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"make a copy" to your drive then you can edit it

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Home | California County Offices of Education | SDCOE

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Tons of health care plans

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Home | California County Offices of Education | SDCOE

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San Diego County Office of Education (SDCOE) serves our county’s most vulnerable students and supports school leaders, teachers, and students across the county.

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Menus, powered by Nutrislice. Nutrislice is the leading provider of digital menus, signage, and ordering software. View menus online or with the Nutrislice app.

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Diabetes Calculation Printout (1/2 unit rounding)

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Diabetes Calculation Printout (1/2 unit rounding)

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Group that comes to our schools in October and April

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Big Smiles Dental | offering in-school dental care

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Dental care right outside your classrooms at no cost to your school! Or Call Us 888.833.8441 1 in 7 children (6-12) are suffering from tooth pain right now. Over 51 million school hours are lost each year due to poor dental health. Over 50% of Children on Medicaid don't regularly see a dentist.

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Centers for Disease Control and Prevention

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Recommendations for Ages 18 Years or Younger, United States, 2023

To make vaccination recommendations, healthcare providers should:

1. Determine needed vaccines based on age (Table 1)

2. Determine appropriate intervals for catch-up, if needed (Table 2)

3. Assess for medical conditions and other indications (Table 3)

4. Review special situations (Vaccination Notes)

5. Review contraindications and precautions to vaccination (Appendix)

6. See Addendum for new or updated ACIP vaccine recommendations (Addendum)

Administer recommended vaccines if immunization history is incomplete or unknown. Do not restart or add doses to vaccine series for extended intervals between doses. When a vaccine is not administered at the recommended age, administer at a subsequent visit. The use of trade names is for identification purposes only and does not imply endorsement by the ACIP or CDC.

Notes

For vaccination recommendations for persons ages 19 years or older, see the Recommended Adult Immunization Schedule, 2023.

Additional information

Consult relevant ACIP statements for detailed recommendations.

For calculating intervals between doses, 4 weeks = 28 days. Intervals of ≥4 months are determined by calendar months.

Within a number range (e.g., 12-18), a dash (-) should be read as "through."

Vaccine doses administered ≤4 days before the minimum age or interval are considered valid. Doses of any vaccine administered ≥5 days earlier than the minimum age or minimum interval should not be counted as valid and should be repeated as age-appropriate. The repeat dose should be spaced after the invalid dose by the recommended minimum interval. For further details, see Table 3-2, Recommended and minimum ages and intervals between vaccine doses, in General Best Practice Guidelines for Immunization.

Information on travel vaccination requirements and recommendations is available at https://www.cdc.gov/travel/.

For vaccination of persons with immunodeficiencies, see Table 8-1, Vaccination of persons with primary and secondary immunodeficiencies, in General Best Practice Guidelines for Immunization, Immunization in Special Clinical Circumstances (In: Kimberlin DW, Barnett ED, Lynfield Ruth, Sawyer MH, eds. Red Book: 2021-2024 Report of the Committee on Infectious Diseases. 32nd ed. Itasca, IL: American Academy of Pediatrics; 2021:72-86).

For information about vaccination in the setting of a vaccine-preventable disease outbreak, contact your state or local health department.

The National Vaccine Injury Compensation Program (VICP) is a no-fault alternative to the traditional legal system for resolving vaccine injury claims. All vaccines included in the child and adolescent vaccine schedule are covered by VICP except for dengue, PPSV23 and COVID-19 vaccines. COVID-19 vaccines that are authorized or approved by the FDA are covered by the Countermeasures Injury Compensation Program (CICP). For more information, see www.hrsa.gov/vaccinecompensation or www.hrsa.gov/cicp.

Haemophilus influenzae type b vaccination
(minimum age: 6 weeks)

Meningococcal serogroup A, C, W, Y vaccination (minimum age: 2 months [MenACWY-CRM, Menveo], 9 months [MenACWY-D, Menactra], 2 years [MenACWY-TT, MenQuadfi])

Meningococcal serogroup B vaccination
(minimum age: 10 years [MenB-4C, Bexsero®; MenB-FHbp, Trumenba®])

Appendix - Guide to Contraindications and Precautions to Commonly Used Vaccines

Adapted from Table 4-1 in Advisory Committee on Immunization Practices (ACIP) General Best Practice Guidelines for Immunization: Contraindication and Precautions and ACIP's Recommendations for the Prevention and Control of 2022-23 seasonal influenza with Vaccines.

