School Health Issues
Free Epi-Pen® to schools who have physician orders for stock epinephrineThe Illinois Emergency Epinephrine Act, PA97-0361, allows schools to stock a supply of epinephrine auto-injectors, authorizes schools to enter into an agreement with a physician to provide the school with a prescription to obtain the auto-injectors, and gives school nurses (RN) the power to administer the epinephrine to any student whom the registered nurse believes is having an anaphylactic reaction.
Mylan© Pharmaceuticals has agreed to provide free epinephrine auto-injectors (Epi-Pen®) again this school year to all schools that have a standing order for this emergency drug. The program requirements are: 1) school must have a doctor’s order for the use of this drug and 2) a representative of the school or district must sign the order form. The instructions and order forms can be accessed at www.epipen4schools.com
The Illinois Attorney General's office and other agencies and associations last year produced the “Physician’s Toolkit”, which among other objectives, can assist a physician in writing the school prescription. The “toolkit” also answers physician questions on liability.
- EpiPen (epinephrine) Guidance (PA97-0361) - Illinois Attorney General's Office
- Food Allergy Guidelines and Resources
- FDA Recommends to Discontinue Use of GenStrip Blood Glucose Test Strips (4/29/14)
- Insulin Administration Chart - Word Format PDF Format
The insulin administration chart is provided to you as stated in PA 096-1485 - Care of Students with Diabetes Act, “A diabetes care plan shall include a uniform record of glucometer readings and insulin administered by the school nurse or delegated care aide during the school day using a standardized format provided by the State Board of Education.” The carbohydrate intake may be determined by any person trained in counting carbohydrates, including the child.
- Public Act 93-0530—An explanation of PA 93-0530 Diabetes Risk Assessment
- Public Act 097-0819—Diabetes Awareness Day
- Diabetes Risk Assessment—A Memorandum from Illinois Department of Public Health (IDPH) and Department of Human Services (DHS) explaining the enforcement of PA 93-0530 Diabetes Risk Assessment
Additional Diabetes Resources
- American Diabetes Association
- Diabetes Public Health Resource
- Lilly Glucagon Training Kit – 1-800-545-5979
- Novo Nordisk Glucagon Training Kit – 1-800-727-06500
- Pediatric Diabetes Education
- Pediatric Endocrinology and Diabetes - There are lists of related child and adolescent health topics on this page.
- Type 2 Diabetes - Healthline: A comprehensive overview
Synthetic Drug Information:
Hearing screening is required annually on all children in special education, children new to the district, and teacher/parent referrals. Hearing screening is also required beginning at age 3 in all licensed daycare/preschool programs. Once a child begins school, hearing screening is required at grades K, 1, 2 and 3.
- Health examination and immunization requirements for school attendance
- SY 2014-15 Immunization Quick Reference Guide
- Immunizations and Compliance with State Law
- 2015-2016 Minimum Immunization Requirements for School Entry (2/4/15)
- Reminder: Modifications to HIPAA Rule Regarding Immunization Information (8/13)
This is a reminder about the modifications to the HIPAA rule that occurred in January 2013 that enables healthcare providers who are HIPAA covered entities to share immunization information to schools with verbal/email parent permission. Read the summary or refer to page 5617 of the Federal Register to learn more.
- Guidelines Applicable to Medical and Religious Immunization Exemptions (2/10)
- Immunization School Survey Results
- Childhood Lead Poisoning
- Illinois Lead Program (IDPH)
- Lead Questionnaire —The Childhood Lead Risk Assessment Questionnaire for Lead Poisoning Screening - includes High Risk Zip Codes (6/07)
- High Risk Zip Codes—The Pediatric Lead Poisoning High Risk Zip Code Areas for 2005 distributed by the IDPH
- Ebola Guidance Available for Schools (12/23/14)
The Centers for Disease Control and Prevention (CDC) has released guidance "Addressing Ebola Virus Infection Concerns in K-12 Schools: Interim Guidance for District and School Administrators". For more information, visit the CDC website.
ISBE participates on the Ebola Task Force led by the state health department to monitor the outbreak and provide information. For more information about what Illinois is doing to combat the spread of Ebola visit the IDPH website.
