Categories
Nurse Updates

October 10th-14th Blog

LONG COVID

Sean attended a conference last week – Coalition of Oregon School Administrators – slides forwarded from the conference

Supporting Students with Pediatric Long COVID

TIME OFF REQUESTS

REQUEST FOR TIME OFF DATES NO LONGER AVAILABLE:

10/17 – 10/18

11/3/22 – 11/4/22

11/9/22

12/15/22 – 12/16/22

SCHOOL HEALTH AND NURSING SERVICES RELATED TO PANDEMIC 

Sean attended a conference last week – Coalition of Oregon School Administrators – slides forwarded from the conference

Emerging from the Pandemic: School Health and Nursing Services

POISON CONTROL

Have you ever had a student come to you stating that they squirted hot sauce in their eye? What about a student who has ingested ice melt on the sidewalk? Well, both of these scenarios have happened and much much more!!

Poison Exposure

Toxicologists use the term “poison exposure” instead of “poisoning” to refer to an incident involving a person who swallows or comes in contact with a substance that might be poisonous. Contact could be swallowing, splashed in the eyes or on the skin, breathed in, or injected. Often the substance isn’t as toxic as one initially thinks it might be, or the amount taken is so low that no bad effect is expected. Since symptoms may not develop, technically these exposures can’t be called “poisonings”.

Two ways to get help for a poison exposure/poisoning:

1: Use the webpoisoncontrol online tool – when there are no serious symptoms, most single substances, unintentional (no self-harm or suicide attempts), age 6 months to 79 years, not pregnant, otherwise healthy. 

2: Call Poison Control – 1-800-222-1222

AQI

Tools available to assess air quality.

*Note sent to level leader blogs this week…

Please make sure all of your administrators are aware of the tools available to assess whether or not students can be outside/participate in outdoor activities. Additionally, the air quality can rapidly change and what may have been an acceptable AQI number at 8 could change to an unacceptable number at 9. This should be taken into consideration with field trips. 

Download the Oregon Air app. https://apps.apple.com/us/app/oregonair/id1330462330

Another tool that can be used is the 5-3-1 Index.

Estimating visibility using the 5-3-1 Index

Determine the limit of your visual range by looking for distant targets or familiar landmarks such as mountains, mesas, hills, or buildings at known distances (miles). The visual range is that point at which these targets are no longer visible. As a general rule of thumb: if you can clearly see the outlines of individual trees on the horizon it is generally less than five miles away.

Ideally, the viewing of any distance targets should be made with the sun behind you. Looking into the sun or at an angle increases the ability of sunlight to reflect off of the smoke, and thus making the visibility estimate less reliable.

Once distance has been determined, follow this simple guide:

  • If visibility is well over five miles, the air quality is generally good.
  • Even if visibility is five miles away but generally hazy, air quality is moderate and beginning to deteriorate, and is generally healthy, except possibly for smoke sensitive persons. The general public should avoid prolonged exposure if conditions are smoky to the point where visibility is closer to the 5-mile range.
  • If under five miles, the air quality is unhealthy for young children, adults over age 65, pregnant women, and people with heart and/or lung disease, asthma or other respiratory illness. These people should minimize outdoor activity.
  • If under three miles, the air quality is unhealthy for everyone.  Young children, adults over age 65, pregnant women, and people with heart and/or lung disease, asthma or other respiratory illness. These people should minimize outdoor activity.
  • If under one mile, the air quality is unhealthy for everyone.  Everyone should avoid all outdoor activities. 

Using the 5-3-1 Visibility Index

Distance you can see*You are: ORYou have
 An adult
A teenager An older child
Age 65 and over Pregnant
A young child
 Asthma
Respiratory illness
Lung or heart disease
5 milescheck visibilityminimize outdoor activity minimize outdoor activity
3 milesminimize outdoor activitystay inside stay inside
1 milestay insidestay inside stay inside

No matter how far you can see, if you feel like you are having health effects from smoke exposure, take extra care to stay inside or get to an area with better air quality. You should also see your doctor or other health professional as needed.

* less reliable under high humidity conditions *

NURSE MANUAL UPDATES

Please let Tami know if you see something that needs to be updated in the Nurse Service Manual.

*Concussion – Documents have all been updated including Return to School Project information.

STUDENTS WITH MEDICAL NEEDS IN EMERGENT SITUATIONS

Because lock downs could potentially take hours to clear, please remind teachers/staff to have a plan in place should an unforseen event occur. 

