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DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
Observe the following general guidelines:
•
Be honest with the students, the sponsor/parent/guardian, and teachers with
whom you have contact. Tell them that you are NOT a registered nurse, but
that you will try to help them to the best of your ability.
•
Keep a record of all students who come into the health room, including the date,
time, reason for the student’s visit, and what was done for the student. Only a
long term substitute nurse may have full access to SIS. Sort term and non-nurse
substitutes may have limited access to the approved DoDEA SIS, it is best to
document all student/staff encounters using SHSM Form H: H-4-6 (Health
Referral).
•
Attempt to obtain a history of events leading up to the injury or illness that the
student reports to you. Complete DoDEA documentation when appropriate, such
as accident reports. See Section D: D-4 (Incident Reporting) and SHSM Form H-
7 (Accident Injury Reports) for further information.
•
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 by health office substitutes.
•
Sign the confidentiality statement, SHSM Form H-11-6 (see Volume II)
Call the sponsor/parent/guardian for any of the following reasons:
•
Any illness or injury that causes you concern
•
Eye, ear, or teeth injuries
•
Head injury
•
Second- or third-degree burns
•
Severe pain
•
Sprains or possible fractures
•
Temperature of 100.4˚ F or higher
•
Vomiting
•
Wounds that may require stitches
When administering medication, observe the following guidelines:
•
Receive training from the school nurse on medication administration
•
Check all medications to make sure you have written sponsor/parent/guardian
permission, a container properly labeled by the pharmacy, and written
instructions signed by the primary care provider (see SHSM Form H-3-2,
Physician/Sponsor/Parent/Guardian Signatures for Medication During School
Hours). The pharmacy label and the doctor’s instructions MUST MATCH IN ALL
OF THE FOLLOWING AREAS: