Health Services and Programs Manual
Section 0 - Cover Pg., Receipt, Table of Contents
Section 1 - General Information
- 1 Table of Contents
- 2 Org Chart and Mission
- 3 Program Overview
- 4 Director of Health Svcs
- 5 Nurse Specialist
- 6 Cred School Nurse
- 7 Activities Cred School Nurse
- 8 Classified Nurse
- 9 Health Services Assistant
- 10 Activities Health Svcs Asst
- 11 Orientation Checklist School Nurse
- 12 Orientation Checklist Health Asst
- 13 Nurse Buddy Schedule
- 14 Eval Profile Cert School Nurse
- 15 Class Emp Performance Eval
- 16 Informal Observ Checklist
Section 2 - Ed Codes, Policies & Standards
Section 3 - Medications
- 1 Table of Contents (2)
- 2 Admin of Meds to Students
- 3 Proc for Meds in School
- 4 Med Admin Training
- 5 Proc for Med Treatment Error
- 6 Med Special Proc Training Doc
- 7 Med Special Proc Sign Off
- 8 Meds Req During School Eng
- 9 Meds Req During School Spn
- 10 Medication Log Blank and Dates
- 11 Inhaler Log of Meds Admin
- 12 Asth Inhr-Auto Inj Carried By Student Eng
- 13 Asth Inhr-Auto Inj Carried By Studnt Spn
- 14 Asthma Inhaler Waiver Liab Eng
- 15 Asthma Inhaler Waiver Liab Spn
- 16 Inhaler Sign Off Sheet
- 17 Inhaler Admin Notice Eng
- 18 Inhaler Admin Notice Spn
- 19 Req for Disaster Med Consnt Eng
- 20 Req for Disaster Med Consnt Spn
- 21 Med Req During Disaster Eng
- 22 Med Req During Disaster Spn
- 23 Med Admin During Field Trip
- 24 Med Admin Field Trip Checklist
- 25 Field Trip Med Documt
- 26 Field Trip Inhaler Inst
- 27 Med Renewal Cover Ltr Eng
- 28 Med Renewal Cover Ltr Spn
- 29 Abbrev for Med Terms
- 30 Standing Ord for Anaphylaxis (SB 1266) (1)
Section 4 - Specialized Physical Health Care Procedures
- 1 Table of Contents (3)
- 2 Special Hlth Care Proc Eng
- 3 Special Hlth Care Proc Spn
- 4 Daily Log of Treatmnt Admin (1)
- 5 Med or Spec Proc Sign Off
- 6 Asthma History Form Eng
- 7 Asthma History Form Spn
- 8 Asthma Hlth Care Plan Eng
- 9 Asthma Hlth Care Plan Spn
- 10 Peak Flow Zone Mgmnt
- 11 Diabetes Mgmnt in School
- 12 Hyperglycemia Symptoms
- 13 Hypoglycemia Symptoms
- 14 Daily Blood Sugar Monitor Log
- 15 Seizure Disorder Hlth Hist Eng
- 16 Seizure Disorder Hlth Hist Spn
- 17 First Aid for Seizures
- 18 Heart Hlth History Eng
- 19 Heart Hlth History Spn
- 20 Allergy Action Plan Eng
- 21 Allergy Action Plan Spn
- 22 Seizures and Diabetes
- 23 Asthma and Peanut Allergy
- 24 General Allergy and Bee Sting
- 25 Medication Allergy
- 26 Severe Allergy Letter Eng
- 27 Severe Allergy Letter Spn
Section 5 - Immunizations
- 1 Table of Contents (4)
- 2 Immunization Overview
- 3 Guide to Immun Req Eng-Spn 4-18
- 4 Special Immun Schedule
- 5 Varicella Protocol
- 6 Nurse Assess for Valid Hist Varicella
- 7 CA School Immun Record (1)
- 8 Adult and Employee IZ Req (1)
- 9 Student TB Mandate
- 10 Immun Assess Kinder
- 11 Immun Worksheet
- 12 Note of Inadeq Immu Eng
