Wednesday November 13th 2-3:30pm at Pilot Butte Middle School in the library
Sub nurses please join us at the November meeting! We will have a little business to take care of followed by some FUN team building activities.
ADVANTAGE DENTAL
Advantage Dental is going to be introducing QR codes for the consent forms. Families will still have the option of using the paper consent form if they prefer. QR codes will be sent directly to each school from Advantage dental and schools can decide how they would like to send them out to families.
This is starting now for our schools that still need to be screened this year.
NURSE SERVICE MANUAL UPDATES
The following updates were made to the NSM:
Updated language “standards of care” to “standards of practice” and added link to NASN article, “Practicing With A Framework Mindset: A Closer Look at the Standards of Practice Principle” (p. 15)
Link to NASN School Nurse article on Allergy/Anaphylaxis Clinical Practice Guideline added to helpful links in Anaphylaxis section (p. 70)
Link to REAPConcussion.com added to helpful links in Concussion section (p. 120)
Added link to NASN article, “Practicing With a Framework Mindset: A Closer Look at the Principle of Care Coordination” to the helpful links in the Care Coordination section (p. 157)
Minimum age of student consent for Medicaid billing changed from 15 to 18 (p. 161)
Updated the Medicaid Billing section to remove instructions on the use of DSCtop. Nurses should refer to the instructional resources available within the DSCtop platform. (p. 162)
Also, as a reminder, your NASN/OSNA membership includes a subscription to NASN School Nurse and the Journal of School Nursing, which can be accessed via Sage Journals. Refer to p. 11 of the NSM, which contains a link to instructions on the NASN website.
Nurse Hannah is off on her 2-year leave to Italy! We had a fun farewell get together and Molly shared an amazing poem.
Ode to Hannah
In the halls of our school, with a skip and a cheer, Lives a tech savvy nurse Hannah, it’s you we hold dear. With curly blonde hair and a heart full of zest, She makes nurses laugh when we’re half dead and need rest.
With two wild boys who keep her on the run, She juggles her passions and makes life oh so fun. From yoga to biking, she conquers the trails, At Orange Theory, she never fails!
From COPA with Cynthia, they discussed Bend’s dating scene, To conquering mountains- she’s a backpacking queen. Now she’s off to Sicily on a life changing quest, As a DOD nurse she’ll best all the rest!
We’ll miss her quick wit, her compassionate care, The way she lights up any room with her flair. So here’s to dear Hannah, as you spread your wings wide, Know we’ll always cherish you, our Bend-La Pine pride!
So go on, fierce warrior, make Sicily shine, We’ll hold onto your spirit, forever divine. With laughter and love, we send you away, In our hearts, Nurse Hannah, you’ll always stay!
STOP THE BLEED TRAINING
We have 2 upcoming trainings:
La Pine High School Library: Wed Oct 23rd at 2:30pm
Caldera High School (rm 210): Wed Nov 13th at 3pm
Please share this with your schools and encourage staff to attend! If we do not have people sign up we will have to cancel.
Submit any Medicaid Questions for April and see previous answered questions here.
NARCAN
Replacement Narcan kits have arrived! It is the kits originally placed in the AED cabinets that may be expiring in October. If you need a replacement, please email Michelle and also fill out the green AED Cabinet Naloxone Expiration Date column on the AED Master Spreadsheet.
Please do not throw away your expired Narcan kits! You can send the entire kit to Michelle once you receive your new one.
SUICIDE PREVENTION SLIDES
Jamie Gunter shared these slides from the October 9th PD Day we were unable to attend. Reach out to her if you have any questions.
The following updates were made to the NSM last week:
BLS Opioid Overdose graphic was added to the helpful links of the Overdose section (p. 89)
Guidance on travel expenses updated to reflect requests for reimbursement must be submitted in the same school year the expenses were incurred (p. 13)
Added link to Suicide Prevention / Intervention Care Coordination presentation under helpful links (p. 100)
Added new concussion coach contact email to the concussion / tbi section (p. 118)
Updated Head Lice guidance to remove links to an outdated protocol and add links to the new district policy. Additionally, added a link to CDC flyer with step-by-step instructions on examining for lice (p. 48)
We made it through September! In case no one has told you today. You are amazing, and our students are so lucky to have you!
