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Head Start & EECC

Annual Staff Training

HelpingStudentsStayHealthyandReadytoLearn

GilaRiverHealthCare-SchoolHealthServices

Established:June1998

Mission: To provide quality, school-based health care that promotes student wellness, self-responsibility in health, and academic success. In partnership with schools, families, and communities, we support students inreachingtheirfullpotential.

Vision: Promoteoptimalhealthandfacilitatelearning Schoolnurseshelp createasafe,healthyenvironmentthatsupportsacademicachievement.

Goal:Keepchildreninschool,inclass,andreadytolearn.

Gila River Indian Community

WelcometoaNewSchoolYear!

We are proud to serve and collaborate with the schools within the Gila River Indian Community(GRIC)toaddresshealthdisparitiesandstrengthentheconnectionbetween health and academic success. Thank you for your continued partnership in supporting thewell-beingofstudentsandfamilies.

We are excited to welcome you to this year’s Annual Staff Training. Your dedication, compassion,andcommitmenttothestudentsandfamiliesweservemakeameaningful difference not only in thier lives but also in the community. We look forward to a successfulandimpactfulschoolyeartogether.

Withappreciation, GilaRiverHealthCare’sSchoolHealthServicesTeam

AboutUs

PromotingStudentWellnessandSuccess SchoolHealthServices(SHS)isan extensionofGilaRiverHealthCare(GRHC), providingessentialcareatGRICschoolsfor tribal-affiliatedstudents Wepromotethe health,wellness,andacademicsuccessof NativeAmericanyouththroughculturally respectfulservices.Workingalongside educators,weensurestudentsarehealthy, supported,andreadytolearn.

Schoolnursesareonthefrontlinesofstudentcare,helpingtoovercomebarriers,address healthdisparities,andprovideculturallyrelevantcare.Asstudentsfacechallengesranging fromchronicillnessestomentalhealthneeds,schoolnursesoffercomprehensive, accessiblecarethatsupportssafe,nurturingenvironmentsconducivetoacademic success.

TheRoleofSchoolNurses

Schoolnursesareuniquelyqualifiedtoaddresscriticalhealthcareneeds,ensuring studentsthrivebothintheclassroomandbeyond Theirroleincludes:

Increasingaccesstohealthcare:Nursesadvocateforhealthequityand connectingstudentswithGRHCservices,includingPediatric,Optometry,Dental, BehavioralHealth,andSchoolCounselors.

Comprehensivecare:Nursesensurestudentsreceivereferralsforwell-child exams,immunizations,sportsphysicals,chronicdiseasemanagement,illness care,preventativecare,andmentalhealthsupport

ObjectivesofSchoolHealthServices:

Ensureaccesstoprimaryhealthcare

Provideasystemformanagingmedicalcrises

Conductmandatedscreeningsandimmunization monitoring

Offercomprehensive,age-appropriatehealth education

Addresshealthandeducationalchallenges

Createahealthyandsafelearningenvironment

Evaluatetheeffectivenessofschoolhealth programs

S dedicatedtoensuringstudentsreceivethecaretheyneed tosucceedacademicallyandmaintainahealthylifestyle.Wepartnerwithschools, families,andthecommunitytocreatesupportive,safe,andhealthyenvironments forallstudents.

GilaRiverHealthCareSchoolHealthServicesoffers acomprehensiverangeofservicestomeetstudents' healthcareneeds.

HealthCareServices:

TreatmentforIllnesses&Injuries

MedicationAdministration

CaseManagementofHealthCareNeeds

HealthRecordsManagement

SpecializedHealthCareProcedures

CollaborationwithParents,SchoolOfficials, andHealthProviders

StudentSupport&AcademicSuccess:

AnnualeyeexamsthroughtheGRHCKidsEyeClinic School-wideeyeglassinitiatives

Healthcareerexploration

Culturaleducationthatfostersprideand connectiontoheritage

Community&PreventiveHealthServices:

Immunizationclinicsandhealthscreenings

Behavioralhealthsupportservices

Communityhealthfairsandfamilyengagement

InfectionPrevention

HealthEducation&Wellness:

