Checklist for School Nurses
- Intake
- Student health records/forms
- Student health history
- Medical release
- Date medication received / expires
- Emergency Care Plan (ECP) / Food Allergy Action Plan (FAAP)
- Food allergy history form
- Medication authorization
- Healthcare provider contact information
- Photo of student: Yes No
- Policy / procedure
- Laws federal / state
- School district policy / procedures
- Food Allergy Management Prevention Plan (FAMPP) — See resources for FAMPP
- Team development meeting
- ECP / FAAP
- Individual Health Care Plan (IHP)
- 504 Accommodation Plan/Individualized Education Plan
- Will the student carry their own medication?
- Meal substitution necessary?
- Medical statement for special meals submitted? Yes No
- Designee in absence of school nurse
- Transportation (bus or other)
- All responsible staff (including substitutes) that interact with the student need copies of the students:
- Field trips
- Field trip risk assessment
- Medication bag
- Classroom lessons / celebrations
- Emergency procedures and emergency shelter-in-place plan
- Preparedness
- Education / training (at least annually and as needed)
- Eight most common food allergens
- Signs and symptoms of an allergic reaction
- How to respond to an allergic reaction
- How to use an epinephrine auto-injector
- Hand washing or use hand wipes before/after eating
- How to read a food label
- Provide and review role specific checklist
- Medication handling and storage
- Accessible location (unlocked)
- Can all staff administer epinephrine auto-injector or designee(s)
- Accessible by whom
- Date received/expires
- Emergency prevention
- Contact local emergency medical services (EMS)
- Do they carry epinephrine?
- Emergency prevention
- Contact local emergency medical services (EMS)
- Do they carry epinephrine?
- Emergency response
- Give epinephrine
- Call 911
- Know school’s emergency protocol
- Review
- Intake forms submitted
- Education / training, emergency prevention and response
- Policy compliance
