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. Tetanus, diphtheria, and pertussis (Tdap) vaccine includes protection against pertussis (whooping cough), which has been on the rise in the US especially among children 10-19 years old and babies under five years old. The NYSED Dominic Murray Sudden Cardiac Arrest Prevention Act Memo can be found on the Laws | Guidelines | Memos - Athletics. It provides a referral plan by the private provider containing information on current symptoms and recommendations for RTL and RTP. 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. Dear Mr. Vestal: As a skilled nurse with more than nine years of experience providing comprehensive healthcare services to a wide variety of students, I am pleased to present the enclosed resume in response to your opening for a new School Nurse. Our new community has launched. No Problem. This is a rare, but extremely serious disease that kills up to 10 percent of those who get it. The sample communications below should be reviewed and approved by your school medical director and school administrator. The School Nurse position at Ingraham has been shared by two nurses over the past couple of years. Join us by subscribing to our newsletter. 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. Sample resources below should be reviewed and approved by the School Medical Director and/or BOE prior to use. If strep is found, your child should receive treatment and you should report this to your school health office. 2 0 obj It is possible that I am missing records of vaccines your child has already had. Parent/Guardian Designation to Authorize Another Adult to Administer Medication (NYSCSH 1/2018)Document parent/guardian permission to authorize another adult to administer medication to their child for a specific event. Chicken Pox; Conjunctivitis; Cover Letter to Send Home with Height Weight Screening; Fifth Disease; If your child has an accident, they will be provided wipes to help with their own cleanup. Students with PANDAS/ PANS may experience symptoms simply from being exposed to an infection. New York State Center for School Health, n.d.,2016. Last Modified on November 9, 2022. 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. I am a list maker and work well off lists. It is important that these families know if their child has been exposed to strep or other illnesses. NOTE: Due to the "Dominic Murray Sudden Cardiac Arrest Prevention Act", which takes effect 7/1/22, the Sample Recommended Interval Health History form has been revised. % Main Office: 206-252-3880, Northwest Coast Art by Andrea Wilbur-Sigo, Squaxin/Skokomish, See Registration and Course Catalog Information, Continuous School Improvement Plan and School Profile. My . $3.00. 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. This is the disclaimer text. 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). Vaccination is important even if your child was vaccinated as an infant, because the protection from those vaccines may not last into the teen years. Please do not hesitate to contact your school nurse to make this a Happy and Healthy school year together! Dear Parents and Guardians, Congratulations! Clinic Information (2022-2023) Health and Safety News; Health News Links; Effingham County BOE Letter To Parents; Health Forms; . National Take Your Child to Work Day 2023 is Thursday, April 27th. Welcoming preschoolers to an adventure can help reframe the experience and make it more exciting. Sanitize toothbrushes by replacing or boiling them. Please let me know if you would like to hear from me. Fax: 206 743-3130. jpboyett@seattleschools.org. 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. Required Forms are indicated in the title. Treatment with antibiotics can usually prevent rheumatic fever. 2. If your child was seen in the clinic during their school day, a copy of a Clinic Referral Slip will be sent home providing details of their visit. Provider & Parent/Guardian Permission for the Use of School-Provided Spacer/Valved Holding Chamber (NYSCSH 7/2020) Provides schools the opportunity to provide a backup spacer if the student's spacer is not available. Sample Parent Letter - Animals in the Classroom (NYSCSH 3/17), Sample Permission Form - Animals in the Classroom (NYSCSH 3/17). 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. Training must be completed annually. Wash dishes carefully in hot, soapy water or a dishwasher. It is school policy to report when your child has when has been absent due to an illness. 