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DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
I-5
Non-Nurse Substitutes Guidelines
page 1 of 2
Guidelines for Non-Nurse Substitutes and other Personnel Assigned to Work
in the School Health Office who are
not
Registered Nurses
DO THE FOLLOWING:
•
Sign the confidentiality statement, SHSM Form H-12-5 (see Volume II)
•
Notify the principal of any major health care concerns.
•
Record all student visits either in the electronic
SIS
and/or complete a health referral form
(SHSM Form H-4-6), make a copy for the sponsor/parent/guardian, and file the original in the
student’s health folder.
•
Attempt to obtain a history of events leading up to the injury or illness as reported by the
student.
•
Provide First Aid in accordance with the DoDEA
School Health Services Manual
and skills
learned in Red Cross First Aid and CPR courses. Red Cross certifications must be kept current.
•
Call sponsor/parent/guardian for any of the following:
o
Any illness or injury you believe is a cause for concern
o
Eye, ear, or teeth injuries
o
Head injury
o
All burns
o
Severe pain
o
Sprains or possible fractures
o
Temperature higher than 100.4˚
o
Vomiting
o
Wounds that may require stitches
•
Should a student choose to return to class and there signs of fever, instruct the student to
return to the nurse’s office if he/she continues to feel badly or symptoms worsen. Document
all student interactions in the electronic
SIS
or on the health referral (SHSM Form H-4-6).
•
Always attempt to contact the sponsor/parent/guardian. If you are unable to reach the
sponsor/parent/guardian, contact the emergency contact or sponsor’s commander.
•
Record in the electronic
SIS
or on the health referral (SHSM Form H-4-6) all attempts to
contact the sponsor/parent/guardian, phone numbers and results. Include that attempts were
made in the event that you were unable to contact the sponsor/parent/guardian, emergency
contact or sponsor’s command.
•
Give medications ONLY after the school nurse has trained you. Follow SHS
M Section I: I-4Guidelines for Safe Administration of Medications, instructions. See SHSM Sectio
n F: F-3 and F-
12 for more information
•
Check new prescription medications to make sure you have written instructions signed by the
doctor and sponsor/parent/guardian (SHSM Form H-3-2). Check that the medication container
is properly labeled and the doctor’s instructions MUST MATCH IN ALL OF THE