School Health and Safety Training Program Overview

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School Secretary Training
 
Patty Morris, RN/PHN, MSN
SCOE
August 2021
 
CONTACT INFORMATION:
 
Patty Morris, Health Services Director
 
Elizabeth Robinson, Executive Assistant
 
842.8405 or 
erobinson@siskiyoucoe.net
 
TOPICS COVERED:
 
TB Risk Assessments
CPR/AED/First Aid
Illness and Injuries
Medications
Specialized Physical Healthcare
Plans
Contagious illnesses and illness
surveillance
 
Back to school packet
Health Insert
Immunizations
School entry physical
Oral health assessment
AEDs, Stock Epinephrine Auto-
injectors and Naloxone
Lice
 
TB RISK ASSESSMENTS
 
California law requires that school staff working with children be free of
infectious tuberculosis (TB).
A law enacted on January 1, 2015 requires a TB risk assessment be
administered to school employees and volunteers every four years instead of
the TB skin testing.
School districts with employees or volunteers who want to take advantage of
this option under the law will need to establish their own policies and make
arrangements with a health care provider of their choosing.
The risk assessment must be completed by the health care provider who is
responsible for doing the assessment, signing it, then providing the Certificate
of Completion to the employee. School districts must keep this document on
file instead of the TB skin test results.
 
TB RISK ASSESSMENTS (CONTINUED):
 
 Staff who have tested positive in the past and have a documented negative chest
x-ray on file should also be screened for additional risk factors every four years
(there is a specific questionnaire designed for this purpose).
The TB Risk Assessment and Certificate of Completion can be completed by a
Registered Nurse. If your school site would like to contract with SCOE for
nursing services, a Credentialed School Nurse will come to your school site and
provide the service.
 
CPR/AED/FIRST AID:
 
For coaches, staff who have students with health concerns, and secretaries
North and South County courses are scheduled in the fall
Dates, locations and cost in the “Back to School” Packet
 
ILLNESS AND INJURIES:
 
Call nurse if question 
(should have monthly calendar, call Elizabeth if you cannot
contact the School Nurse assigned to your school)
Let nurse know about chronic conditions, medications, ongoing health concerns,
attendance problems, SST’s
Nurse will do school staff trainings for health concerns when required
 
MEDICATIONS:
 
Always
 call the school nurse when a student needs to take medication at school
and when the parent brings a refill, even if it is the same medication they have
been taking.
 
Never
 give a medication that has not been checked by the school nurse.
Medications to be given to the student during the school day must have an order
from a California licensed Doctor, Nurse Practitioner or Physician Assistant and
a parent signature (this includes over the counter medications such as Tylenol,
ibuprofen, Benadryl, lotions, ointment, eye drops).
 
MEDICATIONS (CONTINUED):
 
Medications must be in the original labeled container.
Although medications can be given during school hours, we encourage parents
to try to give medications at home when possible.
Secretaries or health clerks should make a copy of medication orders when they
arrive and put the copy in the student’s health insert.
There is a medication training document that must be completed by any
school employee before they assist a student with medication!
Ask your School Nurse!!
 
SPECIALIZED PHYSICAL HEALTHCARE PLANS
 
Children with health concerns will be attending school. It is important to notify
your School Nurse if a student with a health condition enrolls in school, or if a
current student has a newly identified health concern.
Some of the plans include:
 
Anaphylaxis
  
Diabetes
 
Asthma
   
Fainting
 
Seizures
Once the health concern is identified, the School Nurse will develop a plan with
the parent and student’s Doctor. The School Nurse will train school staff to
implement the plan.
 
CONTAGIOUS ILLNESSES AND ILLNESS
SURVEILLANCE:
 
Forms for tracking and reporting on SCOE Health Services Department website
Calling on all absences and logging information
Report to Public Health Department (PHD) weekly
WHY?
  
