Health Services Update Lifethreatening Health Conditions Protect your health Hand washing Flu shot Clinic at VHS October 18 th 2017 Tdap booster to prevent pertussiswhooping cough ID: 737507
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Slide1
Vashon Island School District
Health Services Update
Life-threatening Health ConditionsSlide2
Protect your health
Hand washing
Flu shot – Clinic at VHS October 18
th, 2017Tdap – booster to prevent pertussis/whooping coughMeasles – check blood titer if born after 1957Slide3
KEEPING KIDS IN THE CLASSROOM
WHY
Teach student resiliency and self-care skills
Reduction in missed instructional time
COMMON
ISSUES
Vague, non-specific complaints such as headache or stomach
ache
HOW IS THE STUDENT PERFORMING IN CLASS
?
HAVE YOU TRIED OTHER REMEDIES
?
MONITOR ATTENDANCE, CONSIDER COUNSELING REFERRAL
Requests for ice
packs
IS THE INJURY RECENT, VISIBLE, SIGNIFICANT?Slide4
EXTRA CLOTHING AVAILABLE FOR INCONTINENCE/VOMIT ONLY
ENCOURAGE ALL YOUR STUDENTS TO BRING A CHANGE OF CLOTHING TO SCHOOL IN CASE THEY GET WET OR MUDDYSlide5
Is your classroom ready for
a medical emergency?
Mini first aid kit: band aids + gloves + gauze pads
Disaster first aid backpack
Copies of health plans in sub folder
Notify nurse for meds + first aid kit on field trips
Where is your building AED?
School medical emergency protocol
Call
911 if needed
Either call office or send runner with room number,
name of person & nature of
problem + 1 runner to class next door to let them know you need helpSlide6
Life-threatening Health Conditions
Asthma
Allergy – Anaphylaxis
Diabetes
SeizureSlide7
ASTHMA
Asthma tends to make a person’s airways irritated and swollen or inflamed
For
students with asthma, breathing problems can turn into a serious emergencySlide8
Exercise
Pollen
Mold
Dust
Carpeting
Strong odors
Animals
Cold air
Illness
PREVENTION: control triggers
Slide9
Coughing or itchy throat
Stuffy or runny nose
Funny or tight feeling in chest
FatigueBehavioral changes, agitation, irritabilityDecreased appetiteDark circles under eyesHeadache
Early Warning Signs
Sit, rest, use inhaler if self-carry
Otherwise, escort to nurseSlide10
When to call 911
IF
breathing is so difficult that the student has trouble talking or walking
OR the student’s lips or fingernails look gray or blueOR
the inhaler rescue medicine is not helping
(breathing should improve within 15 minutes after the first puffs from the inhaler)
If you call 911,
stay with the student until help arrives
and call the office so that they can
notify nurse and student’s parent or guardianSlide11
Allergic shock or generalized allergic reaction
An allergic reaction that can
quickly
result in death due to airway obstruction or a severe drop in blood pressureAn extreme total body reactionAllergy – AnaphylaxisSlide12
Food
Milk
Eggs
PeanutsTree nuts (such as almonds, cashews, walnuts)Fish (such as bass, cod, flounder)
Shellfish (such as crab, lobster, shrimp)
Soy
Wheat
Wasp or Bee Sting
Other
Medications
Latex
Cold
Pollen
Common Causes
of Anaphylactic Allergic ReactionSlide13
Follow the
health plan
to avoid exposure to allergen
Reactions can be unpredictable, always be prepared with a copy of health plan and rescue medication
A child can have a very severe allergic reaction, even if previous reactions have been mild
Children with asthma are at risk for a more severe food allergy reaction
Changes in routine pose the greatest risk of exposure to allergens
Field trips
Birthday parties
Special events
A delay in getting help and the administration of epinephrine are believed to be a factor in fatal reactions -
Don’t hesitate. Medicate.Slide14
Face
Itchiness, redness, swelling of face and tongue
Airway
Drooling; trouble breathing, swallowing or speaking
Stomach
Stomach pain, vomiting, diarrhea
Total body
Rash, itchiness, swelling, weakness, paleness, sense of doom, loss of consciousness
Think F.A.S.T.
Give Epinephrine
Call 911Slide15
Hold firmly with orange tip pointing downward.
Remove blue safety cap by pulling straight up.
Do not bend or twist
. “Blue to the sky”
Swing and push orange tip firmly into mid-outer thigh until you hear a “click.”