Age-appropriatehealtheducation

Nutritioneducationandtraditionalhealthpractices

Promotionofhealthylifestylesthroughphysical activity

Mentalhealthawarenessandsubstanceabuse prevention

HealthCareerExposure:

MedicalcareerclassesforgradesK-12toincrease exposuretohealthcareers

CoordinatedwiththeGRHCMedicalCareersGrant throughthe‘Elev8’Program

SchoolHealthEducators

TraciBegay

Education:BSHealthEducation&HealthPromotion

Serving:District1-BlackwaterCommunitySchool, SacatonElementaryandSacatonMiddleSchool

Email:tbegay1@grhc.orgPhone:(520)796-2727

IsabelVasquez

Education:EMT-P(EmergencyMedicalTechnicianParamedic)

Serving:GRICHeadStartsinDistricts3,4,5,6andEECC

District4-CasaBlancaCommunitySchool

Email:ivasquez@grh.org Phone:(520)796-2948

KelsiFoote

Education:BSHealth&Society/MinorinSociology

Serving:District5-St.PeterIndianMissionCatholic SchoolDistrict6-GilaCrossingElementaryandMiddle School,District7-MaricopaChristianVillage

Email:kfoote@grhc.org Phone:(520)796-2934

Our Health Education program is designed to support students in developing the knowledge, skills, and attitudes needed to make informed decisions about their well-being.

Health educators provide engaging, age-appropriate lessons and activities that addressessentialhealthtopicswhilefosteringlifelonghealthyhabits.

Each lesson is thoughtfully aligned with both state and national health education standards, ensuring consistency and quality across all grade levels. In addition, health educators strive to incorporate meaningful connections to health-related careers,helpingstudentsseethereal-worldapplicationsofwhattheylearn.

While a lesson calendar is provided for structure and planning, we understand every school community may have unique needs. Teachers, administrators, and parents may request customized health topics outside of the scheduled curriculum.

Please contact your school’s designated health educator at their provided email addressforfurtherassistance.

As a school employee, you are required to treat all studenthealthandeducationalinformationwithstrict confidentiality. Protecting student privacy is both a legalobligationandaprofessionalresponsibility.

LegalRequirement

TheFamilyEducationalRightsandPrivacy Act(FERPA)of1974governswhatstudent information may be shared and with whom. Failure to comply can result in seriousconsequences.

Only share information with staff who have a legitimate “need to know.” A request for information by teacher or other staff member does not automatically mean the person is entitled to it. Use caution when speaking on the phone.

Remember

Protecting confidentiality helps maintain trust,ensuresstudentsafety,andkeepsour schoolincompliancewiththelaw.Whenin doubt,referquestionstothestudent’sparent or guardian unless legal documentation allowsdisclosure.

Ifyouareunsurewhetherinformationshouldbeshared, seekguidancefromyouradministrator.

WhatAreBloodbornePathogens(BBPs)?

Infectiousmicroorganismsinhumanbloodthat cancausediseaseinhumans.Thethreemost commonare:

HepatitisB(HBV)

HepatitisC(HCV)

HIV

Schoolexposurecanhappenduring:

Firstaidforcutsornosebleeds

Assistingwithpersonalcare

Cleaningbloodandbodilyfluidspills

Handlingcontaminateditems

Treatallbloodandbodyfluidsaspotentiallyinfectious.

Washhandsbeforeandaftercare

Wearglovesforbloodorbodilyfluids

Changeglovesbetweenstudentsand tasks

Coveryourowncutswithabandage

Basicfirstaid-Gloves

Splashrisk-Gloves+Gown+Mask+EyeProtection

Cleaningspills-Gloves+Protectiveclothing

Reportimmediately earlycarematters!

