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.

Adrenal insufficiency

• Documents
  • Adrenal insufficiency emergency action plan 2024 (English)
  • Adrenal insufficiency emergency action plan 2024 (Spanish)
• Training
  • Adrenal insufficiency training checklist 2024
  • Adrenal insufficiency instructions for medication administration 2024
  • Adrenal insufficiency training presentation (ppt)
  • Adrenal insufficiency training presentation (pdf)

Allergy and anaphylaxis

• Documents
  • Allergy and Anaphylaxis Guidelines 2024
  • Allergy and Anaphylaxis Emergency Action Plan 2024 (English)
  • Allergy and Anaphylaxis Emergency Action Plan 2024 (Spanish)
  • Allergy and Anaphylaxis Detailed IHP 2024
• Medication
  • EpiPen4Schools (Mylan)
  • Auvi-Q (Kaleo)
• Training
  • EpiPen training video (Mylan)
  • Auvi-Q training video (Kaleo)
  • Teva training video (Mylan)
  • Get Trained (NASN)
  • A Shot to Live (University of Utah)

Asthma

• Documents
  • Asthma Guidelines 2024
  • Asthma Action Plan 2024 (English)
  • Asthma Action Plan 2024 (Spanish)
  • Asthma Detailed IHP 2024
• Medication
  • Stock Albuterol Rx Template 2024
• Training
  • Asthma in Schools: Stock Albuterol Training (2020)

Diabetes

• Documents
  • Diabetes medical management plan DMMP 2024 (English)
  • Diabetes medical management plan DMMP 2024 (Spanish)
  • Diabetes Detailed IHP 2024
• Training
  • Glucagon Training (ppt)
  • Glucagon Training (pdf)
  • Glucagon Skills Checklist 2024
  • Supporting Students with Diabetes (February 2020 webinar)
  • American Diabetes Association Training Resources for School Staff
• Guidelines
  • Primary Children's Diabetes Clinic - Guidelines for diabetes management in the school setting (2024)

Head injuries

• Documents can be found on the USBE Student Health Services webpage
  • Model Concussion and Head Injury Policy 2021
  • Head Injury Checklist 2021 (English)
  • Head Injury Checklist 2021 (Spanish)
  • Head Injury Flowchart 2021
  • Parent Notification 2021 (English)
  • Parent Notification 2021 (Spanish)
• Training
  • Student Head Injury Response Throughout the School Day (May 2021 webinar)
  • Concussion Care in Schools (February 2019)

Medication

• Documents
  • Guidelines for medication administration in schools 2024
  • Medication Authorization 2024 (English)
  • Medication Authorization 2023 (Spanish)
  • Medication Log 2022
  • Sample Error Form 2022

Seizures

• Documents
  • Guidelines for Seizures in Schools 2024
  • Seizure Action Plan 2024 (English)
  • Seizure Action Plan 2023 (Spanish)
  • Detailed Seizure IHP 2023
  • Sample Seizure Log 2023
• Medication
  • Seizure Medication Management Order (SMMO) 2024 (English)
  • Seizure Medication Management Order (SMMO) 2023 (Spanish)
• Seizure Rescue Medication Training  (stipends are no longer available for training school staff - funding removed by legislature 2024)
  • 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
  • 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)

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Vision screening

• Documents
  • Utah School Vision Screening Policy 2023
  • Vision symptoms questionnaire 2024 (English)
  • Vision symptoms questionnaire 2024 (Spanish)
  • Vision referral to eye care professional 2023 (English)
  • Vision referral to eye care professional 2024 (Spanish)
  • Certificate of vision screening (English)
  • Certificate of vision screening (Spanish)
  • Sample vision opt-out form (English)
  • Sample vision opt-out form (Spanish)
  • Outside Entity Application
  • Vision screening annual report - this report is now included in the School Health Workload Report which is required by all districts and charter schools due each year by June 30th.
• 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)
• Implementation
  • Checklist for Planning a tier 1 vision screening
  • Screening Skills: Distance Vision
  • Screening Skills: Near Vision
  • Screening Skills: Students with Special Needs
  • Screening Skills: Color Screening (for school nurse only, Lay staff should not attempt)
  • Screening Skills: Eye Tracking (for school nurse only, Lay staff should not attempt)
  • Screening Skills: Near Point Convergence (for school nurse only, Lay staff should not attempt)
  • Vision screening follow-up 2023

Miscellaneous forms and documents

• Generic IHP/EAP 2024 (English)
• Generic IHP/EAP 2022 (Spanish)
• Medical Diagnosis Confirmation Template 2024
• School Spinal Screening (Scoliosis) Guidelines 2024

Standards of care:

The following documents have been written to give guidance on industry standards of care.

• Standards of Care: Allergy and Anaphylaxis 2024
• Standards of Care: Asthma 2024
• Standards of Care Diabetes Management 2024
• Standards of Care Diabetes Management Spanish 2024
• Standards of Care: Seizures 2024
• Standards of Care: Head Lice 2024
• Standards of Care: Outside Food in Schools 2024

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).

• Delegation Decision Tree 2024