Other diabetes training resources “The Diabetes Dilemma” booklet Staff members who provide diabetes care must be CPR certified as per SPHCs guidelines. …
SDCOE School Nurses Resource Group Meeting Minutes
June 7, 2005
WELCOME/INTRODUCTIONS
The meeting was called to order by Chris Riccitelli Those attending
introduced themselves
MINUTES OF PREVIOUS MEETING there are no minutes for the May 17th
meeting
ANNOUNCEMENTS HANDOUTS
School Nurse Position Openings - San Marcos has time position,
Sweetwater UHSD, SD City School will have positions
Asthma Control Test Handout - Know your Score Expect More Campaign
wwwAsthmaControlcom
Child Health, Inc - Neta Howo is considering retiring completely from
school nursing and selling her business She asks if any school
nurse is interested in owning a school nursing business with good
salary and flexible schedule to contact her at njhowo@netzerocom
Medical Staff Needed for MDA Summer Camp Handout - Volunteer medical
staff sought for Camp Cuyamaca in Descanso, CA June 20-25 Contact
MDA at 858-492-9792
Medi-Cal LEA Billing
Free Care Issue -New legislation eliminates requirement with Special
Education students to send out parent
letters with 100 return
notifying them of intent to bill insurance companies The billing
companies will still have to coordinate their part with the insurance
companies
Mandated Screenings for Regular Education Students -Districts still
can not bill for these Data can be collected and held for possible
future billing if a change in ruling CA DHS is working on resolving
this issue with the federal government They realize that it is a big
financial loss to schools There will probably be a waiver on the
timeline for how far back one can bill
San Diego City Schools - SPHCS procedures will be on-line soon
Note their website for useful forms:
http://wwwsandinet/depts/nursing_wellness/resourceshtml
CSNO Conference - Save the Dates - February 1-4, 2006, Fresno
Professional Development Opportunities
PDA Camp 2005, June 18th and 25th, 7:30 - 3:30 pm, SDCOE
Contact Rosemary Jaworski at 619-850-4915 Handout
Audiometry for School Nurses, Aug 2005, CSU Chico Handout
I Show, Share, Tell, Ask Discuss
A Special Group Networking, Sharing of Tools, Information
Resources,
and Discussion
Pam Fleming, EUHSD shared via internet the Glucagon Training Video
that she uses with unlicensed staff Taken from the American
Diabetes Association website, Diabetes Care Tasks at School: What
Key Personnel Need to Know http://wwwdiabetesorg/advocacy-and-
legal resources/discrimination/school/schooltrainingjsp, the site
also has training modules in powerpoint format for many other
aspects of diabetes care, including blood glucose monitoring, hypo-
and hyperglycemia, insulin administration and ketone testing Pam
shared the following handouts she developed: Glucagon Education for
School Staff in California and Glucagon Education Module Test She
also shared an Injection Teaching Model available for purchase in
the School Nurse Catalog, page 121, for 85
wwwnationalhealthsupplycom Handouts
Other diabetes training resources
The Diabetes Dilemma booklet from the American Federation
of Teachers Notes the high risk of error when staff is
trained on procedures in September and an emergency occurs in
May
Chula Vista uses another glucagon training video Contact
Dale Parent for further information
Diabetes Care Discussion Points
Staff members who provide diabetes care must be CPR certified
as per SPHCs guidelines
One school district is seeking to have all office clerks CPR
certified for coverage purposes in absence of health clerk/
nurse
If a diabetic student has a 504 plan that states he/she be
accompanied by trained staff on all field trips, then it is
up to the district, not the school, to pay for a substitute
to cover the health office while the site health clerk goes
on the field trip Note: a trained, CPR trained staff should
always accompany a student who requires SPHCs on a field
trip, regardless of a 504 plan The difference here is in
who pays for a substitute
A nurse discussed a recent situation in her district with a
12 year old student attending a field trip who is independent
on an insulin pump with staff
supervision of calculations
Instead of sending a trained staff on the trip, the plan was
for the student to call in his numbers for verification with
the school health office staff This plan prompted much
group discussion relative to whether or not there should
always be trained staff on a field trip, no matter if the
student is independent in diabetes care The age of the
student and degree of independence factored into nurses
opinions At the high school level some students test blood
sugar and/or administer insulin in the health office, while
others do not and are not monitored by school staff One
nurse pointed out that at the middle school/jr high level
she has had students that were not trustworthy They may not
tell the truth regarding their blood glucose numbers so that
they can join their friends on the lunch yard and not have to
stay in the health office for treatment and observation It
is important to always get a doctors order that specifies in
writing that a student is independent in diabetes care to
minimize liability
All nurses agreed that huge safety and management issues have
come with the increased numbers of students with diabetes
There are not enough nurses in the schools to administer
insulin and provide training and supervision of unlicensed
staff in diabetes procedures Safety concerns are paramount
Students with insulin pumps require specialized training
Contact the pump manufacturer and they will come to the
school to provide in-servicing
211 - Help Starts Here