Washwithsoap&water

Flusheyes/nose/mouthwithwaterif necessary

Reporttotheschoolnurseandsupervisor

Followdistrictmedicalprocedures

Weargloves

Handlesoiledclothingcarefully-Do notshakeitems

Followschoolbaggingproceduresto senditemshomeforwashing

SharpsSafety

Neverpickupbrokenglassor sharpswithbarehands

Useabrushanddustpanor tongswhenneeded

Disposeofsharpsinapproved sharpscontainer

Useschoolapproveddisinfectant

Weargloves

Cleansurfacesaftercontactwith bloodorbodyfluids

Usedesignatedwastecontainers

Disposeinsharpscontainer

Don’treachintotrashbags

HepatitisBvaccineisrecommended forstaffatriskofexposure

WhenandHowToCleanHands

Wash hands with soap and water for at least 20 seconds. Use the cleanest water available to you. If soap and water are not available, use an alcohol-based hand sanitizer with at least 60% alcohol.

HOW TO WASH HANDS WITH SOAP AND WATER

Wet hands with water. Apply soap

Rub hands together to cover all surfaces and scrub hands for 20 seconds

Rinse hands with clean water.

Dry hands completely using a clean single-use towel or air dry

HOW TO USE ALCOHOL-BASED HAND SANITIZER

Apply sanitizer to hands.

Rub hands together to cover all surfaces of hands

WHEN TO USE EACH METHOD

Before, during, and after preparing food

After using the bathroom or changing diapers

When hands are visibly dirty or greasy

Rub hands together until dry.

Before eating

After blowing your nose, coughing, or sneezing

Before or after caring for someone who is sick

MajorFoodAllergens

HowToUseanEpiPen®

1 2 3

A) B) C)

Remove the Auto-Injector from the clear carrier tube.

Hold the auto-injector in your fist with the orange tip pointing downward.

Blue to the sky, orange to the thigh.

With your other hand, remove the blue safety release by pulling straight up without bending or twisting it

ADMINISTER

NOTE:

The needle comes out of the orange tip

To avoid an accidental injection, never put your thumb, fingers or hand over the orange tip. If an accidental injection happens, get medical help right away.

If you are administering to a young child, hold the leg firmly in place while administering an injection. Place the orange tip against the middle of the outer thigh (upper leg) at a right angle (perpendicular) to the thigh.

Swing and push the auto-injector firmly until it “clicks ” The click signals that the injection has started.

Hold firmly in place for 3 seconds (count slowly 1, 2, 3).

Remove the auto-injector from the thigh. The orange tip will extend

to cover the needle If the needle is still visible, do not attempt to reuse it

Massage the injection area for 10 seconds.

You may need further medical attention. If symptoms continue or recur, you may need to use a second EpiPen® or EpiPen Jr® Auto-Injector. PREPARE

EMERGENCY RESPONSE

Stay Calm• Act Quickly Follow These Steps

Staying calm helps you think clearly and support the student until help arrives.

IMMEDIATEACTIONSTEPS:

1.Call911:Assignonespecificpersontocall.

2.RetrievetheAED:Haveanotherperson bringtheAEDtothesceneifsomeoneis unconscious.

Usealandlineifavailableforlocation tracking.

Provideaclearlocation(e.g.,schoolname, address,playground). Havesomeoneflagdownresponders. Stayonthelineuntiltoldtohangup.

WHILEONTHECALL

Speakslowlyandclearly,answerall questions,andfollow instructionscarefully.

REMEMBER

Yourcalm,clearactionscanmakea criticaldifferenceinan emergency.

GuideforNurseOffice

Theseguidelinessupportstudentsafetyandeffective useofthenurse’soffice.Alwaystrustyourown judgement.Ifunsure,callthenurse.

EmergencySituations

Seriousinjuryorfall:Donotmovethestudent Callthenursetoyourlocation

Unresponsive/notbreathing:StartCPRandcall 911immediately.Havesomeoneelsenotifythe nurseandcentersupervisor.RetrieveAEDif needed.

ContacttheSchoolNurseImmediately ifexhibitingthefollowing:

Breathingdifficulty/asthmasymptoms excessivecoughing,generalanxiety, restlessness,leaningforwardtobreathe, breathingrapidly,takinglargeanddeep breaths,troublespeaking,wheezingsounds, andhavingpaleorbluish-coloredlips.