  • Ex: lock down – diabetic student
  • Ensure that snacks/fast acting sugars, emergency medications are accessable
  • In the past, nurses have distributed smarties in zip lock bags to teachers to have on hand.
    • Let Tami know if this is something you would like to do and we will order supplies.
Categories
Nurse Updates

October 3rd-7th Blog

ACES

WHAT IS ACES??????

ADVERSE CHILDHOOD EXPERIENCES – ACES

Adverse childhood experiences, or ACEs, are potentially traumatic events that occur in childhood (0-17 years). ACEs can include violence, abuse and growing up in a family with mental health or substance use problems. They can have lasting, negative effects on health, well-being, as well as life opportunities such as education and job potential. 

The 10 ACEs of Trauma

OHA ACEs Data

ACEs CDC

ACES Too High

PACES Connection – Handouts

How Childhood Trauma Affects Health Across a Lifetime – Dr. Nadine Burke Harris (This is a great video!)

Saving Brains, A Grand Challenge

Reading Recommendations from Dr. Amy Yilik, CARE Coach, HDESD

What Happened to You, Oprah Winfrey & Bruce Perry

The Deepest Well, Nadine Burke-Harris

PUBLIC HEALTH ADVISORY

PUBLIC HEALTH ADVISORY BOARD MEETING NOTES – Just FYI

Information on Monkey Pox, Polio, and COVID-19

Meeting Notes 10/4/22

HEALTH MANAGEMENT PLAN

HEALTH MANAGEMENT PLAN REMINDER

Uploading health management plans, please be sure to title the document in the following format:

Student Last Name, First initial. Health Condition Name HMP Date plan updated

Smith, J. Seizure HMP 9-20-2022

“It’s funny how nobody notices what you do until you don’t do it.” — Author unknown

Categories
Nurse Updates

September 26th-30th Blog

UPDATED EAP INFORMATION

https://sites.google.com/bend.k12.or.us/bls-benefits-employee/other-benefits?authuser=0

BLS Benefit Information – Other Benefits – GoogleThrough partners like MODA, OEBB, and American Fidelity; Bend-La Pine Schools offers additional benefits for our employees.sites.google.com

FERPA/HIPAA – WHAT’S THE DIFFERENCE?

Both HIPAA and FERPA are nationally mandated laws that protect information. HIPAA keeps medical records secure while FERPA keeps education records private. After reading the links below, if you have questions about FERPA/HIPAA, please email Tami. She will put the questions and answers in the next nurse’s blog. 

HIPAA vs FERPA

Family Educational Rights and Privacy Act (FERPA)

Health Insurance Portability and Accountability Act of 1996 (HIPAA)

Does the HIPAA Privacy Rule apply to an elementary or secondary school?

School Nurse Guidance on FERPA and HIPAA

FERPA/HIPAA Applicability to Health Care in Schools

NUTRITION: MEAL ACCOMMODATIONS AT SCHOOL

See information below for students needing special meal accommodations.

Medical Statement

Accommodating Disabilities in the School Meal Program

TIME OFF REQUESTS

To keep everyone in the loop for time off requests, we will post dates that are no longer available in the blog. Get your requests in early!!

Request for time off dates no longer available:

10/10/22 – 10/18/22

11/3/22

11/4/22

11/9/22

12/15/22

12/16/22

FAMILY ACCESS NETWORK (FAN)

Family Access Network (FAN)

FAN advocates work in public schools in Crook, Deschutes, and Jefferson Counties to assist students/families in need connect with essential services such as food, shelter, heating, health care, clothing and more. If you don’t know who your FAN advocate is, ask your office manager. 

How is FAN funded? The FAN Foundation is a 501(c)3 that was incorporated in 2006 to help to raise funds, increase community awareness, developing resources, and support the operations of our FAN advocates’ work in Central Oregon’s schools. FAN is currently funded through School Based Medicaid Administrative Claiming (MAC) (55%), FAN Foundation non-profit fundraising (36%) and local school districts (9%). 

MEDICAID ADMINISTRATIVE CLAIMING (MAC) SURVEY

What is it?? – Three days during the school year are identified as MAC Survey days. (We don’t know the specific dates until the date is near.) The MAC program reimburses districts for time spent on administrative activities associated with coordination, referral, outreach and program planning of Medicaid-covered health services. On October 6, 230pm, via Webex (you should have received a calendar invite), Sandy Schmidt, McKinney Vento Liaison and Foster Care Point of Contact for Bend-La Pine Schools will be providing a training specifically for nurses to prepare for MAC Survey Day (which will be the week of October 31). On the MAC survey day, you will log certain claimable tasks (medical, dental, vision, behavioral issues working with a student, family, and/or through planning) that you completed throughout the school day. At the end of the day, you submit a survey that documents claimable tasks that will be submitted for reimbursement to the FAN. 