Influenza, cell culture-based inactivated injectable
[(ccIIV4), Flucelvax ® Quadrivalent]

Influenza, cell culture-based inactivated injectable
[(ccIIV4), Flucelvax ® Quadrivalent]

Influenza, live attenuated [LAIV4, Flumist ® Quadrivalent]

Influenza, live attenuated [LAIV4, Flumist ® Quadrivalent]

Severe allergic reaction (e.g., anaphylaxis) after previous dose of any influenza vaccine (i.e., any egg-based IIV, ccIIV, RIV, or LAIV of any valency)

Severe allergic reaction (e.g., anaphylaxis) to any vaccine component³ (excluding egg)

Children age 2 - 4 years with a history of asthma or wheezing

Anatomic or functional asplenia

Immunocompromised due to any cause including medications and HIV infection

Close contacts or caregivers of severely immunosuppressed persons who require a protected environment

Pregnancy

Cochlear implant

Active communication between the cerebrospinal fluid (CSF) and the oropharynx, nasopharynx, nose, ear or any other cranial CSF leak

Children and adolescents receiving aspirin or salicylate-containing medications

Received influenza antiviral medications oseltamivir or zanamivir within the previous 48 hours, peramivir within the previous 5 days, or baloxavir within the previous 17 days

Contraindicated or Not Recommended ¹

Severe allergic reaction (e.g., anaphylaxis) after previous dose of any influenza vaccine (i.e., any egg-based IIV, ccIIV, RIV, or LAIV of any valency)

Severe allergic reaction (e.g., anaphylaxis) to any vaccine component³ (excluding egg)

Children age 2 - 4 years with a history of asthma or wheezing

Anatomic or functional asplenia

Immunocompromised due to any cause including medications and HIV infection

Close contacts or caregivers of severely immunosuppressed persons who require a protected environment

Pregnancy

Cochlear implant

Active communication between the cerebrospinal fluid (CSF) and the oropharynx, nasopharynx, nose, ear or any other cranial CSF leak

Children and adolescents receiving aspirin or salicylate-containing medications

Received influenza antiviral medications oseltamivir or zanamivir within the previous 48 hours, peramivir within the previous 5 days, or baloxavir within the previous 17 days

Measles, mumps, rubella (MMR)
Measles, mumps, rubella, and varicella (MMRV)

Measles, mumps, rubella (MMR)
Measles, mumps, rubella, and varicella (MMRV)

Meningococcal ACWY (MenACWY)
[MenACWY-CRM (Menveo ®); MenACWY-D (Menactra ®); MenACWY-TT (MenQuadfi ®)]

Meningococcal ACWY (MenACWY)
[MenACWY-CRM (Menveo ®); MenACWY-D (Menactra ®); MenACWY-TT (MenQuadfi ®)]

Severe allergic reaction (e.g., anaphylaxis) after a previous dose or to a vaccine component³

For MenACWY-D and Men ACWY-CRM only: severe allergic reaction to any diphtheria toxoid- or CRM₁₉₇-containing vaccine

For MenACWY-TT only: severe allergic reaction to a tetanus toxoid-containing vaccine

Contraindicated or Not Recommended ¹

Severe allergic reaction (e.g., anaphylaxis) after a previous dose or to a vaccine component³

For MenACWY-D and Men ACWY-CRM only: severe allergic reaction to any diphtheria toxoid- or CRM₁₉₇-containing vaccine

For MenACWY-TT only: severe allergic reaction to a tetanus toxoid-containing vaccine

Tetanus, diphtheria, and acellular pertussis (Tdap)

Tetanus, diphtheria (Td)

Tetanus, diphtheria, and acellular pertussis (Tdap)

Tetanus, diphtheria (Td)

1. When a contraindication is present, a vaccine should NOT be administered. Kroger A, Bahta L, Hunter P. ACIP General Best Practice Guidelines for Immunization.