Diabeticstudentfeelingunwell nausea,headache,andshakiness

Seizureorlossofconsciousness:Donotmove. Notestart/endtime.Call911ifover3minutes.

Suicidalideationorself-harm:Followschool policy.Donotleavestudentalone. Headoreyeinjury.

Abnormalskinconditions(redness,swelling, drainage,rash).

SchoolStaffIllnessorInjury

Nursecannotprovidemedicationtostaff.

Seriousconditions:Notifythenurseandprincipal. Chestpain:Call911,retrieveAED,thennotifythe nurseandprincipal.

Strokesigns–B-FAST:Balance,Facedrooping, Armweakness,Speechdifficulty,Timetocall911.

WhenSchoolNurseInNotonCampus

TheCenterSupervisorDesignatedSchool Personnel(CSDSP)isresponsiblefor administeringanyprescribedoremergency medicationsintheabsenceoftheschoolnurse.

Ifnewmedicationsarriveattheschoolwhilethe nurseisnotpresent,pleasesecurelystorethe medicationandnotifytheschoolnurseatthe earliestopportunity.Additionally,youmaycontact SchoolHealthServicesatcabraby@grhc.orgor call480-208-0264.

Shouldastudentbecomeill,pleasepromptly contacttheparentorguardiantoarrangefor thechild’spickup.

Intheeventofaseriousinjury,severeillness, signsandsymptomsofanaphylaxis,seizure, unconsciousness,ordifficultybreathing, immediatelycall911foremergencyassistance.

ReducingtheRisk ofChokingin YoungChildren atMealtimes

Children under the age of 4 are at a high risk of choking while eating. Young children are still learning how to chew food properly, and they often swallow the food whole. Their small airways can become easily blocked.

You can help reduce children’s risk of choking when eating by preparing food in certain ways, such as cutting food into small pieces and cooking hard food, like carrots, until it is soft enough to pierce with a fork.

Remember, always supervise children during meals and snacks.

PrepareFoodsSoThey AreEasytoChew

Youcanmakeeatingsaferforyoung childrenbyfollowingthetipsbelow:

Cook or steam hard food, like carrots, until it is soft enough to pierce with a fork.

Remove seeds, pits, and tough skins/peels from fruits and vegetables. Finely chop foods into thin slices, strips, or small pieces (no larger than ½ inch), or grate, mash, or puree foods. This is especially important when serving raw fruits and vegetables, as those items may be harder to chew

Remove all bones from fish, chicken, and meat before cooking or serving Grind up tough meats and poultry.

AvoidChokingHazards

Small round foods such as grapes, cherries, cherry tomatoes, and melon balls are common causes of choking.

Slice these items in half lengthwise.

Then slice into smaller pieces (no larger than ½ inch) when serving them to young children.

½-inch pieces

Tohelppreventchoking,donotservesmall(marble-sized),sticky,orhard foodsthataredifficulttochewandeasytoswallowwhole,including:

Cheese cubes or blocks. Grate or thinly slice cheese before serving.

Chewing gum*

Dried fruit

Gummy fruit snacks*

Hard candy, including caramels, cough drops, jelly beans, lollipops, etc *

Hard pretzels and pretzel chips

Ice cubes*

Marshmallows*

Nuts and seeds, including breads, crackers, and cereals that contain nuts and seeds

Popcorn

Spoonfuls of peanut butter or other nut butters. Spread nut butters thinly on other foods (e.g., toast, crackers, etc.). Serve only creamy, not chunky, nut butters.

Whole round or tube-shaped foods such as grapes, cherry tomatoes, cherries, raw carrots, sausages, and hot dogs

*NotcreditableintheChildNutritionPrograms,includingtheChildandAdultCareFoodProgram (CACFP),NationalSchoolLunchProgramandSchoolBreakfastProgram,andSummerFoodServiceProgram.

