2017-2018
SCHOOL HEALTH REQUIREMENTS
FOR PRINCIPALS
Coordinated Student Health Services
Marcia Bynoe, ARNP- BC,MSN,FNP
Director
TABLE OF CONTENTS
•
•
SCHOOL OPENING CHECKLIST
CORE STATE HEALTH REQUIREMENTS:
 MEDICATION ADMINISTRATION/TREATMENT PROTOCOLNEW
 NEW: SELECTED OVER-THE-COUNTER (OTC) MEDICATIONS WITH PARENTAL APPROVAL
FOR STUDENTS
 HEALTH SCREENING REQUIREMENTS
 IMMUNIZATION COMPLIANCE & MONITORING
•
•
•
•
•
•
•
•
•
•
•
•
•
•
CPR/AED/FIRST AID REQUIREMENTS
SCHOOL HEALTH PROGRAM STATE MONITORING REPORT
STAFF INCENTIVES FOR MEDICAL PROCEDURES
MEDICAL INCENTIVE PROCESS
UPDATED DIABETES MEDICAL AUTHORIZATION FORM
REMOVAL OF MEDICATION PROCESS BY RISK MANAGEMENT
GUIDELINES FOR COMMUNICABLE DISEASE CONTROL
MANAGING STUDENTS WITH HEALTH NEEDS
NEW HEALTH CODES/A06 PANEL HEALTH SCREEN
PARTNERSHIPS IN HEALTH & WELLNESS PROMOTION
INFLUENZA SEASON PREPAREDNESS
FLORIDA KIDCARE INSURANCE
ASTHMA FRIENDLY SCHOOL RECOGNITION PROGRAM
FORMS
SCHOOL OPENING CHECK LIST
2017-2018



2 staff members are trained in CPR, First AID and use of AED unit



Student Emergency Contact Cards are completed

Ensure that State Mandated Health Screenings are conducted for
students in KG, 1st, 3rd and 6th grade.