2. When a precaution is present, vaccination should generally be deferred but might be indicated if the benefit of protection from the vaccine outweighs the risk for an adverse reaction. Kroger A, Bahta L, Hunter P. ACIP General Best Practice Guidelines for Immunization.

3. Vaccination providers should check FDA-approved prescribing information for the most complete and updated information, including contraindications, warnings, and precautions. See Package inserts for U.S.-licensed vaccines.

4. For information on the pregnancy exposure registries for persons who were inadvertently vaccinated with Heplisav-B or PreHevbrio while pregnant, please visit heplisavbpregnancyregistry.com/ or www.prehevbrio.com/#safety.

Addendum - Child and Adolescent Recommended Immunization Schedule for ages 18 years or younger, United States, 2023

Vaccines in the Child and Adolescent Immunization Schedule*

Combination vaccines (use combination vaccines instead of separate injections when appropriate)

(Use combination vaccines instead of separate injections when appropriate)

DTaP, inactivated poliovirus, and Haemophilus influenzae type B vaccine

DTaP-IPV/Hib

DTaP, inactivated poliovirus, Haemophilus influenzae type b, and hepatitis B vaccine

DTaP-IPV-Hib-HepB

New Vaccines and Other Immunizing Agents added to the Schedule since February 2023 (See Addendum)

Vaccines and other immunizing agents

Abbreviation(s)

Trade name(s)

*Administer recommended vaccines if immunization history is incomplete or unknown. Do not restart or add doses to vaccine series for extended intervals between doses. When a vaccine is not administered at the recommended age, administer at a subsequent visit. The use of trade names is for identification purposes only and does not imply endorsement by the ACIP or CDC.

† COVID-19, Poliovirus, Influenza, and Pneumococcal vaccines have new or updated ACIP recommendations. Please see Addendum for more details.

This schedule is recommended by the Advisory Committee on Immunization Practices ( ACIP) and approved by the Centers for Disease Control and Prevention ( CDC), American Academy of Pediatrics ( AAP), American Academy of Family Physicians ( AAFP), American College of Obstetricians and Gynecologists ( ACOG), American College of Nurse-Midwives ( ACNM), American Academy of Physician Associates ( AAPA), and National Association of Pediatric Nurse Practitioners ( NAPNAP).

The comprehensive summary of the ACIP recommended changes made to the child and adolescent immunization schedule can be found in the February 10, 2023 MMWR.

Report

Suspected cases of reportable vaccine-preventable diseases or outbreaks to your state or local health department

Clinically significant adverse events to the Vaccine Adverse Event Reporting System (VAERS) at www.vaers.hhs.govexternal icon or (800-822-7967)

Questions or comments
Contact www.cdc.gov/cdc-info or 800-CDC-INFO (800-232-4636), in English or Spanish, 8 a.m.-8 p.m. ET, Monday through Friday, excluding holidays.
Helpful information

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View and Print CDC immunization schedules for those ages birth through 18 years.

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Apply today for this classroom kit full of easy-to-use classroom materials, plus Colgate® samples for 25 kindergarteners or first-grade students.

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Health Education grade level expectations

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Health Education grade level expectations

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Main Office

205 Jefferson St.
Jefferson City, MO 65101
Map

Mailing Address:
P.O. Box 480
Jefferson City, MO
65102-0480

Contact Us
Main Line: 573-751-4212
Educator Certification: 573-751-0051

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Welcome to dese.mo.gov. We hope you enjoy the site, and we welcome your feedback.

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"I've had NSO malpractice insurance since graduating from nursing school in 1982. I have always been comforted in the knowledge that NSO was there if I needed them. Though I've never had a single issue, NSO is covering me on or off the job. I am able to work as a nurse and as an educator without worrying that my employers will cover me."

"It's such an emotional time when the care we give our patients is questioned. To have all the red tape just disappear helped more than anything. I felt well taken care of, knowing that NSO was helping me and providing the advice of a lawyer. I cried when they called to tell me my claim was paid promptly and in full."

