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DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
student’s school health record. Only long term substitute nurse will be trained and
given access to the SIS health module.
The school nurse will not document in the
SIS care or medication administered by others.
The school nurse confers with the respective principals to arrange for the
attending nurse’s transportation between schools or seeks approval of the regional
director for travel expenses for the nurse or to approve reimbursement when the
attending nurse must use a privately owned vehicle.
In accordance with DoDEA (AI) 2720.01, First Aid and Emergency Care, the
principal will designate one or more staff members responsible for health services and
emergency care requiring immediate intervention when the school nurse is not available
and ensure that designated staff members hold current certification in first aid,
CPR/AED and emergency epinephrine auto-injector use.
Registered nurses, in accordance with their individual state nursing practice act,
may train UAPs (teachers, or other school staff) for student-specific health care tasks
and medication administration, including student specific emergency medications and
first aid. This applies when there is a written prescribed medication or treatment for a
specific student/person. The school nurse prepares a folder of information and reviews
procedures with any UAP/school personnel who will provide health care tasks when the
school nurse is unavailable. All delegated health care must be accompanied by task-
specific training for the UAP. The school nurse arranges for training deemed
appropriate for the UAP. All training must be documented and repeated as necessary.
See
Section C: C-5Delegation of Care; SHSM Forms H-3-7-1 &2; H-13-4, 5, 6, 7, 8, 9,
& 10; and Section I
: I-4 , 5 , 7,10,
11
, &
12for additional information.
School nurses
shall not
train a UAP on standing order/non-student specific
emergency medications (epinephrine auto-injector). The UAP who volunteers to be
trained would be someone that the school nurse and the principal agree would be the
best "fill-in" should the school nurse be unavailable. Circumstances that could
necessitate the UAP being responsible for student specific health care task and
medication administration, to include student specific emergency medication, could be
but would not be limited to absence of school nurse, school nurse attending another
emergent situation, or a school sponsored activity (i.e., a study trip, sporting event, or
other DoDEA-sanctioned event). Person(s) who volunteer to be trained must feel
comfortable with the training and agree to perform the health care task should the
need arise. That person may be a non-nurse sub, the student's classroom teacher,
another member of the school faculty who is willing to accept the delegation of care or
the principal/assistant principal.