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. School health services contact information. This form allows you to provide that information. Elastic waist pants or shorts for girls/boys, Disposable plastic Dixie cups Rubbing Alcohol. The school district medical Director is responsible for oversight of the school health program and should be informed of any EAI programs implemented. Epinephrine District Staff Training Summary (NYSCSH 4/17)Provides a form to document staff trained in the administration of EAI. Similar School Nurse qualifications are visible in the example cover letter provided below. If I have not reached out to you please contact me. gBk"wA76\1?B2J0J$k@-P+IoP5[1c9Cl*uJlL-^AC34f y ;fmpY^yt2"F`X7NeWkY+$He\ #vt4m7b/bk>kV^>/Q(d It contains the required elements of an NYS non-patient-specific order. Medication Expiration Tracking Tool (Word - NYSCSH 8/2022)Documents student initials, DOB, medication name, expiration date, and date of parent communication. FERPA Disclosure Log (NYSCSH 8/12)Documents student health records viewed by non-health office staff. The letter is designed to be sent by the school nurse. Sample Letters - Notification of Illness from School Nurse Students with PANDAS/ PANS may experience symptoms simply from being exposed to an infection. City, State, Zip Code. wrap up the school year I wanted to send you off with a few tasks and dates in mind for the summer, especially for those of you with children who will play school sports. Sample Letters to Parents Rob Wickham 2015-01-14T18:01:38+00:00. With 5 years of expertise promoting health and safety at elementary schools, I believe my skills make me a perfect fit for your school. This template can help your child communicate with teachers and nurses about school needs. Children entering or attending school in New York State, including summer school and distance learning, must comply with immunization requirements. You can see more information about this screening tool at www.sdqinfo.com. Parent/Guardian Permission for Field Trip Parent Designee Medication Administration (NYSCSH 1/2018)Documents field trip information and parent/guardian permission for the administration of medications. Sample Dental Certificate (NYSED 3/18)This form aligns with health exam grade levels. Sample Generic Emergency Care Plan for Unlicensed School Personnel (NYSCSH 12/16)Information for unlicensed school staff to assist with emergency health issues. If your child becomes sick, please let the School Nurse office know. Tia Petersen. 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. We must have an Authorization for Medication form on file with the school nurse. Copyright 2002-2023 Blackboard, Inc. All rights reserved. Sample Letter to Parents About Cold Weather Precautions (NYSCSH 2/18). National Institute of Diabetes & Digestive & Kidney Diseases (NIH) ToolsSample DMMP, IHP, and ECPs under Health Care and Education Plans. I know, I know you dont want to hear about it yet, but August will be here before you know it. Starting school for the first time can be intimidating. Sample School Letter to All Parents Sample WASSDA Policy Sample WASSDA Procedure . endobj There are students at our school who have a serious autoimmune condition related to strep throat and other common infections. As a final reminder, before your child can begin school with us we need these items. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Daily Medication Record School Year(Excel - NYSCSH 12/2021) Calendar view of medication charting for an individual student modifiable for your school district. As for infestation information, The Columbus City School offers information on lice and bedbug infestation. 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. Sample Acute Concussion Care Plan and Parent Information Sheet (NYSCSH 12/19)This template can be customized for your needs. PDF. Includes area for medication and Vagal Nerve Stimulator orders. Up to 20 percent of survivors will have serious long-term or permanent complications such as brain damage, kidney damage, deafness, or amputations. Clear communication between you and your child, your health care provider and school staff is the key to managing asthma at school. Many sports practices begin August 1. This includes all physician prescribed medications and any over- . 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. Required NYS School Health Examination Form (Fillable PDF) (NYSED 2023)This form may be completed electronically by saving it to your computer, entering the information into the fillable fields, and saving a copy for each student. Those two things will help keep you and our community healthy. Again, welcome! Author: Charlene Schexnayder Watch your child for signs of a sore throat and other signs of strep (headache, fever, stomachache, swollen and tender neck glands). 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. 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. It includes placement date, location, brand/dose, lot #, expiration date, and date of administration. There are teen vaccines that are not required for school but are recommended by the Center for Disease Control. Sample Post-Restraint Assessment Form (NYSCSH 8/17)This sample form may be customized for your district's use in documenting student health status post-restraint use. We are asking your assistance in providing the student with a safe learning environment. 