Don’t stress, Sandy will go over everything in the training and is available to help on MAC survey day. 

“Success is not final, failure is not fatal: it is the courage to continue that counts.” 

 – W. Churchill

Categories
Nurse Updates

September 19th-23rd Blog










CARE SOLACE

For those that were unable to attend the Care Solace training on August 30th, there will be a condensed training on Wednesday, September 28, from 230-3pm. Please let me know if you are interested in attending this virtual training. 

CULTURE OF CARE

 As the school year gets up and running, your Culture of Care team wanted to reach out and share what they are up to! Lots of resources, opportunities and collaboration across our region this year.  Please check it all out using the link below and let us know if you have any questions. 

Culture of Care September 2022 Update

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SAFETY

SRO/SRD Assignments and Contact Procedures

Internet Safety

AIR QUALITY INFORMATION: FROM SCOTT BOJANOWSKI

As we start this week off with wildland fire smoke across our district, we want to send out reminders on how to find the current AQI information using the Oregon DEQ Air Quality Index Map. Please use this website (Oregon Air is available as an app for mobile devices too), to determine the AQI closest to your school or facility. And here is the link to the OHA chart for school outdoor activities during wildland fires.

FIRST STEP APP

The direct link to the First Step app that was previously featured on middle and high school iPads has been replaced with direct links to the apps our students use the most: Safe Oregon and YouthLine.

As a reminder, these two resources also continue to be featured on the back of all student IDs for those in grades six through 12.

First Step continues to be a resource for our families:

Bend-La Pine Schools :: Student Mental HealthBend-La Pine Schools does not discriminate on the basis of sex, race, color, creed, religion, national origin, age, disability, marital status, sexual orientation, gender identity or expression, veteran or military status, or any other status protected by law, in any of its programs and activities and provides equal access to the designated youth organizations in the Boy Scouts of America …www.bend.k12.or.us

REPORTING A BIAS INCIDENT

Each of us is responsible to ensure that students, families, staff, and community members feel a sense of belonging and dignity in our schools. This involves actively promoting equity and inclusion, and standing up against harmful acts that run counter to these values. 

If you observe or experience a bias incident, report it right away: 

Bias Incident Report Form

Categories
Nurse Updates

Back To School

We have officially completed our first week of the school year!!! And we are actually doing things that are not COVID related!!! As we all begin to get wrapped up into the school year,  I want you all to remember to take care of YOU! As nurses we get so focused on taking care of others that we forget to take care of ourselves!!!! I have included some self-care ideas/thoughts in this week’s blog. Take care! 

SELF-CARE

 7 Types of Self-Care & Why You Need Them

In reality, the term self-care–as defined by the World Health Organization (WHO)–is the ability of an individual to promote and maintain health, to prevent disease, and to cope with illness and disability with or without the support of a healthcare provider. 

CARE FOR YOURSELF – One Small Way Each Day

EAP flyer 

EAP

Bend-La Pine School employees have access to the Employee Assistance Program (EAP) and Work-Life Services through Uprise Health. This benefit is free and extends to anyone living in the employee’s home. The following support services are available: 

  • 24-hour crisis support 
  • Confidential counseling 
  • Work-life services, including finance and legal services 
  • 24-hour on-demand emotional wellness support 
  • Peer support groups 
  • Digital mental health services 

Call: 800-395-1616 

User access code: OEBB 

Employees insured with OEBB also have access to OEBB Wellness support. 

More information is available here: https://www.oregon.gov/oha/OEBB/Pages/Wellness.aspx  

Reach out to your Bend-La Pine Schools nurse family!! We are here to support each other!!!!!!

ODE/OHA/OSNA School Nurse Orientation (on-line)

Let Tami or Michelle know if you’d like to attend. 

Registration is open for fall 2022 sessions. Please select your preferred date (content repeats). 

  • Monday September 19th 1pm-4pm. Register here
  • Monday October 3rd 9am-noon. Register here
 

NARCAN

*Remember….sometimes a 3rd or 4th dose is needed before EMS arrives. If NARCAN is being administered, have someone go to a different AED cabinet to get another box for additional dosing (if needed).