CORE State Health Requirements are completed by August 31, 2017
AED unit and supplies are in place and visible
911 posters printed in color and displayed in health room, front office,
cafeteria and physical education area.
2 staff members are trained to administer medications
Health room is adequately stocked with required equipment and
supplies
Universal Precautions/Bloodborne Pathogens DVD is reviewed by staff.
95% Immunization Compliance by October 1, 2017
CORE State Health Requirements
• All schools are required to be in compliance with
CORE State Health Requirements by August 31st
• Schools will be audited for compliance
• CORE Posters must be displayed around the
outside area of the health room or front office
area
• Refer to the Coordinated Student Health
Services website for CORE monitoring criteria
www.browardhealthservices.com
MEDICATION ADMINISTRATION/TREATMENT
PROTOCOL
•
•
•
•
•
•
•
Ensure that a minimum of two staff members are trained to administer
medication excluding the on-site health care personnel.
Students must have a completed Authorization for Medication form signed by
the healthcare provider and parent/guardian before medication/treatment can
be administered.
Each prescribed medication administered by school personnel must be kept in
its original container, clearly labeled with student’s name, date, name of drug,
physician’s name, pharmacy name/number, and stored under lock and key in a
medicine cabinet.
No student shall transport medication to or from school unless there is a signed
Medication Authorization form from a healthcare provider stating they have
been trained by their healthcare provider.
All expired or discontinued medication must be picked up by parents. Risk
Management must be notified if parent does not pick up the medication.
School district personnel must complete the medication training course prior to
administering any medication.
Please contact CSHS, the on-site healthcare personnel or the On-call nurse for
staff training on health procedures for students with health conditions.
NEW
Selected Over-the-Counter (OTC) Medications with
Parental Approval for Students
PROTOCOL
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
In order to comply with Florida Statute 1006.062 and School Board Policy 6305 the following protocol must be adhered
to:
The student must have a completed Authorization for Selected Over-the-Counter (OTC) Medications with Parental
Approval only for Students in grades 9-12 form.
The form is only for students in grades 9th, 10th, 11th and 12th.
The Authorization Form for Selected Over-the-Counter (OTC) Medications with Parental Approval only for grades 9-12
must be completed, notarized, signed by the parent/guardian and signed by the student before a student is permitted to
self-carry and self administer the selected over-the-counter medications.
Only the 7 medications listed on the Authorization form are permitted. The Medications are: Tylenol, Ibuprofen, Allegra,
Tums, Claritin, Lactaid and Midol.
Medications are only permitted to be taken for symptoms listed on the Authorization form.
Please note that students are permitted to Self-Carry and Self-Administer only the medications listed on the
Authorization.
Students who self-carry and self-administer these medication are only allowed to carry 1 medication at a time. They are
only permitted to carry 2 doses per day. The medication must be in its original container labeled with the student’s name.
All selected Over-the-Counter medications must be administered according to manufacturers label.
School personnel, Nurses and Health Support Technicians may NOT administer Selected over-the-counter (OTC)
medications.
A new Authorization for Selected Over-the-Counter (OTC) Medications with Parental Approval form is needed if there are
any changes in the medication.
Students in all grade levels are permitted to self-carry and self-administer only these over-the-counter topical products:
bug repellents and sunscreens. Parents must complete and sign the Authorization Form for Self-Carry and SelfAdministration by student of over-the-counter topical products on all grade levels.
Repellants and sunscreen must be in the form of wipes and lotions only.
Aerosols are NOT PERMITTED.
It is the Parents responsibility to ensure their child is capable of self-administering repellents and sunscreen as per the
manufacturers label.
For questions or additional information please contact Coordinated Student Health Services at (754)-321-1575.
HEALTH SCREENING REQUIREMENTS
•
•
•
•
•
Health Screening Timeline:
 45% of Vision, Hearing, BMI and Scoliosis must be completed and entered into TERMS by
December 15, 2017.
 95% of Vision, Hearing, BMI and Scoliosis must be completed and entered into TERMS by
March 15, 2018.
 Please refer to the 2017-2018 Principal Memo packet online for FAQ’s about BMI and
instructions on the responsibilities of the following: Principal, Classroom Teacher, IMT,
Nurse, HST, District Health and Screening Team.
The Health Screening Opt - Out Form and The Florida Heiken Children’s Vision Program
Consent Form will be in The Code Book for Student Conduct.
Designated staff must keep the Health Screening Opt- Out forms and the Florida Heiken
Consent forms returned by parents in a separate folder. These forms are to be provided to the
District Health Technicians on the scheduled day of screening at your school.
A Parent Link message is to be sent one week before the scheduled date of screenings.
Parents/guardians are to be reminded of their right to opt- out of any health screenings in
writing.
Please refer to the Coordinated Student Health Services website for Health Screening
information. www.browardhealthservices.com
IMMUNIZATION COMPLIANCE &
MONITORING
2017-2018 SCHOOL ENTRY REQUIREMENTS
Kindergarten through 12th grade






