Includes instructions and sample forms for filing an appeal. Fax: 206 743-3130. jpboyett@seattleschools.org. Epi-pens, Albuterol, Benadryl, Childrens Tylenol, Childrens Motrin or any other medications are. PANS PANDAS is a medical condition in which symptoms affect a students ability to attend school and learn. May be modified by local school districts. 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. SCHOOL NURSE WELCOME LETTER . There are three main reasons: When can your child come back to school? Farrow Carson RN BSN Amy Langevin RN BSN Pershing School Nurse: 523-2430 Nurse Fax Number: 523-2539 Required Forms are indicated in the title. National Take Your Child to Work Day 2023 is Thursday, April 27th. National Institute of Diabetes & Digestive & Kidney Diseases (NIH) ToolsSample DMMP, IHP, and ECPs under Health Care and Education Plans. A LETTER FROM THE SCHOOL NURSE CHARLOTTE ISD 2015-2016 . Sample Dental Certificate (NYSED 3/18)This form aligns with health exam grade levels. Your childs personal information and identity will not be disclosed to anyone. Communicable disease prevention, surveillance, notification, and reporting are important roles provided by the school health team. If I have not reached out to you please contact me. (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 Dear Parents, This letter is to inform you that a student in your child's classroom has a severe peanut/nut allergy. History and Current Status Check the foods that have caused an allergic reaction: Up to 20 percent of survivors will have serious long-term or permanent complications such as brain damage, kidney damage, deafness, or amputations. 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. Note: Samples and Forms are provided based on current best practices. 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). 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. Sample Individual Student Health Office Visit Record (NYSCSH 8/12), Sample Student Cumulative Health Record (NYSCSH 8/19). Please work with your childs provider for alternative options. When the child that has been treated for head lice returns to school, his or her head should be checked by the school nurse or health representative to insure that it is free of lice and nits. Phone: 206 252-3887. School Checklist for Medications on Field Trips (NYSCSH 12/2016)Checklist of responsibilities regarding medication administration on field trips for the School Board/Administration, School Nurse/District Personnel, and Parent/Student. Author: kgarza 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. . Hand, Foot and Mouth Disease 3. Again, welcome! I am requesting the care plan and medication authorizations to be signed by the Sept 8th, with some flexibility if needed. The calendar for the school at which I hope to work can be found here: There is no specific nursing calendar available here. If you have any questions, please feel free to contact me. School Nurse To Do List. Note: HCP orders only allow the parent to provide proposed adjustments or dosages and require the health care professional to make the ultimate decision after exercising his/her professional judgment. Monthly Medication Administration Record (Medicaid Compliant)(NYSCSH 2/2017)Records date, times, doses, exception codes, reactions, Medicaid-compliant signature boxes, and NPI number. You can use this area for legal statements, copyright information, a mission statement, etc. Build relationships with parents. The sample resources may be modified for your district's use consistent with NYSED, local district policy, and school medical director guidance. Parents have the first responsibility for their child's health. It can be found at https://www.ccsoh.us/Page/1215. Taking medications at school regularly or as needed? Sample Letters - Notification of Illness from School Nurse Students with PANDAS/ PANS may experience symptoms simply from being exposed to an infection. c;43iAKO"0J10{!F&/qiK CN/EQlHFnHx"T}B^&e5dxZ\6h/}zZ5=ow`MSS(S ! 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. Please do not hesitate to contact your school nurse to make this a Happy and Healthy school year together! Copyright 2023. 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. Last Modified on November 9, 2022. NYS & NYC Screening & Health Examination Requirements Chart (NYSCSH 7/18), Chronological Age/Grade Chart (NYSCSH 6/21). I am a list maker and work well off lists. The sample communications below should be reviewed and approved by your school medical director and school administrator. A description of the illness, including the complaint's date, time, and details. It is very important to read and follow the label directions carefully and specifically. This information is important to the nurses as soon as the school year starts, even if your child is not on campus right now. Our role is to work with you and your child to ensure a smooth, healthy transition from the home/preschool setting to Sawnee Elementary. AAP Allergy and Anaphylaxis Emergency Plan, FARE Food Allergy ECP in both English and Spanish. Put preschoolers at ease. 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. from: https://www.schoolhealthny.com/cms/lib/NY01832015/Centricity/Domain/85/Calendar%20Template%202016.pdf, Your email address will not be published. Dose Counting Medication Record (Excel - NYSCSH 7/2018) Calendar view record of medication administration which provides a continuous count of medication given and medication remaining. Why is it important that your child receive treatment? 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. If strep is found, your child should receive treatment and you should report this to your school health office. Take your child to work day is April 27th. endobj Effingham County BOE Letter To Parents; Nurse. Parents and school staff may use this tool to give feedback about how well the student in any grade is doing in four areas: emotions, focus, behavior and getting along with others. Letter Samples - (not from template or form, my own work) May 2019. Our nurse cards are electronic this year! Parents will only be called if we do not have any clothing for the child. It is essential to maintain the confidentiality of affected students when sending notifications. Please contact your school nurse for further guidance. This is the disclaimer text. Save my name, email, and website in this browser for the next time I comment. The 2019-2020 school year, Pennsylvania school immunization requirements include the . 