Required if a severe flu outbreak
  
Helpful for SARB Process
  
Identify problems early
 
 
 
CONTAGIOUS ILLNESSES AND ILLNESS
SURVEILLENCE (CONTINUED):
 
COMMUNICABLE DISEASE COMMUNICATION PLANS:
School Administrator signs an agreement with the Public Health Department to
participate in the program
Documents sent to the school by SCOE Director of Health Services
When a communicable disease occurs in the school, someone at the school will
contact the School Nurse assigned to the school to consult
If indicated, parents will be notified in writing to inform them of the presence of a
contagious/communicable illness in the school
The letters are sent by the school on behalf of the Public Health Department and
should never be sent without consulting the School Nurse
 
BACK TO SCHOOL PACKET:
 
E-mailed to School Secretaries in August
Information about:
Immunization law changes and PHD clinics 
 (also on PHD website:
Siskiyou County PHD IZ Clinic Schedule
)
CPR/FA/AED courses and sign ups
School Nurse assignments and contact information
Any other information or resources for new issues (changes in
laws, pandemic info, air quality)
 
BACK TO SCHOOL PACKET (CONTINUED):
 
 
Type 2 Diabetes Letter for all incoming 7
th
 graders.
Adapt letter for your school and administrator.
Send out letter, information sheet developed by the state,
and list of providers in your BTS Packet
 
HEALTH INSERT:
 
Order Health Insert from:
https://www.supremeschoolsupply.com/
  
Health Record Insert
  
Item #
SSCA60C
California School Immunization Record (usually printed on blue cardstock):
Can be printed from school attendance software program
Can be downloaded and printed from the California Immunization
Registry
 
HEALTH INSERT (CONTINUED):
 
Enter hearing and vision screening results (provided by the School Nurse) in the
spaces provided OR print a copy of the results from the attendance software
program an place in file
Enter color vision results (provided by the School Nurse) for 1
st
 grade boys in
the space provided OR print a copy of the results from the attendance software
program and place in file
Any other health related information should be placed in the Health Insert
including:
School entry physical
   
Immunization records
Medication orders
   
Health Questionnaires
Hearing and vision referrals
  
Specialized Physical Healthcare Plans
 
 
 
IMMUNIZATIONS:
 
Check for required immunizations 
before
 enrolling a student in
school:
Go to 
www.shotsforschool.org
Click on K-12 or Seventh Grade (depending on what you are looking
for)
All of the information you need for TK/K school entry, entry into
seventh grade and transferring students is on this website
*Students who are homeless or part of the Foster Care System must be
enrolled in school regardless of their immunization status. You will
need to work with their parent, social worker or School Nurse to access
their immunizations or assist them in getting required immunizations.
 
 
 
 
 
 
 
IMMUNIZATIONS (CONTINUED):
 
For anything you would ever need or want to know about school immunizations,
please go the Siskiyou County Office of Education website.
Click on the “Departments” tab
Click on the “Health Services” link
Click on the “Immunizations” link!!
 
http://www.siskiyoucoe.net/Page/1
Your School Nurse may assist you in finding immunization records for
students by checking the California Immunization Registry. If you would
like access to the registry, check with your School Nurse.
 
 
 
IMMUNIZATIONS (CONTINUED):
 
KINDERGARTEN:
When parent picks up the K Registration Packet, remind her/him that their child
will probably need four year old shots 
and 
it should be done before the child is
registered 
and
 the record needs to accompany the registration material.
Information is in packet.
When parent brings in registration packet, an immunization record should be
with it
Check the record while the parent is there. If immunizations are missing, give
them a completed Required Immunizations letter and refer them back to their
health care provider.
 
IMMUNIZATIONS (CONTINUED):
 
Emphasize that the child is not officially registered until immunizations are
completed. 
If you allow the child to attend school, most likely you will have a
long, time-consuming process of bringing the child into compliance, and the
school may incur an adjustment in their apportionment of ADA.
Work with your administrator & School Nurse
Make sure a copy of the immunization record is attached to the CSIR and put in
the student’s health insert.
Updated PHD immunization clinic schedule is on their website
Forms and letters to send to parents are on the SCOE Health Services website
More information and forms are on this website: 
www.shotsforschool.org
 
IMMUNIZATIONS (CONTINUED):
 
SEVENTH GRADE:
All students entering, advancing or transferring into 7th grade
 will need proof of an adolescent
whooping cough booster immunization (called “Tdap”) for school in the fall.
This law affects all students in public (including charter schools) and private schools.
As with all required immunizations, it is very important to enforce this requirement.  No
student should be allowed to attend 7
th
 grade unless this requirement is met. 
There is no
grace period and no conditional admission for this requirement
.
Students who have had exemptions from immunizations in the past or are missing
immunizations will need to be caught up on all missing immunizations before advancing into
seventh grade.
 Please see the Immunization section on the SCOE website for more information and resources
for reminding parents of immunizations that will be needed to continue in school.
 
