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
As a dental emergency and the
expected positive outcome can be time sensitive, a call to the
sponsor/parent/guardian is always appropriate.
Rescreening
As dental screening is a function of the military Dental Clinic and not the
schools, there is little opportunity for rescreening. SHSM Form H-4-4-1 (Dental
Screening Follow up) may be used to follow up on the progression of dental care
received for students who were noted to have visible or severe dental problems
that required attention.
Reference:
Centers for Disease Control: Children’s Oral Health:
American Dental Association: ,
F-6-11 Blood Pressure Screening
Blood pressure should be assessed annually by a student’s primary health care
provider. Many times, a blood pressure reading can be elevated in the doctor’s office
by either anxiety or by a potentially serious health problem (i.e., renal, cardiac or
endocrine disorders). Often, school nurses are asked by the student’s health care
provider to follow up on a student’s elevated blood pressure reading and report findings
back to the health care provider.
A blood pressure reading, as part of the nurse’s vital signs assessment, of a
student or staff may reveal an abnormal reading. The blood pressure reading should
be included in all documentation to include notice to the sponsor/parent/guardian and a
medical referral for the illness or injury. Refer to the National Institutes of Health for
children and adolescent norms
Refer to the Centers for Disease Control for adult norms and information on
hypertension
To take an accurate blood pressure reading, have the student or staff member
rest for a minimum of five minutes in a sitting position (uncross legs). Use a cuff that is
appropriate for the size of the person’s upper right arm (40% of the circumference at
the midpoint). A cuff that is too large will result in a reading falsely low, while a cuff