You can email me and or fax this information to me. 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). PDF A Letter From the School Nurse Charlotte Isd Sample Letter: Notice to Parents and Guardians - Massachusetts The School Nurse position at Ingraham has been shared by two nurses over the past couple of years. Please let me know if I can be of any assistance. Sample COVID- 19 Exposure Notification Form(NYSCSH 1/22)Sample letter to parents/guardians to inform that their child was exposed to someone who tested positive for COVID-19. Sample Non-Patient Specific Order for BinaxNow COVID-19 Testing(NYSCSH 12/20)This sample order can be used for schools implementing BinaxNow COVID-19 testing of students. {og"3"" sh"LvE8&/lsg9f%^G5~]?4 5,"5`5j9+R/J-C Separate from the School Nurse, the Ingraham Teen Health Center (ITHC) is a safe, confidential place where students from Ingraham can receive: well-child exam, sports physicals, immunizations and flu shots, mental health support, reproductive health care, access for health insurance, and prescriptions for medications for chronic conditions such as asthma. The sample resources may be modified for your district's use consistent with NYSED, local district policy, and school medical director guidance. The COVID-19 pandemic has made clear the importance of health and health safety. 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. Please feel free to call us anytime at 770-887-6161. Daily Medication Record School Year(Excel - NYSCSH 12/2021) Calendar view of medication charting for an individual student modifiable for your school district. Farrow Carson RN BSN Amy Langevin RN BSN Pershing School Nurse: 523-2430 Nurse Fax Number: 523-2539 These sample resources may be modified for your use consistent with NYSED, local district policy, and school medical director guidance. Tia Petersen. Sample Generic Emergency Care Plan for Unlicensed School Personnel (NYSCSH 12/16)Information for unlicensed school staff to assist with emergency health issues. Sample Letters - Notification of Illness from School Nurse Students with PANDAS/ PANS may experience symptoms simply from being exposed to an infection. Provider attestation must be included for independent medication use. Wash dishes carefully in hot, soapy water or a dishwasher. 8BB)p18yN:9B Sample Acute Concussion Care Plan and Parent Information Sheet (NYSCSH 12/19)This template can be customized for your needs. Nurse Letter to Parents - Smore Nurse Letter To Parents Teaching Resources | TPT - TeachersPayTeachers (If YES, please see the school nurse as soon as possible.) HGw8npB} r\"4p4]i),^/pbDqtW4X`~Gr"2SA?P/": & Note: Samples and Forms are provided as guidance based on current best practices. May be modified by local school districts. I can be reached: Monday-Wednesday 8:30-4:00Phone: 206 252-3887Fax: 206 743-3130jpboyett@seattleschools.org. x[mo8 Cz"&^%Ecf$De_w__w=g=-8[pgY,'Xg#9?cy!,fV^~uUGy)O =,qy`9~0=qdLM~=? 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. endobj School Nurse Phone (225)924-1054 Fax (225)923-2201 cindy.vinning@olomschool.org www.olomschool.org . Sample Illness Notification (NYSCSH 9/22)This letter may be customized to alert parents/guardians about the reason their child was seen in the health office, the care provided, recommendations, and notification of an attempt to contact them. 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). It provides a referral plan by the private provider containing information on current symptoms and recommendations for RTL and RTP. Training must be completed annually. School Health Examination Guidelines (NYSED 2022)Requirements and guidance for administrators and school health personnel on mandated student health examinations and establishing a health program. Forms can be accessed through Power School Forms. 1 0 obj <>>>>> endobj 2 0 obj <>>>/Filter/FlateDecode/Length 36>>stream Strep throat is a sore throat caused by Streptococcus bacteria that are passed around through nose and mouth droplets. PDF WELCOME FROM YOUR SCHOOL NURSE - Springfield Public Schools The following is my calendar section. This letter should be reviewed and approved by the School Medical Director prior to use. Dear Ms. Snodgrass, I would like to apply for the School Nurse position with the Clark County Elementary School. Sample letters to school community | Beth Harpster, BS, BSN, RN District homepage from: Educational Service District 105, July 2016. Instructions for School Nurses and School Medical Directors Related to Completion of the Required Health Examination Form (NYSCSH 1/21)Effective 1/31/2021. 