Signs&Symptoms

Concussion can be harder to spot in babies & young children. Important symptoms to look out for after a head injury are changes in their normal behavior after a head injury, such as:

MOOD

Irritability or excessive crying

Difficult to calm or console

Behavior changes

Loss of interest in their favorite activities

Looking like they are daydreaming or “not there”

Changes in mood irritable, sad, emotional, nervous

PHYSICAL

Crying when you move the baby’s head

InfantandToddlerConcussion Guide

What is a Concussion?

A concussion is a type of brain injury caused by a hard bump or hit to the head, or a blow to another part of the body that forcefully shakes the head. When this impact is powerful enough to cause the brain to move inside the skull, a concussion may occur.

REDFLAGSIGNS–CONTACTYOURPROVIDERORCALL911

Large bump, bruise, or swelling on the head

Blood or clear fluid from ears or nose

Repetitive motions that look like seizures or eyes to one side

Unable to console or calm

Unable to wake up

Persistent vomiting

Worsening symptoms

SLEEP

Sleeping changes

Sleeping more or less

Drowsiness

Difficulty sleeping

THINKING

Trouble concentrating

Saying their head hurts or holding head & making a face

Dizziness or more stumbling when walking –unable to go smoothly from position they were previously able to (ie. rolling, pulling to stand, sit to stand)

Sensitivity to light, sound, noise, touch, movement

Refusing to nurse or eat/drink

Confused or cannot remember recent events

Slow to answer questions

WHENTOCALL911GototheEmergencyRoomifyouareworried and/orifyourchildisshowingworseningsymptoms,willnotstop crying,complainingoforappearingtohaveheadpain,vomiting, increasedconfusion,seizuresor“havingafit”,bloodorfluidfrom earsornose,difficultystayingawakeoransweringsimplequestions —orifyouthinkyourchild’sneckwasinjured.

WhattoDo(EarlyOn)

Childrenmaynotshowsymptomsuntilhoursordaysaftertheinjury Haveyourchildavoid playthatistooactiveorroughuntilyourdoctorsaysitissafe

Yourchild’snervoussystemisstilldeveloping Symptomsoftheirheadinjurymayshowup weeksorevenmonthslater It’simportanttofindacareproviderwhoknowsaboutchild development

Givethebraintimetohealwithbothmentalandphysicalrest Keepyourchildcalmandlimit TVandscreentime

Callyourchild’shealthcareprovidertotellthemabouttheinjurytoyourchild’sheadandfind outsignstowatchoutfor.

Yourchildshouldbemonitoredforsymptomsforatleast2-3weeks. Ifpossible,keepyourchildhomewithyoufor48hoursormorebeforereturningtoschoolor daycare.

Extrasupervisionafteraconcussionisveryimportant!

Donotuseibuprofen(Advil,Motrin)forthefirst48hours.Ibuprofenshouldneverbeusedin babiesunder6months.Youmayuseacetaminophen(Tylenol)tohelpwithpainifapproved byyourchild’shealthcareprovider.

Yourchildmaybetiredandneedmoresleep,especiallythefirstfewdays.Ifyourchildcan’t bewokenup,call911immediately.Keepthenormalsleep/napschedule

Makesureyourchilddrinksenoughwaterandeatshealthyfoodstoencouragebrainhealing Yourchildshouldplayquietlyforatleastthefirst24hourswithNOhighlyactiveplay(eg,NO running,fastaction,roughplay,runningorjarringmotions,scootersorbikes) Asecond concussionwhilethebrainishealingcanbeverydangerous

PreventingHeadInjuries

in mind that a window screen will not prevent a fall.

Children should play in safe spaces while actively supervised by a responsible adult.

NEVER leave your baby unattended on surfaces

(eg. Changing table, countertop)

car

FieldTripChecklist

Pre-Planning

Submitalistofplannedfieldtripsandacurrentclass rostertotheschoolnurseatthestartoftheyearand asnewtripsarise.

Meetwiththenurse1-2weeksbeforethetripto discussstudentmedicalneeds.

Consultcafeteriastaffaboutfoodallergieswhen planningmeals

Informthenurseofanymedicalconcernsnotedon permissionslipsorcommunicatedbyparents.