 
IMMUNIZATIONS (CONTINUED):
 
EXEMPTIONS:
In California, there are no exemptions to the required immunizations for
religious or personal beliefs
Medical Exemptions can be written by an California licensed MD or DO
Parent requests the medical exemption from their child’s physician
California schools can access the CAIR Medical Exemption web site once a child
attending the school or child care facility has been issued a medical exemption in
CAIR-ME. If your school or child care facility has received a medical exemption in
CAIR-ME, you can request access by emailing 
medicalexemptions@cdph.ca.gov
For more on medical exemptions, go to: 
https://www.shotsforschool.org/
 
IMMUNIZATIONS (CONTINUED):
 
IMMUNIZATION REPORTS:
Immunization reports are required for TK/K and seventh grade students (in 2021
reports will be required for first and eighth grades as well)
The California Department of Public Health, Immunization Branch will send you a
letter with instructions on doing online reports and the deadlines.
Kindergarten report usually due on or before October 15
Seventh grade report usually due on or before November 1
Make a copy of report 
before
 you forward it to the state or you may lose it (cannot
be saved).
For more information about filing these reports, go to:
http://www.shotsforschool.org/
 
SCHOOL ENTRY PHYSICAL:
 
Information and form are in K Packet (also on SCOE HSD website). This exam is also called the CHDP
(Child Health Disability Prevention) exam.
Physical can be within 18 months of starting first grade, but is usually done when children get their
last set of immunizations before beginning T/K or K. Not needed until first grade, but schools can
require it for K
Required to have physical or waiver signed within 90 days of starting 1
st
 grade (before Thanksgiving
break)
Record the date of the exam in student’s Health Insert.
Visit this website for more details on this mandate:
http://www.dhcs.ca.gov/formsandpubs/publications/Documents/CMS/CHDPPub108.pdf
     Please note that although there is no longer a report of Physical Examination for School Entry to be
made to the State of California (and reimbursement for the report), the examination is still a state
mandate.
 
ORAL HEALTH ASSESSMENT:
 
Initial information is in K packet. All forms will be on SCOE HSD website.
Dental screening can be done within 12 months of starting kindergarten.
Send out reminder with form and list of dental providers in the fall.
Track with immunizations and 1
st
 grade physical
In May, compile data and submit report: SCOHR website.  For more information
contact SJCOE at 
scohr@sjcoe.net
 or call 866.762.9170.
 
AEDs, STOCK EPINEPRINE AUTO-INJECTORS,
AND NALOXONE:
 
Schools with Epi-Pens:
As of January 1, 2015, ALL schools are required have an unassigned epinephrine auto-
injector program.
Schools have the option to have stock Naloxone.
Someone at your school site should be responsible for checking the Epi-Pens and
Naloxone and logging the checks monthly.
If your school site does not have either of these programs and would like information
about getting them, contact Patty Morris.
Schools that have AEDs:
Someone at your school site should be responsible for checking the batteries, providing
maintenance and logging the checks monthly or as per your school policy.
 
LICE:
 
Head lice are small insects that live in people’s hair and feed on their blood. Lice
glue their eggs, also called nits, to hair.
Lice can be a nuisance, but are not dangerous and can affect anyone.
Lice do not jump or fly, but are usually spread by head to head contact.
The best way to avoid transmission of lice is to teach children not to share hats,
combs, brushes, etc. and not to touch heads with other children. Children with
long hair should wear their hair in a braid or pony tail.
Parents should learn how to check  their children for lice at home.
 