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. Dear [Mr./Ms./Mx.] Sample Medical Exemption Approval Letter with Notification of Exclusion During Communicable Disease Outbreak, Immunization Requirements for School Attendance Medical Exemption Statement for Children 0-18 years of Age Form, Monthly Medication Administration Record (Medicaid Compliant), Provider & Parent Permission to Administer Medication at School/School Sponsored Events, Attestation: Sample Letter to Parents/Guardians, Provider & Parent/Guardian Permission for the Use of School-Provided Spacer/Valved Holding Chamber, Levels of Assistance in Administering Medications Guide, Blood Glucose / Insulin Log for Individual Students, Diabetes Medical Management Plan Addendum, Parent/Guardian Permission for Field Trip Parent Designee Medication Administration, School Checklist for Medications on Field Trips, Sample Field Trip Notification with Information for Parents on Insect Repellents, Sample Medication Delivery Information for Parents, Parent/Guardian Designation to Authorize Another Adult to Administer Medication, Receipt of Medication Delivered to School, Receipt of Medication Returned to Parent/Guardian, Guidelines for Medication Management in Schools, Checklist Training Unlicensed Personnel to Assist Supervised Students in Taking Their Own Medications, Nursing Assessment for Determination of Supervised Student, Opioid Overdose Prevention Naloxone Inventory Log, Monthly AED/EAI/Naloxone Maintenance Check Sheet, Opioid Overdose Prevention Training Log Summary, Nursing Quarterly/Semiannual Responsibilities, School Nurse Beginning of School Checklist, Diastat Administration Sample Reporting Tool, Epinephrine Administration Sample Reporting Tool, Glucagon Administration Sample Reporting Tool, Opioid Overdose Prevention Sample Reporting Tool, Sample School Health Office Data Collection Tool, Data Collection Calendar for Secondary School Nurses, Data Collection Calendar for Elementary School Nurses, School Nurse Monthly Activities Recording Form, Sample Letter to Parent/Guardian Regarding Required Screenings, Hearing Screening Parent/Guardian Notification Results and ReferralForm, Sample Classroom Teacher Observations- Hearing, Scoliosis Screening Parent/Guardian Notification Results and Referral Form, Vision Screening Parent/Guardian Notification Results and Referral Form, Sample Classroom Teacher Observation - Vision, Sample School Medical Director Delegation Statement, Physical Examination Report for New Employees, Blackboard Web Community Manager Privacy Policy (Updated). In addition to these vaccines, the Centers for Disease Control and Prevention (CDC) also recommends that everyone age six months and older get an influenza vaccine every year. Janet Boyett, BSN RN NCSNIngraham High School NurseMonday-Wednesday 8:30-4:00Phone: 206 252-3887Fax: 206 743-3130jpboyett@seattleschools.org, 1819 N 135th St. 4v(w"Eyh?y,/X[#Y _c[ 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. 4 0 obj 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. Includes instructions and sample forms for filing an appeal. (BDP>c%:] &n`,N^QEY> 4"%f9+Tsce;3WoPx6e|@[[[7boat #]0MCvc4,Qe[&NzY]U afb /-L%5:le,R]dgTSdcZUZLXQcff61}lQMPEPQ4030eZo#kR[A&i%\;GQr=NMGe a:aJGWFH_M*q< +'QtGXSs\}V$`WLBjsaE+:$m#~w{A$,aAsAEVQbpv7aj]QysQjw t-Hz4pbfdfVF%XA`U<wU)u(a]t*0hcYU#yQQ8XF@_go8M3-A[F9@$OThlw"lE`LA% XZED e1a.NIcOaR$Im;Jnu2TX]Y|d A~f{4c[PfRm`,Gq4v,!4KEhkm^a -8>(I0Iuah5+m]_av9dl(gY_DdraJ$g%7Y)XF.v27p,x{`TT*)5rk**Q3&KPWiLH0O N@0/frY#Kz}{N^T?Da|Yq^'Ymh E%\JV%s#]2PSGv[w}]Q"eM;,Z>U'r"](./,v*rQKlJF{pu FERPA Disclosure Log (NYSCSH 8/12)Documents student health records viewed by non-health office staff. Administrative Assistant for Grades 4-8 and Main Office State Road. SampleMedical History Update Form (NYSCSH 2/18)An optional form that may be used to obtain current health information from the parent/guardian in non-mandated health examination years or to provide student history prior to a school-provided physical exam. Treatment with antibiotics can usually prevent rheumatic fever. If there is a known life-threatening