Patty Morris

Contact information Patty Morris, Health Services Director or Elizabeth Robinson, Secretary or 2

TB Screening  As of January 1, 2015, the California Education code regarding TB screening has changed.  School employees may now undergo a TB Risk Assessment administered by a health care professional instead of having a TB skin test.  SCOE will not be offering the Risk Assessment to school districts.  School districts with employees or volunteers who want to take advantage of this option under the law will need to establish their own policies and make arrangements with a health care provider of their choosing. 3

TB Screening  The risk assessment is still required every four years.  When the risk assessment is completed by the health care provider, they will sign it and provide a copy to the employee or volunteer to give to the district office for their file.  Staff who have tested positive in the past and had a documented negative chest x-ray on file must now be screened every four years and questionnaire kept on file with their district office.  The questionnaire for people with a past history of a positive TB test is different from the Risk Assessment. 4

TB Screening  Contact your school nurse when you have staff due for this type of screening. She will complete the questionnaire with the employee at no cost to the district.  SCOE will continue to provide TB skin testing clinics for school districts who choose that option.  Dates, locations, & cost in “Back to School” Packet 5

First Aid/CPR/AED First Aid/CPR/AED (combined class)  For coaches, staff who have students with health concerns, and secretaries  North and South County in the fall  Dates, locations & cost in the “Back to School” Packet 6

Illnesses and Injuries  Call nurse if question (should have monthly calendar, call Health Services Secretary)  Let nurse know about chronic conditions, medications, ongoing health concerns, attendance problems, SST’s  First Aid/CPR course recommended  Nurse will do trainings for health concerns when required 7

Medications  Always call the school nurse when a student needs to take medication at school and when the parent brings a refill, even if it is the same medication they have been taking.  Never give a medication that has not been checked by the school nurse.  Medications to be given to the student during the school day must have an order from a California licensed doctor, nurse practitioner or physician assistant and a parent signature (this includes over the counter medications such as Tylenol, ibuprofen, Benadryl, lotions, ointment, eye drops). 8

More about Medications  Medications must be in the original labeled container.  Although medications can be given during school hours, we encourage parents to try to give medications at home when possible.  Secretaries or health clerks should make a copy of medication orders when they arrive and put the copy in the student’s health insert. 9

Flu Surveillance Or let’s call it monitoring absences and illnesses  Forms on SCOE Health Services Department (HSD) website  Calling on all absences and logging  Report to Public Health Department (PHD) weekly  WHY? Required if a severe flu outbreak Helpful for SARB Process Identify problems early 10

Back to School Packet  and hardcopy, important stuff so read it  TB and CPR/FA Dates and locations  Immunization clinics (also on PHD website) 

Back to School Packet  Type 2 Diabetes Letter for all incoming 7 th graders. Sent out in BTS packet and will be on SCOE HSD website.  Adapt letter for your school and administrator.  Send out letter, information sheet developed by the state, and list of providers in your BTS Packet You have completed the requirement!  Concerned parents? Connect them with your school nurse. 12

Health Insert  You order Health Insert from: KP Education Service product 3700 Seaport Blvd. West Sacramento, CA  Blue CSIR’s(California School Immunization Record) are order from PHD: Kara Lemere, PHN

Health Insert (cont.)  Enter hearing and vision  Color vision 1 st grade boys  Scoliosis for 7 th grade girls and 8 th grade boys The school nurses have promised to give you legible records and to be available for questions. They will also enter all the failed screenings and referrals. 14

Immunizations Checking for required immunizations  Go to  Click on k-12 or Seventh Grade (depending on what you are looking for).  All of the information you need for kindergarten school entry, seventh grade Tdap and transferring students is on this website. 15

Immunizations  There is also a section on the website about exemptions! “Exemptions” can be medical (Physician’s note, temporary or permanent) or personal beliefs.  Beginning January 1, 2014, there was a new law that went into effect regarding immunization exemptions! Parent must receive information about the benefits and risks of immunizations and the risks of vaccine-preventable diseases…a perfect time for them to do this is when they have a physical exam by their health care provider. They have the new forms!  here is the link to the form (just in case): it is also available in several languages New form signed by parent and health care provider Form can be completed no sooner than 6 months before requirement Parents must still show a copy of immunization record for immunizations that have been completed Exemptions are immunization specific…must be listed on affidavit 16

Immunizations  There is an exemption for religious beliefs on the new form.  Families who choose this option do not need the signature of a health care provider.  Signing the back of the CSIR is no longer an option for an immunization waiver! If you still have the blue CSIR cards with a space for an exemption on the back, they are out of date.  School districts must keep a list of students without immunizations in case of an outbreak requiring exclusions.  Continue to fill out CSIR if child does have some immunizations. 17

