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Student Health – Welcome to NRMPS! Bloodborne Pathogens First Aid/First Responders Diabetes Asthma/Seizures EpiPens Medications School Nurse Referrals
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Bloodborne Pathogens Exposure Control Plan Locations Main office Website Carol Eatman, RN Bloodborne Pathogens Coordinator Your guide to safety!
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Bloodborne pathogens Organisms in blood and other body fluids that can cause disease Examples: HBV HCV HIV AIDS Universal Precautions Treat all blood/body fluid as if infected. Protect yourself! Wear gloves Wash Hands HBV Vaccine Call Custodian
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Hepatitis B Vaccination Series Series of 3 vaccinations Offered to all employees identified as “at-risk” for exposure to bloodborne pathogens Covered 100% by State Health Plan & most insurance plans Required for all children born on/after July 1, 1994.
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Other Ways to Protect Yourself Sharps Containers Syringes, needles, broken glass Never re-cap needle! Dust pan & broom Use for broken glass Band-aids Cover open wounds Other PPE School Nurse’s office
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Exposure at Work Direct Transmission From one person to another through open cut, abrasion, sore, or membranes of nose, mouth, eyes Indirect Transmission Touching a contaminated object or surface
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I’m exposed! What now? Wash immediately Notify principal, nurse, or Carol Eatman Complete Exposure Report & WC Form 19 Carolina Quick Care
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At-Risk Jobs Nurse Athletic Trainer Custodian How do I know if my job is at-risk? Contact Nurse, Carol Eatman, or Principal to Complete Exposure Determination Questionnaire
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Red Bag/First Aid Kit In each classroom Assigned to room, not teacher. Accessed only by teachers Contents Gloves Band-Aids First-aid Supplies Emergency Action Plans and Emergency medications Asthma Inhalers Epi-pens Diabetic Supplies, medications, and snacks Take with you at all times when with students - fire drills, playground, cafeteria, field trips, etc.
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First Responders Employees trained to respond in the case of an accident or illness if the school nurse is not on campus. (Please stand.) Automatic External Defibrillators Located: ____________________________
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Glucometer, snacks, insulin Students allowed to carry items at all times, to check blood sugar anytime they feel symptomatic, and have a snack when needed Definition: The body does not use Glucose properly due to insulin problems. Emergency Action Plans Provides medical directions for care Kept in red first-aid bag Student keeps copy in book-bag If no care plan is provided, contact school nurse or parent/guardian to come and handle. May need to call 9-1-1
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Diabetic Care Managers School staff members -- trained by school nurse to handle diabetic care of students at school ( Please stand.) How to check blood sugar How to count carbohydrates How to recognize signs of distress
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Low Blood Sugar If in doubt, Treat as low blood sugar. Sweatiness Nervousness Pallor Early Signs & Symptoms
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Low Blood Sugar Sleepy Stubborn Irritable Sad Angry Uncoordinated Pass out Seizure Late signs & Symptoms
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Treating low blood sugar 2-4 glucose tablets 4 ounces of apple or orange juice 4-6 ounces of regular soda 2 tablespoons of raisins 3-4 teaspoons of sugar or syrup 1 cup of low fat milk 1 tube of cake gel or 2 packets honey (if unable to swallow or unconscious) Students will carry a juice with them at all times. Parents are responsible for providing snacks/supplies. Always keep a snack in red first-aid bag. Preparedness for lock-down.
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Recheck blood sugar after 15 minutes, if still low give another snack. Check again in 15 minutes. If does not come up to normal - call parent. Follow with carbohydrate/protein snack (peanut butter crackers, meat, cheese, etc.)
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High Blood Sugar Thirst Frequent urination Blurred Vision Drowsy Nausea Mood Changes Signs & Symptoms
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High Blood Sugar Treatment 1. Check care plan for orders. 2. Insulin per doctor’s orders. 3. If no care plan is in place, contact parent/guardian. 4. Offer student clear non- calorie liquids. 5. Do not exercise if the blood sugar is over 300. Insulin is the only way to the blood sugar. Exercise will not decrease the blood sugar!
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Diabetic Emergency! Loss of consciousness CALL 9-1-1 Stay with student Send for nurse, DCM, 1 st Responder Give Glucagon, if ordered Call parent/guardian
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Medications at School Medication form Required for staff to give meds Medication log Completed at time med is given Audited by school nurse Secure meds Lock box or drawer w/lock Self-medication Parent permission form required Controlled substances not allowed Rx Medication labels required Refer to School Nurse
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Asthma Inhaler Must be easily accessible and available (especially for PE, exercise, outside) Must never deny access to student Kept with student or in red first-aid bag EAP indicates where inhaler is kept Administer as ordered, e.g., before exercise Case Management by School Nurse – Refer students with: Frequent Absences Severe/many episodes Chronic cough Sits out PE/recess Abuse, misuse, overuse, and/or frequent use of inhaler Student who has no inhaler
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Seizure Emergency Emergency Action Plan Lets you know what to look for and what to do. Notify School Nurse and Parent First time seizure More than one seizure in a day Call 9-1-1 Seizure lasts more than 5 minutes Student doesn’t arouse after a seizure Always call 9-1-1 first Then the parent, nurse, 1 st Responder
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Severe Allergies & EpiPens Emergency Action Plan - Refer to plan for care - Kept in red first-aid bag EpiPen Video Video Auvi-Q VideoVideo Call 9-1-1, immediately after using EpiPen Life threatening symptoms Immediate swelling Tightening of throat, hoarseness, hacking, repetitive cough Shortness of breath or wheezing Weak pulse, fainting, pale or blue color to skin
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School Nurse Referrals Communicable diseases Rash MRSA Conjunctivitis Meds & Substance Abuse Child Abuse Mental Illness Fractures Squinting & Other Vision Problems Hearing problems Referrals to Healthcare Provider
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School Nurse Referrals Carol Eatman, RN 462-2825 Office 903-0391 Cell cheatman@nrms.k12.nc.us
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Staff Training Modules NRMPS Website School Nurse
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Have a Great Year!Questions?
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