Here are a few daily mantras I use to try and maintain some sanity in this busy school year.
I am strong, I am capable, I am kind.
I do enough, I have enough, I am enough.
I am me, and that’s enough for today.
I am not in control of anything or anyone, only myself.
My voice is valuable and my opinion matters.
At this moment of tears, I am reminded of my strength and resilience. I will emerge from this experience stronger, wiser, and more compassionate.
Just start.
Have the best rest of your week.
~ Erica
STOP THE BLEED TRAINING
We have 2 Stop the Bleed trainings scheduled for staff
EXPIRING NARCAN
I have ordered replacement Narcan Kits for the ones we have expiring in October. It is the kits originally placed in the AED cabinets that are expiring. If you need a replacement, please fill out the green AED Cabinet Naloxone Expiration Date column on the AED Master Spread Sheet. That is the list we will be using when we send them out to schools.
PLEASE DO NOT THROW AWAY YOUR EXPIRED NARCAN KITS. You can send the entire kit to Michelle once you receive your new one.
There is a pallet full of the small pump hand sanitizer bottles in distribution. Feel free to order some for your schools!
NURSE SERVICES MANUAL UPDATES
Here are the updates made to the NSM this past week:
Updated the communicable disease guidance for Diarrhea and Vomiting from 48 hours to 24 hours (p. 44, 51).
Added guidance on Medicaid billing/DSCtop (p. 159-161)
Added guidance on Certificates of Completion for Medication Administration Training (p. 191).
SUB NURSE UPDATE
We officially have 5 new sub nurses we have added to the team! Please welcome Lexie, Kim, Megan, Millie and Kelli! You will see their names on the schedule as we work to get them oriented to the schools. Thank you everyone who is helping to orient these nurses and remember to submit your orientation stipend in UKG!
NURSE MEETING
October 9th from 2-3:30 at Mountain View High School in room D-3.
Wendy Beall our TBI Consultant from HDESD will speaking to us about concussion management.
LICE TREATMENT
The district purchased one box of lice treatment for each elementary school. If you are an elementary nurse and did not receive a box for your school, please let Michelle know.
Some of the original Narcan/Naloxone we received are expiring in October. Can you please check yours and update the AED Master Spreadsheet. If you scroll to the right side, you can enter expiration dates. Email Michelle if your school will need more Narcan/Naloxone once your supply expires in October. We received extra last year so most schools should have plenty.
The FDA extended the expiration date for Naloxone Nasal Spray from 3 years to 4 years on products manufactured after 1/17/24. It does not extend the products manufactured prior to that date. Follow the expiration date that is on the box. For more info.
OHA/ODE COMMUNICABLE DISEASE UPDATES FOR VOMITING AND DIARRHEA
OHA / ODE has changed the Communicable Disease Guidance for Schools guidelines this year for students returning after having vomiting or diarrhea. They may now return to school after 24hrs of no vomiting or no diarrhea (this replaces the previous 48hr guideline)
Here is the link to the full Communicable Disease Guidance packet:
Please make sure you are using this PPE Order form for ordering supplies. It was recently updated so distribution could read the requests more easily. If you ordered something that has not come in, it may have been on the old form so just resubmit it.
ORANGE FIRST AID KIT GUIDELINE
Oliver has created a guide to help staff and nurses maintain the orange first aid kit that sits in the front office. It even has some suggested links for replenishing supplies if needed. We found some lidocaine burn gel packs that were expired in some of the kits. If you find that in yours, please dispose of it. Orange First Aid Kit Guidelines
HEAD LICE
The Bend La Pine school district policy on head lice remains as follows: for any students found to have live lice while at school, they will be sent home and may return once they have received treatment. This policy was recently reviewed and the decision was made to continue with it. Please see the full head lice procedure here.
Each elementary school will be receiving one box of Nix lice treatment for any family that may need help obtaining it.
We are having a Medicaid Training meeting for nurses on Wednesday 9/25 from 2-3pm with April Diehl.
Please make every attempt to be at this meeting as the nursing team will be required to start billing Medicaid for student care. Elk Meadow library.
NURSING SCHEDULE 2024-25
The October 2024 schedule has been added. Please take a minute to look it over. As we get more sub nurses trained, I am working to cover direct care schools at least once a week so nurses can spend a day at their non-direct care schools each week.
