Did you know that immunizations entered into ALERT IIS do not have to be immunizations administered in the state of Oregon? (Ex. If an individual moves to Oregon from another state, they can present their current immunization card to their health care provider and the provider can enter those dates into ALERT IIS.)
MEDICAID
MAC Survey
The next MAC Survey will occur the week of Feb 3rd–specific date coming soon. Remember, this survey process brings in critical funding for FAN Advocate services.
NSM
Updates
Updated Seizure HMP added to the Seizure section (p. 96) – update reflects swimming safety.
New Headache / Migraine section added under Acute Conditions (p. 124-128)
Spanish translation of the “Where to go for immunizations” flyer added under Helpful Links in the Immunizations section (p. 198).
New Appendix on First Aid / CPR training with tip sheets for staff, instructors, and administrators (p. 213-232)
CALENDAR
DATE
TIME
EVENT
INFO
1/31/25
10-2
Nurse Training REQUIRED (Substitute Nurses are not required but welcome to attend!)
Deschutes County Library 601 NW Wall St, Bend, OR 97703 Community Room (Brooks)
FAN Food Resource: The Giving Plate provides our families in need with weekend food through their Snack Bag program. Recently, they let us know that their donations and volunteer resources are down, while the number of families they’re serving has been up: from 130 to 700 families weekly. They are unable to meet demand and need to prioritize their core services, so the Snack Bag program is discontinued.
While this is disappointing news, there are still many ways families can access food resources. Please see the links at the bottom of this letter, with bilingual handouts listing current food resources in Bend and South County. FAN Advocates have shared this letter with impacted families. Feel free to print copies of the handouts linked there, to have available in your main office.
Want to help out? One of the best ways you can support our families is to volunteer or donate to awesome programs like The Giving Plate or directly to FAN, so they can maintain their services and programs that benefit our families. 🙂
Immigration Guidance: Please read this information carefully, and reach out with any questions.
Presidential Inauguration: Reminder: Post-inauguration, some students will be walking into your building with big feelings. The incoming administration has openly communicated upcoming changes intended to directly impact particular populations (immigrants, trans people, etc).
Counselors should be as available as possible for drop-ins if students need extra support this week. If your team knows a particular student or colleague struggled after the election in November, make time on Tuesday to have a trusted adult or friend intentionally check in with them. Thank you for your increased presence, vigilance, empathy, and grace this week.
HUMAN RESOURCES
From Andrea Wilson – Benefits and Risk Management
A reminder that employees and students should not bring pets with them to work or school. ING-AR: Animals in the Classroom or on School Property reviews the conditions and process for by which animals can visit classrooms or be on school property. If you have any questions regarding staff who identify a need for service animals, please reach out to the Human Resources Benefits team at [email protected]
NSM
NSM Updates
Updated HMP added to the Adrenal Crisis section (p. 62)
Links to NASN’s Clinical Practice Guideline and implementation toolkit for students with asthma have been added to the Asthma section (p. 74, 77)
New guidance on the use of the Protected Information tab added to Health Equity section (p. 183)
Updated links to the new anaphylaxis training protocol and presentation slides in the Training for Anticipated Emergencies: Anaphylaxis section (p. 193). New guidance was added regarding informing nutrition services of students with food allergies (p. 68). And the first aid guidelines for bites/stings in the Health Room Management section (p. 42) as well as the protocol and procedure for epinephrine administration (p. 68-71) were updated to align with the new state protocol. If you notice any discrepancies between the new state protocol manual and the nurse services manual, please submit an update request using this form.
SAFETY
AED
AED Checks- Please ensure that your monthly AED and refrigerator temperature checks are completed.
“Kucisabishii” (Koo-chi-sa-bi-shē) is a Japanese word that means “lonely mouth”. So when you want to eat but are not hungry (mindless eating) the word for that is kucisabishii. (Say that 20 times.)
You’re welcome!
NURSES….PLEASE READ
TIME SHEET REMINDERS
Please email all time sheets to Kristan Shobe. Michelle or Tami do not need copies. Kristan reviews them and will then send them to Tami for approval.