Hold on thigh for
at least three
seconds.
Built-in needle protection
When EpiPen is removed, the orange needle cover automatically extends to cover the injection needle, ensuring the needle is never exposed.
Remove the EpiPen Auto-Injector from the carrier tube
and follow these 2 simple steps:Slide16
DIABETES
Type 1 – Insulin Dependent Diabetes
Autoimmune disease
Body destroys insulin-producing beta cells in the pancreas Insulin is required by the body to use glucose
Without insulin, body starves to death
Short and long-term consequences
Serious disease that can affect academics and student health greatly
Students with diabetes have legal rights – If no IEP will have 504 planSlide17
What affects blood sugar?
Insulin
Foods eaten
Exercise
Illness
Growth spurt
Stress and any
changes in
routine
Diabetes
is a 24/7 disease
Requires constant juggling
to prevent high or low blood sugarSlide18
High
vs.
Low
Blood Sugar
High blood sugar
Increased
thirst, frequent urination, nausea, fruity breath, fatigue,
blurry
vision, drowsiness,
confusion
Develops more slowly
Insulin is treatment
Low blood sugar
Hunger
, headache, dizziness,
change
in behavior, poor coordination, blurry vision, drowsiness,
confusion
Can get to
dangerous
level more quickly
When in doubt, give sugar (candy, juice)Slide19
LOW BLOOD SUGAR EMERGENCY INTERVENTION -
DO NOT DELAY!
MILD TO MODERATE SYMPTOMS
TREATMENT
Hungry
Shaky/Sweaty
Weak
Pale
Anxious
Unable to concentrate
Personality change
Headache
Behavior change
Poor coordination
Weak
Confused
Slurred speech
Blurry vision
Treat
with simple sugar
such as candy or 4-6
oz
juice
School staff stays with student and must ensure that student has been treated
Recheck
blood glucose in 15-20 min
Repeat sugar if symptoms persist
If
student won't be eating for at least one hour and blood sugar is between 80 and 120,
student may also eat complex carbohydrate snack such as a granola bar, crackers and cheese,
etc
SEVERE SYMPTOMS
SEVERE TREATMENTS
Unable to swallow
Loss of consciousness
Seizure
Don't give anything by mouth
Call 911
Position on side
Contact parents and school nurse
School Nurse, Parent/Family, or paramedic can inject GLUCAGON per physician orderSlide20
Student
either
independent or nurse assist
Blood sugar monitoring before all meals and snacks & before PE
Counting carbohydrates in
all
food eaten
Dosing w/ appropriate dose of insulin
Problem solving for equipment problems, illness, low & high blood
sugar
Keep back up supplies at school health room &/or classroom
Never
leave a
student with
low
blood sugar
alone
School staff must ensure student has treated for low blood sugar
Never delay treatment, especially for low blood sugar!Slide21
Know the plan & make sure your substitute teachers know the plan
Provide unlimited access to
fluids, bathroom, snacks and any diabetes related equipment (including cell phone to contact parent) for self care
Provide accommodations for students with diabetes
- no penalty for time out of classroom due to diabetes
Notify the parents/guardian
well
in advance of changes in the school schedule
: class parties, field trips, special events.
Eating meals and snacks on time is a critical component of diabetes manageme
nt
.
High or low blood sugar could result in behavioral change and
cognitive
impairment
for up to one hour afterward
VISD Testing Accommodations:
Student should be allowed to check blood glucose (BG) before any academic testing, especially for testing that cannot be rescheduled. If BG is < 80 or greater than 250, allow student to treat and stabilize BG, wait at least one hour before resuming the test.
Slide22
This is not a cell phone,
this is an insulin pump
This is a blood glucose meter
Students have a right to
test in class
CGM for blood sugar trends
Slide23
Glucagon
Given if student cannot swallow safely eg. seizure or unconscious
Hormone releases sugar stored in liver
Only nurse, parent or trained personnel can give
Kept in health roomSlide24
Seizure
Avoid further injury:
Remove glasses, protect head
Turn on side if on floorTrack time, document seizure activity
Remain with student
Notify nurse
See health plan for type of seizure, may need
emergency
medicationSlide25
When is a Seizure an Emergency?
First time seizure (no medical ID and no known history of
seizures)
Convulsive seizure lasting more than 5 minutes
Repeated seizures without regaining consciousness
More seizures than usual or change in type
Student is injured, has diabetes or is pregnant
Seizure occurs in water
Normal breathing does not resumeSlide26
Questions?