Health Resources - For Staff

Forms for staff use

• Accident/ Incident Report
• Blood Borne Pathogens Incident Report
• Confidential Information Release Authorization Form
• Diabetic Signs & Symptoms
• Employee Accident Report
• Head Injury Report
• Medical Emergency Response Team (MERT) Notes
• Medical Emergency Response Team (MERT) Report
• Medication Authorization Form
• Multi-day Field Trip Health Form
• Multi-day Field Trip Rules
• Seizure Observation Record
• Student Immunization Record


• Asthma Health Action Plan
• Diabetes Health Action Plans: Glucagon / Baqsimi
• Food Allergy Health Action Plan
• Insect Sting Health Action Plan
• Seizure Health Action Plan
• General Health Action Plan

Medical Emergency

Medical Emergency Procedure
Medical Emergency: Staff Responsibilities
Medical Emergency: Classroom Guidelines
Good Samaritan Law: In order to encourage assistance to others in emergencies, the Good Samaritan Law grants civil immunity to any person rendering emergency care to another.

CPR and First Aid Classes

The district school nurses provide CPR and First Aid training each school year with classes scheduled from January-May. This training is designed for non-health care staff in a work setting. A link will be emailed to all staff in January where you can sign up for these classes.
How often do you need to recertify?
• CPR - Staff: Recommended every 2 years. MERT Team: Required every 2 years. Coaches: Required every 2 years
• First Aid - Staff: Recommended every 4 years. MERT Team: Required every 2 years. Coaches: Required every 2 years

Concussions

Head Injury Report

Staff Health Training

Staff Health Training Video

Diabetes Information

All staff who interact with a diabetic student during the school day, should watch at minimum the following "Safe at School" videos from the American Diabetic Association:
Chapter 1: Diabetes Basics (4:44 minutes)
Chapter 2: Diabetes Medical Management Plan- DMMP (2:26 minutes)
Chapter 3: Hypoglycemia (3:11 minutes)
Chapter 6: Glucagon Administration (2:23 minutes)

All staff members who care for a diabetic student during the school day or during a field trip, should watch all of the above videos and the following:
Chapter 4: Hyperglycemia (1:52 minutes)
Chapter 5: Blood Glucose Monitoring (2:21 minutes)
Chapter 7: Insulin Basics (3:35 minutes)

These videos are optional and can be viewed for greater understanding of diabetes and its management:
Chapter 8: Insulin by Syringe& Vial (3:05 minutes)
Chapter 9: Insulin by Pen (2:01 minutes)
Chapter 10: Insulin by Pump (1:50 minutes)
Chapter 11: Ketones (2:31 minutes)
Chapter 12: Nutrition & Physical Activity (2:30 minutes)
Chapter 13: Legal Considerations (2:59 minutes)

Emergency Medication Training

Epinephrine, Glucagon, rescue inhalers and seizure medications (such as Diazepam and Clonazepam) are used for medical emergencies. Each student who has one of these medications ordered has a health plan which describes when to use it. Refer to their Individual Health Plan under the IHP tab in Skyward or speak to a district nurse.

If you have a student who has been prescribed one of these medications, per their health plan, do the following:
1. Watch the DPI video
2. Complete the Quiz
3. Have the Quiz results emailed to your school nurse (Anne Nelson, grades 3K-5, or Jeanna Rortvedt, grades 6-12+)
4. Request and then attend a hands-on session with your school nurse.

The video (knowledge) portion needs to be viewed at least once every four years. The hands-on training should be reviewed yearly.