This is the old United Way Info Line resource that will be
available nationwide Anyone, anywhere can dial 211 to get local
social/medical services and resource information in English and
Spanish, ie healthcare referrals, shelter, crisis, legal, etc
The purpose is to take the pressure off 911 emergency lines for non-
life threatening needs Note that some schools phone lines may
block a 3 digit number Check that this can be changed if
necessary
Anita Gillchrest, San Ysidro shared her contract form Agreement
for Student to Self Medicate at School This form is appropriate
for all rescue medications, ie inhalers, epi-pens, and blood
glucose testing The contract is signed by the MD, Parent and
Student with copies to teachers She added that she intends to
include the suggestion to keep an extra medication in the health
office for emergency access The contract clearly states that the
student will lose the right to carry and self-administer if
contract not followed Teachers are told that if they see any
child taking medication they must send him/her to the health
office It doesnt matter whether the child has a contract in
place or not; the dose must be documented
Chris Riccitelli/SDCOE shared information from her conversation
with Steve Rawizer, State Hearing Specialist regarding Hearing
Screenings for Special Needs Students
Regarding what instrument can be used; there are no
limitations with special needs students prefer Pure Tone
Audiometer
For the
general population, use a Pure Tone Audiometer A
Tympanometer is a great addition, but it cannot substitute
for an audiometer There are no rules, regulations or
standards guiding the use of the tympanometer
With Special Needs students you can use a Hear Kit, Music to
my Ears, or you can make your own system If the student
fails you need to do two tests, 2-6 weeks apart If repeat
test failed then refer
Writing Unable to test in the chart is unacceptable How
can an evaluation be done by psychologists, speech
pathologists, etc if no one knows if the child is able to
hear?
Who pays for testing done outside of school? If the testing
is written as part of an IEP then the school is required to
pay However, CCS will pay for diagnostic work-up once the
school identifies that a student has failed the screening
Attempt ANY kind of screening and if the student fails, then
REFER
Suggestions by nurses included referring to the local SELPA
serving the district Frequently they have an audiologist on
staff East County and So Bay
Deb Brickman/Lakeside shared a new resource for school nurses The
Friends of the San Diego Psychiatric Society and SD Medical Society
Auxiliaries have decided to make school nurses their latest
charity Contact Deb at debbrick@sdcoenet or 619/390-2623 if you
need equipment or supplies for your program that the district
cannot afford to purchase One school nurse recently received a
2500 Tympanometer from the program, much to her delight Small
items or big items, it doesnt matter
Jackie Doria/Lemon Grove shared a new local masters program for
school nurses Cambridge College has an intensive 5-week summer
program in Ontario Go to wwwcambridgecollegeedu/California
Jo Chappell/Sweetwater encouraged nurses to pursue administrative
credentials, providing the ability to work at the level where
decision making occurs National University has a program, as well
as SDSU, where Jeanne Salvadore recently completed her Masters in
Education with emphasis in
Leadership Admin Credential program
She rates it excellent, adding that it provided her with new
leadership skills and increased her contact and influence with
administrators in her district
Eileen Griffiths/SD City Schools would like anyone who uses a Sure
Shot Auto Refractor Vision Tester to please contact her Contact
Eileen at egriffiths@sandinet
Pam Fleming/EUHSD is seeking a care plan for the Baclofen Pump,
used for children with spasticity Contact Pam at
pamlfleming@hotmailcom
Michelle Meyers/Santee recommends the reference book Children
Youth Assisted by Medical Technology in Educational Settings, 2nd
Edition - Guidelines for Care, Brooks Publishing This is an
excellent Green Book type of resource that is endorsed by CSNO
and NASN Order online at Amazon
The new Medication Administration Guidelines discuss counting
medications in front of the parent and then both initialing a form
Nurses from varying districts encouraged this practice as it is
the only time that medications are counted, unlike in the hospital
If the
parent isnt available have someone else, ie staff member
count with you
Ritalin is getting media attention recently as the Brain Drug
that is being abused by college students Watch for illegal use
What is the standard practice during fire drills for handling
medications? Answers were to take the medications out to the yard
during fire drill, along with log, health cards, etc One nurse
has a wheeled suitcase kept in the bathroom for this purpose,
others use the wheelchair
Eileen Griffiths shared that CHIP will be hosting a program at the
Escondido Center for the Arts on Youth Suicide, October 8, 2005
Cost will be 45 Register on the website at wwwchiporg This
is tied in with the Yellow Ribbon Campaign and top level speakers
as well as youth will participate A recent JAMA article
reiterated that teaching and talking about suicide does not
increase the risk
Lucy Morgan/El Cajon discussed the new legislated Wellness Policy
required of local school districts by the 06/07 school year
Nurses are encouraged to be active team participants
Email Jo
Chappell/Sweetwater at Josephinechappell@suhsdk12caus if you
would like the sample policies she has compiled
Next Meeting: September 20, 2005, Room 306
Source:sdcoe.k12.ca.us