Four or five doses of diphtheria-tetanus-pertussis (DTaP) vaccine
Three doses of hepatitis B (Hep B) vaccine
Three, Four or five doses of polio vaccine
Two doses of measles-mumps-rubella (MMR) vaccine
Two doses of varicella vaccine for kindergarten and grades one through nine
One dose of varicella vaccine for grades ten through twelve
Seventh Grade Requirements
In addition to kindergarten through 12th grade vaccines, students entering or attending seventh grade need the following
vaccines:
 One dose of tetanus-diphtheria (Tdap) vaccine in grades seven through twelve
 An updated DH 680 form to include Tdap, must be obtained for submission to the school
Important Reminders
1. Input all immunizations on TERMS panel before October 1, 2017 deadline.
2. All schools are required to audit their immunization data throughout the school year to ensure compliance of 95% which is
required by Florida Department of Health.
3. Students who do not have verification of Immunization compliance will not be allowed to attend school. (This excludes
student who qualify for the 30 day extension).
Immunization requirement information, Parents Guide to Childhood Immunizations
Bureau of Immunization Guidelines and locations for immunizations and school physicals are available on the Coordinated
Student Health Services (CSHS) website. Go to hppt://www.browardhealthservices.com and select immunization
under Quick Links.
CPR/AED/FIRST AID REQUIREMENTS
SBBC Policy 5303
• SBBC Policy 5303 requires each school to have a minimum of 2 staff
members trained in CPR/AED/First Aid with current certification.
• The name and location of trained individuals must be documented on
the 911 emergency information poster.
• The 911 poster should be placed in the health room, cafeteria, front
office, and physical education areas.
• AED units must be checked by trained staff every 2 weeks and the AED
Readiness Inventory Log must be completed.
• CPR/AED/First Aid certifications must be current and a copy kept in the
health room.
• A schedule of current 2017-2018 CPR classes are provided on the
Coordinated Student Health Services website @
www.browardhealthservices.com
School Health Program
State Monitoring Report
Yearly audits are conducted by the State, Florida Department of
Health for selected schools.
School Requirements
 All Student Emergency Contact Cards must be current and signed
by the parent/guardian.
 All CUM health records must be maintained with student’s health
information (health screenings, immunizations, history and
physical)
 All 3040 forms (school physicals) must be completed on both sides
by parent and physician.
 Refrigerators storing medications in the health room must have a
thermometer. Temperatures ranging from 35- 46 degrees
Fahrenheit, must be checked and recorded daily on the
temperature log.
REVISED STAFF INCENTIVES FOR MEDICAL PROCEDURES PROVIDED BY
EDUCATIONAL SUPPORT PROFESSIONALS (ESP) AT SCHOOL
General Description:
Florida’s delegation laws governing nursing practice allows for the training of unlicensed personnel, by a registered nurse, to provide
child specific medical procedures. The Authorization for Medication/Treatment Form must be completed for all students who require
medical care to be provided at school.
The Collective Bargaining Agreement with the Broward Paraprofessional Association makes provision for a $1500 annual medical
procedure supplement to be paid to the primary designated Education Support Professional (ESP), $200 to the back-up ESP or an
equal split of $1500 if the two assigned ESPs are dividing the care equally. This medical supplement is not available to employees
who are not Education Support Professionals. There is only one supplement regardless of the number of procedures or the number
of times an ESP performs the procedure. Before a supplement is approved, the Coordinated Student Health Services (CSHS)
Department must determine that the student requires the medical procedure and that a trained ESP can safely perform the
procedure. The school principal designates ESPs who are trained by a Registered Nurse, to perform child specific medical
procedures such as:
Procedures Eligible for Medical Incentives:

Catheterization
 Gastrostomy Tube feeding
 Blood glucose monitoring
 Surface suctioning for tracheostomies
 Administration of emergency injectable medications
 Administration of emergency Diastat suppositories
The ESP must be performing the procedure for the student, not just supervising the student doing the procedure. The supplement is
pro-rated if the ESP is providing these services for the full school year. The ESP’s who receive a special education center supplement
or a behaviorally complex student supplement are not eligible to receive the medical procedure supplement. If the assigned ESP is
providing the service in accordance with the training received and does not willfully disregard the established procedures, the ESP is
not liable. A Registered Nurse periodically observes the ESPs performing medical procedures to ensure competency and provide
support.
Educational Support Professional are NOT permitted to perform any medical procedures until they have received
training from a Registered Nurse (RN)
REVISED STAFF INCENTIVES FOR MEDICAL PROCEDURES PROVIDED BY
EDUCATIONAL SUPPORT PROFESSIONALS (ESP) AT SCHOOL, cont.
Principal/Designee Role:
To request training for primary and back-up ESPs, please submit the following to Coordinated Student Health Services:
 The completed Health Service Request Form
 The current Authorization for Medication/Treatment Form
To obtain the medical procedure incentive ($1500 for primary, $200 for back-up or the split of the incentive between the two
ESPs), please submit the following within 30 days of assignment and training to Sonja Clay, Director of ESE, Arthur Ashe, 1701
NW 23rd Ave., FL 33311
The completed “Request for Medical Incentive Form”:
 Indicate on the form if this is a new assignment or a reassignment
 If the ESP is the primary person providing the services or the back-up ESP.
 If the incentive will be split please check the appropriate box.
Proof of ESP training: a copy of the training form signed off by Coordinated Student Health Services
Coordinated Student Health Services Role:
CSHS will coordinate the requested training and provide the school with a copy of the training
documents upon completion of training.
Budget Support Specialist Role:
 The budget support specialist will process the medical incentive form
 Send email notification to the school principal/designee of the approval of the medical incentive
Copies of the required forms are available on the CSHS website at www.browardschools.com. Select Departments/Coordinated
Student Health Services/Chronic Health Conditions/Chronic Health Condition Forms/Medical Procedure Incentive Packet.
Request for Medical Incentive Form
Print Principal’s Name
Principal’s Signature
Date
Request for Medical Incentive
Checklist for School Principals
•
•