DayofTrip

Meetthenursetosignoutstudentmedicationsand supplies(allow15minutes).

Recordmedications/treatmentsontheStudent MedicationFormpromptly.

PostFieldTrip

Returnallmedicationsandsuppliestothenurse immediatelyafterthetrip Donothavestudentreturnfieldtripbagscontaining medications.

Youareresponsibleforthemedicationuntilsigned backinwiththenurse.

Asthma

Asthmaisachroniclung diseasethatcausesepisodes ofcoughing,wheezing,chest tightness,andshortnessof breath.

Asthmasymptomscanbe mild,moderateorsevere, andsometimeslifethreatening.

Whensymptomsoccur,give theprescribedmedicationto thestudentifavailableand callthenurse.

AsthmaSymptoms AsthmaSymptoms AsthmaSymptoms &Triggers &Triggers &Triggers

Seizure First Aid

STAY

with theperson until they areawakeand alert after the seizure.

Time the seizure

Check for

Keep the person

Move or guide away from Remain

Turn the person onto their if they are not awake andaware.

Keepairway clear

Loosen tight clothes

Put something small and soft calm

Seizure lasts longer than 5 minutes

Person does not return to their usual state

Person is injured, pregnant, or sick around neck under the head if

Repeated seizures

First time seizure

Difficulty breathing

Seizure occurs in water

their mouth.

Understanding TYPE1andTYPE2Diabetes

Diabetes is a condition when your body does not maintain normal blood glucose (blood sugar) levels.

COMMONSYMPTOMSOFDIABETES

Thefollowingsymptomsofdiabetesaretypical.However,somepeople withdiabeteshavesymptomssomildthattheygounnoticed.

Urinating often Feeling verythirsty

Feelingvery hungry even thoughyouare eating

Cuts/bruises thatareslow toheal

Weightloss eventhoughyou areeatingmore

There are different types of diabetes—including type 1 and type 2 as well as a condition known as pre-diabetes.

TYPE1DIABETES TYPE2DIABETES

Your immune system mistakenly treats the beta cells in your pancreas that make insulin as foreign invaders and destroys them. When enough beta cells are destroyed, your pancreas can’t make insulin or makes so little of it that you need to take insulin to live.

DIDYOUKNOW?

Type1diabetesdoesnʼtonlydevelopinyoungpeople. Youcandevelopitasanadult.

Therehavebeenrecentadvancesintype1diabetes screeningandtreatment.

Ifyouhaveafamilyhistoryoftype1diabetes,your doctormaysuggestscreeningyouforit.Theywill orderabloodtesttocheckfortheautoantibodiesthat showthattype1diabetesisdeveloping.Thereare treatmentsandclinicaltrialsthatseektodelaythe onsetoftype1diabetesinthosewhoareathighrisk. Identifyingandmonitoringthoseatriskfortype1 diabetescanhelpyouandyourhealthcareteam detectdiabetesearly,anddetectandtreatdiabetic ketoacidosis(DKA)earlyorpreventitaltogether.

MANAGINGDIABETES

Youʼllworkwithyourhealthcareteamtocreateaplan thathelpsyoureachyourtreatmentgoals.Yourplanwill includeadietaryplan,physicalactivity,andmedication information.

Your body does not use insulin properly—this is called insulin resistance. At first, your beta cells make extra insulin to make up for it. But, over time, your pancreas can’t make enough insulin to keep your blood glucose at normal levels. Type 2 diabetes develops most often in middleaged and older adults but is increasing in young people.

DIDYOUKNOW?

Therearemanydifferenttypesofdrugsthatcanwork indifferentwaystoloweryourbloodglucose(blood sugar).Sometimesonemedicationwillbeenough,but inothercases,yourdoctormayprescribea combinationofmedications.

TakeourType2DiabetesRiskTest tofindoutifyouareatincreased riskforhavingtype2diabetesat diabetes.org/RiskTest

Formoreinformation,visitdiabetes.orgorcallusat1-800-DIABETES(800-342-2383).

