30 / 138
30
DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
1.
Medical alert. Information provided by the sponsor/parent/guardian.
Information is to be stated in layman’s terms to give the teacher notice of a
possible emergent situation and actions the teacher needs to be aware of to
ensure student safety.
2.
Health Conditions/ Health History. Any medical condition and health history the
school nurse needs to be aware of to meet the student’s health needs and
improve student and school safety.
3.
Medications. All medication kept in the health office and medication
administration. Medication for self-administration and self-carry by students.
4.
Immunization information. All required age-appropriate immunization data.
5.
Sports physicals. Document the date of the sports physical, and any limitations
or assistive devices, including medications to be used before or during sport
activities. Primary care manager/provider/sponsor/parent/guardian signed sports
physicals are stored in the student’s health record. Students who experienced
sport related injury that required medical evaluation and treatment will need a
written clearance to resume sport activities. Students who have been diagnosed
with a concussion must have a written clearance from their primary care provider
before resuming any sport activity. Clearance must be documented in writing
and entered in the DoDEA SIS.
6.
Office visits. All office visits to the school nurse is documented with the time and
date, reason for the visit, assessments conducted, nurse’s determination and
action taken, the outcomes, disposition, and the nurse’s name. Document
contacts and consultations with parents and primary care provider, changes in
medication/treatments, response to medication and or treatment, routine
ongoing treatment, any action taken in response to an individual’s problem,
document additional nurses notes as needed. Do not document actions
completed by others.
7.
Screenings. Se
e Section F: F-6(Health Screening Procedures) of this Guide for
additional guidance.
•
Vision: Distance vision screening conducted during the first year of entry into
school and every other year thereafter for elementary grades. At least once
in middle and high school.
•
Hearing: Puretone screening during the year of first entry into school and
every two years thereafter for elementary grades. At least once in middle
and high school.
•
Height/weight/BMI: Periodic screening and follow up required.
Recommended screening –– every year for all students.
•
Postural: Routine postural screening among asymptomatic adolescents is not
recommended. A student who is already being treated for scoliosis should not
be screened.
•
Blood pressure: Recommended screening as requested by primary health
care provider.