UPR003526-15 Manual 2942.0 SHSM Vol I DRAFT master

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DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
Content Standards located at:
For more information on hand hygiene and infectious diseases refer to the CDC
site:
Hand hygiene includes washing with running water and soap. The effectiveness
of hand washing depends upon the type of soap and the length of time spent actively
washing the hands. If using plain (non-antibacterial) soap, hands should be rubbed
together. After lather is achieved, for at least 20 seconds, sing the “Happy Birthday”
song twice. Waterless, alcohol-based hand antiseptics may be used in the absence of
running water and soap, unless the hands are visibly dirty. These agents are highly
toxic and must be stored in areas unreachable by young children. The proper way to
use these products is to dispense a dime-sized amount on one palm and rub hands and
fingers together until it dries, approximately 15 seconds.
Refer to the CDC site for information on hand washing and hand washing
educational materials:
G-1-4 First Aid and Emergency Care
School nurses interact daily with students, staff, contractors and visitors who
become ill or are injured. Nurses provide services of assessment, first aid, and referral
for medical attention. The degree of injury varies from extremely minor to emergent.
Triage of clients as they enter the school health office can be done quickly, allowing the
school nurse to assign priority to services rendered. See DoDEA AI 2720.01, First Aid
and Emergency Care ) for
information pertaining to establishing emergency protocols in the school. See Section
Office Visits and Emergencies) for additional information.
G-1-4-1 Basic Wound Care
The majority of wounds presented to the school nurse are minor. Minor wounds
should be cleansed in a spiral motion moving away from the area of injury using soap
and water; cover the injured area with a clean bandage. Basic wound care does not
include applying antibacterial ointments (can cause allergic reactions), alcohol,
bacitracin, hydrogen peroxide or other substances to the wound (can cause tissue
damage). Instruct the client (student or adult) to keep the area clean, dry and covered
until healing has begun. Notify the sponsor/parent/guardian of their dependent’s
injury, if appropriate. Document all client encounters in the approved DoDEA SIS or on
a SHSM Form H-4-6 (Health Referral).
G-1-4-2 Anaphylaxis Protocol