Medication Procedures

  • Are there 2 unique patient identifiers?

  • Select all that apply

  • Follow up with corrected action will be completed by:

  • All medication requests are signed by the parent (and if applicable) physician.

  • Follow up with corrected action will be completed by:

  • Drug information is included in the medication book.

Unlicensed Assistive Personnel

  • Principal Medication Designation form is complete and easily accessible

  • Follow up with corrected action will be completed by:

  • Medication skills checklists are complete for all designees (initial and return demonstrations documented.

  • Follow up with corrected action will be completed by:

  • Special procedure skills checklists are complete for all designees (initial and return demonstrations documented.

  • Follow up with corrected action will be completed by:

Anaphylaxis

  • Level 1 training is completed and documented

  • Follow up with corrected action will be completed by:

  • Level 2 training has been completed along with training checklist (initial and return demonstrations documented)

  • Follow up with corrected action will be completed by:

  • Notification of need to know persons has been documented (food service, teachers, 504 coordinator.

  • Follow up with corrected action will be completed by:

  • Skyward has been updated to reflect critical alert if appropriate.

  • Follow up with corrected action will be completed by:

  • Epinephrine auto injectors are kept in an unlocked cabinet during the school day.

  • Follow up with corrected action will be completed by:

Diabetes Care

  • UDCA Principal Designation Form is signed

  • Follow up with corrected action will be completed by:

  • UDCA skills checklist has been completed (initial and return demonstrations documented).

  • Follow up with corrected action will be completed by:

  • Diabetes Management and Treatment Plan is current, signed by parent and physician.

  • Follow up with corrected action will be completed by:

  • Emergency kits available for diabetic students in the event of a lockdown or evacuation.

  • Follow up with corrected action will be completed by:

Special Procedures

  • Orders for special procedure(s) are current, signed by parent and physician.

  • Follow up with corrected action will be completed by:

  • Has a physical assessment been completed and documented in Skyward?

  • Follow up with corrected action will be completed by:

Individual Health Plans

  • IHPs have been created or updated for identified students.

  • Follow up with corrected action will be completed by:

  • IHPs include evidence of outcomes progress and goals being met (either in office visit or on IHP).

  • Follow up with corrected action will be completed by:

Emergency Preparedness

  • Emergency care forms are printed and available to be quickly taken during an evacuation.

  • Follow up with corrected action will be completed by:

  • Evacuation plan in place for medications, special procedure supplies/equipment

  • Follow up with corrected action will be completed by:

  • Emergency bag is intact, readily accessible.

  • Follow up with corrected action will be completed by:

  • AED/E-Team has been identified

  • Follow up with corrected action will be completed by:

  • AED/E-Team training/drills planned or held

  • Was after action plan completed?

  • Follow up with corrected action will be completed by:

  • Emergency Procedures for Office Staff notebook available.

  • Follow up with corrected action will be completed by:

  • AED daily and monthly check offs done.

  • Follow up with corrected action will be completed by:

Substitutes

  • Current daily med worksheet available?

  • Follow up with corrected action will be completed by:

  • Current student health condition information is readily available.

  • Follow up with corrected action will be completed by:

  • Emergency procedures and contacts for campus.

  • Follow up with corrected action will be completed by:

  • Process for documentation clearly defined.

  • Follow up with corrected action will be completed by:

  • RN guidelines manual visible/available.

  • Follow up with corrected action will be completed by:

  • Location of special procedures, emergency supplies, diabetes supplies clearly labeled.

  • Follow up with corrected action will be completed by:

Comprehensive School Health Program

  • Are staff development hours complete?

  • Classroom education done according to health TEKS.

  • Enter TEKS addressed and presentations offered.

  • Visual inspection of Hearing, Vision, and Spinal State report. Is it correct/complete?

  • Special event/committee involvement?

  • Enter TEKS addressed and presentations offered.

  • Review of goals from previous year.

Signatures

  • Coordinator of Health Services

  • School Nurse

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.