History and Current Status Check the foods that have caused an allergic reaction: The following data collection is done on a voluntary basis. There are two forms, please complete both. Please use the sign up genius to make an appointment before school starts. However, if they fail, you should provide the findings, so the follow-up provider has a frame of reference. I am a list maker and work well off lists. With 5 years of expertise promoting health and safety at elementary schools, I believe my skills make me a perfect fit for your school. NYS & NYC Screening & Health Examination Requirements Chart (NYSCSH 7/18), Chronological Age/Grade Chart (NYSCSH 6/21). Additional permission from the provider and parent for Independent Medication Carry and Use must also be completed for that to occur. There are students at our school who have a serious autoimmune condition related to strep throat and other common infections. 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. Daily Medication Record School Year(Excel - NYSCSH 12/2021) Calendar view of medication charting for an individual student modifiable for your school district. This sample notification letter encompasses multiple ages and grade levels of students. During remote learning, I will be reaching out to check in with students who have a health concern and to connect with students and families who may need extra support. Subjects: It is important that these families know if their child has been exposed to strep or other illnesses. Face coverings are currently required during the school day per the Pennsylvania Department of Health and Department of Education. school nurse. Seizure ECP (NYSCSH 6/12)Customizable template for the HCP to document the type of seizure and treatment plan. AED-Epi Maintenance Checklist (NYSCSH 4/17)The checklist may be used to document the security of both the AED and the EAI, District Epi Notification to Parents/Guardians (NYSCSH 4/17)Provides information regarding the implementation of the program within the school district and contact resources for more information and date of administration. This form also informs the parent/guardian of their childs test results and other information which may be disclosed as permitted by law. It may be completed by a registered dentist or NYS-registered dental hygienist. The time to begin is nigh! They do not constitute a mandate nor imply liability should the school choose other options. Sample Dental Certificate (NYSED 3/18)This form aligns with health exam grade levels. Our fax number is 770-781-2254. The COVID-19 pandemic has made clear the importance of health and health safety. Math CalculationCheckerWorksheet for Insulin DeviationThis worksheet may be used to verify math calculations performed by the RN. Home : 000-000-0000 Cell: 000-000-0000. email@email.com. School Nurse Beginning of School Checklist(NYSCSH 11/21)- List of tasks for the beginning of the schoolyear. This letter should be reviewed and approved by the School Medical Director prior to use. We promise to give your students the quality care they deserve. Sample End-of-Year Medication Pick-Up (NYSCSH 3/2017)Medication pick-up information for end of year. Sample Injury Notification (NYSCSH 9/22)This letter may be customized to alert parents/guardians to an injury. There are three main reasons: When can your child come back to school? We promise to give your students the quality care they deserve. It is important that these families know if their child has been exposed to strep or other illnesses. Chicken Pox 2. 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. 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. If not treated or not treated long enough, your child may continue to spread the infection. PANS PANDAS is a medical condition in which symptoms affect a students ability to attend school and learn. Why is it important that your child receive treatment? SCHOOL NURSE WELCOME LETTER . What is strep throat? Sample Procedure for Unlicensed School Staff Responding to Severe Allergic Reactions (NYSCSH 4/17). 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. stream Guidelines for Anaphylaxis 35 March 2009 . Our role is to work with you and your child to ensure a smooth, healthy transition from the home/preschool setting to Sawnee Elementary. A LETTER FROM THE SCHOOL NURSE CHARLOTTE ISD 2015-2016 . 4v(w"Eyh?y,/X[#Y _c[ These services are rendered for accidents and illnesses that occur during the school day. Recommended vaccines protect adolescents from very serious illnesses: Meningococcal vaccines protect against infection with a type of bacteria that causes meningitis and blood infection (sepsis). 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 . 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. All grade level mandates and immunizations are required for the 2020-21 school year regardless of the education platform (virtual or in person). 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. Sample Parent Notification/Request for Mandated Health Appraisal (NYSCSH 1/20). 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. Provides resources and information for creating a seizure emergency plan. Sample School Letter to All Parents Sample WASSDA Policy Sample WASSDA Procedure . Our nurse cards are electronic this year! Expand All NYSCSH Non-Patient Specific Order Checklist based on NYS Office of Professions Information Page(NYSCSH 5/19). 