HEBISD Health Services Checklist

Bulletin Board

Educational Information available/visible?

Well Organized?

Cleaner for cots available/used?

Adequate supplies available?

Lunch time schedules posted?

Voicemails Updated?

Bathroom key is easily accessible?

Substitute Information is:
Organized?
Clear?
Easy to Understand?

Complete with list of "Alerts"?

Medication secured in a locked cabinet?

Keys to medication secure? Duplicate set kept?

Controlled substances count by RN documented?

Rx label and Medication Authorization match?

Any medications left in the clinic from last school year?

Any expired medications on campus?

Classroom medications secure and monitored weekly by RN?

Any missing medications?

Protocol followed for missing medication?

Epi-Pens accessible and clearly marked?

Monthly SHARS up to date and on Monthly Report by 5th working day of the month?

Copies of SHARS filed?

EAP's complete with MD orders when appropriate?

Diabetic IHCP's complete with MD orders and signatures complete?

Seizure IHCP's complete with MD orders and signatures complete?

Allergy/Anaphylaxis IHCP complete with orders and signatures complete?

Epinephrine Delivery devices clearly marked in unlocked cabinet?

Epi-Trainers REMOVED, clearly marked, and in another location?

PEEP's (Personal Emergency Evacuation Plan) completed and signed?

Medical procedure IHCP complete with MD orders and signature complete?

Attend meetings as needed? (ARD's, 504, etc)

CPR Certified Staff-(at least 2 per campus)

UDCA (Unlicensed Diabetic Care Assistant)
Full Time RN on campus=1 per campus minimum

Medication Administration:2 per Campus

Special Procedures: (if needed)

All training forms are complete and have signatures for: UDCA's, Medication Adminstration Staff Members, and Special Procedures Staff.

Medical Alert list printed and acknowledged?

New medical alerts entered and confirmed in Nurse Aid?

Medical Conditions Information entered into Nurse Aid?

Effective tracking system in place to monitor compliance of all students?

Immunizations entered into E-school in a timely matter (2 weeks for new students)

Process in place to deal with non-compliance of immunizations?

Process in place to identify pregnant/parenting students (Notification of process to faculty/staff)

RN refers students for necessary services

RN provides prenatal/parenting education to students?

RN provides regular follow-up with pregnant students

RN collaborates with Homebound services?

Completed case files are sent to PRS Coordinator after student returns to school or at the end of the school year?

Copies of referrals available?

Nurse Aid data entry completed by April 1st?

Monthly biological checks of audiometer documented and stored in audiometer ?

2nd Semester Spinal screening completed by the end of March?

Are second semester referrals in progress (P) or completed by the end of March?

Nurse Aid data entry for Spinal Screening completed by April 1st?

1st semester AN screenings completed by end of December?

1st Semester AN Referrals* in Progress (P) or Completed (C) by end of December?

2nd Semester AN screenings done by the end of February?

2nd Semester AN Referrals* in Progress (P) or completed (C) by the end of February?

ANTES Data* entry in progress (P) or completed (C) by April 1st?

Accident and Incident reports completed per HEBISD protocol?

RN follows communicable disease protocols (% of absenteeism, TCHD reportable diseases, exclusion criteria)?