert parents/guardians to an injury. Vision Screening Parent/Guardian Notification Results and Referral Form (NYSCSH 10/18) Note: Parents must be notified of both passing and failing vision results.
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