"Working as a Nurse Practitioner, I was sued by a non-compliant patient. The best thing was having NSO malpractice insurance. From the moment I notified them of my lawsuit I felt protected and supported. You owe it to yourself to have your own coverage. NSO is the only malpractice insurance I will ever have."

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Nursing Malpractice Insurance, Liability Insurance Nurses

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"I've had NSO malpractice insurance since graduating from nursing school in 1982. I have always been comforted in the knowledge that NSO was there if I needed them. Though I've never had a single issue, NSO is covering me on or off the job.

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Freedentalcare.us

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Free Dental Clinics in St Louis, MO. We also provide sliding scale and low cost dental clinics.

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All schools should be prepared to effectively manage students with food allergies.

Keeping Students Safe and Included

Food Allergies: Keeping Students Safe and Included is an online training course designed to help school staff and administrators become better prepared to manage students with food allergies and respond to food allergy emergencies. Take this course to learn more about managing food allergies in schools and how to best protect and keep students included.

Course Objectives

Improve understanding of food allergies and allergic reactions.

Identify ways that schools can create a safer and more inclusive environment for students with food allergies.

Learn how school staff can enact a food allergy management plan or policy.

The information presented in this coursealigns with the recommended plans, practices, and procedures found in the Centers for Disease Control and Prevention (CDC)'s Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs.

Take the Course

This course is now available through the Food Allergy Academy, FARE's new learning management system. Click below for the registration page for the Food Allergy Academy platform, and then once you have registered you can search for the training course or content you are looking for.

Please note: If you were referred here from AllergyReady.com, you cannot use your old login credentials on FARE's learning system. You will need to register as a new user.

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All schools should be prepared to effectively manage students with food allergies. Food Allergies: Keeping Students Safe and Included is an online training course designed to help school staff and administrators become better prepared to manage students with food allergies and respond to food allergy emergencies.

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School Nurse Day Coloring Pages and Printables. Perfect way to to show how much you care!

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Thank you for visiting the Missouri Child Abuse and Neglect Mandated Reporter Training website. If this is your first time visiting and will be taking courses with us, please register below or using the header button. If you are a returning visitor, please login to access your profile and courses.

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Dear Teachers and Staff,

I have had several students come to the nurse's office since school started with loose teeth. I cannot do anything about loose teeth and it is a natural process that happens approximately 20 times in every child's young life. Students are missing valuable learning time to come to the nurse's office (often accompanied by another student who is also losing valuable learning time) to tell me about a loose tooth. Play-time, lunch, exercise, music and art are also valuable to student's learning. And most importantly, student's who visit the nurse's office are exposed to viruses and bacteria that cause illness.

Unless they are bleeding from the mouth, please do not send students to the nurse's office with loose teeth. I am happy to provide teachers with containers for lost teeth for those happy moments when the teeth actually do fall out.

School Nurse

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Hancock Place School District Medication Administration Authorization

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National Institute of Diabetes and Digestive and Kidney Diseases

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Diabetes is a chronic disease that affects thousands of school-age children nationwide. Findings from the SEARCH for Diabetes in Youth study, funded by the Centers for Disease Control and Prevention and the National Institutes of Health, suggest that rates of new diagnosed cases of diabetes are on the rise among children and teens.

Schools have an important role to play in ensuring that students with diabetes have the support they need to stay healthy, enjoy the same opportunities for learning and having fun as their peers, and are prepared to do their best in school.

School personnel can help students keep their diabetes under control.

Diabetes Overview

What is diabetes?

Diabetes is a chronic disease in which blood glucose, also called blood sugar, is too high. Blood glucose is our main source of energy and comes from the food people eat. People with diabetes have problems regulating the amount of blood glucose in their blood.

Among school-age children, type 1 diabetes is more common than type 2 diabetes. In type 1 diabetes, the body doesn't make insulin, a hormone that helps glucose get into the cells and be used for energy. As a result, the amount of glucose in their blood may be higher than normal, and their bodies may not use glucose effectively. Students with type 1 diabetes need to take insulin every day to stay alive.

