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![Page 1: Student Health – Welcome to NRMPS!. Bloodborne Pathogens Exposure Control Plan Location of the plan Main office Website Your guide to safety!](https://reader035.fdocuments.net/reader035/viewer/2022062423/5697bff01a28abf838cba6a2/html5/thumbnails/1.jpg)
Student Health – Welcome to NRMPS!
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Bloodborne PathogensExposure Control Plan
Location of the plan• Main office• Website
Your guide to safety!
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Bloodborne pathogens: Organisms in blood and other body fluids that can cause disease
Examples: HBV, HCV, and HIV which can lead to AIDS
Universal Precautions: Treat all blood/body fluid as if infected.
Protect yourself!
Wear gloves Wash Hands HBV Vaccine Call Custodian
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Hepatitis B Vaccination Series
Series of 3 vaccinations
Offered to all employees identified as “at-risk” for exposure to bloodborne pathogens
Covered 100% by State Health Plan & most insurance plans
Required for all children born on/after July 1, 1994.
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Other Ways to Protect Yourself
Sharps ContainersSyringes, needles,
broken glassNever re-cap needle!
Dust pan & broom Use for broken glass
Band-aidsCover open wounds
Other PPESchool Nurse’s office
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Exposure at Work
Direct Transmission
From one person to another through open cut, abrasion, sore, or membranes of nose, mouth, eyes
Indirect Transmission Touching a contaminated object or surface
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I’m exposed! What now?
Wash immediately
Notify principal, nurse, or Carol Eatman
Complete Exposure Report & WC Form 19
FastMed Urgent Care
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At-Risk Jobs
Nurse Athletic Trainer Custodian
How do I know if my job is at-risk?
Contact Nurse, Carol Eatman, or Principalto
Complete Exposure Determination Questionnaire
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Red Bag/First Aid Kit
In each classroom Assigned to room, not teacher. Accessed only by teachers
ContentsGloves Band-Aids First-aid
Supplies Emergency Action Plans and
Emergency medications Asthma
Inhalers Epi-pens Diabetic
Supplies, medications, and snacks
Take with you at all times when with students - fire drills, playground, cafeteria, field trips, etc.
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First Responders
Employees trained to respond in the case
of an accident or illness if the school nurse is
not on campus. (Please stand.)
Automatic External Defibrillators
Located: ____________________________
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Glucometer, snacks, insulinStudents allowed to carry items at alltimes, to check blood sugar anytimethey feel symptomatic, and have asnack when needed
Definition: The body does not useGlucose properly due to insulin problems.
Emergency Action Plans Provides medical directions for care Kept in red first-aid bag Student keeps copy in book-bag If no care plan is provided, contact
school nurse or parent/guardian to come and handle.
May need to call 9-1-1
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Diabetic Care Managers
School staff members -- trained by school nurse to handlediabetic care of students at school (Please stand.)
How to check blood sugar
How to count carbohydrates
How to recognize signs of distress
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Low Blood Sugar
If in doubt,Treat as low blood sugar.
Sweatiness
Nervousness Pallor
Early Signs & Symptoms
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Low Blood Sugar
Sleepy Stubborn Irritable Sad Angry Uncoordinated Pass out Seizure
Late signs & Symptoms
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Treating low blood sugar• 2-4 glucose tablets• 4 ounces of apple or orange juice• 4-6 ounces of regular soda• 2 tablespoons of raisins• 3-4 teaspoons of sugar or syrup• 1 cup of low fat milk• 1 tube of cake gel or 2 packets honey (if unable to swallow or
unconscious)• Students will carry a juice with them at all times.
Parents are responsible for providing snacks/supplies.
Always keep a snack in red first-aid bag. Preparedness for lock-down.
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Recheck blood sugar after 15 minutes, if still low give another snack. Check again in 15 minutes. If does not come up to normal - call parent.
Follow with carbohydrate/protein snack (peanut butter crackers, meat, cheese, etc.)
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High Blood Sugar
Thirst Frequent urination Blurred Vision Drowsy Nausea Mood Changes
Signs & Symptoms
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High Blood Sugar Treatment
1. Check care plan for orders.
2. Insulin per doctor’s orders.
3. If no care plan is in place, contact parent/guardian.
4. Offer student clear non- calorie liquids.
5. Do not exercise if the blood sugar is over 300.
Insulin is the only way to the blood sugar.
Exercise will not decrease the blood sugar!
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Diabetic Emergency!Loss of consciousness
CALL 9-1-1
Stay with student
Send for nurse, DCM, 1st Responder
Give Glucagon, if ordered
Call parent/guardian
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Medications at SchoolMedication form Required for staff to give meds
Medication logCompleted at time med is givenAudited by school nurse
Secure medsLock box or drawer w/lock
Self-medicationParent permission form requiredControlled substances not allowed
Rx Medication labels required
Refer to School Nurse
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AsthmaInhaler Must be easily accessible and available
(especially for PE, exercise, outside) Must never deny access to student Kept with student or in red first-aid bag EAP indicates where inhaler is kept Administer as ordered, e.g., before
exercise
Case Management by School Nurse – Refer students with:
Frequent Absences Severe/many episodes Chronic cough Sits out PE/recess Abuse, misuse, overuse, and/or frequent
use of inhaler Student who has no inhaler
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Seizure EmergencyEmergency Action PlanLets you know what to look for and what to do.
Notify School Nurse and Parent First time seizure More than one seizure in a day
Call 9-1-1 Seizure lasts more than 5 minutes Student doesn’t arouse after a seizure
Always call 9-1-1 first Then the parent, nurse, 1st Responder
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Severe Allergies & EpiPens
Emergency Action Plan- Refer to plan for care
- Kept in red first-aid bag
EpiPen Video
Auvi-Q Video
Call 9-1-1, immediately after using EpiPen
Life threatening symptoms Immediate swelling Tightening of throat, hoarseness, hacking, repetitive cough Shortness of breath or wheezing Weak pulse, fainting, pale or blue color to skin
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School Nurse Referrals
Communicable diseases Rash MRSA Conjunctivitis Meds & Substance Abuse Child Abuse Mental Illness Fractures Squinting & Other Vision Problems Hearing problems Referrals to Healthcare Provider
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Staff Training Modules
NRMPS WebsiteSchool Nurse
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Questions?