- IDPH Guidance for Schools: Staphylococcus Aureus (MRSA) Infections
- School Health Topics A-Z
- 2013 Youth Risk Behavior Survey Results for Illinois Released (CDC - June 2014)
The YRBS monitors six categories of priority health-risk behaviors among high school students—behaviors that contribute to unintentional injuries and violence; tobacco use; alcohol and other drug use; sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV infection; unhealthy dietary behaviors; and physical inactivity—plus the prevalence of asthma and obesity. To view national data visit http://www.cdc.gov/HealthyYouth/yrbs/index.htm
In Illinois contact Jessica Gerdes, principal consultant, school health at JGerdes@isbe.net
- Blood Borne Pathogen Exposure Control Plan (12/12)
- Carrying Backpacks: Physical Effects (ISBE 6/06)
- Illinois Enhanced P.E. Strategic Plan (8/12)
- Medication Administration in Schools - Recommended Guidelines
- MRSA Infections
- What's New in School Health Services and Health Education - Applications for Special Education PowerPoint Presentation (8/14)
- Wind Chill and Heat Index Charts
Students should be encouraged to engage in physical activity year-round, including winter, when they are adequately protected from exposure to extreme weather. Attached is a chart, created by Iowa Department of Public Health and distributed nationally, which may help school districts decide when to limit outdoor play and other activities. The chart explains both wind chill and heat index and is based on information provided to Iowa DPH by the US National Weather Service. To be most useful, the chart, if printed, should be printed in color.
Although health teachers must implement the Illinois Learning Standards for physical development and health, health teachers are also advised to review the CDC’s standards on health education, found at: http://www.cdc.gov/healthyyouth/sher/standards/.
Offered here are two links to documents from the CDC that provide a listing of evidence-based instruction in HIV prevention and in pregnancy prevention.
- Listing of Risk Reduction Evidence-based Behavioral Interventions (EBI) for Youth
- Listing of Effective Teen Pregnancy Prevention Programs
Staff Training to Support Safe and Supportive Environments Related to Sex Education:The Centers for Disease Control (CDC) has provided to ISBE funding to support sex education and the creation and maintenance of safe and supportive environments for all students, including those who have different sexual identities from the heterosexual norm. As part of the project, ISBE encourages all school staff to learn skills to provide students with such safety and support. Step In Speak Up! – Supporting LGBTQ Students is a free training offered by Illinois Department of Public Health. The training is self-paced and has proven effective in assisting school staff to create and maintain safe and supportive environments for such students.
To take the online training:
- Go to http://illinois.kognito.com/.
- Select the training and create your account. (Choose “Other” if you work with multiple schools.).
- Take the brief pre-training survey, followed by the training (can be completed in one or multiple sittings).
- Please also take the post training survey to assist in the program evaluation.
- Print your certificate of completion.
- Bullying Resources
- “Residential Treatment for Youth With Mental Health Needs: A Guide for Parents and Guardians”
- Comprehensive System of Learning Supports
- School Health Services and Health Education - What's New? Applications for Special Education Presentation (8/14)
- Section 504 on the Rehabilitation Act of 1973
- Special Education Course for Registered Nurses (pursuant to 226.160 Special Education, Medical Review)
- Special Education Section 226.840 Guidance: Qualifications of Personnel to Conduct Medical Review - Under Revision
- Certification in School Nursing
Registered Nurses who are interested in obtaining a certificate that may lead to a school nurse license issued by the Illinois State Board of Education (ISBE) may contact these universities that are currently accepting students into the program. The programs are approved by the State Education Professional Licensure Board (SEPLB) to prepare Registered Nurses (R.N.) to obtain Professional Educator License, endorsed in school nursing.
The programs prepare registered nurses to obtain professional educator licensure endorsed for school nursing. The other programs are
• Lewis University, Romeoville/Oak Brook – email@example.com
• Millikin University, Decatur – firstname.lastname@example.org
• University of Illinois at Chicago – email@example.com.
- Special Education Course for Registered Nurses– Updated information posted! (pursuant to 226.160 Special Education, Medical Review)
This course is now closed for new applicants until sessions open in October 2015. Any RN needing to take this course should follow the instructions in the link above, and contact Ms. Gerdes in August 2015 for enrollment during the 2015-16 school year.
- Sexual Health Education Course Available for Health Teachers and Registered Nurses
ISBE has a limited number of slots available for a free web-based course, “ABC’s – Abstinence, Birth Control, and Condoms,” which will help health teachers meet state law requirements specifying content in sexual health education courses for students in grades 6-12.
Registered nurses who work in Illinois public schools grades 6-12 and could be called upon to be a resource to the health teacher or answer student questions are also invited to enroll in this internet-delivered course.
Participants are asked to send the following information to Jackie Ruenzi at firstname.lastname@example.org no later than March 1:
• Name of the staff person who will be taking the training (Limited to licensed health teacher or registered nurse who provides some classroom instruction on sex education.)
• Email address and district name (Home email is permissible if you plan to complete this course on a personal email account.)
• ZIP code (For purposes of tracking the trainings geographically).
• Requested starting date to begin the training (Training must be scheduled to start between Feb. 6 and June 26).
Participants will have 30 days from their start date to complete the training. Sign-in information will be sent to participants via email.
Six hours of continuing education credit are available upon course completion. For more information on the course content, please contact Jessica Gerdes at email@example.com (312) 814-8252.