Required by Payroll
Please ensure that your timesheets/leave records are completed correctly. Please review the example forms.
This includes:
Totaling your hours worked
EID (employee ID number)
(For regular nurses) document hours per day that you are contracted to work
School/Dept = Student Services
Remember to complete the BLS Leave Record to log any sick or personal time.
ILLNESS REPORTING
If your school seems to be having an increasing number of students/staff out due to illness (10% or greater), please let Tami or Michelle know to determine if an illness data tracking log should be started.
April is working on setting new rates for Medicaid. In order to get the most accurate rates, please send April Diehl a list of all employees who fall under the category of “Delegated Health”? (You may need to reach out to your case managers to identify staff.)
The list can include any non-nursing staff that perform: diabetic care, tube feedings, diapering, toileting, etc.
**The information collection deadline is Thursday, January 16th**
When: April 17-18 (no school elementary/middle on the 17th; no school for all schools on the 18th)
Where: Lincoln City, Oregon
8 nurses will be able to attend!!Money budgeted for 8 nurses will require lodging 2 nurses per room (2 queen beds) AND… and nurses will need to carpool together (total of 4 cars).
Please let Tami know if you are interested in attending by Friday, January 17, 2025. Rooms are booking fast at the resort.
SAFETY
UPCOMING VIRTUAL MEETING
Current Drug Trends in Central Oregon
Want to learn about current drug trends in Central Oregon?
WHAT: Lieutenant Mike Landolt with the Central Oregon Drug Enforcement (CODE) will be sharing information about the latest drug trends with pediatric community health nurses.
I want to make sure that you get what you need out of this training on 1/31. Your input is needed!!! As of 1230 pm on 1/14, there have been no questions submitted (other than my inquiries).
IEP/504
Nurses – You have requested more information about 504/IEP process and nurse meeting minutes. Josh and/or Colleen and Krista will be stopping by to give us a general overview and will answer any questions you may have.
Please submit your questions to the Google Doc 1/31/24 Nurse Training here.
Community Resources
Nurses – You have requested more information on community resources such as housing and transportation. Do any of you have any information about these resources or who we can contact to provide us with more information?
Please submit information/questions to the Google Doc 1/31/24 Nurse Training here.
More than half of your body is not human. Human cells make up only 43% of the body’s total cell count. The rest are rogue microscopic agents: bacteria, fungi, and archaea. Anywhere between 500 and 1,000 species have made a home within your folds, ducts, flaps, and chambers, and they’re each present in their billions.
The greatest concentration of these microscopic colonists is located in the dark murky depths of our oxygen-deprived bowels. (BBC, Gallagher J., 2018, More than half your body is not human.)
AND… SPEAKING OF BOWELS…
Did you know that a rhino’s poop can weigh 10 kg (22 pounds) on a single trip to the bathroom?!?!
DEI
Asian Family Night: Friday, January 31st. Food, cultural performances and crafts, and a drawing contest. More details to come—for now, save the date! (Yes, I know this is grading day 🙂 )
IMMUNIZATION EXCLUSION DAY
Immunization Exclusion Day
is
Wednesday, February 19, 2025
You should have received an email from Michelle today!
LEAVE RECORDS
WELCOME KRISTAN SHOBE!!!
Kristan is our new Student Services Accounting Specialist and is currently training with April Diehl. Please send any leave records to BOTH April Diehl and Kristan Shobe during this training period. I will let you know when Kristan is flying solo.
Many of you have reached out with questions about special education programming and expectations within Bend-La Pine Schools. First and foremost, we want to acknowledge the wide-spread concerns and confusion within our District regarding this topic. Over the last five years the Bend-La Pine Schools Student Services Department, previously known as Special Education, has made changes within their department that were well intentioned, but not communicated to the larger system of employees and this has led to uncertainty and misunderstanding. The purpose of today’s communication is to provide all staff with a shared base of information that we can use to build our future decisions upon as we move toward a shared goal of better supporting all students, including those who require specially designed instruction and services.
