1. HEALTH SERVICES UNITED INDEPENDENT SCHOOL DISTRICT Irene Rosales RN, BSN Director Health Services

2. Employee Wellness 07-08 Campus Monthly Health Education Blood Chemistry Glaucoma Screening Flu Vaccine Clinics Hepatitis B Vaccine Program Health Monitoring

3. Campus Monthly Health Education Bulletin Board Display corresponding with pre-established themes –Monthly Themes established by Health Services made available via annual calendar Health Education Materials distributed in teachers boxes and/or email –Distributed by Campus Nurse E-mail distribution on special health concerns –With Principal permission via E-chalk Staff Presentations

4. Blood Chemistry Offered once a year - Voluntary Lado a Lado – Gateway Community Health Tests included: CBC, Liver Enzymes, BS, and A1C Cost: $18 PSA- Exam $15.00 Diabetic Risk Factor Screening is Free of Charge Lab Results with Counseling brought to testing location Family Members can be included

5. Glaucoma Screening Offered annually Lado a Lado - GCHC Combined with Blood Chemistry Cost: Free Results: Given at time of test Family members included

6. Flu Vaccine Clinics Offered annually - Voluntary DSHS 2 District-wide Clinics: –North: BoardRoom –South: SAC Auditorium Cost: $10 Hours:3-5PM Family members included

7. Hepatitis B Vaccine Program Offered to selected employees at risk for exposure to blood or bodily fluids Identified per Campus Nurse Employee can accept or deny Series of 3 injections Clinics offered 3 times a year at 2 sites: 1 North and 1 South location CLHD – Immunization Division Hours: 2-5 pm Cost: $0

8. Health Monitoring Performed at every campus by Campus Nurse Upon employee request Includes: Blood Glucose Testing, Blood Pressure, Health Counseling, Weight Monitoring Cost: $0 Supplies and Equipment obtained through Health Services Department

9. Diabetes HB 984 Mandate

10. Effective 9/1/05 Designation of UDCA on every campus by Principal –At least 2 non-licensed staff members per campus Training to be conducted by Eliza Santos Dietician and Health Services Staff - UDCA Training August 20, 2007 Transportation/Cafeteria - UDCA Training October 8, 2007 All new campus staff designated as UDCA

11. UISD HB 984 Up-Date Identification of UDCA by Principal for campus staff Medication Administration and Blood Glucose testing training initiated Signs & Symptoms and injection training by Health Services Staff

12. Bienestar Project

13. Dr. Roberto Trevino / UTHSCSA NIH Grant Combat Obesity/Type II Diabetes –Diet – Food Choice –Exercise Pilot Study 04/05 Targeted 06/07 for 3 rd graders, ten campuses

14. Bienestar Consists of 4 components: –Health Education Students Cafeteria Staff –Physical Activity –Parental Involvement –After-school Program

15. Bienestar Involve UISD and LISD 20 schools – randomly selected Educational Component – 4th grade Health Monitoring: with Parental consent –T–Through CLHD – Buena Vida Program Height/Weight Blood Glucose Blood Pressure

16. Control Group Borchers Clark Bonnie Garcia Gutierrez Kazen Muller Nye Roosevelt Ruiz Zaffirini

17. Intervention Group Col Santos Benavides Centeno Cuellar De Llano Fasken Malakoff Newman Perez Salinas United D.D. Hachar

18. UISD AED SENATE BILL 7 UPDATE

19. AED Mandate Effective 2007/2008 At least one AED per Campus At athletic events and practices

20. AED UPDATE CPR/AED TRAINING Available for all district employees and volunteers by Health Services Staff Safety procedures on the use of AED’s Schools must include CPR/AED instructions in TEKS Nurses, athletic coaches, cheerleader and drill team sponsors, PE instructors, band directors and assistants, and also, students who serve as athletic trainers must be trained and certified in CPR/AED

21. The End Questions ???