NURSE MEETINGS
September 18th
All nurse meeting at the Ed Center in room 203. We will have a feeding team info session and Sarah Van Meter from Deschutes County Health Department speaking on immunizations and Measles. Bring any immunization questions you have!
September 25th
All nurse meeting for Medicaid training 2-3 in the Elk Meadow library.
NURSE SERVICES MANUAL UPDATES
Here are updates made to the Nurse Services Manual the week of September 9-13:
The flyer with the QR Code and link to the training documentation form was updated to the new version (p. 188).
The Asthma HMP and Assessment forms were updated to include guidance on keeping students inside based on AQI>100 (p. 70, 71, 199).
Incorrect guidance was removed from the Tube Feeding guidelines. Medication administration through tube feeding CAN be delegated (p. 151).
A link to a Tip Sheet on sending Encrypted emails was added to the guidelines on Communicating Health Information (p. 24)
The Suicidal Ideation and NSSI sections were updated based on feedback from Jamie Gunter. Changes include removing the Risk Assessment Flow Chart for Nurses (which contained incorrect guidance on inputting to Synergy), adding a video tutorial on inputting NSSI concerns into StudentSafe, and adding resources for parents and students (p. 122). Jamie’s contact information was also added (p. 98).
Some of the original Narcan/Naloxone we received are expiring in October. Can you please check yours and update the AED Master Spreadsheet. If you scroll to the right side, you can enter expiration dates. Email Michelle if your school will need more Narcan/Naloxone once your supply expires in October. We received extra last year so most schools should have plenty.
The FDA extended the expiration date for Naloxone Nasal Spray from 3 years to 4 years on products manufactured after 1/17/24. It does not extend the products manufactured prior to that date. For more info.
Welcome to our first blog of the 2024-25 school year! As you know, Tami will be out on leave thru November 13th. I will be covering until she returns and doing my best to keep things running smoothly. ….Okay kinda smoothly! I have so much faith in our amazing team of nurses and I know how well we all help each other. Please reach out if you need anything at all and if I do not know the answer, I will do my best to find it. If there is something I have missed, please let me know. Thank you to everyone that has already jumped in to help. I hope everyone had a great first week!
❤️ Michelle
Automatic Email Replies
Please remember to TURN OFF your automatic email replies if you have not done so yet.
ATTENDANCE INFORMATION
Flex Days
Did you work any days prior to August 27th to redeem as flex time at a later date?
Did you work any days prior to August 27th and want to timesheet any of this time?
Please complete the Flex Prep Day Information Form.
NURSING SCHEDULE 24-25
Please take a look at the nursing schedule for the 24-25. I will always try to notify you if I change something on the schedule after it comes out so you are not surprised. Schedule
NURSE MEETING
Our next nurse meeting will be on September 11th , location TBD. We will have a feeding team info session and Sarah Van Meter from Deschutes County Health Department speaking on immunizations and Measles.
Night Before or Morning of: Please text Michelle to find direct care coverage for your school.
Please complete the Absence Reporting Form for any sick leave, personal day(s), or flex time.
Document your absence in UKG for any sick time or personal days used. *Do not document flex days in UKG.
Reminders
Please submit your leave requests sooner rather than later.
Before submitting a leave request, please make sure you have enough personal leave/flex time.
Please remember that should we have any make up weather days at the end of the school year, we are required to work those days. Any requests for time off during a make up weather day will need to be approved through Human Resources.
HEALTH ROOM
Check your health room refrigerator temperatures monthly and document the information using this form.
For any information needing updating, please complete BLS Nurse Service Manual Update Request form.
ORIENTATION/FEEDING/DIABETIC TEAM
If you have any interest in being on the orientation/feeding/diabetic team, please complete the Consulting Registered Nurse Orientation/Feeding Team form. (Kevin, Pam, and Theresa are our district feeding team representatives.)
Please email Michelle and April Diehl with the details (including which team you are on and the number of hours worked) when submitting a stipend request.
2024-25 BADGE STICKER
Please get your 2024-25 badge sticker from the office manager at your school.
SYNERGY MAIL LINK
You may notice a new Synergy MAIL icon link in the top left menu bar of Synergy. Please do not use that link to mail anyone, IT is still testing the system and working it out.