During the 2018-2019 school year a project known as Excellence in Education gathered feedback from staff, students, and families about their experiences in our schools. After receiving and processing that feedback, the Student Services Department set out on a journey to improve the inclusion of students experiencing disability into the general education setting. The BLS vision for special education is, “Bend-La Pine Schools strive to create an inclusive culture and environment for all learners, particularly for those that experience disability. We believe, to the greatest extent possible, that all students should maximize time spent in the general education classroom regardless of their special education services or related services. To this end, it is imperative that the educational planning process begins with services in the general education setting and ends with the need for specialized services in more segregated settings.” For more detailed information about this process click here.
We are reaching out today to share answers to frequently asked questions about our model for delivering special education services in Bend-La Pine Schools and to provide clarity on how we provide Special Education services in our schools. The Special Education Inclusion Questions and Answers (click link) will be updated as more questions arise.
Are we there yet? Inclusive practices and the improvement of those practices are a process. This work will not be achieved overnight, it will take time and training, it will take collaboration and conversation. All of which are precious in the public education system. As we continue this journey the Student Services Department is committed to listening to all employees, answering questions as they arise, and working with BEA to increase learning opportunities and continued clarity on this topic. The work we do with students is complex and working together to ensure all students have access to the support they need will lead to thriving community members in the future.
In partnership,
Sarah Barclay, President, Bend Education Association
TRAINING/NURSE MEETING 1/31
Nurses – Your input/help is needed….
IEP/504
Nurses – You have requested more information about 504/IEP process and nurse meeting minutes. Josh and/or Colleen and Krista will be stopping by to give us a general overview and will answer any questions you may have.
Please submit your questions to the Google Doc 1/31/24 Nurse Training here.
Community Resources
Nurses – You have requested more information on community resources such as housing and transportation. Do any of you have any information about these resources or who we can contact to provide us with more information?
Please submit information/questions to the Google Doc 1/31/24 Nurse Training here.
CALENDAR
DATE
TIME
EVENT
INFO
1/8/25
2-330
All Nurse Meeting
In person – Miller Elementary Substitute nurses are welcome!
Gun owners invited to pick up free locks for their firearms
Bend-La Pine Schools partners with community organizations working to promote safe storage of firearms in households. The goal is to prevent children and other unauthorized users from accessing guns kept in homes and vehicles.
Gun owners are welcome to pick up free keyed cable and trigger locks firearms at the Education Center, 520 NW Wall Street, in Bend. The locks were purchased by Gun Owners for Responsible Ownership with a grant, in part, from St. Charles Healthcare System. The nonprofit GOFRO also shared information on options to safely secure firearms at this link.
Central Oregon Gun Safety Advocates is also active in distributing free gun locks. Visit the COGSA website for details.
Here are additional resources for firearms safety:
Alliance For A Safe Oregon, an organization that works to prevent gun-related homicides, suicides, injuries, and unintentional shootings.
Be SMART For Kids, which promotes safety with its SMART program. SMART stands for:
Secure all guns in your home and vehicles
Model responsible behavior around guns
Ask about unsecured guns in other homes
Recognize the role of guns in suicide
Tell your peers to Be SMART
From Sean Reinhart:
Please keep this resource in mind if/when you engage with families on lethal means and safe storage while completing a suicide risk screen. This partnership and opportunity will be available ongoing and you can refer families to this resource.
Other than visiting explorers, tourists, and researchers, humans do not live at the North Pole.
People can choose any time zone that is convenient.
ACUITY TOOL
Message from OSNA:
Hello Nurses
We need to work expeditiously to calibrate the Acuity tool. To do this, we need 30 nurses, representing each region of the state. If the process goes as anticipated, it should not take more than 2 hours for each participating nurse. (1 hour to select/enroll students and prepare for the meeting, 1 hour at the meeting). I know this is a busy time of year, but we really need participation.
The process will be as follows:
NOW: Step 1: Participating nurses will consider their experience and select 4 student cases, preferably of varying conditions and acuities. Please consider joining this process and helping to be sure all voices are included!
ASAP:Step 2: Nurses will enroll their de-identified student cases by completing the Acuity Calibration Case Study Enrollment Form. This is a simple form, just asking a few brief questions to include the cases in the spreadsheet we will use to gather data from the discussions. In that form, nurses will also indicate for which discussion sessions they are available. Nurses will only need to attend one session to provide input. Please select 4 students and enroll them ASAP (by Friday), and I will send invitations to meetings over the weekend.
