School Nursing Documents
Provided herein are recommendations developed by teams of school nurses in collaboration with community and state resources that correspond to Utah Laws governing School Health Services.
Allergy and Anaphylaxis
- Documents
- Medication
- Training
Asthma
- Documents
- Medication
- Training
Diabetes
- Documents
- Diabetes IHP 2022 (English)
- Diabetes IHP 2022 (Spanish)
- Diabetes EAP 2022 (English)
- Diabetes EAP 2022 (Spanish)
- CGM Addendum 2022 (English)
- CGM Addendum 2022 (Spanish)
- Pump/Smart Pen Addendum 2022 (English)
- Pump/Smart Pen Addendum 2022 (Spanish)
- Injection Addendum 2022 (English)
- Injection Addendum 2022 (Spanish)
- Diabetes Detailed IHP 2022
- Medication
- Training
Seizures
- Documents
- Medication
- Seizure Rescue Medication Training
- Seizure Rescue Medication in the Schools - Train the Trainer Webinar (2016)
- Seizure Rescue Medication Training (ppt)
- Seizure Rescue Medication Training (pdf)
- Seizure Rescue Medication Quiz
- Seizure Rescue Medication Quiz (answer key)
- Intranasal Training Video
- Rectal Medication Training Video
- Volunteer Stipend Form
- Seizure Training Certificate
- Volunteer Competency Checklist
- CPR Instructions
- Seizure Training for School Personnel
- Seizure Training for School Personnel (Epilepsy Foundation)
- Seizure First Aid (Epilepsy Foundation)
- On-Demand Seizure First Aid for School Personnel (Epilepsy Alliance)
- Seizure Rescue Medication Training for Utah (Canvas course for school nurses)
- Seizure Rescue Medication Training (Epilepsy Alliance America - training for administration of lorazepam, Diastat, Nayzilam, and Valtoco)
- Seizure Training for School Personnel (Epilepsy Foundation)
Head Injuries
- Documents
- Training
Medication
- Documents
Vision Screening
- Documents
- School Vision Screening Guidelines 2019
- Vision Symptoms Questionnaire 2022 (English)
- Vision Symptoms Questionnaire 2022 (Spanish)
- Vision Referral to Eye Care Professional 2022 (English)
- Vision Referral to Eye Care Professional 2022 (Spanish)
- Vision Certificate for School Entry
- Sample Vision Opt-Out Form
- Annual Vision Screening Report
- Outside Entity Application
- Training
- Training for Vision Screening (2019) - for school nurses
- Training for Vision Screening for Designated Vision Point Person (2019) - for schools without a nurse
- Vision Screening Module A: Basics
- Vision Screening Module B: Training for Volunteers
- Vision Screening Module C: Training for Tier 2 (School Nurses only)
- Vision Screening Module D: Training for Approved Outside Entities (requires prior approval)
Miscellaneous Forms and Documents
- Generic IHP/ECP 2022 (English)
- Generic IHP/ECP 2022 (Spanish)
- School Nurse Resource Manual 2020
- School Spinal Screening (Scoliosis) Guidelines 2017
Standards of Care:
The following documents have been written to give guidance on industry standards of care.
- Standards of Care: Allergy and Anaphylaxis 2017
- Standards of Care: Asthma 2017
- Standards of Care Diabetes Management 2022
- Standards of Care: Seizures 2017
- Standards of Care: Food in Schools 2017
- Standards of Care: Head Lice 2017
School Nurse Evaluation:
This evaluation tool is designed to assist school nurses in identifying areas in their practice where they have strengths, and areas where improvement can be made. An overall goal of the tool is to raise the standard of school nursing practice in Utah.
These competencies are taken from the Framework of the 21st Century School Nursing Practice ™ and the newly revised scope and
Standards of school Nursing Practice (2017). Registered nurses should only be evaluated by a registered nurse knowledgeable of the scope
and standards of school nursing.
Delegation Decision Tree:
Nursing delegation in the school setting is the assignment by the school nurse – not a school administrator – to a competent unlicensed individual (also called unlicensed assistive personnel [UAP]) the performance of a selected nursing task in a selected situation for an individual student. The school nurse facilitates the UAP training, evaluation of UAP competence, and provides for ongoing supervision of the UAP and evaluation of the student’s health outcomes. The nursing process can never be delegated (National Association of School Nurses).