LICE (CONTINUED):
 
Designated people in schools can be trained to check individual children for lice
if requested by a parent or the student. Checking for lice does not require a
nursing license or credential. Any trained person can do it.
Students with lice are not usually sent home.
The student’s parents are notified before the end of the school day.
The School Nurse can call in a prescription for medication to treat lice if the
student has Medi-Cal insurance.
Students can return to school after they have been treated.
Education and information about lice for schools and parents can be found on
the SCOE Health Services website.
undefined
 
We appreciate your assistance in
keeping our students healthy so they
can stay in school and learn!
Do not hesitate to contact the Health
Services Department at 842-8405.
Also, check out the other links on our
website!
SCOE HSD
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This overview provides information on the School Secretary Training program conducted for Patty Morris, RN/PHN, MSN at SCOE in August 2021. Topics covered include TB risk assessments, CPR/AED/First Aid, handling illnesses and injuries, immunizations, medications, and more. Details on TB risk assessments, CPR/AED/First Aid courses, and guidance on managing health concerns in school settings are highlighted. Additionally, contact information for Patty Morris and Elizabeth Robinson is provided for further inquiries.


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  1. School Secretary Training Patty Morris, RN/PHN, MSN SCOE August 2021

  2. CONTACT INFORMATION: Patty Morris, Health Services Director 842.8425 or pmorris@siskiyoucoe.net Elizabeth Robinson, Executive Assistant 842.8405 or erobinson@siskiyoucoe.net

  3. TOPICS COVERED: TB Risk Assessments Back to school packet CPR/AED/First Aid Health Insert Illness and Injuries Immunizations Medications School entry physical Specialized Physical Healthcare Plans Oral health assessment AEDs, Stock Epinephrine Auto- injectors and Naloxone Contagious illnesses and illness surveillance Lice

  4. TB RISK ASSESSMENTS California law requires that school staff working with children be free of infectious tuberculosis (TB). A law enacted on January 1, 2015 requires a TB risk assessment be administered to school employees and volunteers every four years instead of the TB skin testing. School districts with employees or volunteers who want to take advantage of this option under the law will need to establish their own policies and make arrangements with a health care provider of their choosing. The risk assessment must be completed by the health care provider who is responsible for doing the assessment, signing it, then providing the Certificate of Completion to the employee. School districts must keep this document on file instead of the TB skin test results.

  5. TB RISK ASSESSMENTS (CONTINUED): Staff who have tested positive in the past and have a documented negative chest x-ray on file should also be screened for additional risk factors every four years (there is a specific questionnaire designed for this purpose). The TB Risk Assessment and Certificate of Completion can be completed by a Registered Nurse. If your school site would like to contract with SCOE for nursing services, a Credentialed School Nurse will come to your school site and provide the service.

  6. CPR/AED/FIRST AID: For coaches, staff who have students with health concerns, and secretaries North and South County courses are scheduled in the fall Dates, locations and cost in the Back to School Packet

  7. ILLNESS AND INJURIES: Call nurse if question (should have monthly calendar, call Elizabeth if you cannot contact the School Nurse assigned to your school) Let nurse know about chronic conditions, medications, ongoing health concerns, attendance problems, SST s Nurse will do school staff trainings for health concerns when required

  8. MEDICATIONS: Always call the school nurse when a student needs to take medication at school and when the parent brings a refill, even if it is the same medication they have been taking. Never give a medication that has not been checked by the school nurse. Medications to be given to the student during the school day must have an order from a California licensed Doctor, Nurse Practitioner or Physician Assistant and a parent signature (this includes over the counter medications such as Tylenol, ibuprofen, Benadryl, lotions, ointment, eye drops).

  9. MEDICATIONS (CONTINUED): Medications must be in the original labeled container. Although medications can be given during school hours, we encourage parents to try to give medications at home when possible. Secretaries or health clerks should make a copy of medication orders when they arrive and put the copy in the student s health insert. There is a medication training document that must be completed by any school employee before they assist a student with medication! Ask your School Nurse!!

  10. SPECIALIZED PHYSICAL HEALTHCARE PLANS Children with health concerns will be attending school. It is important to notify your School Nurse if a student with a health condition enrolls in school, or if a current student has a newly identified health concern. Some of the plans include: Anaphylaxis Diabetes Asthma Fainting Seizures Once the health concern is identified, the School Nurse will develop a plan with the parent and student s Doctor. The School Nurse will train school staff to implement the plan.

