Emergency Information Cards

  1. Emergency information cards shall be completed annually for each student and employee in the District and kept on file in the nurse’s office.
  2. Student emergency information cards or their facsimiles shall be readily available at all out-of-school activities including field trips and athletic events.
  3. Student emergency information cards shall be made available to school officials determined to have legitimate educational interests, including safety interests, in the information. Such persons may include, but not necessarily be limited to, teachers, substitute teachers, school counselor, educational assistants, school nurse, coaches, advisors, activity chaperones, food service workers, and administrators.

General Emergency Care Procedures

  1. Only immediate and temporary care is to be provided.
  2. The principal is to be notified of all emergency care given
  3. Parent/guardians are to be notified using the emergency information card for necessary information.
  4. Students who are sick or have mild injuries should be escorted to the nurse’s office and supervised until the parent/guardian assumes responsibility.
  5. In case of serious injury or illness, do not move student. Initiate school emergency plan including immediately calling 911. The school is not expected to transport injured/ill students. The principal and district administrator are to be notified immediately when a rescue squad is called.
  6. Students who are sick or have been injured should generally not be placed on a school bus. Parent/guardian should be called to escort student home. Exceptions may be made by the principal where warranted.
  7. The District’s blood borne pathogens standards and procedures (exposure control plan) shall be consistently followed.

Accidents or Illnesses Occurring at School

  1. In cases where communicable diseases are suspected, the student shall be referred to the school nurse. The nurse will notify the student’s parent/guardian and recommend physician’s care.
  2. In case of injury to a student, the individual on duty will:

    a. Direct others to stay back

    b. Notify the school office

    c. Keep the injured calm.

    The office will contact the school nurse/medical first aider and parent/guardian. The Principal and nurse/first aider will decide the course of action to follow.

  3. Accidents shall be reported immediately to the District Administrator.

Notice and Recordkeeping Requirements

  1. A laminated card, detailing the District emergency/crisis/911 plan is to be prominently displayed in each classroom and general school area.
  2. Emergency telephone numbers shall be properly posted at each telephone.
  3. All student illness and injury complaints shall be documented along with interventions utilized, on an illness/injury log maintained in the nurse’s office/school office. Such illnesses and injuries should be documented regardless of their severity.

Medication Administration

  1. Pupils requiring medication at school shall bring to the school Principal or designee a completed “Request for Medication to be Administered During School Hours” form signed by the physician and parent/guardian if a prescription medication or the parent/guardian if a non-prescription medication. School personnel may then see that medication is given to the child as prescribed
  2. All medication must be supplied in a properly labeled bottle. The label on the bottle must contain the name and telephone number of the pharmacy, the pupil’s identification, name of the physician, name of the drug, and the dosage to be given. The prescribed medication shall be kept in a locked compartment at school. Taking the medication shall be supervised by the designated school personnel at a time conforming with the indicated schedule. It is the responsibility of the student to get his/her medication at the designated time.
  3. It is important that an accurate and confidential system of record keeping be established for each pupil receiving medication. The Physician’s request for medication to be administered during school hours shall be kept on file. This should include the type of medication, the dose, and the time to be given. The parents must notify the school when the drug is discontinued or the dosage or time is changed.
  4. School personnel should under no circumstances provide aspirin, Tylenol or other medicine to students without meeting the criteria in 1 to 3 above. Diagnosis and treatment of illness and the prescribing of drugs are never responsibilities of the school and should not be practiced by any school personnel.
  5. Teachers who work with a student who is on medication shall be notified if the medication may impact the student’s learning.

Administration of Non-Student Specific Epinephrine

Any District employee may be authorized to administer epinephrine who:

  • is willing to assume that responsibility,
  • is authorized in writing by the Principal or his/her designee,
  • has received Department of Public Instruction approved training, within four years, for the administration of epinephrine
  • Has been sufficiently instructed by the District's School Nurse:
    • In recognizing the signs and symptoms of anaphylaxis
    • On the proper administration of epinephrine auto-injector
    • On proper follow up procedures following administration of epinephrine auto-injector
  • Has successfully completed an annual return demonstration of administration of epinephrine auto-injector and has been deemed competent by the District's Professional Nurse

 

Procedure:

Any SEVERE SYMPTOMS after suspected or known ingestion:

One or more of the following:

LUNG: Short of breath, wheeze, repetitive cough
HEART: Pale, blue, faint, weak pulse, dizzy, confused
THROAT: Tight, hoarse, trouble breathing/swallowing
MOUTH: Obstructive swelling (tongue and/or lips)
SKIN: Many hives over body
Or combination of symptoms from different body areas:
SKIN: Hives, itchy rashes, swelling (e.g., eyes, lips)
GUT: Vomiting, diarrhea

1. If student is suspected of having an anaphylactic reaction (see symptom list in box above) INJECT EPINEPHRINE IMMEDIATELY

2. Call 911, tell rescue squad epinephrine was given; request an ambulance with epinephrine.

3. Continue monitoring.

4. Stay with student.

5. Request that someone alert healthcare professionals and parent.

6. Note time when epinephrine was administered.

7. If available, a second dose of epinephrine can be given 5 minutes or more after the first if symptoms persist or recur.

8. For a severe reaction, consider keeping student lying on back with legs raised.

9. Treat student even if parents cannot be reached.

After epinephrine administration:

  1. Complete appropriate paperwork (incident report, epinephrine administration report, medication administration form, etc).
  2. Request permission from student's parent/guardian to send a copy of paperwork (epinephrine administration report, medication administration form, etc to student's healthcare provider.
  3. Parents of student who suffered anaphylactic reaction and school staff involved in emergency response and those on the emergency response team should meet to debrief on the incident and make any necessary changes to policy or procedure or emergency action plan

School employees, except health care professionals, shall be immune from civil liability for any acts or omissions in administering medication to students in accordance with Board policy, these procedures, and state law requirements unless the act or omission constitutes a high degree of negligence.

School employees and volunteers, other than health care professionals, who in good faith render emergency care to a student are immune from civil liability for any of their acts or omissions in rendering such emergency care.