Step 3: Nurses will be invited to a specific session with additional instructions about how the calibration session will work. There is some brief preparation before the meeting (30-40 minutes) which includes using the new version of the tool to score each of the 4 student cases that will be discussed.
Starting December 17th: Step 4: Nurses will attend the sessions and collaborate with other participants, using the updated acuity tool, to evaluate the acuity of their student cases.
Starting after 1/9/2025: Step 5: The data collected about the relative scores of student cases will be analyzed to calibrate the tool.
If nurses participate, we should collect the data we need. We anticipate completing this process in mid-January. Please help with this essential project.
ADRENAL INSUFFICIENCY
Slide Show from OSNA Mentoring Monday 12-9-24 (good information) – Wendy is working on the recording. I will post the link to the recording when it is up and working.
DEI
FAN and the Holidays
Just a reminder that FAN does not coordinate Christmas/holiday gift needs for families. This has been the case for over 10 years. FAN resources are maxed out prioritizing basic needs (utilities/heat, rent, clothing, hygiene supplies, food, etc). There are many community-based organizations that do support religious or holiday-based requests like Christmas gifts, such as Salvation Army, Giving Plate, etc. Here, here, and here are a few sample resources.
If you have a family seeking support with Christmas gifts or holiday resources: Please refer them to those community-based agencies, not your FAN Advocate.
If you have individuals wanting to donate holiday gifts and toys to families in need: Please refer them to those organizations, who are collecting and distributing toys and holiday donations.
Did you know that December is National Pear Month?
Pears contain good levels of dietary fiber, antioxidants, minerals and vitamin A, C, E and K. They are low in calories and are considered an extremely safe food source for those with food allergies.
The majority of pears sold in the United States are grown on the west coast, mainly Oregon and Washington.
April Diehl has been hired as the Medicaid Program Manager for Bend – La Pine Schools!!! She will continue to operate in her role as accounting specialist until her accounting position has been filled. (She’ll be juggling both roles!)
10/28 OSNA Mentoring Monday had a great, informative session about Migraines. If you missed the session, check out the video here.
If anyone on our team has had experience with migraines – either as someone who suffers them or as someone who has cared for people who do – please send Oliver any advice / tips / resources you have found to be helpful so this information can be added to the NSM.
As I reviewed the training for the new paper time sheet/leave record forms, I thought it would be helpful for us to have samples available to view to ensure forms are completed accurately. The highlighted fields in the examples are areas that must be completed (or they will get kicked back to us from HR/payroll).
Please drop by our 7th annual district-wide Latino Family Night if you are able (invitation here–feel free to share). The Woodburn High School mariachi band will perform (pictured here), and there will be dinner, partners, games, and fun!
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.
FAN
HRSN HOUSING BENEFITS
New program shared by one of our FAN advocates for families on OHP
Added link to paper timesheets and leave forms in the Schedule, Timesheets, and Time Off Requests section (p. 18-19)
Added link to staff incident report form in the “Communicating Health Information” section (p. 25)
Parent letters for live lice updated with links in the Itchy Head section of Health Room Management (p. 48).
Added link to MSTKC resources under helpful links in Concussion/TBI section (p. 120)
Additional guidance on the nurse’s role in developing 504s and IEPs, with a link to sample accommodations, added to the Care Coordination section (p. 133)
Please review the BLS Inclement Weather Guidelines for employees. This covers the expectation for staff during school closures and delayed start days.
CALENDAR
Thanksgiving break 🦃 – November 25-29
Nurse Meeting – December 11, 2-330, location TBD
Nursing Team Holiday Get Together – December 11 (after nurse meeting)
63939 Sunset Dr, Bend
Theme: COMFORT- Comfort food and comfy clothes!
We will be doing a couple of soups, breads and a holiday adult beverage. Feel free to bring an appetizer or something sweet if you would like. (sign up here)
White Elephant 🐘 Exchange 🎁 – 10.00 limit if you choose to play.
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)
