Helping Belton ISD
Students Stay Safe & Healthy
What Every BISD Staff Needs to Know About:
• Responding to Emergencies (Mr. MERT)
• Health Conditions: What Do I Do?
• Field Trip Process: Health Needs
• Communicable Disease Prevention
Updates: Lice
• Blood Borne Pathogens
Belton ISD
Health Services
2013-2014
SEVERE
LOW
BLOOD
GLUCOSE
Is it an Emergency?
Not responding?
What you see
• They are not
moving or
responding when
you tap their
shoulders and yell:
“Hey, are you Ok?
What you do
• Yell for help
• Tell someone to call a MR. MERT
(Medical Emergency Response Team) to
your location. Remind them to bring the
AED
• If no one is with you and you are alone,
go call 911 and get the AED
• If it looks like they are not breathing :
Place the AED and give CPR if you know
how
Automatic External Defibrillators
(AEDs)
Open the case and pull the handle
Voice prompts will tell you:
• Place the pads on the bear chest
Just like the picture on the pad
• Do not touch the person if the AED tells you a shock
is needed
• Push the flashing orange button when it tells you to
• Start CPR if the AED tells you to and leave the pads
on
• Health Conditions: What Do I Do?

Safe & Healthy

Safe & Healthy
Asthma Emergency Plan
Safe & Healthy
Food Allergy
Food Allergy
Severe Allergy
Emergency Plan
Safe & Healthy
Teacher/Coach Responsibilities
•Review the Emergency Plan for Severe Allergy plan with the school
nurse, if available, and with the student and his/her parent/guardian.
•Keep the student’s plan accessible in the classroom and available
for a substitute
•Ensure that an adult accompanies a student suspected of having
an allergic reaction or ask the nurse to come to the student
•Notify the school nurse at least 48 hours before a field trip so that
emergency plan and EPIPEN administration procedures can be
reviewed with one to two staff going on the field trip.
•Educate classmates to avoid endangering, isolating, stigmatizing or
harassing students with food allergies
•Ensure other staff, students and their parents comply with any riskreduction strategies.
Food Allergy
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Risk Reduction Strategies
No food sharing
No utensil sharing
Avoid serving food without appropriate ingredient labels
Hand washing before and after eating snacks/meals. Soap and
water are best.
Avoid cross-contamination of food by wiping down eating
surfaces before and after eating.
Designate allergen safe zones, such as designated
tables/seating areas
Consider eliminating or limiting foods in the classroom, buses,
after-school activities which may cause a life-threatening
reaction to a student in a class
Avoid or use caution when using food for classroom activities,
such as for crafts, science projects, holiday celebrations, etc.
Use non-food items as rewards instead of food
Avoid high-risk areas for field trips, i.e. corn fields,
exposure to latex balloons or seafood, etc.
Food Allergy
Field Trips
Medications/Procedures/Supplies
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Oral medications
Epipens
Inhalers
Diabetic supplies
Other equipment
Other emergency
meds
• Basic 1st Aid supplies
Emergency Care Plans
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Asthma
Bleeding Disorder
Cardiac Condition
Diabetes
Seizures
Severe Allergies
Other special
conditions or
procedures
Medication Administration
on Field Trips
Illness Prevention
Examples of When a Student Would be Excluded from School:
• Possible Fever > 100°
• “Wet” Rash that cannot be covered
• Signs & Symptoms of a contagious disease, like
pertussis, mmps, chickenpox, “pink-eye”
Illness Prevention Tips:
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Wash Hands
Cover Cough
Stay Home if Sick- See Your Dr.
Get Flu Shot
Communicable Disease
Prevention
Head Lice Updates
New Texas Law: No School Exclusion for Head LIce
Research & Recommendations from:
• American Academy of Pediatrics
• National Association of School Nurses
• Texas Department of State Health Services
Head Lice Guidelines Reviewed By:
• Belton ISD School Health Advisory Committee
• Belton ISD Administration
Communicable Disease
Prevention
Head Lice: Prevention
• School Nurses provide Parental Education about
identification, treatment and prevention in person &
in writing, including on BISD website
• Teachers avoid classroom activities that increase
head to head contact (naptime)
• All staff remind students about not sharing caps,
hats, scarves, hairbrushes, combs
• All staff avoid practice of having students pile coats,
backpacks, etc. )Use separate hooks, cubbies)
Communicable Disease
Prevention
Head Lice: Identification & Referral
• Refer those exhibiting signs (itching, visible nits or
lice)
• Check only those with possible close head to head
contact- at discretion of nurse and principal
• No head checks in the classroom
Communicable Disease
Prevention
Head Lice: Management of
Confirmed Case
• Nurse calls parent to inform of case and educate on
treatment , encouraging parent to treat
• Student may remain in class, but discouraged form
close head to head contact
• Head Lice Notice to Class sent only at discretion of
nurse and principal with several cases
Communicable Disease
Prevention
Head Lice: Exclusion?
