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Lauderdale County School System :: Together . . . Committed to Excellence Through Education

Wednesday, April 16, 2014

 
LAUDERDALE COUNTY SCHOOL HEALTH SERVICES

Mission Statement:  The Lauderdale County School Nursing program is a specialty branch of professional nursing that seeks to prevent or identify student health or health-related problems and intervenes to modify or alleviate these problems so that the student will function at their optimal level of wellness.  The Lauderdale County School Health Program includes delivery of health services and health education which directly contributes to the student's education as well as the health of the family and community.

School Nurses:  The Lauderdale County Board of Education employs two lead registered nurses that coordinate health services for all schools. Most schools have a registered nurse or licensed practical nurse on site during school hours.  School nurses administer medications, assist students with chronic health problems, assist with school screenings, monitor for communicable diseases, and provide health education information.

Serious or Life-Threatening medical conditions:  The Lauderdale County Board of Education authorizes that a written emergency action plan be developed with students identified as having a serious or life-threatening medical condition such as:

  • Diabetes
  • Severe asthma
  • Severe cardiac disorders
  • Anaphylactic shock (severe allergic reaction)
  • Seizure disorder
  • Hemophilia
  • Other life-threatening conditions verified by a physician

Medical Procedures that require a nurse:  Specific medical procedures that require independent nursing judgment or intervention that shall not be delegated to unlicensed personnel include but are not limited to (Alabama Board of Nursing Administrative Code Chapter 610-x-6, Standards of Nursing Practice):

  1. Catheterization, clean or sterile
  2. Administration of injectable medications, other than EpiPen injectable medication for severe allergic reactions
  3. Administration of rectal medications
  4. Tracheostomy care, including suctioning
  5. Gastric tube insertion, replacement, or feeding
  6. Ventilator care
  7. Other invasive procedures or techniques
  8. Sterile procedures
  9. Receipt of verbal or telephone orders from a licensed prescriber

Parents may contact the school nurse so that a plan may be developed and appropriate action taken for a student that requires assistance with invasive procedures or life-threatening medical conditions.  (See Contact Information)

Student Health Information Form:  The Lauderdale County Health Information Form is required to be completed and returned to school at the beginning of the school year and when a new student transfers to a Lauderdale County School (See Documents).

Medication Administration: All medications to be administered at school will be brought to the appropriate office by the parent and safeguarded in a locked area. The State Department of Education School Medication Prescriber/Parent Authorization form must be used for all medication administered in the school setting including over-the-counter medications (See Documents). 

  1. The parent/guardian or a designated responsible adult shall deliver all medication to be administered during the school day to the school nurse or personnel designated by the school nurse.  Medications should never be brought to school by the student or be on the student's person unless they are emergency medications and the proper forms have been completed.  This is to ensure the safety of all students.
  2. The parent/guardian must provide the school with medication that is in a correctly labeled prescription bottle/container.
  3. The parent/guardian must provide the school with a new signed State Department of Education School Medication Form (PPA) each year and anytime medication orders are changed during the school year.
  4. The physician shall provide a list of side effects for prescription medications and over the counter medications administered in excess of the manufacturer's recommendations.
  5. The parent/guardian shall pick up student's medication at the end of the school year.  Medications left at school at the end of the school year will be destroyed by school personnel if not picked up by a parent within 14 days.
  6. Expired medications will need to be picked up as soon as possible or will be disposed of by school personnel.
  7. The parent/guardian shall give the first dose of a new medication at home in case of a possible allergic reaction.
  8. Over-the-counter medications administered according to manufacturer's recommendations will require completion of the Alabama State Department of Education School Medication Prescriber/Parent Authorization form signed by the Parent/guardian. All over the counter medication must be provided by the parent in the original sealed container identifying the medication name, dosage, and manufacturer's labeling.
  9. Over-the-counter medication prescribed in excess of the manufacturer's recommended dosage will require completion of the Alabama State Department of Education School Medication Prescriber/Parent Authorization form signed by the parent/guardian and physician.
  10. No aspirin or aspirin containing medication (salicylate) will be given to children or teenagers under the age of 18 years of age, unless prescribed by a physician.
  11. Natural remedies, herbs, and nutritional supplements may not be administered by school personnel without an explicit order from an authorized prescriber that includes parent authorization and verification that the product is safe to administer to children in the prescribed dosage with reasonable information regarding therapeutic and untoward effects.
  12. Student self-administration of medication for a documented chronic health condition will be authorized if conducted in compliance with the State Department of Education, Alabama Board of Nursing, and Lauderdale County Board of Education guidelines.  Student self-administration of medication will be determined on an individual basis.
  13. The Lauderdale County Lead School Nurses will work with the school to set up safe and effective guidelines in medication administration.

Accidents:  In the event of an accident on school grounds involving a student, the parent/guardian will be notified of injuries that require medical treatment.  If immediate treatment is necessary, the educational employees serve under Alabama Law 87-390 which states, "When---public education employees gratuitously and in good faith, render first aid or emergency care at the scene of an accident, casualty or disaster to a person injured therein, he/she shall not be liable for any child's damages as a result of his/her acts or omissions...".

Immunization Requirements for entering school (see links)-A Certificate of Exemption or Certificate of Immunization (Blue Form IMM 50) against the following diseases:  Diptheria, Tetanus, Pertussis (Whooping Cough), Poliomyelitis, Measles (Rubella, Rubeola), Mumps, and Varicella (Chicken Pox).

The pneumococcal vaccine is now required for children entering pre-K programs.  Children entering pre-K programs for the 2013-2014 school year must have four doses of the pneumococcal vaccine up to age 15 months.

All students 11 years of age or older entering 6th grade will require a booster dose of tetanus-diphtheria toxoid and acellular pertussis vaccine (Tdap) prior to beginning the 2013-2014 school year.  (See Documents)

Immunization certificates are available from the Lauderdale County Health Department, 4112 Chisholm Road, Florence, Al. and /or from local pediatrician or family physician.