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. 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. For more information on the Role of the School Nurse. They do not constitute a mandate nor imply liability should the school choose other options. Sample Sunscreen Parent Permission (NYSCSH 8/18)Can be used for students who can independently apply or apply with adult assistance their own or school-provided sunscreen. Use the code SCANKIDS as a quick way to bypass the daily limits for testing. Supporting Student Success Through Health and Education. All controlled substances must be brought to school by a parent or guardian. Checklist Training Unlicensed Personnel to Assist Supervised Students in Taking Their Own Medications (NYSCSH 11/2021)Checklist of training criteria for unlicensed personnel to assist supervised (formerly self-directed) students in taking their own medications. 1 0 obj Schedule a flu shot for your student and family members. Provider & Parent Permission to Administer Medication at School/School Sponsored Events (NYSCSH 3/2019) Documents provider order & parent permission for medication use at school. The following is my calendar section. 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. Hypo and Hyperglycemia Chart for School Staff Excerpted from NYSDOH Diabetes in Children with the permission of the NYSDOH. 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. x[mo8 Cz"&^%Ecf$De_w__w=g=-8[pgY,'Xg#9?cy!,fV^~uUGy)O =,qy`9~0=qdLM~=? BJx^@d3%gGL5R/]cC[i;:$d"WYMv)1gjzepY We look forward to establishing a relationship with you and your child. Encourage personal growth and self-advocacy as your child gets older by giving him the responsibility to explain his diagnosis, how it may affect him day to day, as well as state his commitment to succeed in school. Sample Letter to Parents About Cold Weather Precautions (NYSCSH 2/18). 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. Minnesota Department of Health, May 2016. in Nursing. We want to protect every student from communicable diseases especially during COVID-19. Expand All If your child is lacking school-district required vaccines, I will contact you. Sample Injury Notification (NYSCSH 9/22)This letter may be customized to alert parents/guardians to an injury. 4 0 obj Please make an appointment with your childs healthcare professional and be sure to check that your childs immunizations are up to date. We are always available by phone or you may come to see me in the clinic. Seattle, WA 98133 What is strep throat? Author: Charlene Schexnayder 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. It may be completed by a registered dentist or NYS-registered dental hygienist. Spanish Sample Recommended NYSED Interval Health History for Athletics (NYSED 6/22). 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. (111) 789-3456. 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. How Does a Parent/Guardian File a 310 Appeal?NYS Education Law 310 provides that persons considering themselves aggrieved by an action taken at a school district meeting or by school authorities may appeal to the Commissioner of Education for a review of such action. The school district medical Director is responsible for oversight of the school health program and should be informed of any EAI programs implemented. Our fax number is 770-781-2254. Medication Expiration Tracking Tool (Word - NYSCSH 8/2022)Documents student initials, DOB, medication name, expiration date, and date of parent communication. This is a rare, but extremely serious disease that kills up to 10 percent of those who get it. Sample TBI Return Monitoring (NYSCSH 11/17)Sample tracking tool schools may use to track students' symptoms for RTL and RTP. Chicken Pox; Conjunctivitis; Cover Letter to Send Home with Height Weight Screening; Fifth Disease; 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. I may use the SDQ screening tool in grade 9 to help identify students who may need additional supports to thrive academically and socially. 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. Sample Field Trip Notification with Information for Parents on Insect Repellents (NYSCSH 6/2018). Watch your child for signs of a sore throat and other signs of strep (headache, fever, stomachache, swollen and tender neck glands). Laws & Commissioner's Regulations by Content Area, Searchable Bills, Codes, Laws, Rules, and Regulations, NYSCSH e-Learning and Learning Management System (LMS), Athletics Forms | Letters | Notifications, Student-Athletes with Medical Conditions - Confidential List, Sample Recommended NYSED Interval Health History for Athletics. Our fax number is 770-781-2254. 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. (If YES, please see the school nurse as soon as possible.) HGw8npB} r\"4p4]i),^/pbDqtW4X`~Gr"2SA?P/": & Dear Ms. Snodgrass, I would like to apply for the School Nurse position with the Clark County Elementary School. 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). Heather: Welcome back! Take Treatment reduces the spread of illness. The clinic runs on donations only and supplies of new underwear are sometimes low or out. No Problem. My name is Janet Boyett, I am your school nurse. Athletes Health Issues Sample Fillable Form (NYSCSH 7/21)May be used by school nurses to share student medical needs with athletic directors/coaches. The purpose of the activity is to inculcate a sense of responsibility towards underprivileged people. The form is available on-line, in person or by request. This year at Ingraham, health and safety is of highest priority. We request that everyone does this consistently. 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. School Nurse Phone (225)924-1054 Fax (225)923-2201 cindy.vinning@olomschool.org www.olomschool.org . 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. [Hiring Manager's Last Name], It's with great excitement that I learned of your school nurse vacancy at [School Name]. Dear Parents and Guardians, Congratulations! We promise to give your students the quality care they deserve. I strongly recommend a comprehensive healthcare visit for all adolescents at age 11-12 years, or as early as possible thereafter.
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