Category: Nurse Updates

NURSE SCHEDULE

Reminder:  January 31, 2025 is a Professional Development Day so no requests off please. 

November Nurse Schedule is now posted. 

OPEN NURSING POSITION

We currently have a 1.0 FTE position available. It is posted on the district website and will close on November 18^th.  

Apply Here

KINDER EXCLUSION DAY

Kinder Exclusion Day is Thursday November 21, 2024! 

Please work with your registrar/secretary to make sure students are updated.  

All student Exclusion Day is February 19, 2025. 

UKG TIMESHEET CHANGES

Starting November 11^th we will have a temporary pause on the use of UKG Time & Leave and transition to paper timesheets. 

For staff nurses, you will only need to submit a paper time sheet if you take a leave or if you work additional hours during the month. 

Sub nurses will need to submit the paper timesheet for the time they have worked. 

F.A.Q. Sheet for Employees from Payroll:

https://docs.google.com/document/d/14m0ZeusfkTCqF1t1YdiZe4vK3m_xVmiw9x0OPQo4NZc/edit?usp=sharing

NOVEMBER NURSE MEETING

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.

OCTOBER NURSE MEETING 

Meeting minutes

Concussion Coaching Flyer from Wendy Beall

HANNAH

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 23^rd at 2:30pm 

Caldera High School (rm 210): Wed Nov 13^th 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. 

Sign up here: https://forms.gle/uDx6YJR8grSteESr7

Flyer: https://docs.google.com/forms/d/e/1FAIpQLSdbMxM5ejI0Y4YlwVkYNOSpiOZ-09VH8UBHhWDOETKs7D1mFA/viewform

MEDICAID RESOURCES

There are training videos available on the SEAS website under “Resources”

Here is the SEAS Quick Reference Guide

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 9^th PD Day we were unable to attend. Reach out to her if you have any questions. 

https://docs.google.com/presentation/d/1KJJP45EOlmICSb6efxokIqgO0uArYUzsuD-hVyj42f8/edit?usp=sharing

• Suicide Prevention
• Ethical Position and Protocol
• Means Matter
• Trainings
• Who can screen
• Referral and Collaboration
• Student Safe Walkthrough
• Building protocols (at school and afterhours)
• Scenarios
• Confidentiality practices and protocols 

NURSE SERVICE MANUAL UPDATES

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.

MEDICAID QUESTIONS

Submit any Medication Questions for April here.

HAND SANITIZER

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:

1. Updated the communicable disease guidance for Diarrhea and Vomiting from 48 hours to 24 hours (p. 44, 51).
2. Added guidance on Medicaid billing/DSCtop (p. 159-161)
3. 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.

NURSE MEETING

When: September 25^th     

What: Medicaid training with April Diehl

Where: Elk Meadow library 2-3pm

EXPIRING NARCAN/NALOXONE

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:

https://www.oregon.gov/ode/students-and-family/healthsafety/Documents/Updated%20CD%20Guidance.pdf

PPE ORDER FORM

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.

Have a great week everyone!!

MEDICAID TRAINING

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:

1. The flyer with the QR Code and link to the training documentation form was updated to the new version (p. 188).
2. The Asthma HMP and Assessment forms were updated to include guidance on keeping students inside based on AQI>100 (p. 70, 71, 199).
3. Incorrect guidance was removed from the Tube Feeding guidelines. Medication administration through tube feeding CAN be delegated (p. 151).
4. A link to a Tip Sheet on sending Encrypted emails was added to the guidelines on Communicating Health Information (p. 24) 
5. 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).

Please continue to submit requests for updates using the Google form: https://forms.gle/AnWuHG2Jva38UuzaA

EXPIRING NARCAN/NALOXONE

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 11^th , location TBD. We will have a feeding team info session and Sarah Van Meter from Deschutes County Health Department speaking on immunizations and Measles.

UPDATED ODE COMMUNICABLE DISEASE GUIDELINES

https://www.oregon.gov/ode/students-and-family/healthsafety/Documents/Updated%20CD%20Guidance.pdf?utm_medium=email&utm_source=govdeliver

Reporting Absences

1. Night Before or Morning of: Please text Michelle to find direct care coverage for your school.
2. Please complete the Absence Reporting Form for any sick leave, personal day(s), or flex time.
3. 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.