Other students may have type 2 diabetes. This type of diabetes, while more common among middle-aged and older adults, is increasingly being diagnosed among children. In type 2 diabetes, the body may make insulin, but may not make enough to control blood glucose.

Why is it important to manage diabetes?
Keeping blood glucose in the target range can help prevent many health problems.

Over time, too much glucose in the blood (called hyperglycemia) can lead to serious health problems, including heart disease, stroke, and diseases affecting the kidneys, eyes, feet, and gums.

Blood glucose levels that drop too low (called hypoglycemia) can be life-threatening and need to be treated right away.

The good news is that research shows these problems can be greatly reduced, delayed, or possibly prevented by keeping blood glucose levels near normal. Maintaining blood glucose levels within a target range can also prevent symptoms that can interfere with learning, such as fatigue, increased hunger, and blurred vision.

How is diabetes managed?

Diabetes is managed by checking blood glucose levels throughout the day and making sure that they stay within a target range. As a general rule, eating food makes blood glucose levels go up after the meal. Physical activity, insulin, and diabetes medicines taken by mouth make blood glucose levels go down.

Students with diabetes may check their glucose levels by using one or both of these devices

a blood glucose meter, which uses a small drop of blood from a finger to measure blood sugar levels

a continuous glucose monitor, a device that works through a tiny sensor inserted under the skin of the belly or arm, which can test blood glucose every few minutes

If blood glucose levels are out of the student's target range, it may be necessary to take action to bring them back to that range. These actions should be specified in the student's health care plans.

What kind of help do students need to manage diabetes?

The type of help students may need to manage their diabetes may vary by student. In general,

toddlers and preschool-age children need help with all aspects of diabetes care.

some elementary school-age students can monitor their glucose, but most will need help from adults.

middle school- and high school-age students should be able to manage their diabetes themselves, depending on how long they have had diabetes and their level of maturity.

Regardless of their age, there are times when all students who have diabetes need someone else to help them with their diabetes care. This is particularly true if the student experiences low blood glucose, which can be life-threatening.

Students with diabetes must have access to supplies and equipment to quickly treat high and low blood glucose levels at all times.

Effective Diabetes Management in School

Federal Laws Related to Helping Students with Diabetes

Three federal laws address the school's role in helping students with diabetes

Section 504 of the Rehabilitation Act of 1973 (Section 504). Section 504 prohibits recipients of federal financial assistance from discriminating against people on the basis of disability and outlines a process for schools to use in determining whether a student has a disability and what services a student with a disability needs.

Americans with Disabilities Act of 1990 (ADA). Title II of the ADA prohibits discrimination on the basis of disability by public entities, including schools, regardless of whether the entities receive federal financial assistance.

Individuals with Disabilities Education Act (IDEA). IDEA provides federal funds to assist state education agencies and, through them, local education agencies to make special education and related services available to eligible children with disabilities.

In addition, the Family Educational Rights and Privacy Act (FERPA) and IDEA protect the student's privacy.

These federal laws provide a framework for planning and implementing effective diabetes management in the school setting, preparing the student's education plan, and ensuring that the student has access to appropriate care.

The School Health Team

The school health team ensures that students with diabetes receive all the help they need while in the school setting. The team should include people who understand diabetes, the school environment, and federal and state education and nursing laws. Members of the school health team often include

student with diabetes

parents or guardians

school nurse

teachers, administrators, and other school personnel, such as Section 504/Individual Education Program coordinator, school psychologist or guidance counselor, coaches, and lunchroom staff

The school health team should work closely with the student's parents or guardians and other key persons involved in the student's diabetes care outside school. Some students may have a personal diabetes health care team that also includes health care professionals, such as the student's doctor, nurse, registered dietitian, and diabetes educator. In these cases, the school health team should work closely with the student's personal diabetes health care team.

