1. Emergency Action Plans Rachel Gallagher, RN, CPNP, NCSN
School Nurse Consultant
Wisconsin Department of Public Instruction
Rachel.gallagher@dpi.wi.gov
(608) 266-8857
2. Outline Emergency in Schools
Emergency Action Plan
Resources
Confidentiality
3. Emergencies in Schools Policies and procedure for life-threatening illness and injury per Standard G
CPR/AED Not required but recommended
All School Activities
4. What are emergency action plans (EAP)? It is plan for management of a specific child potential emergency in the classroom setting.
See this do that - prescriptive
Lay mans language and friendly
Should align with policies and procedure of the school district.
5. Emergency Information Form for Children with Special Health Care Needs
Emergency Information Form (American College of Emergency Physicians and AAP): http://www.aap.org/advocacy/blankform.pdf
6. Diabetes
Children with Diabetes (U.S. Department of Health and Human Services): http://www.childrenwithdiabetes.com/gifs/books/ndep2003.gif
Children with Diabetes: Resources Guide for Wisconsin Schools and Families (Wisconsin Department of Health Services): http://www.dhs.wisconsin.gov/health/diabetes/PDFs/srg13.pdf
7. Seizure
Seizure Action Plan (Epilepsy Foundation) http://www.epilepsyfoundationgla.org/public/File/Seizure_Action_Plan_v1.pdf
Seizure Action Plan (?): http://www.asdk12.org/forms/uploads/Seizure_Action_Plan.pdf
8. Asthma
Asthma Action Plan (American Lung Association): http://www.lungusa.org/atf/cf/%7B7A8D42C2-FCCA-4604-8ADE-7F5D5E762256%7D/AAP.PDF
Asthma Action Plan (DPI/Chronic Disease/Asthma): http://www.dpi.wi.gov/sspw/schlnurse.html
9. Anaphylaxis
Food Allergy Action Plan (Food Allergy Network): http://www.foodallergy.org/downloads/FAAP.pdf
10. What information can I share with school staff?
Chapter 118.125(2)(d) Pupil records shall be made available to persons employed by the school district which the pupil attends who are required to hold a license and other school district officials who have been determined by the school board to have legitimate educational interest, including safety interests in the pupil records.
11. Emergency Notification Emergency list - List of students with potentially life-threatening conditions that could be shared with all school personnel in school.
Flag emergencies on Electronic Records
Substitute Teacher
Parent volunteers on fieldtrips limit information
12. Situation A 14 year old, Danielle with Von Willebrand Disease is new H.S. student competing on the girls swim team. The students has passed the WIAA physical exam for swimming participation.
History of swimming since the age of 8.
Last year, qualified for state participation in the 12-14 years of age 100 m breast stroke.
Danielle is on continuous birth control with no menses in the last 3 months.
13. Situation Continues History of two bleeds while swimming
Right knee bleed as result of fall on the pool deck
Right wrist bleed as result of impact on hitting the pool wall at the end of a swimming event
Mom is a single parent and works full-time at Department of Transportation and part-time at Kohls Department Store.
Medications
desamino-8-arginine vasopressin (DDAVP) daily
Factor VIII as needed
14. What does the school nurse need to do? Release of information -more info from M.D.
M.D. and parent authorization for treatment
Parent and student history
Emergency action plan
Training of coaching and teaching staff
15. Questions???