concern such as diabetes, seizures or anaphylaxis, if I have not already done so, I will be contacting you before school begins. Medication Incident Report Form (NYSCSH 3/2023)Sample document for medication errors, notifications made, and outcomes. Opioid Overdose Prevention Naloxone Inventory Log (NYSCSH 2/2019), Monthly AED/EAI/Naloxone Maintenance Check Sheet (NYSCSH 2/2019), Opioid Overdose Prevention Training Log Summary (NYSCSH 2/2019). <>/Metadata 141 0 R/ViewerPreferences 142 0 R>> Sample Letter: Notice to Parents and Guardians Sample Letter: Notice to Parents and Guardians [School Letterhead] [Date] Dear Parent or Guardian: The [name of school district or region] wants to provide a healthy school environment for all students. You can see more information about this screening tool at www.sdqinfo.com. p5mWsl *M:2z{ads7?Tc w_/%^T7@Uj^6BZ%^pURd4?8453ROC,d{ODuEwh.&pR(HSXS _L ?!p;BqktvR|$QN(`@@%qK'L/F]C DY'Yo*I4H!)TXR_^T% byIh-qE8m~AT$n4B)";n"O\rPRT# olHYV ,jBveo Includes options for the provision of medication to students who require medication on field trips. Athletes Health Issues Sample Fillable Form (NYSCSH 7/21)May be used by school nurses to share student medical needs with athletic directors/coaches. PDF Letter to Parent Regarding Administration of Medication in School - Corvian Sample Spanish School COVID Testing Consent Form(PDF NYSCSH 11/21). 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 . If strep is found, your child should receive treatment and you should report this to your school health office. Our role is to work with you and your child to ensure a smooth, healthy transition from the home/preschool setting to Sawnee Elementary. Please discuss and reinforce with your child(ren) proper hand hygiene and cough and sneeze etiquette. Full training found here: NYSCSH e-Learning & Learning Management System (LMS), Model 504 Plan from the American Diabetes Association. in Nursing. Providers can fax any paperwork to my confidential fax: 206 743-3130 . Please keep our staff and the school nurse informed of any health conditions that could affect your child while at school. Our fax number is 770-781-2254. I am already missing the hustle and bustle of high schoolers whose energy and enthusiasm are infectious. We are asking your assistance in providing the student with a safe learning environment. Dear Parents and Guardians, Congratulations! 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). PDF Head Lice Information Letter for Parent/Guardian of Classmates As for infestation information, The Columbus City School offers information on lice and bedbug infestation. The Ohio Department of Health has a brochure that can be shared with families: https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/school-nursing-program/media/what_should_i_do_if_my_child_gets_head_lice_brochure, When it comes to vision and hearing screenings, the Ohio Department of Health provides templates for letters to families to inform them of the upcoming screenings. ACE (Acute Concussion Evaluation) Care PlanThis form is part of the "Heads Up: Brain Injury in Your Practice" toolkit developed by the CDC. 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. Seizure ECP (NYSCSH 6/12)Customizable template for the HCP to document the type of seizure and treatment plan. Note: Any or all of the forms above may be shared with parents/guardians and providers to help keep students on track with immunization requirements. 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. It is essential to maintain the confidentiality of affected students when sending notifications. All controlled substances must be brought to school by a parent or guardian. $3.00. Take your child to work day is April 27th. Please make an appointment with your childs healthcare professional and be sure to check that your childs immunizations are up to date. 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. Sample Students With Special Health Care Needs Record (NYSCH 2/21)May be used by the school nurse to record students' health care concerns, medication, and emergency care plan status. 