Student Health – Welcome to NRMPS! Bloodborne Pathogens First Aid/First Responders Diabetes Asthma/Seizures EpiPens Medications School Nurse Referrals
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Student Health – Welcome to NRMPS!
Bloodborne Pathogens
First Aid/First Responders
Diabetes
Asthma/Seizures
EpiPens
Medications
School Nurse Referrals
Bloodborne PathogensExposure Control Plan
LocationsMain office
Website
Carol Eatman, RNBloodborne Pathogens Coordinator
Your guide to safety!
Bloodborne pathogens
Organisms in blood and other body fluids
that can cause disease
Examples: HBV HCV HIV AIDS
Universal Precautions Treat all blood/body fluid as if infected.
Protect yourself!
Wear gloves Wash Hands HBV Vaccine Call Custodian
Hepatitis B Vaccination Series
Series of 3 vaccinations
Offered to all employees identified as “at-risk” for exposure to bloodborne pathogens
Covered 100% by State Health Plan & most insurance plans
Required for all children born on/after July 1, 1994.
Other Ways to Protect Yourself
Sharps ContainersSyringes, needles,
broken glassNever re-cap needle!
Dust pan & broom Use for broken glass
Band-aidsCover open wounds
Other PPESchool Nurse’s office
Exposure at Work
Direct Transmission
From one person to another through open cut, abrasion, sore, or membranes of nose, mouth, eyes
Indirect Transmission Touching a contaminated object or surface
I’m exposed! What now?
Wash immediately
Notify principal, nurse, or Carol Eatman
Complete Exposure Report & WC Form 19
Carolina Quick Care
At-Risk Jobs
Nurse Athletic Trainer Custodian
How do I know if my job is at-risk?
Contact Nurse, Carol Eatman, or Principalto
Complete Exposure Determination Questionnaire
Red Bag/First Aid Kit
In each classroom Assigned to room, not teacher. Accessed only by teachers
ContentsGloves Band-Aids First-aid
Supplies Emergency Action Plans and
Emergency medications Asthma
Inhalers Epi-pens Diabetic
Supplies, medications, and snacks
Take with you at all times when with students - fire drills, playground, cafeteria, field trips, etc.
First Responders
Employees trained to respond in the case
of an accident or illness if the school nurse is
not on campus. (Please stand.)
Automatic External Defibrillators
Located: ____________________________
Glucometer, snacks, insulinStudents allowed to carry items at alltimes, to check blood sugar anytimethey feel symptomatic, and have asnack when needed
Definition: The body does not useGlucose properly due to insulin problems.
Emergency Action Plans Provides medical directions for care Kept in red first-aid bag Student keeps copy in book-bag If no care plan is provided, contact
school nurse or parent/guardian to come and handle.
May need to call 9-1-1
Diabetic Care Managers
School staff members -- trained by school nurse to handlediabetic care of students at school (Please stand.)
How to check blood sugar
How to count carbohydrates
How to recognize signs of distress
Low Blood Sugar
If in doubt,Treat as low blood sugar.
Sweatiness
Nervousness Pallor
Early Signs & Symptoms
Low Blood Sugar
Sleepy Stubborn Irritable Sad Angry Uncoordinated Pass out Seizure
Late signs & Symptoms
Treating low blood sugar
• 2-4 glucose tablets• 4 ounces of apple or orange juice• 4-6 ounces of regular soda• 2 tablespoons of raisins• 3-4 teaspoons of sugar or syrup• 1 cup of low fat milk• 1 tube of cake gel or 2 packets honey (if unable to
swallow or unconscious)• Students will carry a juice with them at all times.
Parents are responsible for providing snacks/supplies.
Always keep a snack in red first-aid bag. Preparedness for lock-down.
Recheck blood sugar after 15 minutes, if still low give another snack. Check again in 15 minutes. If does not come up to normal - call parent.
Follow with carbohydrate/protein snack (peanut butter crackers, meat, cheese, etc.)
High Blood Sugar
Thirst Frequent urination Blurred Vision Drowsy Nausea Mood Changes
Signs & Symptoms
High Blood Sugar Treatment
1. Check care plan for orders.
2. Insulin per doctor’s orders.
3. If no care plan is in place, contact parent/guardian.
4. Offer student clear non- calorie liquids.
5. Do not exercise if the blood sugar is over 300.
Insulin is the only way to the blood sugar.
Exercise will not decrease the blood sugar!
Diabetic Emergency!Loss of consciousness
CALL 9-1-1
Stay with student
Send for nurse, DCM, 1st Responder
Give Glucagon, if ordered
Call parent/guardian
Medications at SchoolMedication form Required for staff to give meds
Medication logCompleted at time med is givenAudited by school nurse
Secure medsLock box or drawer w/lock
Self-medicationParent permission form requiredControlled substances not allowed
Rx Medication labels required
Refer to School Nurse
AsthmaInhaler Must be easily accessible and available
(especially for PE, exercise, outside) Must never deny access to student Kept with student or in red first-aid bag EAP indicates where inhaler is kept Administer as ordered, e.g., before
exercise
Case Management by School Nurse – Refer students with:
Frequent Absences Severe/many episodes Chronic cough Sits out PE/recess Abuse, misuse, overuse, and/or frequent
use of inhaler Student who has no inhaler
Seizure EmergencyEmergency Action PlanLets you know what to look for and what to do.
Notify School Nurse and Parent First time seizure More than one seizure in a day
Call 9-1-1 Seizure lasts more than 5 minutes Student doesn’t arouse after a seizure
Always call 9-1-1 first Then the parent, nurse, 1st Responder
Severe Allergies & EpiPens
Emergency Action Plan- Refer to plan for care
- Kept in red first-aid bag
EpiPen Video
Auvi-Q Video
Call 9-1-1, immediately after using EpiPen
Life threatening symptoms Immediate swelling Tightening of throat, hoarseness, hacking, repetitive cough Shortness of breath or wheezing Weak pulse, fainting, pale or blue color to skin
School Nurse Referrals
Communicable diseases Rash MRSA Conjunctivitis Meds & Substance Abuse Child Abuse Mental Illness Fractures Squinting & Other Vision Problems Hearing problems Referrals to Healthcare Provider
School Nurse Referrals
Carol Eatman, RN462-2825 Office903-0391 Cell
Staff Training Modules
NRMPS WebsiteSchool Nurse
Have a Great Year! Questions?
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