Comprehensive School Health Program

  • School health office orderly and free of clutter.

  • Equipment (audiometer, otoscope, scales, pulse ox, sphygmometer, thermometer, phone, computer) in working order

  • Gloves are readily accessible in clinic.

  • Visual inspection of Immunization Out of Compliance Report. Are all students compliant or in progress (notes of parent contact are present for students being considered for exclusion)?

  • Visual inspection of Vision report. Is it correct/complete?

  • Visual inspection of Hearing report. Is it correct/complete?

  • Visual inspection of Spinal State report. Is it correct/complete?

  • Visual inspection of AN report. Is it correct/complete in RFES?

  • Audiometer monthly biological check offs done.

  • Clinic stats reported every month.

  • Records are bundled for shredding. Bundled records are shredded in a timely fashion (no excessive amounts of records overdue for shredding are present on campus).

  • Special Procedure Orders are uploaded in Skyward under Medication

  • Sharps container is securely stored and safely accessible when needed. Full Sharps need to be sent to ESC.

Health Conditions and Individual Health Plans

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

  • Plan to communicate health needs to next nurse

Medication and Special Procedures. FFAC (legal and local)

  • Monthly check offs of standing order medications is complete.

  • Current Medication Opt out list is present in the medication cabinet and/or sub binder.

  • Medication keys and medication cabinets are secured at at the time of the audit (visual inspection).

  • Are controlled medications properly secured in a double locked cabinet?

Inventory of Controlled Medications

  • Has an inventory sheet been implemented and performed weekly for each controlled medication on file in the clinic. Inventory reconciliation documents should be kept in the medication binder.

  • Perform inventory check on meds. Medication counts are accurate.


  • Epinephrine auto-injectors are clearly labeled to allow for rapid identification.

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

Emergency Preparedness

  • Emergency care forms are printed and available to be quickly taken during an evacuation OR forms are saved to campus nurse laptop.

  • Emergency bag/cart is intact, readily accessible.

  • Laptop power cord located in emergency go box.

  • AED daily, monthly, annual check offs done.

  • Campus Response Team training/drills held

  • AED(s) have clear signage

  • Plan in place for entry into locked clinic bathroom door.

Professional Nursing Practice

  • Professional Development Plan for summer

  • Documentation of completed goal in Strive.

  • Nurse is wearing name badge with credentials displayed.

Staff Signatures

  • School Nurse

  • Coordinator of Health Services

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