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. Wash Hands thoroughly wash your hands after wiping noses and before eating or preparing food. x+2T0 BQW\ E This letter should be reviewed and approved by the School Medical Director prior to use. As for infestation information, The Columbus City School offers information on lice and bedbug infestation. Ideally, adolescents should get their vaccines during a routine pre-adolescent check-up at age 11-12 years. Sample Medical Exemption Approval Letter with Notification of Exclusion During Communicable Disease Outbreak (NYSCSH 9/19)This sample letter may be customized to inform parents/guardians that their child has been approved for a medical exemption and that in the case of an outbreak, their child would be excluded for the length of contagion. We are seeing an increase in the reported cases of Strep throat. Sample Dental Certificate (NYSED 3/18)This form aligns with health exam grade levels. National Take Your Child to Work Day 2023 is Thursday, April 27th. Seizure ECP with Medication Information (NYSCSH 9/12)Customizable template for HCP to document response plan for seizures. 1 0 obj Adolescents are at increased risk of getting this infection. 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. [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. The content of this site is published by the site owner(s) and is not a statement of advice, opinion, or information pertaining to The Ohio State University. These services are rendered for accidents and illnesses that occur during the school day. The purpose of the activity is to inculcate a sense of responsibility towards underprivileged people. It is very important that you notify the school if your child is diagnosed with Strep throat or any other illness. You and your child are invited to join us in this activity. School Nurse / Welcome Letter Fax: 206 743-3130. jpboyett@seattleschools.org. Welcoming preschoolers to an adventure can help reframe the experience and make it more exciting. If your child has an accident, they will be provided wipes to help with their own cleanup. It can be found at https://www.ccsoh.us/Page/1215. Sincerely, References: National Pediculosis Association Texas Department of State Health Services endobj 3 0 obj <>/Font<>/XObject<>>>/Filter/FlateDecode/Length 3732>>stream We want to protect every student from communicable diseases especially during COVID-19. 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. 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. For more information on which vaccines adolescents need, visit HYPERLINK "http://www.adolescentvaccination.org/"adolescentvaccination.org. Department of Public Health, you may find useful to be able to send to parents. Please do not hesitate to contact your school nurse to make this a Happy and Healthy school year together! %PDF-1.5 % You and your family excelled through another school year. Copyright 2002-2018 Blackboard, Inc. All rights reserved. I look forward to meeting you in person when we are able, but I can speak to you on the phone, or through online platforms. If your child is lacking school-district required vaccines, I will contact you. You are receiving this letter because your child had an IHP and / or EAP with us last year. It is very important to read and follow the label directions carefully and specifically. My job is to support you and your childs health and learning this year, and I hope that I can help you stay healthy during these challenging times. This is not mandated, but data collection is important to demonstrate the response of the school nurse in a medical emergency, to help advocate for staffing needs, to create policies and programs, and to create a healthy and safe environment. 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. 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. Sample Parent/Guardian Letter for Sudden Cardiac Arrest (SCA) Prevention (NYSED 6/22)Both the memo and the parent/guardian letter contain the required information regarding signs or symptoms of pending or increased risk of sudden cardiac arrest that is to be included on the parent/guardian consent for interscholastic athletics. Dear Parents, This letter is to inform you that a student in your child's classroom has a severe peanut/nut allergy. Epinephrine Placement/Use Log (NYSCSH 4/17)Provides documentation for storing andaccounting of EAI. For more detailed information, see page 41 in Guidelines for Medication Management in Schools. This includes all physician prescribed medications and any over- . ~~G@Q2Gq)ZNR wQ:]oZql96s(a V5Xt}6E/ V.n`:}/I5#1]X"(cdKnZ?5-y#/l'#Ax$d\mOBPC8168c!f| Sample Recommended Form - Medical Certificate of Limitations (NYSED 2022)Used to document private provider recommendations for accommodation for PE. Children with a fever (100.4 or higher), vomiting, diarrhea, or other symptoms should be kept home from school until symptom free per the AGCS Sick Child Policy. 