Sample Letters - Notification of Illness from School Nurse Students with PANDAS/ PANS may experience symptoms simply from being exposed to an infection. Please do not hesitate to contact your school nurse to make this a Happy and Healthy school year together! In addition to documenting the care of ill or injured students according to district procedures, it is important to share your observations and recommendations for following up with the student's parents/ guardians. 2. Sample Letter to Parents About Cold Weather Precautions (NYSCSH 2/18). If a student passes, it is sufficient to just indicated passed. Before we. As for infestation information, The Columbus City School offers information on lice and bedbug infestation. Sample Post-Restraint Assessment Form (NYSCSH 8/17)This sample form may be customized for your district's use in documenting student health status post-restraint use. I look forward to meeting you in person when we are able, but I can speak to you on the phone, or through online platforms. Try to work it out: In the end, even paying a renter or nonpaying guest to go away might be faster and cheaper than trying to evict him. We are always available by phone or you may come to see me in the clinic. Eviction can cost $1,000 to $10,000 in legal fees, and . Copyright 2002-2023 Blackboard, Inc. All rights reserved. All action plans food/insect allergies, asthma, diabetes, seizures, etc must be signed by a Georgia physician. I used the cited calendars for idea and inspiration, but the list is my own, not a template. Please make sure all health and emergency contact information are up to date on this site that the school uses for information management. Levels of Assistance in Administering Medications Guide (NYSCSH 9/2019) Provides guidance in determining how may and may not administer medications in school and how to determine who may do so. School Nursing Activities Annual Calendar from: https://www.esd105.org/site/handlers/filedownload.ashx?moduleinstanceid=2140&dataid=2364&FileName=2017%20School%20Nursing%20Activities_Annual_Calendar.pdf. We are here to assist in any way that we can as a nurse in the school clinic. Effingham County BOE Letter To Parents; Nurse. With 5 years of expertise promoting health and safety at elementary schools, I believe my skills make me a perfect fit for your school. This sample notification letter encompasses multiple ages and grade levels of students. I strongly recommend a comprehensive healthcare visit for all adolescents at age 11-12 years, or as early as possible thereafter. endobj Children entering or attending school in New York State, including summer school and distance learning, must comply with immunization requirements. Our new community has launched. [INSERT SCHOOL NURSE SIGNATURE, NAME, AND TITLE] July 2015 & ' = U _ c m H I k l r pYK7 &*h&. Seizure Emergency Care Plan Provides information for emergency management in both English and Spanish. If your child was seen in the clinic during their school day, a copy of a Clinic Referral Slip will be sent home providing details of their visit. What is strep throat? Chicken Pox; Conjunctivitis; Cover Letter to Send Home with Height Weight Screening; Fifth Disease; PDF Appendix 8 Sample Notification Letters to Parents PDF LETTER TO PARENT/GUARDIAN - Pennsylvania Department of Health Recommended vaccines protect adolescents from very serious illnesses: Meningococcal vaccines protect against infection with a type of bacteria that causes meningitis and blood infection (sepsis). Additional permission from the provider and parent for Independent Medication Carry and Use must also be completed for that to occur. Sample Letter to Families about Metered Dose Inhalers, Spacers, and Nebulizers (NYSCSH 9/20)Provides information on why an MDI and Spacer is preferable over a nebulizer during the COVID-19 Pandemic. Sample Recommended Form - Medical Certificate of Limitations (NYSED 2022)Used to document private provider recommendations for accommodation for PE. The Texas School Nurse. School Nurse Phone (225)924-1054 Fax (225)923-2201 cindy.vinning@olomschool.org www.olomschool.org . Sample Permission to Share Protected Health Information(HIPAA) (NYSCSH 8/12)Allows the parent to designate health care providers who may share information with designated school staff. AAP Allergy and Anaphylaxis Emergency Plan, FARE Food Allergy ECP in both English and Spanish. Last Modified on November 9, 2022. School Nurse Cover Letter - Example & 17 Skills to List c;43iAKO"0J10{!F&/qiK CN/EQlHFnHx"T}B^&e5dxZ\6h/}zZ5=ow`MSS(S ! Expand All Operated by Public Health and Kaiser Permanente, the ITHC is located next to the attendance and counseling office. I can be reached: Monday-Wednesday 8:30-4:00Phone: 206 252-3887Fax: 206 743-3130jpboyett@seattleschools.org. Your email address will not be published. x+2T0 BQW\ E This letter should be reviewed and approved by the School Medical Director prior to use. Wash dishes carefully in hot, soapy water or a dishwasher. As we begin this extraordinary start to the new school year, please know that Seattle School