EPINEPHRINE (EpiPens, Auvi-Q, etc) for severe allergic reactions
1. Watch DPI video instruction (7:16 minutes)
    * Helpful Epinephrine Procedure Notes
2. Complete Quiz

RECTAL DIAZEPAM for seizure disorder
1. Watch DPI video instruction (6:00 minutes)
    * Helpful Diazepam Procedure Notes
2. Complete Quiz

GLUCAGON for low blood sugar emergencies
1. Watch DPI video instruction (7:19 minutes)
    * Helpful Glucagon Procedure Notes
2. Complete Quiz

RESCUE INHALER for asthma
1. Watch DPI video instruction (4:39 minutes)
    * Helpful Rescue Inhaler Procedure Notes
2. Complete Quiz

BUCCAL SEIZURE MEDICATION
1. Watch DPI video instruction
    * Helpful Buccal Medication Procedure Notes
2. Complete Quiz

INTRANASAL SEIZURE MEDICATION
1. Watch DPI video instruction
    * Helpful Intranasal Medication Procedure Notes
2. Complete Quiz

Medication Administration Principles

According to Wis. Stat. sec. 118.29, Wisconsin school personnel and volunteers must be trained and found competent before administering certain medications to students. Follow this link for Basic Medication Administration Principles for Wisconsin Schools. Once you complete the program, take the quiz, print it out and give it to the nurse at your building.
• Target Audience: school staff members, volunteers, para-educators, administrators and nursing personnel who do, will or may administer a medication during the school day or on a field trip.
• Time to complete: 15 minutes
• Frequency: This program should be viewed at minimum once every 4 years.

This is a basic medication training program and does not automatically allow you to administer medications to students.
It is recommended that this program be completed before viewing and completing route-specific medication training.

See Additional Considerations for Medication Administration.

Diabetic Medication Training

Any staff member who cares for a diabetic student directly or may accompany a diabetic student off school property should complete the following:
1. Watch the DPI video
2. Print out and take the Quiz
3. Give the quiz to the nurse of your building and schedule a time to do hands-on training with her.
4. Attend the hands-on training session.

The video (knowledge) portion needs to be viewed at least every four years. The hands-on training should be reviewed yearly.

Insulin by SYRINGE
1. Watch DPI video instruction (6:20 minutes)
    * Insulin by Syringe Procedure Notes
2. Complete Quiz

Insulin by PEN
1. Watch DPI video instruction (5:29 minutes)
    * Insulin by Pen Procedure Notes
2. Complete Quiz

Glucagon by nasal powder-BAQSIMI (for low blood sugar emergencies)
1. Watch video instruction

GLUCAGON by Injection (for low blood sugar emergencies)
1. Watch DPI video instruction (7:19 minutes)
    * Helpful Glucagon Procedure Notes
2. Complete Quiz

See Forms for Staff for a handy 2-page guide to interpret signs and symptoms of High and Low Blood Glucose. It's called Diabetic Signs & Symptoms.

Medication Training

Medication training for administering oral medications must be completed by every secretary, health aide or staff member who administers oral pills or liquids to students during school hours or during school-sponsored activities. Each staff member should complete the following:
1. Watch the DPI video for each medication route
2. Print out and take the Quiz
3. Give the quiz to the nurse of your building and schedule a time to do hands-on training with her
4. Attend the hands-on training session.

The video (knowledge) portion needs to be viewed at least once every four years. The hands-on training should be reviewed yearly. The other non-oral medication modules should be completed by staff members who may need to administer a medication to a student by another route other than by mouth.

ORAL Medication
1. Watch DPI video instruction (32:20 minutes)
2. Complete Quiz

TOPICAL Medication
1. Watch DPI video instruction (10:55 minutes)
2. Complete Quiz

EYE Medication
1. Watch DPI video instruction (6:55 minutes)
2. Complete Quiz

EAR Medication
1. Watch DPI video instruction (7:30 minutes)
2. Complete Quiz

INHALER Medication with a spacer
1. Watch DPI video instruction (4:39 minutes)
2. Complete Quiz

Medication via Low-Profile G-tube Ostomy by gravity
1. Watch DPI video instruction (4:04 minutes)
2. Complete Quiz

Nebulizer Medication
1. Watch DPI video instruction (2:15 minutes)
2. Complete Quiz