  11. CONTAGIOUS ILLNESSES AND ILLNESS SURVEILLANCE: Forms for tracking and reporting on SCOE Health Services Department website Calling on all absences and logging information Report to Public Health Department (PHD) weekly WHY? Required if a severe flu outbreak Helpful for SARB Process Identify problems early

  12. CONTAGIOUS ILLNESSES AND ILLNESS SURVEILLENCE (CONTINUED): COMMUNICABLE DISEASE COMMUNICATION PLANS: School Administrator signs an agreement with the Public Health Department to participate in the program Documents sent to the school by SCOE Director of Health Services When a communicable disease occurs in the school, someone at the school will contact the School Nurse assigned to the school to consult If indicated, parents will be notified in writing to inform them of the presence of a contagious/communicable illness in the school The letters are sent by the school on behalf of the Public Health Department and should never be sent without consulting the School Nurse

  13. BACK TO SCHOOL PACKET: E-mailed to School Secretaries in August Information about: Immunization law changes and PHD clinics (also on PHD website: Siskiyou County PHD IZ Clinic Schedule) CPR/FA/AED courses and sign ups School Nurse assignments and contact information Any other information or resources for new issues (changes in laws, pandemic info, air quality)

  14. BACK TO SCHOOL PACKET (CONTINUED): Type 2 Diabetes Letter for all incoming 7thgraders. Adapt letter for your school and administrator. Send out letter, information sheet developed by the state, and list of providers in your BTS Packet

  15. HEALTH INSERT: Order Health Insert from: https://www.supremeschoolsupply.com/ Health Record Insert Item #SSCA60C California School Immunization Record (usually printed on blue cardstock): Can be printed from school attendance software program Can be downloaded and printed from the California Immunization Registry

  16. HEALTH INSERT (CONTINUED): Enter hearing and vision screening results (provided by the School Nurse) in the spaces provided OR print a copy of the results from the attendance software program an place in file Enter color vision results (provided by the School Nurse) for 1stgrade boys in the space provided OR print a copy of the results from the attendance software program and place in file Any other health related information should be placed in the Health Insert including: School entry physical Medication orders Hearing and vision referrals Immunization records Health Questionnaires Specialized Physical Healthcare Plans

  17. IMMUNIZATIONS: Check for required immunizations before enrolling a student in school: Go to www.shotsforschool.org Click on K-12 or Seventh Grade (depending on what you are looking for) All of the information you need for TK/K school entry, entry into seventh grade and transferring students is on this website *Students who are homeless or part of the Foster Care System must be enrolled in school regardless of their immunization status. You will need to work with their parent, social worker or School Nurse to access their immunizations or assist them in getting required immunizations.

  18. IMMUNIZATIONS (CONTINUED): For anything you would ever need or want to know about school immunizations, please go the Siskiyou County Office of Education website. Click on the Departments tab Click on the Health Services link Click on the Immunizations link!! http://www.siskiyoucoe.net/Page/1 Your School Nurse may assist you in finding immunization records for students by checking the California Immunization Registry. If you would like access to the registry, check with your School Nurse.

  19. IMMUNIZATIONS (CONTINUED): KINDERGARTEN: When parent picks up the K Registration Packet, remind her/him that their child will probably need four year old shots and it should be done before the child is registered and the record needs to accompany the registration material. Information is in packet. When parent brings in registration packet, an immunization record should be with it Check the record while the parent is there. If immunizations are missing, give them a completed Required Immunizations letter and refer them back to their health care provider.

  20. IMMUNIZATIONS (CONTINUED): Emphasize that the child is not officially registered until immunizations are completed. If you allow the child to attend school, most likely you will have a long, time-consuming process of bringing the child into compliance, and the school may incur an adjustment in their apportionment of ADA. Work with your administrator & School Nurse Make sure a copy of the immunization record is attached to the CSIR and put in the student s health insert. Updated PHD immunization clinic schedule is on their website Forms and letters to send to parents are on the SCOE Health Services website More information and forms are on this website: www.shotsforschool.org

  21. IMMUNIZATIONS (CONTINUED): SEVENTH GRADE: All students entering, advancing or transferring into 7th gradewill need proof of an adolescent whooping cough booster immunization (called Tdap ) for school in the fall. This law affects all students in public (including charter schools) and private schools. As with all required immunizations, it is very important to enforce this requirement. No student should be allowed to attend 7thgrade unless this requirement is met. There is no grace period and no conditional admission for this requirement. Students who have had exemptions from immunizations in the past or are missing immunizations will need to be caught up on all missing immunizations before advancing into seventh grade. Please see the Immunization section on the SCOE website for more information and resources for reminding parents of immunizations that will be needed to continue in school.