nurses have been working behind the scenes to prepare for a safe return to in-class education and strategizing to support students and families during remote learning. Sample Parent Letter - Animals in the Classroom (NYSCSH 3/17), Sample Permission Form - Animals in the Classroom (NYSCSH 3/17). Clear communication between you and your child, your health care provider and school staff is the key to managing asthma at school. (111) 789-3456. What You Say In Here Stays in Here (NYSCSH 10/17)8.5 x 11-inch printable poster. School Nurse / Nut/Peanut Letter to Parents - Nantucket Public Schools Most sore throats, however, are caused by viruses and are not treated with antibiotics. RequiredNYS School Health Examination Form FAQ's Provides answers to questions the Center has received regarding the use and completion of the form. As for infestation information, The Columbus City School offers information on lice and bedbug infestation. Tetanus, diphtheria, and pertussis (Tdap) vaccine includes protection against pertussis (whooping cough), which has been on the rise in the US especially among children 10-19 years old and babies under five years old. We request that everyone does this consistently. Samples do not constitute a mandate nor imply liability should the school choose other options. Taking medications at school regularly or as needed? It may be completed by a registered dentist or NYS-registered dental hygienist. Dear Parents and Guardians, Congratulations! As a final reminder, before your child can begin school with us we need these items. 2022-2023 School Year NYSDOH Immunization Requirements for School Entrance/Attendance Chart, Chronological Age/Grade Chart (NYSCSH 6/22), Meningococcal Vaccine School Requirement Flyer. Copyright 2002-2018 Blackboard, Inc. All rights reserved. Human papillomavirus (HPV) vaccine protects against a cancer-causing infection. Chicken Pox 2. Face coverings are currently required during the school day per the Pennsylvania Department of Health and Department of Education. The Ohio Department of Health has a brochure that can be shared with families: https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/school-nursing-program/media/what_should_i_do_if_my_child_gets_head_lice_brochure, When it comes to vision and hearing screenings, the Ohio Department of Health provides templates for letters to families to inform them of the upcoming screenings. Sample Spanish School COVID Testing Consent Form(PDF NYSCSH 11/21). Provider & Parent/Guardian Permission for the Use of School-Provided Spacer/Valved Holding Chamber (NYSCSH 7/2020) Provides schools the opportunity to provide a backup spacer if the student's spacer is not available. Treatment reduces the spread of illness. Starting school for the first time can be intimidating. City, State, Zip Code. (If YES, please see the school nurse as soon as possible.) Medical Exemption Review Procedures for Schools Outside NYC, Guidance on Immunization-Related Medical Exemptions for School-Aged Children, Monthly Medication Administration Record (MAR), Catheterization Care Documentation Record, Gastrostomy Tube Feeding Documentation Record, Suctioning Tracheostomy Documentation Record, Template for Skilled Nursing Procedure Documentation Record. Build relationships with parents. endobj Classroom Treats (NYSCSH 3/17)General letter that should be altered to align with your districts policies on classroom treats (some districts only allow pre-packaged snacks, some allow home-baked goods). You can participate even if you work from home. If I have not reached out to you please contact me. !Y?qLNFK`p;tTBGLVxQ$ mPfUJKM60iP+_^R%{Z+AmUTi(OaWch*hle|m8=eUp/hFp%;u4h!p$##nEm\ :ao%-L|!m ~";*`1Tqd7+of=c*T~#DM9fiTh?$A !bC"4gO}o Provider attestation must be included for independent medication use. With the new state of health we, as the Nursing Department, have some new procedures that we would like to make you aware of for the 2020/2021 school year. Epinephrine District Staff Training Summary (NYSCSH 4/17)Provides a form to document staff trained in the administration of EAI. How Does a Parent/Guardian File a 310 Appeal? School Nurse Professional Organizations and Resources, Sample Calendar reminders for a School Nurse. Sample School COVID Testing Consent Form Instructions(PDF NYSCSH 12/20)This instruction sheet was created to assist schools in using the Sample COVID Testing Consent Form as a PDF. We want to welcome you as your School Nurse. District homepage from: Educational Service District 105, July 2016. Were so excited to see you back on campus next week. Over-the-counter treatment: Head lice may be treated with shampoos specifically labeled for head lice. For more information on the Role of the School Nurse. All of these are available through the School-based health centers or through vaccination clinics. School sports, medication, and treatment forms are good for 1 year, so summer is a great time to complete them. We look forward to getting to know you and your child during the 2018-19 school year! Includes area for medication and Vagal Nerve Stimulator orders. National