Immunizations Conditional Admissions  This issue is also addressed on the website  Sometimes children are in the process of finishing their immunizations and can be admitted on the condition that they complete their immunizations when they are due. This is a “conditional” admission. Can get complicated, ask your school nurse Requires ongoing follow-up Notices of Required Immunizations 18

Immunizations Reviewing CSIR or immunization record of incoming students  Let school nurses know about new students  School nurse can access PHD Immunization Registry if parent cannot find or access record (it may be there). She can also do verification of disease for chickenpox. 19

Immunizations  Do not allow a child to enroll and begin attending school until you either have an immunization record of a signed exemption form for the child.  Parents should have a copy of their child’s immunizations.  This applies to not only students enrolling in kindergarten, but also students in other grades transferring from other schools.  Once the student begins attending without immunizations, it may be difficult to get the family to either follow up with immunizations or provide a record. 20

Immunizations Kindergarten  When parent picks up the K Registration Packet, remind her/him that their child will probably need four year shots and it should be done before the child is registered and the record needs to accompany the registration material. Information is in packet.  When parent brings in registration packet, an immunization record should be with it  Check the record while the parent is there. If immunizations are missing, give them a completed Required Immunizations letter refer them back to their health care provider. 21

Immunizations Kindergarten  Emphasize that the child is not officially registered until immunizations are completed. If you allow the child to attend school, most likely you will have a long, time-consuming process of bringing the child into compliance.  Work with your administrator & school nurse 22

Immunizations Kindergarten  You have an additional step of entering the immunizations on to the CSIR. Enter M/D/Y  Update immunization schedule in K Packet in May (on PHD’s website)  Forms will be on website  CSIR is also available on the immunization website: 23

Immunizations Kindergarten  Report of Kindergarten Immunizations due to state October 15 th, so not much time to deal with noncompliant students (read “parents”). State no longer sends you a hardcopy.  Will send you a letter with instructions on doing report online  Make a copy of report before you forward it to the state or you may lose it (cannot be saved). 24

7 th grade Tdap (whooping cough)  For the school year, and all future school years, all students entering, advancing or transferring into 7th grade will need proof of an adolescent whooping cough booster immunization (called “Tdap”) for school in the fall.  This new school immunization law affects all students in public and private schools.new school immunization law  For deadlines and instructions on filing the report for this requirement, see this website:

7 th Grade Tdap (continued)  As with all required immunizations, it is very important to enforce this requirement. No student should be allowed to attend 7 th grade unless this requirement is met. There is no grace period and no conditional admission for this requirement.  Parents who want to sign a waiver must follow the same procedure as for any other immunizations.  Note: This is the immunization requirement that all of the schools were audited for in Spring of 2012 by the CDE. Apportionment may be adjusted if a student was attending school without meeting the requirement. 26

First Grade Physical (CHDP)  Information and physical form are in K Packet (Also, will be on SCOE HSD website), but not needed until 1 st grade.  Physical can be within 18 months of starting first grade.  Required to have physical or waiver signed within 90 days of starting 1 st grade (before Thanksgiving break)  Record CHDP exam in student’s Health Insert. 27

First Grade Physical (CHDP)  Suggested timeline for implementing mandate: First notification in K Packet Track with immunizations Fall for FIRST Graders: Letter #1 with physical form start of school Letter #2 with physical form and waiver beginning of Oct. Letter #1 with physical form in May for kindergartners  Some schools have chosen to make this a kindergarten requirement (which works well since children usually see their health care provider for immunizations before beginning school anyway) Visit this website for more details on this mandate: 28

Oral Health Assessment (will this ever end?)  Initial information is in K packet. All forms will be on SCOE HSD website.  Dental screening can be done within 12 months of starting kindergarten.  Send out reminder with form and list of dental providers and in the fall.  Track with immunizations and 1 st grade physical  In May, compile data and submit report: SCOHR website. For more information contact SJCOE at or call

Other things to remember  Schools that have AEDs:  Someone at your school site should be responsible for checking the batteries, providing maintenance and logging the checks monthly or as per your school policy.  Schools with Epi-Pens:  As of January 1, 2015, ALL schools are required have an unassigned epinephrine auto-injector program.  Someone at your school site should be responsible for checking the Epi-Pens and logging the checks monthly. 30

Thank you!! We appreciate your assistance in keeping our students healthy so they can stay in school and learn! Do not hesitate to contact the Health Services Department at