SCOE Health Services

842-8405

Beginning August 2010Patty Morris, Health Services Manager

842.8425 or pmorris@siskiyoucoe.netAngela Martinez, Administrative Secretary

842.8405 or amartinez@siskiyoucoe.net

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Changes for 2010-2011TB Skin Tests

SCOE Clinics North and South County will now only be in the fall (Check for staff requiring test anytime during school year)

NEW! Staff who have tested positive in the past and have negative chest x-ray on file must now be screened every four years and questionnaire kept on file. No charge.

Dates, locations, & cost in “Back to School” Packet

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Changes for 2010-2011CPR/First Aid

For coaches, staff who have students with health concerns, and secretaries

North and South County in the fallDates, locations & cost in the “Back to

School” PacketIndividual school CPR classes depends on

availability of nurses so take advantage of fall courses

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Changes…Illnesses and Injuries

Call nurse if question (should have monthly calendar, call Angela)

Head liceLet nurse know about chronic conditions,

medications, ongoing health concerns, attendance problems, SST’s

First aid course recommendedNurse will do trainings for health concerns

when required

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Changes 2010-2011 (actually, this is a reminder)

Flu SurveillanceOr let’s call it monitoring absences and illnesses

Forms on SCOE Health Services Department(HSD) website

Calling on all absences and loggingReport to Public Health Department (PHD)

weeklyWHY?

Required if a severe flu outbreakHelpful for SARB ProcessIdentify problems early

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Back to School PacketE-mail and hardcopy, important stuff so read

itTB and CPR/FA Dates and locationsImmunization clinics (also on PHD website)

http://www.co.siskiyou.ca.us/PHS/pershealth/pershealth.aspx

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Back to School PacketNEW! Type 2 Diabetes Letter for all incoming

7th graders. Sent out in BTS packet and will be on SCOE HSD website.

Adapt letter for your school and administrator.

Send out letter, information sheet developed by the state, and list of providers in your BTS Packet

You have completed the requirement

Concerned parents? Connect them with your school nurse.

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Health InsertYou order Health Insert from:

KP Education Service product3700 Seaport Blvd.West Sacramento, CA. 95691800.498.4377

Blue CSIR’s are order from PHD:Kara Lemere, PHN 841-2148 klemere@co.siskiyou.ca.us

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Health Insert (cont.)Kindergarten: set up with identifying and

CHDP information and immunization (see CSIR)

Enter hearing and vision Color vision 1st grade boysScoliosis for 7th grade girls and 8th grade boysThe school nurses have promised to give you

legible records and to be available for questions. They will also enter all the failed screenings and referrals.

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ImmunizationsChecking for required immunizations

Use the California Immunization HandbookPage 1, steps in briefPages 2-8, basic procedure and determining if

requirements are met

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Immunizations Page 7&8, Exemptions

“Exemptions” can be medical (Physician’s note, temporary or permanent) or personal beliefs.

Must keep a list in case of an outbreak requiring exclusions

Can be all or just some immunizations. Should not be for convenience (but I fear it is done).

Emphasize importance for their child’s safety and the safety of all students, economic implications, possible long term exclusion (handout).

Parent signs on back (be sure it is in the correct spot). Specify which immunizations if not all.

Still fill out CSIR if child does have some immunizations.

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ImmunizationsConditional Admissions

Page 9-11, “conditional” admission. Can get

complicated, ask your school nurseRequires ongoing follow-upNotices of Required Immunizations with

clinic schedulePages 12-14, system for follow-up on conditional

admissions. It can be done…Letters home. Once you let them in, it’s

hard to get results.No longer need to do 7th grade assessment

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ImmunizationsPage 15, recordsPage 16 & C-66, preparing HS students for

collegePage 17, computerized records. PDF form on DHS website

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ImmunizationsReviewing CSIR or immunization record of

incoming studentsLet school nurses know about new studentsSchool nurse can access PHD

Immunization Registry if parent cannot find or access record (it may be there). She can also do verification of disease for chickenpox.

Pages B 50&51, Windows for Immunizations (here we go!)

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ImmunizationsKindergarten

When parent picks up the K Registration Packet, remind her/him that their child will probably need four year shots and it should be done before the child is registered and the record needs to accompany the registration material. Information is in packet.

When parent brings in registration packet, an immunization record should be with it

Check the record while the parent is there. If immunizations are missing, give them a completed Required Immunizations letter and a clinic schedule.

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ImmunizationsKindergarten

Emphasize that the child is not officially registered until immunizations are completed. If you allow the child to attend school, most likely you will have a long, time-consuming process of bringing the child into compliance.

Work with your administrator & school nurse

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ImmunizationsKindergarten

You have an additional step of entering identifying information (do not need address) and the immunizations on to the CSIR. Enter M/D/Y

Then use the windowImmunization Waiver (Exemption)on the back

of the CSIRUpdate immunization schedule in K Packet in

May (on PHD’s website)Forms and letters will be on website

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ImmunizationsKindergarten

Report of Kindergarten Immunizations due to state October 15th, so not much time to deal with noncompliant students (read “parents”). State no longer sends you a hardcopy.

Will send you a letter with instructions on doing report online

Make a copy of report before you forward it to the state or you may lose it (cannot be saved).

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ImmunizationsKindergarten

Copy to local PHD, school nurse, and one for school

County of Siskiyou Public Health Department

Immunization Coordinator806 South Main St.Yreka, CA. 96097

Use Assessment Worksheet (also can use for tracking OHA & First Grade Physical)

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First Grade Physical (CHDP)Information and physical form are in K Packet

(Also, will be on SCOE HSD website), but not needed until 1st grade.

Physical can be within 18 months of starting first grade. So March 2009 is OK for a 2010 first grader or 2010 kindergartner.

Required to have physical or waiver signed within 90 days of starting 1st grade (before Thanksgiving break)

Report goes to school nurse by Jan. 15th.

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First Grade Physical (CHDP)Suggested timeline for implementing mandate:

First notification in K PacketTrack with immunizationsFall for FIRST Graders:

F/U letter with physical form start of school

Final letter with physical form and waiver enclosed beginning of Oct.

Compile and report to school nurse by Jan. 15.F/U letter with physical form in May for

kindergartnersCan claim Mandated costs

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Oral Health Assessment (will this ever end?)

Initial information is in K packet. All forms will be on SCOE HSD website.

Dental screening can be done within 12 months of starting kindergarten (Sept. 2009 is OK for student starting 2010-2011 school year)

Send out reminder with form and list of dental providers and Family Resource Centers in the fall

Track with immunizations and 1st grade physicalIn May, compile data on report form and give to

school nurse.23

ApologyThis is a ton of information. Your school nurse

will be available to help with the processes.Also, do not hesitate to contact Angela

Martinez at the Health Services Department at

842-8405She will connect you with the Health Services

Manager, Patty Morris, RN.

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