MEDICATION ADMINISTRATION TRAINING

Please review the Medication Administration Training section in the updated Nurse Service Manual. Please remember follow the staff training documentation guidance.

NURSE SERVICE MANUAL 

I hope you all are getting more comfortable with the updated Nurse Services Manual!

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.

BLS Nursing Blog

END OF THE YEAR NURSE GATHERING 

Thursday, June 20th  2pm @ https://www.ontapbend.com/

AUTOMATIC REPLIES

Please remember to turn on your out of office email automatic replies. 

Ex. “Thank you for your email. I am out of the office on summer break until Tuesday, August….”

LINKS

Link to links

MEDICATIONS LIST

Please review the Medication List and highlight any medications your students are currently taking. We will be deleting medications that students are no longer taking. 

MEETINGS/TRAININGS

Nurse staff meetings/trainings on the following days:

• 24/25 School Year (meeting dates updated 6/3/24)
  • Nurse Contract Days/Nurse Meeting Dates Information

IMPORTANT DATES

June 18 – LAST DAY OF SCHOOL!!!!

BLS Nurse Blog

1 More Monday Left!!

END OF YEAR GATHERING INFO

Link

ACUITY INFORMATION DUE

Please remember to submit your acuity numbers on the Google Form. Hannah needs to submit this data to the state by June 14th! 

DEI

Upcoming Dates

• Juneteenth community celebration = June 15-16, Drake Park

END OF THE YEAR WRAP UP

Information about wrapping up the school year.

ESY

Nursing Support

We are looking for 2 nurses to cover summer school (ESY). Please email Tami if you are interested. If more than 1 nurse is interested, previous summer school experience will be taken into consideration.

Dates July 9 – August 1, Tuesdays, Wednesdays and Thursdays only (815-1115 based on student needs)

• Training day –  July 8, time: TBD
• Locations: High Lakes, Summit High School

LINKS

Link to links

MEETINGS/TRAININGS

Nurse staff meetings/trainings on the following days:

• 24/25 School Year (meeting dates updated 6/3/24)
  • Nurse Contract Days/Nurse Meeting Dates Information

IMPORTANT DATES

June 15-16 – Juneteenth Community Celebration, Drake Park

BLS Nurse Blog

2 MORE MONDAYS!!!!

ACUITY INFORMATION

Submit Your Acuity Numbers

Please remember to submit your acuity numbers on the Google Form. Hannah needs to submit this data to the state by June 14th! 

DEI

Upcoming Dates

• GSA in the Park = Thursday, June 6th 10:00am-1:00pm at Troy Field/Ed Center
• Community celebrations (BLS family advisory groups will host booths):
  • Pride = June 1, Drake Park
  • Juneteenth community celebration = June 15-16, Drake Park
• • GSA in the Park = Thursday, June 6th 10:00am-1:00pm at Troy Field/Ed Center
  • Juneteenth community celebration = June 15-16, Drake Park

END OF THE YEAR WRAP UP

Information about wrapping up the school year.

ESY

Nursing Support

We are looking for 2 nurses to cover summer school (ESY). Please email Tami if you are interested. If more than 1 nurse is interested, previous summer school experience will be taken into consideration.

Dates July 9 – August 1, Tuesdays, Wednesdays and Thursdays only (815-1115 based on student needs)

• Training day –  July 8, time: TBD
• Locations: High Lakes, Summit High School

LINKS

Link to links

MEETINGS/TRAININGS

Nurse staff meetings/trainings on the following days:

• June 5, 2024 – Nurse Meeting, 230-4, location TBD
• 24/25 School Year (meeting dates updated 6/3/24)
  • Nurse Contract Days/Nurse Meeting Dates Information

SAFETY

Air Quality Information

See Links link

SUMMER PROGRAM INFORMATION

From Cynthia:

Hello Nurses, I’ve worked with CampFire the past two years to help some of my students attend day camp.  This year I’ve compiled the information so you, too, can refer some of your families. 

