• Emergency Health Needs

    In this Chapter

    • High Risk and Health Concerns Lists
    • Accidents and Injury
    • When to Contact Parent/Guardian
    • Emergency Plan of Action
    • Emergency Health Standards
    • Critical Incidents
    • Suicide Attempts

    High Risk and Health Concerns Lists

    Using medical information obtained from the Health Emergency Information Card and the Health History Form, the school health aide will prepare a High-Risk List and a Health Concerns List of students with health problems that may require emergency medical attention. These lists are to be prepared in SIS.  These lists are to be given to the school RN by the second week of school.

    The school RN will review the list and advise the health aide of any changes.  In addition, the school RN will develop and distribute individual health plans to school staff on a “need to know” basis when appropriate.  Both lists will be given to the principal for placement in the emergency management supply kit and must be updated as students’ health needs change and upon enrollment or departure from the school. 

    Examples of “high risk” conditions include, but are not limited to:

    • Diabetes
    • Seizures
    • Anaphylactic reactions
    • Asthma conditions requiring medication

    Examples of “health concerns” include, but are not limited to:

    • ADD
    • Medication or environmental allergies
    • Asthma, when no medications are required

    Contact the School Health office for instructions on creating and printing High Risk and Health Concerns Lists.        

    Accidents and Injuries

    When the school RN is present on campus, he/she should be contacted immediately.

    When a serious illness or any type of accident occurs during the school day, the school is obligated to immediately notify the student's parents/guardians or the responsible person designated by the parents/guardians.  A Student Accident Report(these forms are available from Risk Management) is completed as indicated by school board policy.  Whenever a Student Accident Report is completed, or when unable to reach a parent or guardian about an accident or sudden illness, complete a  Student Injury Report.  Place one copy of the Student Injury Report in the student Cumulative School Health Record and send one copy to the parents/guardians.

    The Student Injury Report should also be used to notify the parents/guardians in writing of any head injury, since symptoms may not be obvious at once and parents/guardians must be made aware of the possibility of symptoms developing later. The school should provide emergency care until either the parents/guardians or medical authorities assume responsibility.          

    Parents/guardians should be contacted if the following situations occur:

    • Any head injury, even if it appears minor
    • Pain that does not relent in 30 minutes
    • Bleeding that will not stop
    • Any injury to any skeletal portion of the body
    • Loss of consciousness
    • Respiratory distress
    • Ingestion of toxic or unknown material
    • An infection, respiratory or otherwise, which might be contagious to others
    • Any illness or emergency in question
    • The temperature of 100.4°F oral, 99°F auxiliary or higher (NO RECTAL TEMPERATURES ALLOWED)
    • An eye injury.
    • Change in mental status/loss of consciousness.\
    • Symptoms of shock, which may be present with an injury:
      • Restlessness or irritability
      • Rapid pulse and breathing
      • Pale, cool, damp skin
      • General weakness
      • Change in mental status/loss of consciousness

    Emergency Plan of Action

    When the school RN is present on campus, he/she should be contacted immediately.

    • If necessary, initiate a call to 911.
    • Immediately notify the school administrator.
    • Administer First Aid according to standard procedures learned in First Aid training.
    • Notify parent or guardian of student's condition.  If parent/guardian cannot be contacted, call the person identified by the parent on the Health Emergency Information Card as the person to call in an emergency.
    • Once EMS decides to transport student, school personnel are not required to accompany the student.  A copy of the student's Health Emergency Information Card, which gives hospital personnel permission for treatment in an emergency, should accompany the student. 
    • Always record the nature of the incident and action taken in the student's clinic visit record.
    • Notify the school RN or School Health office (32101) of all 911 calls.

    Emergency Health Standards

    When the school RN is present on campus, he/she should be contacted immediately.

    • The person nearest the scene who is certified in First Aid should administer First Aid as promptly as possible.  
    • Standard (Universal) Blood and Body Fluid Precautions should be used in the administration of all First Aid.
    • When school RNs provide emergency treatment for students who are injured or ill, it is done under current DOH-Sarasota standard nursing practices.
    • 911 can be called to assess the situation.  
    • When a major emergency necessitates immediate transfer to the hospital, call 911, notify the principal and contact the parent/guardian immediately.
    • All employees who staff the health room plus two or more additional school staff currently certified in the administration of First Aid and cardiopulmonary resuscitation shall be available in each school, according to Florida Statute s.381.0056
    • A list of those persons currently certified in First Aid and CPR shall be given to the principal and displayed in the health room, school office, cafeteria, gymnasium, home economics classrooms, industrial arts classrooms, and other areas that pose an increased potential for injuries.  Compiling and updating this list is the responsibility of the health room aide.
    • First Aid supplies should be kept in an easily accessible location that is known to all.  In large schools, multiple locations may be designated.
    • The Emergency Medical Services telephone number (911) shall be prominently placed on all phones.
    • Responsibility for payment for emergency services will be assumed by the parents/guardians.  There is no charge unless a student is transported or medical supplies are used. 

    Critical Incidents

    (emergency weather situations, bomb threats, guns on campus, etc.)

    The School Board of Sarasota County has developed a manual to assist schools to deal with critical incidents.  The manual is called “Sarasota County Critical Incident Plans Manual”.  Check with the administration at your school for the location of the manual and become familiar with the contents.

    When evacuation is ordered during emergency situations, all prescribed and emergency medication must be placed in a container and removed by the health room aide along with the medication/treatment book.  The medication container and book must remain in the possession of the health room aide until the situation has abated and entry into the facility is allowed.

    Suicide Attempts

    For information on dealing with issues related to suicide attempts see the “School-Wide Loss/Crisis Manual”.  Check with the administration at your school for the location of the manual and become familiar with the contents.