Institute of Diabetes & Digestive & Kidney Diseases (NIH) ToolsSample DMMP, IHP, and ECPs under Health Care and Education Plans. Use the code SCANKIDS as a quick way to bypass the daily limits for testing. Providers can fax any paperwork to my confidential fax: 206 743-3130 . DOC Maryland.gov - Official Website of the State of Maryland The calendar for the school at which I hope to work can be found here: There is no specific nursing calendar available here. The COVID-19 pandemic has made clear the importance of health and health safety. Please complete the Annual Student Health Update form either online or in PowerSchool (Sept 1-30), or by letting me know by email or phone. Medication Expiration Tracking Tool (Word - NYSCSH 8/2022)Documents student initials, DOB, medication name, expiration date, and date of parent communication. Older adolescents (age 13-18 years) who have not been vaccinated should receive their vaccines as soon as possible. If you dont use it, the Bb footer will slide up. I can help you sort out possible COVID-19 symptoms and to access help for testing. This is not mandated, but data collection is important to demonstrate the response of the school nurse in a medical emergency, to help advocate for staffing needs, to create policies and programs, and to create a healthy and safe environment. Sample Emergency Care Flow Sheet (NYSCSH 12/16), Sample Emergency Care Flow Sheet for Staff (NYSCSH 9/17), Sample Faculty/Staff Emergency Contact Information (NYSCSH 5/16), Sample Individual Health Care Plan (NYSCSH 8/18). Nurse Letter to Parents 2020-2021 Welcome Back! Students who become sick during the school day must be picked up within one hour of the nurse contacting a parent or guardian. @&>D8q!""u]WMvsE&H|+ Health examinations are required for new entrants and in grades Pre-K or K, 1, 3, 5, 7, 9, and 11 (Section 136.3 Health Examinations and Screenings. Appointments are required to drop off medication. school day. Letter Samples - (not from template or form, my own work) May 2019. The following is my calendar section. It is vital for the School Nurse to foster communication between the entire school population about who and when someone has an infectious illness. Sample Dental Certificate (NYSED 3/18)This form aligns with health exam grade levels. Its a great way to stay up to date about PANS/PANDAS and to see what events are available in your area. Required NYS School Health Examination Form (Fillable PDF) (NYSED 2023)This form may be completed electronically by saving it to your computer, entering the information into the fillable fields, and saving a copy for each student. If your child has an accident, they will be provided wipes to help with their own cleanup. I am a professional in the nursing field with over 12 years of experience and I hold a B.A. Heather: Welcome back! FERPA Disclosure Log (NYSCSH 8/12)Documents student health records viewed by non-health office staff. endobj 3 0 obj <>/Font<>/XObject<>>>/Filter/FlateDecode/Length 3732>>stream Full training found here: NYSCSH e-Learning & Learning Management System (LMS), Model 504 Plan from the American Diabetes Association. During remote learning, I will be reaching out to check in with students who have a health concern and to connect with students and families who may need extra support. Alliance to Solve PANS & Immune-Related Encephalopathies. Thank you in advance for your cooperation in helping us maintain a safe, healthy environment for all of our students. Required fields are marked *. The school district medical Director is responsible for oversight of the school health program and should be informed of any EAI programs implemented. Separate medication orders would be needed. If a case appears in your school the letters may help to provide information for parents and to allay anxiety Sample notification letters to parents for the following conditions are available: 1. Parent Interview Questionnaire for Seizure History (NYSCSH 6/12)Documents seizure history, medications, and current understanding of the condition, Seizure Observation / Recording Form Can be used to record seizures. School Nurses should send out letters that Request for Notice of Infectious Illness to the school community or to a specific classroom and set of staff that is in direct contact with the student. Food allergies are not recognizedunless we have a food/insect allergy action plan signed by a Georgia physician listing the specific allergen. If you have any questions, please feel free to contact me. If your child must have medication of any type, including over -the -counter drugs, given during school hours, you have the following choices: 1) You may come to school and give the medication to your child at the appropriate time(s). There are a wide variety of resources on the King County website. Instructions for School Nurses and School Medical Directors Related to Completion of the Required Health Examination Form (NYSCSH 1/21)Effective 1/31/2021. Here is the link to the English form letter https://odh.ohio.gov/wps/wcm/connect/gov/ac81b8d7-ddde-4820-8235-da7da62bfd90/Vision+Screening+Requirements+Letters+a.