Health Care and Education Plans
Three types of health care plans should guide diabetes management in the school setting

Diabetes Medical Management Plan (DMMP) (DOCX, 251.9 KB) . Completed by the student's personal health care team, the DMMP contains the medical orders that are the basis for the student's health care and education plans. The plan is reviewed and updated at the start of each school year; after a change in the student's prescribed plan for care, ability to manage diabetes, or school circumstances (e.g., a change in schedule); or upon request.

Individualized Health Care Plan (IHP) (DOCX, 77.15 KB) . Prepared by the school nurse, the IHP contains the strategies for carrying out the medical orders in the DMMP in the school setting. The school nurse prepares the IHP based on medical orders in the DMMP and reviews it with parents/guardians and student.

Emergency Care Plans for Hypoglycemia (DOCX, 81.69 KB) and Hyperglycemia (DOCX, 81.24 KB) . Based on the DMMP, the plans provide details about how to recognize and treat hypoglycemia and hyperglycemia and whom to contact for help. The school nurse will coordinate the development of these plans. The school should provide copies to parents/guardians and to all school personnel who are responsible for students with diabetes during the school day and during school-sponsored activities.

Students with diabetes may also have one or both of these education plans

Section 504 Plan, a plan of services developed under Section 504 of the Rehabilitation Act. The plan describes how the school will ensure that the student with diabetes has access to needed medical services, receives the same education as other students, and is treated fairly.

Individualized Education Program (IEP), a plan required for students with disabilities who receive special education and related services under IDEA. The plan, which is more specific than the Section 504 plan, addresses the student's progress in school and needs related to diabetes care.

The school health team should be part of the group that develops and implements the student's education plan. The information in the education plan should be agreed on before each school year begins or when a student is diagnosed with diabetes, then should be signed by a representative of the school and the student's parents or guardians. The student's Section 504 Plan, IEP, or other education plan should include information about needed services. The school should distribute the plans to all personnel who will be involved in implementing them.

For more information on how to help students manage their diabetes, visit the Centers for Disease Control and Prevention's Managing Diabetes at School and the American Diabetes Association's Safe at School campaign.

Visit NIDDK's Diabetes Discoveries and Practice Blog for health care professionals for more guidance on youth and diabetes.

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individuals with disabilities education act

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Helping the Student with Diabetes Succeed | NIDDK

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Diabetes is a chronic disease that affects thousands of school-age children nationwide. Findings from the SEARCH for Diabetes in Youth study, funded by the Centers for Disease Control and Prevention and the National Institutes of Health, suggest that rates of new diagnosed cases of diabetes are on the rise among children and teens.

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To obtain asthma rescue medications for a school district, a prescription written by a licensed physician, a physician's assistant, or nurse practitioner is required. For such prescriptions, the school district shall be designated as the patient, the nurse's name shall be required, and the prescription shall be filled at a licensed pharmacy.

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Healthcare plan for a child with PKU at school

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St. Louis Suburban School Nurses' Association is a local district of the Missouri Association of School Nurses (state level), which is an affiliate of the National Association of School Nurses (national level). We all work in collaboration for the goal of optimizing student health and learning. State and national organizations have useful information for school nurses. Visit their websites by clicking on their logo.

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st louis suburban school nurses association

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Home - St. Louis Suburban School Nurse Association

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St. Louis Suburban School Nurses' Association is a local district of the Missouri Association of School Nurses (state level), which is an affiliate of the National Association of School Nurses (national level). We all work in collaboration for the goal of optimizing student health and learning.

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to provide leadership and promote professional growth to advance the practice of school nursing.

Who We Are

The Missouri Association of School Nurses is an affiliate of the National Association of School Nurses. We have over 400 active members from all areas of the state. Our state organization is divided into eleven districts. We host several educational events every year, including our annual Spring Conference which is hosted on a rotating basis throughout our various districts.

We also co-sponsor the annual "Health Office Orientation" every summer with MODHSS and MARE. Please explore our website and see how we work to support our students' academic success!

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to provide leadership and promote professional growth to advance the practice of school nursing. The Missouri Association of School Nurses is an affiliate of the National Association of School Nurses. We have over 400 active members from all areas of the state. Our state organization is divided into eleven districts.

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Home - National Association of School Nurses