More information can be found here.  Nadia Kelem, Outreach Coordinator, recommended that each nurse refer no more than two families that they know would need financial assistance and possibly transportation to camp.  When a nurse, or community partner, completes the referral form a family(see attached), then the parent does not need to provide supporting documentation for financial need.  In addition, be sure parents and student(s) are interested in attending before you submit a referral (see attached handout).  There is no firm deadline for registration as it is a rolling registration.  However, to be more likely to receive financial assistance and a spot, it’s recommended that parents register by June 3.

If parents have questions about registration, please have them reach out to CampFire at (541) 382-4682.

If you have questions, please reach out to Nadia directly at (541) 362 – 1596 (call or text) [email protected] ***Do not give this information to families.  This is for you only so you can quickly and easily get your question answered.  For families, they like the family to be connected to the organization as a whole.

IMPORTANT DATES

• June 5 – Nurse Meeting, 230-4, location TBD
• June 6 – GSA in the Park, 10-1, Troy Field
• June 15-16 – Juneteenth Community Celebration

BLS Nurse Blog

SUMMER IS COMING!!!

DEI

Upcoming Dates

• Asian Pacific American Heritage Month – Wednesday, May 1 – Friday, May 31
• KínderFiesta = Saturday, May 18th 10:00am-1:00pm at the Ed Center (for newly-enrolling Spanish-speaking kindergarten families)
• GSA in the Park = Thursday, June 6th 10:00am-1:00pm at Troy Field/Ed Center
• Community celebrations (BLS family advisory groups will host booths):
  • Pride = June 1, Drake Park
  • Juneteenth community celebration = June 15-16, Drake Park

ESY

Nursing Support – As of 5/25, 2 nurses have expressed interest.

We are looking for 2 nurses to cover summer school (ESY). Please email Tami if you are interested. If more than 1 nurse is interested, previous summer school experience will be taken into consideration.

Dates July 9 – August 1, Tuesdays, Wednesdays and Thursdays only (815-1115 based on student needs)

• Training day –  July 8, time: TBD
• Locations: High Lakes, Summit High School

LINKS

Link to links

MEDICATIONS

A couple of reminders:

• We must follow the manufacturer’s instructions on over the counter medications unless a provider has provided orders for specific administration instructions.
• It has been our practice in Bend-La Pine Schools that all prescription medications need to have a specific administration time indicated on the prescription bottle. Otherwise, a provider note is needed for any changes.

MEETING/TRAININGS

Nurse staff meetings/trainings on the following days: 

• June 5, 2024 – Nurse Meeting, 230-4, location TBD
• 24/25 School Year
  • Nurse Contract Days/Nurse Meeting Dates Information

SAFETY

Air Quality Information

Check out the Health and Safety section in the BLS Staff Spotlight, May 20, 2024 edition.

SUMMER PROGRAM INFORMATION

From Cynthia:

Hello Nurses, I’ve worked with CampFire the past two years to help some of my students attend day camp.  This year I’ve compiled the information so you, too, can refer some of your families. 

More information can be found here. Nadia Kelem, Outreach Coordinator, recommended that each nurse refer no more than two families that they know would need financial assistance and possibly transportation to camp.  When a nurse, or community partner, completes the referral form a family(see attached), then the parent does not need to provide supporting documentation for financial need.  In addition, be sure parents and student(s) are interested in attending before you submit a referral (see attached handout).  There is no firm deadline for registration as it is a rolling registration.  However, to be more likely to receive financial assistance and a spot, it’s recommended that parents register by June 3.

If parents have questions about registration, please have them reach out to CampFire at (541) 382-4682.

If you have questions, please reach out to Nadia directly at (541) 362 – 1596 (call or text) [email protected] ***Do not give this information to families.  This is for you only so you can quickly and easily get your question answered.  For families, they like the family to be connected to the organization as a whole.

IMPORTANT DATES

• June 1 – Pride, Drake Park
• June 5 – Nurse Meeting, 230-4, location TBD
• June 6 – GSA in the Park, 10-1, Troy Field
• June 15-16 – Juneteenth Community Celebration