WELCOME TO THE FIRST MONTH OF SCHOOL WHERE YOU’RE SOMEHOW ALREADY 3 MONTHS BEHIND IN PAPERWORK.
WEEKLY BLOGS
If you haven’t reviewed the Nursing Blog from 8/21, please take a look. There is important information included in that blog.
YOUTH SUICIDE INCREASE
From Deschutes County
Call to Action from Deschutes County: Oregon Health Authority recently notified us that the state is seeing an uptick in younger youth suicides (ages 14 and younger). While the number of overall youth suicide deaths has not changed from the year prior, this change in our younger population is concerning.
We are sharing this information with you to place emphasis for those serving students, grades 4 to 9, to be vigilant in watching for warning signs and to follow your school’s protocols/Adi’s Act when they see signs for suicide risk. We want to encourage our school districts to continue to support school staff and ensure they are receiving suicide prevention/intervention trainings as we move into this coming school year.
We have the benefit of knowing how diligent you all have been when it comes to this state-level call to action and we encourage each district to carry on with your district’s policies and protocols when it comes to suicide prevention.
Below are some key reminders to help support each of your districts and schools in order to help keep a vigilant eye, steps to take, and the resources available. If you have any questions, please do not hesitate to reach out.
Warning Signs
Verbally (directly/indirectly) stating they do not want to be here, are burdensome, etc.
Indirect verbal example for younger ages: “I want to go to sleep and never wake up.”
Direct verbal example for younger ages: “I want to die.”
Giving away prized possessions.
Examples for younger ages: giving away Pokemon cards they historically have cherished or a stuffed animal.
Shifts in mood, affect, academics, socialization.
More warning signs, including risk factors, can be found here. EACH SIGN SHOULD BE TAKEN SERIOUSLY
Resources Available
First Step App
YouthLine: 877-968-8491 or text “teen2teen” to 83983
988: available via call or text for both English and Spanish, 24/7
The form can be found on the Safety Portal, in the Safety Drive, and in the Self-service UKG Portal (UKG widget coming soon.)
Please spread this information to your teachers, EAs, and anyone else who commonly fills out an incident report.
If nurses need to assess a student for a head injury, they can document their assessment in Synergy under the Health Log tab. There is no longer a “Nurse Head Injury Report Form”.
RELEASE OF INFORMATION FORMS
Please remember to send completed Releases of Information to the records clerks to upload into Synergy. Please email forms to:
[email protected]via BLSend. A good idea is to cc yourself in that email, so you have record of when it was sent. Records clerks will upload the ROIs in Synergy (under the documents tab as well as in the SE student SpEd Docs tab).
HUMAN RESOURCES
Safe Schools Trainings
Accessing Safe Schools Trainings
Paul Dean has created a help document and help video for employees to access the Safe School’s Trainings in UKG. Here is a link to the help video and this is a document that staff can use to guide them through the process.
The basic system is to login from their district UKG screen and go to the learning module. Because of the varied nature of the trainings, employees need to go select the training that they need- it isn’t auto-populated. If staff need access to other trainings than this, please email [email protected] for assistance.
UKG
Information on how to submit a time-leave request from a prior period time sheet can be found here.
FAN / LIAISON / SLP / PT / OT
FAN
Important Information from Central Oregon FAN
Being that we have several new team-members, we wanted to refresh everyone on the role and function of FAN advocates. Here is a one-page summary about these amazing supports for our families.
Family Liaison team hiring has been ongoing since last spring–getting closer! Liaisons’ school assignments should be ready as soon as hiring is complete, by end of next week at the latest. Thank you for your patience—I know you need this information yesterday.
In the meantime, please use Linguist Link to request interpreters for back-to-school events like Open House. You can also request an interpreter to come to your office for a couple hours to make phone calls, etc. (Make sure you submit translation requests ASAP for all welcome-back newsletters and invitations to your events.)
If you need more immediate support, there are various tools available for language access. If you need a Family Liaison for a specific family support situation beyond interpretation, please contact the Welcome Center (x6820 or [email protected]). If you have other questions, reach out to Kinsey.
SLP, PT, OT
Are you wondering who your SLP, PT, OT is at your school? Take a look at the Who is Where Quick Guide.