• Student with > 2 cases in same week can be
excluded at discretion of nurse & principal until free
of live lice
• Nurse will re-examine student before allowing to
return
• Nurse should collaborate with CIS staff to offer extra
extra help for students with excessive absences due
to head lice
Communicable Disease
Prevention
Head Lice: Educate!
• Head Lice, American Academy of Pediatrics,
published July, 2010
• Pediculosis Management in the SCHool Setting,
National Association of School Nursing, August
2010.
• Managing Head Lice in School Settings, Texas
Department of State Health Services, December,
2012.
• Lice Management: Staff Information, Belton ISD
Health Services, BISD website, 2013.
Communicable Disease
Prevention
Helping Belton ISD
Students & Staff
Stay Safe & Healthy
What Every BISD Staff Needs to Know About:
Blood borne Pathogens
Belton ISD
Health Services
2013-2014
BBP
Why do I need this training?
Your job duties may put you at risk of exposure to
blood or other potentially infectious material
(OPIM)
 Breaking up fights
 Assisting with nose bleeds, cuts
 Assisting diabetic student
 Working with combative students including
those who bite and break the skin
 Providing swallowing therapy
BBP
What are bloodborne pathogens?
 Viruses, bacteria, and other
microorganisms that are carried in the
bloodstream and can cause serious
diseases
 The most common BBP are:
 Human Immunodeficiency Virus (HIV)
 Hepatitis B Virus (HBV)
 Hepatitis C Virus (HCV)
These disease can lead to problems like
cirrhosis, liver cancer, liver failure, aids and
death.
Many Symptoms
appear months
after exposure and
HEP B can survive
outside of the
body for up to a
week
How do BBPs enter your body?
Direct contact with blood or other body
fluids of an infected person through:
 Open cuts, wounds, skin abrasions
 Blood splashing into your eyes, nose, or
mouth
BLOOD + ENTER BODY
Belton ISD Provides the Hepatitis B
vaccine to :
 Staff working in special-ed self-contained classrooms
 Staff working in the school health clinics
 Staff whose school duties placed them at risk to frequently
come in contact with blood or other potentially infectious
material
 3shots: 1-2 months apart
 Notify the BeltonISD School Health Coordinator immediately if
you have not received the vaccine (See Hep B form)
• Most insurances do not charge. Belton ISD will provide if your
insurance does not cover the vaccine
Best Practice: Universal Precautions
“All Blood is the Same”
When you take Universal
Precautions you act like all human
blood may be infectious and treat
everyone the same. You will take
precautions with everyone’s blood.
• Best Practice: Wear Gloves
• Wear gloves when you might be coming
in contact with someone’s blood or
body fluids.
• Wear goggles or gowns if needed.
Best Practice: Wash Hands
• Wash hands with soap and water before
eating, after any contact with blood, body
fluids, or soiled objects, After using the toilet,
after assisting with personal hygiene, after the
removal of gloves
Best Practice: Proper Cleaning
• Belton ISD trains staff to clean up blood &
body fluids properly using the right cleaners
and the right method.
• Waste such as bloody tissues should be
disposed of in a plastic-lined trash and after
being double-bagged, can be thrown in the
dumpster
Best Practice: Sharps Containers
Use sharps containers if you are diabetic and will be
checking you blood sugar or give yourself injections at
school and make sure students are using them as well.
They are located in the health clinics, and we can make
sure they are also available in staff lounges if needed.
Best Practice: Report Exposure
When blood or body fluids gets in through non-intact
skin or mucous membranes, or if you are poked with a
needle, do the following:
• Wash the exposed area with soap and water, or
irrigate the eyes with water
• Report the incident to the Health Services
Coordinator for investigation and proper referral
• The district will provide for additional medical
evaluation and treatment if needed
• Health Services: Charlotte Smith, RN 215-2510
BBP: INFORMATION ACCESS
 Annual Training
 Web Access: Staff Training Tab
of School Health Service Page
 Written Access:
BBP Exposure Control Plan @ the
school health office of each
campus or department in the
district
Belton ISD
BBP
Exposure
Control
Plan
BBP
Questions or Comments?