1100 Ebenezer . 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. This year at Ingraham, health and safety is of highest priority. Chicken Pox 2. As a final reminder, before your child can begin school with us we need these items. It is very common in children. The 2019-2020 school year, Pennsylvania school immunization requirements include the . For busy months like in the fall I will separate by early month and mid-month tasks. Parents have the first responsibility for their child's health. Sample Letters to Parents; School Medications; WV Health Programs; Newsletters; Health & Wellness; Search for: Sample Letters to Parents. Athletes Health Issues Sample Fillable Form, Spanish Sample Recommended NYSED Interval Health History for Athletics, Sample Parent/Guardian Letter for Sudden Cardiac Arrest (SCA) Prevention, Sample Recommended Medical Certificate of Limitations Form, SampleAthlete with Special Needs Supplemental History Form, When to Keep a Child Home - Instructions to Parents/Guardians, Conjunctivitis - Letter to Parents/Guardians, Head Lice Alert Letter For Parents/Guardians, NYSED Guidelines for Concussion Management In Schools, Sample School Recommendations Following Concussion, Sample Acute Concussion Care Plan and Parent Information Sheet, ACE (Acute Concussion Evaluation) Care Plan, Sample COVID- 19 Exposure Notification Form, Your Child Was Seen In The Health Office With Symptoms of COVID-19, NYSCSH Non-Patient Specific Order Checklist based on NYS Office of Professions Information Page, Sample Spanish School COVID Testing Consent Form, Sample School COVID Testing Consent Form Instructions, Sample Emergency Care Plan for Unlicensed School Personnel: ASTHMA, Sample Letter to Families about Metered Dose Inhalers, Spacers, and Nebulizers, Sample Provider and Parent Guardian Permission for the use of School Provided Spacer/Valved Holding Chamber, NYSDOH Diabetes in Children: A resource guide for families and schools, Helping the Student with Diabetes Succeed, National Institute of Diabetes & Digestive & Kidney Diseases (NIH) Tools, DMMP Addendum: Role of Parents/Guardians in Adjustment of Insulin Dose, Math CalculationCheckerWorksheet for Insulin Deviation, Hypo and Hyperglycemia Chart for School Staff, Glucagon Training Documentation Form for School Personnel, NYSCSH e-Learning & Learning Management System (LMS), Sample Generic Emergency Care Plan for Unlicensed School Personnel, Sample Students With Special Health Care Needs Record, Sample Emergency Care Flow Sheet for Staff, Sample Faculty/Staff Emergency Contact Information, Parent Interview Questionnaire for Seizure History, Sample Permission to Share Protected Health Information(HIPAA), Required NYS School Health Examination Form (PDF), Required NYS School Health Examination Form (Fillable PDF), Instructions for Completion of the New York State School Health Examination EHR Compatible Form, Instructions for School Nurses and School Medical Directors Related to Completion of the Required Health Examination Form, Sample Parent Notification/Request for Mandated Health Appraisal, RequiredNYS School Health Examination Form FAQ's, Sample Recommended Form - Medical Certificate of Limitations, NYS & NYC Screening & Health Examination Requirements Chart, Letter to Parents Regarding Health and Dental Examination Requirements, Sample Individual Student Health Office Visit Record, Sample Parent Letter - Animals in the Classroom, Sample Permission Form - Animals in the Classroom, District Epi Notification to Parents/Guardians, Epinephrine District Staff Training Summary, Sample Procedure for Unlicensed School Staff Responding to Severe Allergic Reactions, Sample Letter to Parents About Cold Weather Precautions, Immunization Request Letter to Parents/Guardians of Students in PreK-12, Sample Exclusion Letter for Principals to Send to Parent/Guardian.
Trellis Removal Request,
Is Fluororesin Coating Safe,
Wrigley Field Demolition,
Articles S