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DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
younger students, a face recognition scale (0-happy to 5–hurts worse) may be used.
Older students and adults should be able to rate their pain on a 0-10 scale, with 0 as
pain free.
Documentation of all nursing care rendered is via the DoDEA-approved SIS. If
the encounter cannot be documented via the DoDEA-approved SIS, documentation is
recorded using SHSM Form H-4-6, Health Referral (see Section C: C-8, Documentation
and Record Keeping, for more information).
The school nurse determines the need for a student, staff member, contractor or
visitor to be sent home or referred for medical evaluation. If a student needs to be
sent home because of illness or injury, one of the following actions should take place
before releasing the student from school:
•
The sponsor/parent/guardian is contacted to take responsibility for the student’s
transportation to the appropriate destination, whether home or the medical
treatment facility. Under no circumstances should the student be released until
the sponsor/parent/guardian gives explicit instructions to release their dependent
on his or her own recognizance.
•
The designated emergency person is contacted if the sponsor/parent/guardian is
not available.
•
The sponsor’s supervisor is contacted if no one else is available.
•
A medical referral is completed if deemed appropriate (see SHSM Form H-4-7,
Medical Referral).
F-4-2
Emergency Medical Care / First Aid
In coordination with the local medical support facility, each school needs a
written procedures for first aid and emergency care that are clearly understood by all
school staff: principals, nurses, teachers, volunteers, secretaries, student aides, etc.
(see Section I: I-9, Medical Emergency Procedures).
If a student, staff member or visitor needs
emergency
medical care requiring an
ambulance, the school nurse follows the emergency plan relevant to the community. In
all cases, the following procedures are implemented:
•
Emergency responders are called.
•
The principal is notified.
•
DoDEA SHSM Form H-4-10 (Emergency Care Assessment Checklist)
is completed as documentation of the school nurse’s assessment of the
injury. A copy can be provided for emergency responders, the original is
filed in the student’s health record and documented in the SIS.
•
Study Trip Report is printed for emergency responders.