References & Resources
Emergency:
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American Academy of Pediatrics (AAP). (2008) Disaster planning for schools. Pediatrics, 122 (4) pp. 895‐ 901.
doi:10.1542/peds.2008‐2170
Cole, V., Henry, B., Tyson, D., Fitzgerald, R., Hopkins, R. (2007). In the face of danger: Comprehensive emergency
preparedness and response for schools. Penn GSE Perspectives on Urban Education, Retrieved from
http://urbanedjournal.org/archive/Vol.%205%20Iss.%202%20Order%20in%20Schools/Articles/Article_
2_In%20the%20Face%20of%20Danger.html
Doyle, J., & Loyacono, T. (2007). Disaster preparedness guidelines for school nurses. Silver Spring, MD: National
Association of School Nurses.
Fitzpatrick, B. (2006). Emergency management, crisis response and the school nurse’s role. In J. Selekman (Ed.)
School nursing: A comprehensive text. (pp. 205‐ 233). Philadelphia: F.A. Davis Company.
Diabetes
• Care, 34(Supp 1), S70‐S74.
• American Association of Diabetes Educators (AADE). (2008). Position statement: Management of children with
diabetes in the school setting. The Diabetes Educator, 34(3), 439‐443.
• American Nurses Association /National Association of School Nurses (ANA/ NASN). (2011). Scope and standards of
practice: School nursing, 2nd ed. Silver Spring, MD: Nursebooks.org.
Food Allergy
• American Academy of Allergy, Asthma and Immunology Board of Directors (1998). Position Statement-Anaphylaxis in
schools and other child-care settings. Journal of Allergy Clinical Immunology: 102(2), 173-175.
• Food Allergy Network (2001). Information about anaphylaxis: Commonly asked questions about anaphylaxis.
www.foodallergy.org.
• Mudd, K. E. & Noone, S. A., (1995). Management of severe food allergy in the school setting.
Journal of
School Nursing: 11(3), 30-32
• National Association of School Nurses (2000). Position Statement-Epinephrine use in life-threatening emergencies.
Scarborough, ME: Author.
Questions or Comments?
References & Resources
Medication
• Belton Independent School District Board Policy (2012). FFAC Legal and Local: Wellness and Health Services: Medical Treatment: Administering Medication. Retrieved June 22,
2012 from http://pol.tasb.org/Policy/Code/164?filter=FFAC
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Belton Independent School District Board Policy (2012). FFAF Legal: Wellness and Health Services: Individualized
Health Plan. Retrieved June 22, 2012 from http://pol.tasb.org/Policy/Search/164?filter=FFAF
Texas Department of State Health Services (2011). Texas School Health Guidelines: School health Manual: Chapter 5,
208. Retrieved June 22, 2012 from http://www.dshs.state.tx.us/schoolhealth/pgtoc.shtm
American Academy of Pediatrics. (2009). Policy statement guidance for the administration of medication in school.
Pediatrics 124, 1244‐1251.
American Nurses Association / National Council of State Boards of Nursing (ANA/NCSBN). (2006). Joint statement on
delegation. Retrieved from https://www.ncsbn.org/Joint_statement.pdf
American Nurses Association (ANA). (2005). Principles of delegation. Silver Springs, MD: Author.
Canham, D.L., Bauer, L., Concepcion, M., Luong, J., Peters, J., & Wilde, C. (2007). An audit of medication
administration: A glimpse into school health offices. Journal of School Nursing, 23, 21‐27. doi:
10.1177/10598405070230010401
Clay, D., Farris, K., McCarthy, A.M., Kelly, M.W., Howard, R. (2008). Family perceptions of medication administration at
school: errors, risk factors and consequences. Journal of School Nursing, 24, 95‐102. doi:
10.1177/10598405080240020801
Gursky, B. S., & Ryser, B. J., (2007). A training program for unlicensed assistive personnel. Journal of School Nursing,
23, 92‐97. doi: 10.1177/10598405070230020601
BBP
http://www.dir.ca.gov/dosh/dosh_publications/expplan2.pdf
http://www.odh.ohio.gov/ASSETS/BF89785CAD2F478BB75134D8219D2A5F/bbpath.pdf
http://www.setonresourcecenter.com/safety/written/pdf/bbpschools.pdf
Contact info:
Belton ISD Health Services