ALL areas on the Request for Medical Procedure Incentive Form must be completed.

The training checklist signed by a Registered Nurse must be attached to the Request for Medical
Procedure Incentive Form.

Principal only must initial that the Educational Support Professional has been trained and the training
form is attached.

The School Principal must indicate on the Request for Medical Procedure Incentive form the role of the
ESP in the care of the student. The choices are as follows:
• Primary ESP
• Back-up ESP
• Split Incentive

Only the School Principal is to print the Principal’s name and sign and date at the bottom of the Request
for Medical Procedure Incentive form. No other names and signatures are accepted.

The following documents must be submitted to Sonja Clay, Director of ESE, for the
processing of the Medical Incentive. Missing documents will result in a payment delay.
These forms must be submitted for both new assignment and renewal of assignment.
•
•
Request for Medical Procedure Incentive form
Training Checklist signed by a Registered Nurse within the Calendar year.
DIABETES
MEDICAL AUTHORIZATION FORM
Parent/ Guardian Responsibilities:
 Parents must notify schools prior to enrollment or return to school of a student
diagnosed with diabetes and will provide school with the Diabetes
Medication/Treatment Authorization (Forms can be obtained from your child’s
Endocrinologist)
School Responsibilities;
 Notify Coordinated student Health Services with anticipated date student is to
begin/return to school
 Fax Diabetes Medication/Treatment Authorization and Heath Service request to
(754) 322-6690
 Notify parent that it may take several days to staff clinic with trained personnel
 Schedule training for all staff who will be involved with student during the school
day
 Implementation of a 504 Plan if indicated
 Provide appropriate place for student to keep supplies
Risk Management
Medication Removal Process









