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Shared Forms
This
is a forum where Individualized Health Care Plans, Emergency Care Plans
and other forms will be shared that are pertinant to School
Nurse-Teacher's practice. School nurse-teachers in RI and
elsewhere have developed these forms and gave permission for them to be
shared. RICSNT does not necessarily endorse these forms, but offers
them available for the individual to decide if it meets their standards
and needs.
There
is also a list of website links of established IHCPlans, Emergency Care
Plans and other forms from various organizations and individuals that
are of interest to School Nurse-Teachers.
If
you want to contribute more forms for consideration, please send them
in MS Word (doc) or Excel (xls) format. Please do not submit
copyrighted material. We will add more forms and links as they become
available. If you know of website links with school nurse-teacher
related forms that are available for public use, please forward these
links. CLICK HERE to submit your forms via email as attachments.
INDIVIDUALIZED HEALTH CARE PLANS
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| ANAPHYLAXIS/ALLERGY: Plan #1 Plan #2 |
| GASTROSTOMY TUBE: Plan #1 Plan #2 |
STIFFMAN/STARTLE SYNDROME: Plan #1
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| EMERGENCY CARE PLANS |
ANAPHYLAXIS/ALLERGY: Plan #1 Plan #2
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| 504 PLANS |
DIABETES (Elementary): Plan #1 Plan #2
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| OTHER SCHOOL RELATED FORMS: |
Drug Assessment: Form #1 Form #2
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Links to Individualized Health Care Plans, Emergency Care Plans and other forms
CLICK HERE for
School Nurse Perspectives - a website by Gerry Harvey.
Contains IHCP for: Asthma, Beestings, Diabetes, Encopresis,
Peanut Allergy, Seizures. Also many other resources and forms on
her website.
CLICK HERE for
Epilepsy Foundation School Nurse Training Program. Contains Seizure
Action Plan, Seizure Observation Record, Questionnaire for Parents,
Fact Sheets on Epilepsy and other online resources.
CLICK HERE
for Mitochondrial Disease Action Committee's School Advocacy &
Education Support page. Contains Daily Health Assement form, Template
to produce an IHCP and many other school related accommodations
resources and forms.
CLICK HERE
for The Sudden Arrhythmia Death Syndromes (SADS) Foundation IHCPlans
for: Student with a Pacemaker or Implanted Defibrillator (ICD); For
Student with Long QT Syndrome; Student with Wolf Parkinson White
Syndrome (WPW); For Student with Brugada Syndrome and an ICD.
CLICK HERE for Brain Injury: A Guide for School Nurses
from the Brain Injury Association of New Jersey. It contains an IHCP
and a wealth of information about students with brain injury and
transitioning them back to school.
Remember to check this site from time to time to see updates from our school nurse-teachers around the state. |
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