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=ROOTWORKSPACE.Z18_M1HGGIK0N0JO00QO9DDDDM3000-ac81b8d7-ddde-4820-8235-da7da62bfd90-mO6iKmF. This may result in longer lasting immunity for those vaccinated earlier in adolescence. Sample Procedure for Unlicensed School Staff Responding to Severe Allergic Reactions (NYSCSH 4/17). If not treated or not treated long enough, your child may continue to spread the infection. Sample Provider and Parent Guardian Permission for the use of School Provided Spacer/Valved Holding Chamber (NYSCSH 7/20)Provides schools the opportunity to provide a backup spacer in the event that the students is not available. Sample Flow Chart for Sports Clearance(NYSCSH 4/18)May be used to determine clearance for sports participation. PDF School Nurse Welcome Letter p5mWsl *M:2z{ads7?Tc w_/%^T7@Uj^6BZ%^pURd4?8453ROC,d{ODuEwh.&pR(HSXS _L ?!p;BqktvR|$QN(`@@%qK'L/F]C DY'Yo*I4H!)TXR_^T% byIh-qE8m~AT$n4B)";n"O\rPRT# olHYV ,jBveo We look forward to establishing a relationship with you and your child. Finally, If working to find health topics to educate or celebrate each month, one resource is the National Health Observances page at HealthFinder.gov: Columbus City Schools Board of Education, n.d. 2019. The HPV vaccine is given as a three-dose series over a six-month period to protect both females and males. We have listed some information below that should help answer questions you may have regarding the operations of the clinic at Sawnee Elementary. Similar School Nurse qualifications are visible in the example cover letter provided below. Department of Public Health, you may find useful to be able to send to parents. Teens or young adults who have not gotten any or all of the recommended doses should make an appointment to be vaccinated. If you do NOT want the SDQ given to your child, please call or email me with your students name and I will send you an exemption form to complete and return. All SPS students can access mental and physical health services through our many school-based health centers. Monthly Medication Administration Record (Medicaid Compliant)(NYSCSH 2/2017)Records date, times, doses, exception codes, reactions, Medicaid-compliant signature boxes, and NPI number. They are available in many languages. However, if they fail, you should provide the findings, so the follow-up provider has a frame of reference. To aid in keeping students well we do abide by a sickness policy. Effective 7/1/18). Vision Screening Parent/Guardian Notification Results and Referral Form (NYSCSH 10/18) Note: Parents must be notified of both passing and failing vision results. Instructions for Completion of the New York State School Health Examination EHR Compatible Form (NYSED 2020)Provides directions for health care providers on the required components and presentation order of those components for an electronic health record form to be an equivalent form. My job is to support you and your childs health and learning this year, and I hope that I can help you stay healthy during these challenging times. Epi-pens, Albuterol, Benadryl, Childrens Tylenol, Childrens Motrin or any other medications are. Home : 000-000-0000 Cell: 000-000-0000. email@email.com. Sample Letter: Notice to Parents and Guardians - Massachusetts Please let me know if I can be of assistance to you. These are: Hepatitis A (2 doses), Meningococcal B (2 doses), Meningococcal A (1 or 2 doses), HPV (2 or 3 doses). The form is available on-line, in person or by request. Information may include: When to Keep a Child Home - Instructions to Parents/Guardians (NYSCSH 12/19)Sample letter to share district guidelines. Receipt of Medication Delivered to School (NYSCSH 8/2012)Documents receipt of initial and subsequent medication delivery from parents. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> This template can help your child communicate with teachers and nurses about school needs. <> Nurse Letter to Parents - Smore Sample COVID- 19 Exposure Notification Form(NYSCSH 1/22)Sample letter to parents/guardians to inform that their child was exposed to someone who tested positive for COVID-19. The time to begin is nigh! 4v(w"Eyh?y,/X[#Y _c[ Sample Immunization Notification Letters and Packet for Non-Compliant They are available in many languages. Please work with your childs provider for alternative options. Treatment will also prevent other rare, but possibly dangerous, complications such as PANS/PANDAS, a form of autoimmune encephalitis resulting in OCD, tics, anxiety and other symptoms. Please note that adolescents need a booster vaccine at age 16. The School Nurse position at Ingraham has been shared by two nurses over the past couple of years. Hypoglycemia Sample Emergency Care Plan (NYSCSH 10/17), Hyperglycemia Sample Emergency Care Plan (NYSCSH 10/17), Glucagon Training Documentation Form for School PersonnelDocuments understanding and skills attainment for staff voluntarily administering glucagon for students with patient-specific orders.
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