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. Please email the nurse to schedule a time (. 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). Your email address will not be published. Instructions for School Nurses and School Medical Directors Related to Completion of the Required Health Examination Form (NYSCSH 1/21)Effective 1/31/2021. Adolescents are at increased risk of getting this infection. Seattle, WA 98133 Copyright 2002-2018 Blackboard, Inc. All rights reserved. It is vital for the School Nurse to foster communication between the entire school population about who and when someone has an infectious illness. Sample School COVID Testing Consent Form Instructions(PDF NYSCSH 12/20)This instruction sheet was created to assist schools in using the Sample COVID Testing Consent Form as a PDF. kBn[ )9@:BLIHosu42HmM_>@eb~Z. Please discuss and reinforce with your child(ren) proper hand hygiene and cough and sneeze etiquette. We look forward to establishing a relationship with you and your child. Nursing Annual Responsibilities(NYSCSH 11/21), Nursing Monthly Responsibilities(NYSCSH 11/21), Nursing Quarterly/Semiannual Responsibilities(NYSCSH 11/21). 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. Seizure ECP with Medication Information (NYSCSH 9/12)Customizable template for HCP to document response plan for seizures. If not treated or not treated long enough, your child may continue to spread the infection. Please have a backup plan in case you are not available to pick up your child within an hour. 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. Parents will only be called if we do not have any clothing for the child. from: https://www.schoolhealthny.com/cms/lib/NY01832015/Centricity/Domain/85/Calendar%20Template%202016.pdf, Your email address will not be published. Guidelines for Anaphylaxis 35 March 2009 . It is vital for the School Nurse to foster communication between the entire school population about who and when someone has an infectious illness. Our fax number is 770-781-2254. 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. It should be reviewed and approved by the school medical director prior to use. Dear [Mr./Ms./Mx.] p5mWsl *M:2z{ads7?Tc w_/%^T7@Uj^6BZ%^pURd4?8453ROC,d{ODuEwh.&pR(HSXS _L ?!p;BqktvR|$QN(`@@%qK'L/F]C DY'Yo*I4H!)TXR_^T% byIh-qE8m~AT$n4B)";n"O\rPRT# olHYV ,jBveo Provider attestation must be included for independent medication use. Required fields are marked *. Please contact your school nurse for further guidance. A description of the illness, including the complaint's date, time, and details. I am wanting to make parents aware and to remind their students to wash hands frequently, . Math CalculationCheckerWorksheet for Insulin DeviationThis worksheet may be used to verify math calculations performed by the RN. This sample notification letter encompasses multiple ages and grade levels of students. We will know soon, who will be overlapping on Wednesdays and working on Fridays, in the meantime, I will handle paperwork and questions you may have. School Nursing Activities Annual Calendar from: https://www.esd105.org/site/handlers/filedownload.ashx?moduleinstanceid=2140&dataid=2364&FileName=2017%20School%20Nursing%20Activities_Annual_Calendar.pdf. Contains instructions for school nurses and school medical directors and customizable sample notifications for parents/guardians and community health care providers reminding them of the need to use the required form. PANS PANDAS is a medical condition in which symptoms affect a students ability to attend school and learn. This year at Ingraham, health and safety is of highest priority. Immunization Requirements for School Attendance Medical Exemption Statement for Children 0-18 years of Age FormThis form must be completed annually. It includes a care plan and information sheet for parents and students. Sample Individual Student Health Office Visit Record (NYSCSH 8/12), Sample Student Cumulative Health Record (NYSCSH 8/19). For more information on which vaccines adolescents need, visit HYPERLINK "http://www.adolescentvaccination.org/"adolescentvaccination.org. kK>L[gcW ifijV ?+ KM&7^}iAhfn#{Hn|V7N"&S,2p4ed-B^Z.[(SPxYXz\JPVm0INA4Xf2$m~BC!)O]D{us+"t)U36{T2d2GjT~Gq9(im6'bQbep0Q 3zK=~CKeGhcGz!(tWz:.WPU Er/HMW. The form is available on-line, in person or by request. [Hiring Manager's Last Name], It's with great excitement that I learned of your school nurse vacancy at [School Name]. The calendar for the school at which I hope to work can be found here: There is no specific nursing calendar available here. I can be reached: Monday-Wednesday 8:30-4:00Phone: 206 252-3887Fax: 206 743-3130jpboyett@seattleschools.org. If you have any questions, please feel free to contact me. Classroom Treats (NYSCSH 3/17)General letter that should be altered to align with your districts policies on classroom treats (some districts only allow pre-packaged snacks, some allow home-baked goods).