When your staff teaches behavior expectations in different areas of the building this fall, be sure to explicitly teach the purpose and expectations for use of the menstrual products and dispensers in the bathrooms. Basic talking points and additional resources here. Also be sure that school tours include mentioning where and how all students can access gender-neutral bathrooms and expectations for behavior in those spaces.
Classroom Practices
Share with teachers: Our district equity coaches can help teams walk through Menstrual Dignity Act, Bias Incident Lesson (more on this soon), or other sensitive topics. Reach out to the team! Additional tips and strategies available on the LEAD website.
NURSE MEETINGS
First All Nurse meeting is:
Tuesday, August 29, 2023
1030-4pm (lunch will be provided)
The Board Room (520 NW Wall St.)
Trainings/Professional Development
Sexual Abuse training offered by PACE: Child sexual abuse is a pervasive societal problem that requires ongoing conversations. Learn about child abuse statistics, the grooming process and how to identify a predator in educational settings. Head into the new school year with a baseline understanding of how to prevent sexual abuse and bring your questions! There is a current training planned for Aug. 31 at 12:00 pm. If you are interested, you can sign up HERE. McKenzie Nix is a great resource and she can come to talk to staff or do trainings during the year. Email [email protected].
QPR Training – Mandatory (if you haven’t taken the class within the last year)
Wednesday, October 25, 2023
230-4pm
Location: TBD
Mandatory nurse staff /meetings trainings on the following non-school days:
Friday, February 2, 2024
Thursday, April 11, 2024
Friday, April 12, 2024.
Acuity Tool Update
Updated Acuity Tool presentation during OSNA (virtual) Fall Conference on November 3, 2023.
Informational session dates TBD.
DAY OFF REQUESTS
Day off requests – Get your requests in ASAP for any time you wish to take off. (This includes school conference days.)
Classified Staff – Per HR, no more than 5 unpaid days can be used for personal time (vacation, recreation, etc.) during the school year.
Certified Staff – Per HR, there is no option for unpaid days for personal use. Certified Staff can only use personal leave.
Please remember when requesting an extended period of time off for personal time (greater than 5 days), your team is affected by needing to support your assignment.
Dates not available to request time off*Please do not request time off during these times.
There will be mandatory nurse staff /meetings trainings on the following non-school days:
Friday, February 2, 2024
Thursday, April 11, 2024
Friday, April 12, 2024.
BLS NURSE CHECK-IN SURVEY
Having a stressful week? Need some extra support? Suggestions for nurse meeting ideas. Please complete the BLS Nurse Check-In Survey
I hope each and every one of you had an amazing, restful summer break!! It’s now time to turn your school nurse brains back on.
AUTOMATIC EMAILS
Automatic Email Replies
Please remember to TURN OFF your automatic email replies when you return from summer break.
NURSING SCHEDULE 23-24
Please take a look at the nursing schedule for the 23-24 school year. There were quite a bit of changes over the summer.
PREP DAYS
School Prep Days – Please complete this form to document your days you plan on using for school prep flex days and/or time sheet days. The maximum number of prep days allowed is 5 days.
DAY OFF REQUESTS
Day off requests – Get your requests in ASAP for any time you wish to take off. (This includes school conference days.)
Classified Staff – Per HR, no more than 5 unpaid days can be used for personal time (vacation, recreation, etc.) during the school year.
Please remember when requesting an extended period of time off for personal time (greater than 5 days), your team is affected by needing to support your assignment.
Dates not available to request time off*Please do not request time off during these times.
There will be mandatory nurse staff /meetings trainings on the following non-school days:
Please use the following link to request AED supplies. Please do not email Michelle for supplies. This new process will make supply replenishment easier and more efficient for everyone.
CPR/First Aid
HANDS ON SKILLS CLASSES (20 min class) will be offered at the end of August.
THERE WILL BE NO HANDS-ON SKILLS CLASSES DURING THE MONTH OF SEPTEMBER. They will resume again in October.
Wildfire Smoke/AQI and Health Illness Trainings
Please take some time to review these trainings. Nurses do not need to show these trainings during their staff trainings.
The following information went out to level leaders for their blogs last week. Please check your COVID-19 test kit supply at your schools and let Michelle or Tami know if you need more for your sites.