2022-2023 School Year NYSDOH Immunization Requirements for School Entrance/Attendance Chart, Chronological Age/Grade Chart (NYSCSH 6/22), Meningococcal Vaccine School Requirement Flyer. 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. 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. [INSERT SCHOOL NURSE SIGNATURE, NAME, AND TITLE] July 2015 & ' = U _ c m H I k l r pYK7 &*h&. Please discuss and reinforce with your child(ren) proper hand hygiene and cough and sneeze etiquette. 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. Immunization Requirements for School Attendance Medical Exemption Statement for Children 0-18 years of Age FormThis form must be completed annually. Includes area for medication and Vagal Nerve Stimulator orders. If you're ready to apply for your next role, upload your resume to Indeed Resume to get started. Blackboard Web Community Manager Privacy Policy (Updated). Please feel free to call us anytime at 770-887-6161. Last Modified on November 9, 2022. 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. To be completed by the parent/guardian no earlier than 30 days before the start of the sport. Please let me know if you would like to hear from me. Join our mailing list to receive the latest news and updates from our team. Consider scheduling your childs check up for summer. Please feel free to call us anytime at 770-887-6161. School sports, medication, and treatment forms are good for 1 year, so summer is a great time to complete them. 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, Minnesota Department of Health, May 2016. Fax: 206 743-3130. jpboyett@seattleschools.org. Treatment with antibiotics can usually prevent rheumatic fever. 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. We request that everyone does this consistently. Up to 20 percent of survivors will have serious long-term or permanent complications such as brain damage, kidney damage, deafness, or amputations. This is the disclaimer text. It includes a care plan and information sheet for parents and students. Welcome to Ingraham High School. 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. 2) You may obtain a copy of the medicat ion form from the school nurse or school secretary. Full training found here: NYSCSH e-Learning & Learning Management System (LMS), Model 504 Plan from the American Diabetes Association. Sample Flow Chart for Sports Clearance(NYSCSH 4/18)May be used to determine clearance for sports participation. PDF. Medication Expiration Tracking Tool (Fillable PDF - NYSCSH 8/2022)Documents student initials, DOB, medication name, expiration date, and date of parent communication. Note: Samples and Forms are provided based on current best practices. Epinephrine District Staff Training Summary (NYSCSH 4/17)Provides a form to document staff trained in the administration of EAI. It provides a referral plan by the private provider containing information on current symptoms and recommendations for RTL and RTP. Vision Screening Parent/Guardian Notification Results and Referral Form (NYSCSH 10/18) Note: Parents must be notified of both passing and failing vision results. I can help you sort out possible COVID-19 symptoms and to access help for testing. Currently I am employed as a Nurse . Students must register at the ITHC before receiving services. @&>D8q!""u]WMvsE&H|+ <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Required NYS School Health Examination Form (PDF) (NYSED 2023)This form may be printed and completed by hand. 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. Diastat/Seizure Preparedness Plan Links to Diastat website. This form allows you to provide that information. 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. Parent Interview Questionnaire for Seizure History (NYSCSH 6/12)Documents seizure history, medications, and current understanding of the condition, Seizure Observation / Recording Form Can be used to record seizures. You can email me and or fax this information to me. Health examinations are required for new entrants and in grades Pre-K or K, 1, 3, 5, 7, 9, and 11 (Section 136.3 Health Examinations and Screenings. 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. 1. 2. Sample Recommended Form - Medical Certificate of Limitations (NYSED 2022)Used to document private provider recommendations for accommodation for PE. School Nurse Professional Organizations and Resources, Sample Calendar reminders for a School Nurse. If you have trouble accessing this page and need to request an alternate format, contact u@osu.edu. And there is that word:infectious. 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. 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. Aspire. Dear Ms. Snodgrass, I would like to apply for the School Nurse position with the Clark County Elementary School. Note: Samples and Forms are provided as guidance based on current best practices. Over-the-counter treatment: Head lice may be treated with shampoos specifically labeled for head lice. Providers can fax any paperwork to my confidential fax: 206 743-3130 . Includes calendars, diaries, and logs from Epilepsy.com. It includes placement date, location, brand/dose, lot #, expiration date, and date of administration. 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. Sample Generic Emergency Care Plan for Unlicensed School Personnel (NYSCSH 12/16)Information for unlicensed school staff to assist with emergency health issues. 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).
sample letter to parents from school nurse