- 13 Note of Inadeq Immu Spn
- 14 Exclusion Letter Eng
- 15 Exclusion Letter Spn
- 16 Vaccine B4 U Graduate Eng
- 17 Vaccine B4 U Graduate Spn
- 18 Immun Recommen Ltr Eng
- 19 Immun Recommen Ltr Spn
- 20 Immun During Summer Eng
- 21 Immun During Summer Spn
- 22 Common Immun Abbrev
- 23 Worksht for Immun
- 24 Tdap Letter No 1 Eng
- 25 Tdap Letter No. 1 Spn
- 26 Exclusion Letter Tdap Eng
- 27 Exclusion Letter Tdap Spn
- 28 No Shots No School Parent Reminder Eng
- 29 No Shots No School Parent Reminder Spn
Section 6 - Communicable Diseases
- 1 Table of Contents (5)
- 2 Policy Re Notice to Parents
- 3 Exclusion Outbreak Eng
- 4 Exclusion Outbreak Spn (1)
- 5 Note Exposure Chicken Pox Eng
- 6 Note Exposure Chicken Pox Spn
- 7 Note Exposure Conjunctivitis Eng
- 8 Note Exposure Conjunctivitis Spn
- 9 Pink Eye Info Sheet Eng
- 10 Pink Eye Info Sheet Spn
- 11 Note Exposure Head Lice Eng
- 12 Note Exposure Head Lice Spn
- 13 PUSD Head Lice Policy Eng-Spn
- 14 Proc for School Personnel Head Lice
- 15 Treatment for Head Lice
- 16 Head Lice Log
- 17 Parent Guide to Head Lice Eng
- 18 Parent Guide to Head Lice Spn
- 19 Directions for Parents Eng
- 20 Directions for Parents Spn
- 21 Head Lice Q and A
- 22 Proc for Nit Removal Eng
- 23 Proc for Nit Removal Spn
- 24 Head Lice Exclusion Ltr Eng
- 25 Head Lice Exclusion Ltr Spn
- 26 Note Exposure Hep A Eng
- 27 Note Exposure Hep A Spn (1)
- 28 Note Exposure Mumps Eng
- 29 Note Exposure Mumps Spn (1)
- 30 Note Exposure Measles Eng
- 31 Note Exposure Measles Spn
- 32 Note Exposure Scabies Eng
- 33 Note Exposure Scabies Spn
- 34 Note Exposure Scarlet Fever Eng (1)
- 35 Note Exposure Scarlet Fever Spn
- 36 Note Exposure Strep Throat Eng
- 37 Note Exposure Strep Throat Spn
- 38 Note Exposure Ringworm Eng
- 39 Note Exposure Ringworm Spn
- 40 Note Exposure Ringworn Scalp Eng (1)
- 41 Note Exposure Ringworm Scalp Spn
- 42 Note Exposure HandFootMouth Disease Eng
- 43 Note Exposure HandFootMouth Disease Spn
- 44 Note Exposure Fifth Disease Eng
- 45 Note Exposure Fifth Disease Spn
- 46 Reportable Diseases and Conditions
- 47 Communicable Disease Worksheet
- 48 RomiComb Instructions
Section 7 - Screening Programs
- 1 Table of Contents (6)
- 2 Oral Hlth Assess Eng
- 3 Oral Hlth Assess Spn
- 4 Oral Hlth Assess Form Eng
- 5 Oral Hlth Assess Form Spn
- 6 Waiver Oral Hlth Assess
- 7 Dental Screeng Report Eng
- 8 Dental Screeng Report Spn
- 9 Assist League App (1)
- 10 Assist League Sched
- 11 Parent Note Dental Care Needed
- 12 Dental Appt Reminder Note
- 13 Map to Assist League
- 14 Oral Assess Reprt
- 15 Instruc Oral Hlth Assess Reprt
- 16 Hearing and Vision
- 17 Referral for Hearing Eval Eng
- 18 Referral for Hearing Eval Spn
- 19 Audiogram
- 20 Parent Note of Ear Wax
- 21 Students with Hearing Deficit (1)
- 22 Screening Proc for School Nurse
- 23 Wrksht for Annual Hearing Report
- 24 Audiological Exam Process