Illness Symptoms and When to Stay Home
Bend-La Pine Schools follows the Oregon Health Authority/Oregon Department of Education’s Communicable Disease Guidance for Schools. This guidance includes when an individual should be excluded from attending school (in-person) or any school-related activities such as clubs and sports.
For information on symptom-based exclusion guidelines, see page 8 of the Communicable Disease Guidance for Schools.
Fever – An individual must be fever free for 24 hours without the use of fever reducing medications.
Diarrhea/vomiting – Must be at least 48 hours since last episode.
COVID-19 is no longer an excludable disease (unless symptoms of fever, vomiting, and/or diarrhea are present). Parents/guardians/staff are no longer required to report positive cases of COVID-19 to the schools. COVID-19 test kits and medical grade face masks are available to students and staff upon request. Check with your school nurse about how to obtain a supply for your school.
Please refer families to the Health and Wellness section on our Bend-La Pine Schools website for more information about when to stay home.
This information was presented to office managers during their annual office manager training for the 23/24 school year. Some of this information nurses don’t need but some of the information would be good for you to know.
FREQUENTLY CALLED NUMBERS
You can access the Frequently Called Numbers list for the district in the Staff Portal under Quick Links.
HUMAN RESOURCES
OEBB Open Enrollment is open! Check out the Benefits website for all kinds of great information, learning opportunities, and resources to help them complete their enrollment. Enrollment closes on September 15.
Paid Leave Oregon. Paid Leave Oregon is “a-go!” American Fidelity is the equivalent plan provider for BLS. We are working to set up information with American Fidelity for employees to submit their applications online and will send out communication once the system is ready.
Please check out the Paid Leave Oregon portion of the Benefits website for more information. If administrators have questions around employee, eligibility, etc. please reach out to the Benefits team at [email protected]
EAP & Wellness Resources. A reminder that the Human Resources Portal page has some great information and resources for employees to help support their well-being.
With summer break quickly approaching I just wanted to give an update on First Aid / CPR certification.
If you would like to renew your First Aid / CPR (or take it for the first time) before school starts again in the fall, PLEASE SIGN UP THRU PERFORMANCE MATTERS BEFORE JUNE 13, 2023
HANDS ON SKILL CLASSES (20 min class) will be offered at the end of August.
THERE WILL BE NO HANDS ON SKILLS CLASSES DURING THE MONTH OF SEPTEMBER. They will resume again in October.
NURSE INFORMATION
Automatic Email Replies
Please remember to put an out of office automatic reply on your emails so folks understand that you will not be responding to emails until you return in late August.
School Prep Days – Please email Tami and Michelle your days you plan on using for school prep flex days and/or time sheet days. The maximum number of prep days allowed is 5 days.
Day off requests – Get your requests in ASAP for any time you wish to take off. (This includes school conference days.)
Classified Staff – Per HR, no more than 5 unpaid days can be used for personal time (vacation, recreation, etc.) during the school year.
Please remember when requesting an extended period of time off for personal time (greater than 5 days), your team is affected by needing to support your assignment.
First All Nurse meeting is
Tuesday, August 29, 2023
1030-4pm (lunch will be provided)
The Board Room (520 NW Wall St.)
QPR Training – Mandatory (if you haven’t taken the class within the last year)
Wednesday, October 25, 2023
230-4pm
Location: TBD
CENTRAL OREGON COMMUNITY HEALTH SURVEY
Feel free to pass the survey information along to anyone residing in Central Oregon and are over the age of 18.
With summer break quickly approaching I just wanted to give an update on First Aid / CPR certification.
If you would like to renew your First Aid / CPR (or take it for the first time) before school starts again in the fall, PLEASE SIGN UP THRU PERFORMANCE MATTERS BEFORE JUNE 13, 2023
HANDS ON SKILL CLASSES (20 min class) will be offered at the end of August.
THERE WILL BE NO HANDS ON SKILLS CLASSES DURING THE MONTH OF SEPTEMBER. They will resume again in October.
Air Quality – from Julianne:
It is that time of year again… controlled burns are taking place throughout the region and skies are smoky. To that end, we want to be sure that you review these air quality tools so that you can make decisions about student and staff safety at your school sites.
MEDICATION DISPOSAL
Please let Michelle know if you need any kittey litter.. 🐈