Extreme fatigue

Blurry vision

If you notice a student with these signs and symptoms, contact the school nurse immediately. Low Blood Sugar less han 70 mg/dl must be treated immediately. IFUNRESPONSIVECALL911!

DO YOU KNOW?

Strokes occur in toddlers, children and teens. Stroke is an emergency at any age.

SPOT A STROKE

If your child has one or more of these signs, don’t delay call 911 or the emergency system.

If it looks or feels like a stroke, it may be one

Signs of stroke are often missed in children and teens because of LACK OF AWARENESS.

Medical conditions associated with stroke include:

Additional Warning Signs in Children:

• Sudden severe headache,especiallywithvomiting and sleepiness

• Sudden weakness or numbness on one side of the body (face, arm and/or leg)

• Sudden confusion, difficulty speaking or understanding others

• Sudden trouble seeing in one or both eyes

• Sudden difficulty walking, dizziness, loss of balance or coordination

• New onset of seizures, usually on one side of the body

FACTS TO KNOW

About half of children who had a stroke had a PREVIOUSLY IDENTIFIED RISK FACTOR

The clot-busting drug tPA and clot retrieval devices AREN’T FDA APPROVED FOR USE IN CHILDREN.

HEAT WARNING IT’S WISE TO STAY COOL!

Childrenareatriskofheatemergenciesyear-round. However,themonthsofJuly,August,September,and Octobercanbeparticularlydangerous.

Weencourageyoutostaysafefromtheheatbyhydrating andlimitingyourtimeoutdoors,especiallybetweenthe hoursof10a.m.and6p.m.

Pleasereachouttoyourschoolnursewithanyquestions.

HEAT EXHAUSTION

•RELOCATE TO A COOLER PLACE

•APPLY COOL AND WET CLOTHS

•DRINK WATER SLOWLY

•SEEK MEDICAL ATTENTION IF NEEDED

Faint/Dizzy

Excessive Sweating

Cool/Pale Clammy Skin

Nausea Vomiting

Rapid Weak Pulse

HEAT STROKE

Throbbing Headac he No Sweating

Body Temperature above 103º Red/Hot/Dry Skin

Nausea Vomiting

Rapid Strong Pulse

•DO NOT GIVE FLUIDS

•TAKE ACTION TO COOL THE PERSON DOWN UNTIL HELP ARRIVES.

Muscle Cramps

May lose consciousness

x x

HeadLiceInformation

Headlicearecommonamong school-agechildrenandcanbe treatedeasily.Workingtogether helpsreduceschoolabsencesand preventsthespreadoflice.

Parent/Guardian Responsibilities

Keepthechild’shaircleanandfreeofheadlice Iflicearefound,treatandcleanthechild’shair promptly.

Reviewandfollowtheschool’slicepolicyand guidelinesoutlinedinthestudenthandbook regardingnits,lice,headsoresrelatedtolice infestation,andguidelinestoreturntoschool.

SchoolNotification&ReturntoSchool

Theschoolnurseorschoolstaffwillcontactthe parent/guardianbyphoneorletterifthestudent isfoundtohavelice-relatedconcerns.

Afterthestudent’shairhasbeentreatedand thoroughlycombed,thestudentmayreturnto schoolthenextday

A14-dayHeadLiceEducationalFlyerwillbesent home.

LiceTreatmentResources

GRHCPharmaciesatHuHuKam,RedTailHawk,andKomatke provideliceshampooforpatientsuponrequest.Adoctor’s visitorreferralisNOTrequired. ContactHeadStartCenterSupervisorforadditional resourcesthroughGRICTribalHealth

AdditionalSupport

TheGilaRiverHealthcarePublicHealthNursingDepartmentisavailable toassistfamilieswithheadliceremovaluponfamilyrequest.

Administration

Director:

Candy Braby RN,BSN,NCSN

Email: Cabraby@grhc.org

C: 480-208-0264 Phone ext. 2766

Educators

Traci Begay B.S

Email: tbegay1@grhc.org

Phone ext. 2727