- 25 Annual Reprt of Hearing Test
- 26 Referral for Vision Eval Eng
- 27 Referral for Vision Eval Spn
- 28 Teacher Note Studnts with Vision Prob (1)
- 29 Parent Resp Vision Referral Eng
- 30 Parent Resp Vision Referral Spn
- 31 Financial Assist for Studnts
- 32 Cover Ltr Vision App Eng
- 33 Cover Ltr Vision App Spn
- 34 App for Vision Assist Eng
- 35 App for Vision Assist Spn
- 36 Parent Note Color Vision Eng
- 37 Parent Note Color Vision Spn
- 38 Types of Vision Screeng Utilzd
- 39 Signs and Symptoms Visual Disturb
- 40 Common Vision Problems
- 41 Vision Referral Wrksht
- 42 Annual Report of Vision Testng (1)
- 43 Vision and Hearing Parent Note Eng (1)
- 44 Vision and Hearing Parent Note Spn (1)
- 45 Scoliosis Screening Proc
- 46 Parent Permission Scoliosis Screeng Eng
- 47 Parent Permission Scoliosis Screeng Spn
- 48 Scoliosis Worksheet
- 49 Referral for Med Eval Eng
- 50 Referral for Med Eval Spn
- 51 Parent Note of Screening Eng
- 52 Parent Note of Screening Spn
- 53 Parent Note Potential Diabetes Eng
- 54 Parent Note Potential Diabetes Spn
- 55 Scoliosis Screening Girls
- 56 Scoliosis Screening Boys
- 57 Scoliosis Screening Report
- 58 Type 2 Diabetes Info Eng (1)
- 59 Type 2 Diabetes Info Spn
- 60 Vision and Hearing Worksheet (1)
Section 8 - CHDP
- 1 Table of Contents (7)
- 2 School District Responsibility
- 3 CHDP Income Eligibility
- 4 Periodic Appointment Sched
- 5 Pre-Enroll App Form Eng
- 6 Pre-Enroll App Form Spn
- 7 CHDP Cert for School Eng
- 8 CHDP Cert for School Spn
- 9 Waiver of Hlth Exam Eng
- 10 Waiver of Hlth Exam Spn
- 11 CHDP Worksheet
- 12 Parent Notice of 1st Gr PE Eng
- 13 Parent Notice of 1st Gr PE Spn
- 14 CHDP Parent Reminder
- 15 Physical Exam Follow-Up Eng
- 16 Physical Exam Follow-Up Spn
- 17 Physical Exam Exclusion Eng (1)
- 18 Physical Exam Exclusion Spn
- 19 Req for Kinder Parent Ltr Eng (2)
- 20 Req for Kinder Parent Ltr Spn (3)
- 21 CHDP Annual School Report
Section 9 - Child Abuse Reporting
Section 10 - Assessment Plans
- 1 Table of Contents (18)
- 2 SST Referrals and 504 (1)
- 3 SST Nursing Referral
- 4 SST Log (1)
- 5 School Nurse Data Sheet (1)
- 6 504 Elig Considerations (1)
- 7 Def of Disability (1)
- 8 School Attendnce Program _ Definitions (1)
- 9 Protocol for Admin Vanderbilt (1)
- 10 Vanderbilt Teacher Letter (1)
- 11 Vanderbilt Parent Ltr Eng (1)
- 12 Vanderbilt Parent Ltr Spn (1)
- 13 IHSP
- 14 IHSP ADHD (1)
- 15 School Mental Health Referrals (1)
Section 11 - Special Education
- 1 Table of Contents (10)
- 2 Special Ed Health Assess
- 3 Special Ed Proc for School Nurse
- 4 DIS-IEP Preparation Log
- 5 Acronyms Used in PUSD
- 6 Assessment Report Short Form
- 7 Hlth and Dev Hist Forms Eng
- 8 Hlth and Dev Hist Forms Spn
- 9 Preferred Visual Acuity
- 10 Eye Report for Visual Problems
- 11 IEP Team Member Excusal Form Eng-Spn
Section 12 - Health Education
Section 13 - LEA Medi-Cal Billing Info.