Required process for removal of medication and pick up of expired medication
Request Instructions
Please use the attached updated Medication Removal Request, and fax, using the fax
number on form (754) 321-1917. Once Risk Management receives form, a self addressed
envelope(s) will be sent to your location for use in packaging the expired medications that
require removal.
Please package vials carefully to prevent breakage during transport
Copy the attached (following slide) template on your school letterhead, add the requested
information, and enclose in the envelope/carton(s) for pick-up. All Medications must be
placed in a sealed envelope/carton and the packaging numbered, for example 1 of 1; 1 of 3;
2 of 3; 3 of 3. The number of cartons must be listed on the letter and as well as a brief
description of the package content. No needles or sharp objects can be sent via pony.
The Principal or clinic supervisor designee’s signature is required.
The delivery address “Risk Management KCW 11th Floor-Medication(s) for Disposal”.
Materials will be picked-up by Mail Services (Pony) on the registered schedule.
The cartons will be delivered to KCW and sent for disposal per SBBC and Florida Statue
requirements.
Please call Risk Management at (754) 321-1905 or Warehousing Services at
(754) 321-4725, if unsure about what to do with a specific item or any questions.
You may also e-mail “Employee Health Testing” via CAB or Warehousing Services CAB
Conference
GUIDELINES FOR COMMUNICABLE
DISEASE CONTROL
• Review the Reportable Communicable Diseases in
Florida document for a list of reportable diseases
• Report all communicable diseases to Coordinated
Student Health Services. Further instructions will be
provided by District Health Services staff.
• If a communicable disease is suspected, the student
should be removed from the class and parents
should be notified.
• If an employee is suspected of having a
communicable
disease,
contact
the
Risk
Management Department at (754) 321-1900.
MANAGING STUDENTS WITH
HEALTH NEEDS
(SCHOOLS WITHOUT ON- SITE HEALTHCARE PERSONNEL)
• Students that require healthcare procedures or require direct nursing
care, school staff should fax a completed Health Service Request (HSR)
form with the student’s Authorization For Medication/Treatment Form,
to Coordinated Student Health Services at 754-322-6690 .
• Schools without an on- site health care personnel are assigned an OnCall Nurse (RN) from the Florida Department of Health, Broward.
• The On- Call Nurse provides staff trainings on health conditions,
consultation, develop an emergency plan of care and coordinates the
planning of students healthcare needs.
• Students requiring specialized health interventions at school, should
have a written 504 Plan.
NEW HEALTH CODES
A06 PANEL HEALTH SCREEN
New Health Codes:
• 04A = Current Asthma/Reactive airway Disease (use of an inhaler or asthma
attach in the past 12 months)
• 04B = History of Asthma/Reactive Airway Disease (Absence of inhaler use or
asthma attack in the past 12 months)
• 06A = Diabetes Type I (uses insulin)
• 06B = Diabetes Type !! ( does not use insulin)
 Parents should be encouraged to provide all information on their
child’s medical conditions on the Student Emergency Contact
Card.
 The Information Management Technician (IMT) is responsible for
entering students health condition(s) into the A06 panel in TERMS
as reported by parent/guardian.
 Students with a 504 plan in place require a 504 code. 504 codes
have a 26 prefix and should only be entered in TERMS when
requested by the designated 504 liaison.
PARTNERSHIPS IN HEALTH AND
WELLNESS PROMOTION
Broward County Public Schools collaborates with community partners to provide schools with tools to develop an environment of health
and wellness.
The Colgate Bright Smiles, Bright Futures Oral Health Education and Dental Screening Program
The primary focus of the Colgate Program is to educate children through storybooks, videos, computer
CD-ROM and interactive activities about proper oral health. Mobile Dental Vans staffed by volunteer dentists conduct free dental screenings
and educate children and their families about the importance of maintaining good oral health. The program is designed for children ages 1
through 12 years.
Florida Heiken Children’s Vision Program
The goal of the Florida Heiken Children's Vision Program is to assure that all financially disadvantaged school children who fail their vision
screening have access to a comprehensive eye examination including dilation and glasses, if required, to ensure academic success
Feeding South Florida
Feeding America is the nation’s leading domestic hunger-relief organization, comprised of 200 food banks throughout the United States.
Feeding South Florida is proud to be the sole Feeding America food bank serving Palm Beach, Broward, Miami-Dade, and Monroe
Counties. The Coordinated Student Health Services Food Pantry was created In collaboration with Feeding South Florida to provide food for
the underserved population in the Dillard Zone community.