  22. IMMUNIZATIONS (CONTINUED): EXEMPTIONS: In California, there are no exemptions to the required immunizations for religious or personal beliefs Medical Exemptions can be written by an California licensed MD or DO Parent requests the medical exemption from their child s physician California schools can access the CAIR Medical Exemption web site once a child attending the school or child care facility has been issued a medical exemption in CAIR-ME. If your school or child care facility has received a medical exemption in CAIR-ME, you can request access by emailing medicalexemptions@cdph.ca.gov For more on medical exemptions, go to: https://www.shotsforschool.org/

  23. IMMUNIZATIONS (CONTINUED): IMMUNIZATION REPORTS: Immunization reports are required for TK/K and seventh grade students (in 2021 reports will be required for first and eighth grades as well) The California Department of Public Health, Immunization Branch will send you a letter with instructions on doing online reports and the deadlines. Kindergarten report usually due on or before October 15 Seventh grade report usually due on or before November 1 Make a copy of report before you forward it to the state or you may lose it (cannot be saved). For more information about filing these reports, go to: http://www.shotsforschool.org/

  24. SCHOOL ENTRY PHYSICAL: Information and form are in K Packet (also on SCOE HSD website). This exam is also called the CHDP (Child Health Disability Prevention) exam. Physical can be within 18 months of starting first grade, but is usually done when children get their last set of immunizations before beginning T/K or K. Not needed until first grade, but schools can require it for K Required to have physical or waiver signed within 90 days of starting 1stgrade (before Thanksgiving break) Record the date of the exam in student s Health Insert. Visit this website for more details on this mandate: http://www.dhcs.ca.gov/formsandpubs/publications/Documents/CMS/CHDPPub108.pdf Please note that although there is no longer a report of Physical Examination for School Entry to be made to the State of California (and reimbursement for the report), the examination is still a state mandate.

  25. ORAL HEALTH ASSESSMENT: Initial information is in K packet. All forms will be on SCOE HSD website. Dental screening can be done within 12 months of starting kindergarten. Send out reminder with form and list of dental providers in the fall. Track with immunizations and 1stgrade physical In May, compile data and submit report: SCOHR website. For more information contact SJCOE at scohr@sjcoe.net or call 866.762.9170.

  26. AEDs, STOCK EPINEPRINE AUTO-INJECTORS, AND NALOXONE: Schools with Epi-Pens: As of January 1, 2015, ALL schools are required have an unassigned epinephrine auto- injector program. Schools have the option to have stock Naloxone. Someone at your school site should be responsible for checking the Epi-Pens and Naloxone and logging the checks monthly. If your school site does not have either of these programs and would like information about getting them, contact Patty Morris. Schools that have AEDs: Someone at your school site should be responsible for checking the batteries, providing maintenance and logging the checks monthly or as per your school policy.

  27. LICE: Head lice are small insects that live in people s hair and feed on their blood. Lice glue their eggs, also called nits, to hair. Lice can be a nuisance, but are not dangerous and can affect anyone. Lice do not jump or fly, but are usually spread by head to head contact. The best way to avoid transmission of lice is to teach children not to share hats, combs, brushes, etc. and not to touch heads with other children. Children with long hair should wear their hair in a braid or pony tail. Parents should learn how to check their children for lice at home.

  28. LICE (CONTINUED): Designated people in schools can be trained to check individual children for lice if requested by a parent or the student. Checking for lice does not require a nursing license or credential. Any trained person can do it. Students with lice are not usually sent home. The student s parents are notified before the end of the school day. The School Nurse can call in a prescription for medication to treat lice if the student has Medi-Cal insurance. Students can return to school after they have been treated. Education and information about lice for schools and parents can be found on the SCOE Health Services website.

  29. We appreciate your assistance in keeping our students healthy so they can stay in school and learn! Do not hesitate to contact the Health Services Department at 842-8405. Also, check out the other links on our website! SCOE HSD

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