NCDHHS, Division of Public Health, NC Charter School Health Requirements 7/12/18

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2 School Health Requirements for NC Charter Schools KRISTIN WIKE, MSN, RN, NCSN CHARTER SCHOOL HEALTH NURSE CONSULTANT NC DIVISION OF PUBLIC HEALTH - CHILDREN AND YOUTH BRANCH NC DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE KRISTIN.WIKE@DHHS.NC.GOV

2/2018 State School Nurse Consultant Ann Nichols Mail Address: 1928 Mail Service Center Raleigh, NC 27699-1928 919-707-5667 FAX: 919-870-4880 Ann.Nichols@dhhs.nc.

3 2/2018 State School Nurse Consultant Ann Nichols Mail Address: 1928 Mail Service Center Raleigh, NC FAX: Charter Consultant Kristin Wike Cherokee Clay W: West Region Vacant N.C. Division of Public Health Children & Youth Branch School Health Unit School Health Consultants North Carolina Division of Public Health NW: Northwest Region Amy Quesinberry FAX: SW: Southwest Region Lucy Heffelfinger FAX C: Central Region Sonya Dunn FAX: Columbus Brunswick NE: Northeast Region Annette Richardson Alleghany Ashe Rockingham Vance Northampton Gates Currituck Surry Stokes Caswell Granville Warren Person Halifax Hertford Watauga Wilkes Yadkin Alamance Mitchell Avery Forsyth Orange Franklin Bertie Caldwell Guilford Nash Yancey Alexander Davie Durham Madison Edgecombe Tyrrell Burke Iredell Davidson Wake Martin Washington Dare Randolph Chatham Wilson Buncombe McDowell Catawba Rowan Pitt Beaufort Swain Haywood Lincoln Johnston Greene Hyde Rutherford Cabarrus Montgomery Lee Graham Henderson Harnett Wayne Jackson Polk Gaston Stanly Moore Transylvania Cleveland Mecklenburg Lenoir Craven Macon Cumberland Pamlico Anson Richmond Hoke Sampson Jones Union Duplin Scotland Onslow Carteret Robeson Bladen Pender New Hanove SE: Southeast Region Amy Levy

4 School Health Requirements for NC Charter Schools Objectives Participants will understand: o Student health requirements for N.C. Charter Schools o Student health recommendations for consideration o Available resources for assistance in addressing student health issues

5 Pre-Test Photo Credit:

12 School Health Requirements for NC Charter Schools

13 Correct Response

14 Charter School Responsibility Protect Health and Safety of Students Medical Care to Students by School Personnel Authority to provide care: GS 115C o Law allows school staff to give medical care within areas described o Allows staff to refuse o Provides limited protection from liability

15 Correct Response

16 Current Health Law and Charter Schools Students with Diabetes Required by Law GS 115C Senate Bill 911 Senate Bill 738 Ensures that guidelines adopted by the SBE are implemented in schools in which students with diabetes are enrolled. Report on compliance annually by June 1st.

17 Current Health Law and Charter Schools Required components for schools with diabetic students: o Generalized diabetic training for school staff o Two intensively trained school staff for specific students with diabetes o Written plan for diabetic student care

18 Current Health Law and Charter Schools Resources for schools with one or more students with diabetes: o The American Diabetes Association (ADA) Forms for written care plans and other documents are available at Training videos and power point presentations are also at this site in addition to being posted on YouTube at B2A2E56

19 Correct Response

20 Current Health Law and Charter Schools Immunizations Required by Law o ALL North Carolina children must be compliant with immunization law. o Charter schools verify and report on that compliance by November 1 st of each year. o Principal/headmaster is required to exclude students not in compliance by the 30 th calendar day after start of school.

21 Current Health Law and Charter Schools Immunizations Resources for schools and for families Have a staff person responsible for verifying immunizations and reporting.

22 Current Health Law and Charter Schools Health Assessment Required by Law G.S. 130A-440 o Health Assessment required for all students new to NC public schools within 30 calendar days of a child s first day of attendance in the public schools o Principal/headmaster shall not permit the child to attend the school until the required health assessment transmittal form has been presented o NOT allowed to impact student s academics

23 Correct Response

24 Current Health Law and Charter Schools School Supply of Epinephrine Auto-Injectors GS 115C-375.2A Provides for the undiagnosed person experiencing an anaphylactic reaction. Passed within the appropriations bill last summer and effective 11/1/2014.

25 Current Health Law and Charter Schools School Supply of Epinephrine Auto-Injectors GS 115C-375.2A Directs local boards of education, charter schools and regional schools. Applicable during the school day and at school-sponsored events on school property. School property does not include transportation to or from school. Requires a minimum of two epinephrine auto-injectors in an unlocked and easily accessible location.

26 Current Health Law and Charter Schools School Supply of Epinephrine Auto-Injectors GS 115C-375.2A Requires specific training by statute identified individuals. Specifies planning and response steps. Specifies who can write prescriptions.

27 Correct Response

28 School Health Requirements for NC Charter Schools Return to Learn After Concussion-SHLT-001: This educational policy includes guidelines for safe and appropriate return to the educational environment for ALL students post-concussion. Policy: General information:

29 Correct Response

30 Current Health Law and Charter Schools Required by Statute: o Garrett s Law Notifications Statute requires that you provide annual notification regarding vaccines for meningitis, flu and HPV. Resources for this available at Immunization Branch

31 Federal Laws Impacting Charter Schools

32 Federal Laws Impacting Charter Schools CLIA: Clinical Laboratory Improvement Amendments of (1988) Require anyone performing even one test, including waived procedures, on human specimens for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of the health of a human being to register for a CLIA certificate of waiver

33 Federal Laws Impacting Charter Schools Occupational Health and Safety Act (OSHA) Requirements may be downloaded from

34 School Health Recommendations & Resources

35 Other Health Recommendations You will have students on medication and need to have a system in place to protect yourself and the student. Medication administration Policy and procedure Treat all medications the same Discourage routine medications at school

36 School Health Recommendations for NC Charter Schools Other recommended policies include: o Prevention and control of communicable disease o Provision of emergency care, including injury reporting o Screening, referral and follow-up o Maintenance of student health records/electronic records o Special health care services (State Board of Education Policy GCS-G-006) o Process for identification of students with acute and chronic health care needs/conditions o Response to Do Not Attempt Resuscitation (DNAR) directive Please see the North Carolina School Health Program Manual Section C, Chapter 2, for more information.

37 Other Health Recommendations Don t make assumptions - ask o Student Emergency Contact Card Update this information every year o Have written policies and procedures that are board approved. Share them with parents/guardians o NC DPI and DPH updates, law changes, reminders: Office of Charter Schools

38 Resources Guidance for Emergencies and School Health related topics NC School Health Program Manual Emergency Guidelines for Schools

39 Questions?

Table VIII. Emergency Medical Services January 2002

Table VIII. Emergency Medical Services January 2002 TABLE VIII. EMERGENCY MEDICAL SERVICES 23 Alamance n/a $42,305 $67,689 $57,648 varies crew chief 4 $32,486 $51,978 $38,826 training officer 1 31,087