- 1 Table of Contents (12)
- 2 LEA Medi-Cal Billing Info Manual
- 3 SEIS Daily Log (Catheterization)
- 4 SEIS Daily Log (Diabetes)
- 5 SEIS Daily Log (GTube)
- 6 SEIS Daily Log (Oxygen)
- 7 SEIS Daily Log (Medication)
- 8 SEIS Daily Log (Seizures)
- 9 SEIS Daily Log (Tracheostomy)
- 10 LEA Medi-Cal Training Power pt 2017
- 11 Service Tracker Mini Manual 2017
- 12 Nursing _ Trained Health Care Treatments
Section 14 - Home & Hospital
Section 15 - Health Office Procedures/Forms
- 1 Table of Contents (13)
- 2 Health Ofc Activities
- 3 End of Year Checklist
- 4 Notice of Head Injury Eng
- 5 Notice of Head Injury Spn
- 6 Confidential Hlth Concerns
- 7 Procedure for Distribution
- 8 Hlth Concerns General Recomm
- 9 Health Ofc Memo
- 10 Student Field Trips and Med
- 11 Field Trip Notice
- 12 Student Health Folders
- 13 Daily Log Proc
- 14 Daily Log
- 15 PUSD Student Enroll Verif Eng
- 16 PUSD Student Enroll Verif Spn
- 17 Hlth Info Form Eng (1)
- 18 Hlth Info Form Spn (1)
- 19 Health Ofc Pass
- 20 Parent Notice of Visit Eng Spn
- 21 Note to Parent Eng Spn
- 22 CCS Referral Proc
- 23 CCS Referral Ltr
- 24 Info about CCS Eng
- 25 Info about CCS Spn
- 26 App to Determine Elig Eng
- 27 App to Determine Elig Spn
- 28 Inst for Compltng App Eng
- 29 Inst for Compltng App Spn
- 30 Referral for Hlth Care Eng
- 31 Referral for Hlth Care Spn
- 32 Auth Release Med Records Eng
- 33 Auth Release Med Records Spn
- 34 Findings and Recomm
- 35 When to Keep Your Child Hm Eng
- 36 When to Keep Your Child Hm Spn
- 37 Health Ofc Memo (Before Readmission)
- 38 First Aid Follow-Up Eng
- 39 First Aid Follow-Up Spn
- 40 Crutch Appliance at School Eng
- 41 Crutch Appliance at School Spn
- 42 PE Excuse Form
Section 16 - Resource Directory
- 1 Table of Contents (17)
- 2 Clinics (1)
- 3 Family Practice (1)
- 4 Pediatrics (1)
- 5 Asthma and Allergies (1)
- 6 Cardiology (1)
- 8 Orthopedics (1)
- 7 Ear Nose Throat (1)
- 9 Urology (1)
- 10 Family Planning (1)
- 11 Hospitals (1)
- 12 Health Insurance (1)
- 13 Dental Clinics (1)
- 14 Dentists (1)
- 15 Optometry Opthalmology (1)
- 16 Legal Assistance (1)
- 17 Mental Health (1)
- 18 Food Clothing Shelter (2)
- 19 Victim Assistance (1)
- 20 Drug Alcohol Programs (1)
- 21 Hotlines (1)
- 22 Helpful Numbers (1)
- 23 Sports Physicals (1)
- 24 Urgent Care (1)
- 25 Veterans and Family Svcs (1)
- 26 Pomona Comm Referral Svcs (1)