Oral Health Institute (OHI)
The Oral Health Institute brings dentistry to the non-Title 1 schools for students to have access to quality dental care.
Florida Department of Health, Broward - Dental Sealants in Schools Program
Provides Dental Assessments, Cleaning, 1 on 1 oral hygiene instructions, group education, sealants (If applicable) and fluoride treatments to
students in Title I schools.
Please contact Coordinated Student Health Services Department at 754-321-1575, for more information on these programs and how they
can be initiated at your school.
INFLUENZA SEASON PREPAREDNESS
Influenza (Flu) is a contagious virus caused by influenza. The Flu virus is spread mainly from person to person,
when an infected person coughs or sneezes near others. It can also be spread by touching an inanimate objects
that has come in contact with the flu virus. The Flu virus can remain on doorknobs, elevator buttons, and
desktops, which can be transmitted after touching, to the mouth or nose infecting an individual.
Important
The Center for Disease Control (CDC) recommends vaccination as the best way to protect against the flu. Not
only does the vaccination help protect you from getting the flu; it also helps stop the spread of the virus to
others at school, work and home. Health experts also suggest that performing proper hand washing is another
way to prevent acquiring the flu.
School Responsibility
Schools should maintain adequate supplies of soap and hand sanitizers for their students, staff, and visitors.
CDC has made the following recommendations to help prevent the spread of the virus. Please educate staff and
students to:
• Cover mouth and nose with a tissue when sneezing or coughing
• Wash hands often with proper hand washing techniques and/or use hand sanitizers.
• Avoid touching eyes, nose or mouth
• Stay home when sick and encourage parents of sick children to keep them at home
• Do not share eating utensils, drinking glasses, or other personal items
•Additional information may be obtained from the Center for Disease Control (CDC)’s website at
www.cdc.gov/flu/school or Coordinated Student Health Services website at www.browardhealthservices.com
click on Communicable Disease.
FLORIDA KIDCARE INSURANCE
Florida KidCare is a State operated Health Insurance for uninsured children under age 19 living in Florida.
Please distribute the information packets and postcards to each child registered in the school.
Q. How is Children’s Medicaid eligibility different from other Florida KidCare programs?
Medicaid eligibility depends on the child's age, along with their household income and household size.
Q. How often does Florida KidCare re-determine eligibility? What is the process?
All children in Florida KidCare have at least 12 months of continuous coverage, if monthly premiums are
paid. Continuous coverage is different for Medicaid. (Children’s Medicaid has no premiums.) Children
under five years of age in Medicaid have twelve months of continuous coverage.
Q. What are the Covered Benefits/Services ?
Doctor visits, checkups, immunizations, hospital stay, surgery, prescriptions, vision, hearing, behavioral
health, referred services, emergencies, and dental services.
Applying and Enrolling in KidCare
–Applications take up to 8 weeks, may enroll online at www.floridakidcare.org
–Attach a current W-2 form, or four weeks of pay check stubs to the application, as proof of income
Statewide: 1-888-540-5437
Broward: 954 - 467-8737
THE FLORIDA ASTHMA FRIENDLY
SCHOOL RECOGNITION PROGRAM
 Asthma is the leading chronic health condition and
a major cause of school absenteeism.
 The goal of this program is to improve student
health, attendance and academic achievement.
 Schools can be recognized at four levels: Bronze,
Silver, Gold and Platinum.
 For more information about the Florida Asthma
Friendly School Recognition Program requirement,
go to http:floridaasthmacoalition.com/schools/or
call Coordinated Student Health Services at
754-321-1575.
FORMS
Health Screening Op-Out Form
http://www.browardhealthservices.com/wp-content/uploads/2013/11/7b-Health-Screening-Opt-OutForm-13-14-.pdf
Vision Screening Result Form
http://www.browardhealthservices.com/wp-content/uploads/2013/11/7c-Vision-Screening-Form-1314.pdf
Body Mass Index Screening Result Form
http://www.browardhealthservices.com/wp-content/uploads/2013/11/7d-BMI-Screening-Form-1314.pdf
Reportable Diseases/Conditions In Florida
http://www.browardhealthservices.com/wp-content/uploads/2013/11/10b-Reportable-diseases.pdf
Health Service Request Form
http://www.browardhealthservices.com/wp-content/uploads/2013/11/11b-Health-Services-Requestform-13-14.pdf
Health Codes in Numeric Order
http://www.browardhealthservices.com/wp-content/uploads/2013/11/13b-2013-14-HEALTH-CODES.pdf
Parent Health Information Letter
http://www.browardhealthservices.com/wp-content/uploads/2013/11/15b-Parent-HealthInformation-13-14.pdf
Kid Care Local Brochure
http://www.browardhealthservices.com/wp-content/uploads/2013/11/18b-Kid-Care-Local-Brochure2013.pdf