Chronic Conditions and Special Needs
- Chronic Conditions and Special Needs
- Emergency Preparedness/Response
- Environmental Factors
- Health Promotion
Attention-Deficit/Hyperactivity Disorder (ADD/ADHD)
Allergy
Missouri Specific Information
- DHSS Guidelines for Allergy Prevention and Response
- School Staff Training on Allergy Prevention and Response - Allergy PowerPoint
- Department of Elementary and Secondary Education (DESE) Allergy Policy and Information
- Physician Statement for Special Dietary Needs in Schools
Missouri State Laws regarding Allergies
- Section 167.208, RSMo, requires each school district to adopt a policy on allergy prevention and response with priority given to addressing potentially deadly food-borne allergies; the policy and procedure must be in place by July 1, 2011.
- Section 167.627, RSMo, addresses possession and self-administration of medications in school.
- Section 167.621, RSMo, addresses the authorization of medications in schools. Persons providing health services under sections 167.600 to 167.621 shall obtain authorization from a parent or guardian of the child before providing services as provided by section 431.061, RSMo.
- Section 167.630, RSMo, addresses the ability to obtain and maintain an adequate supply of epinephrine pre-filled auto syringes for emergency use by school nurses.
National Information
- CDC Voluntary Guidelines for Managing Food Allergies In Schools and Early Care and Education Programs
- Food Allergy Research and Education (FARE)
- Order Free Epipen/EpiPen JR for your school
Other Links
- AllergyHome - Food Allergy Tools for Schools
- American Academy of Allergy, Asthma, and Immunology (AAAAI)
- Epi-Pen Video Demonstration
- School Staff Food Allergy Training Websites:
- AllergyHome.org Food Allergy and Anaphylaxis in School
What School Staff Need to Know: A 30-minute PowerPoint with voice-over instruction for training all school staff with a post-test online - Association of School Nurses (NASN) Get Trained Program
A PowerPoint Presentation with instruction on how to administer epinephrine auto-injector for school staff. Includes handouts and teaching tools. - Food Allergy Management Education (FAME) Toolkit
A comprehensive food allergy toolkit with role specific checklists and information handouts for all school staff.
- AllergyHome.org Food Allergy and Anaphylaxis in School
Documents
Asthma
DHSS Asthma Prevention and Control
- Asthma Care at School Post COVID-19
- DHSS Asthma Site and Links
- DHSS Missouri School Asthma Manual
- Back to School Checklist for Children with Asthma
- CDC How to Use Your Asthma Inhaler Videos
- CDC Strategies for Addressing Asthma within a Coordinated School Health Program
- EPA Asthma in Schools
- Air Quality and Outdoor Activity Guidance for Schools
- Strategies for Addressing Asthma in Schools
Asthma in a Minute Toolkit
Missouri State Laws regarding Asthma
- Section 167.635 RSMo Asthma-related rescue medications, school nurse may be authorized by school board to maintain, procedure.
- Each school board may authorize a school nurse licensed under chapter 335 who is employed by the school district and for whom the board is responsible to maintain a supply of asthma-related rescue medications at the school. The nurse shall recommend to the school board the quantity of medication the school should maintain.
- 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.
- A school nurse or other school employee trained by and supervised by the nurse shall have the discretion to use asthma-related rescue medications on any student the school nurse or trained employee believes is having a life-threatening asthma episode based on the training in recognizing an acute asthma episode. The provisions of Section 167.624 concerning immunity from civil liability for trained employees administering lifesaving methods shall apply to trained employees administering an asthma-related rescue medication under this section.
Autism Spectrum Disorder (ASD)
Diabetes
DHSS Missouri Diabetes Prevention and Control Program
Missouri State Laws regarding Diabetes
- HB675 management of diabetes in elementary and secondary schools
- Section 161.450.1, RSMo This section shall be known as "Cade's Law". The department of elementary and secondary education shall develop and adopt rules relating to a physical fitness challenge for elementary-, middle-, and high school-level students. The challenge shall include, but not be limited to, elements that address physical conditioning, flexibility, strength, and aerobic capacity and shall recognize individual, team, and school-wide performance.
- Section 167.803, RSMo Training of school employees, content, requirements.
- Section 167.806, RSMo Plan to be submitted by parent or guardian of student with diabetes--review by school.
- Section 167.809.1, RSMO Diabetic care may be provided to students, when, trained personnel to be on site.
- Section 167.812.1, RSMo Diabetic care not practice of nursing, when--health care professionals may provide training.
- Section 167.818, RSMo Student may perform certain diabetic care for self.
- Section 167.821, RSMo Immunity from liability.
- Section 167.824.1, RSMo Rulemaking authority.
- Diabetes Medical Management Plan (DMMP)
- Diabetes School Health Resource - National Association of Chronic Disease Directors
- Administering Glucagon Video
- Guidelines for Diabetes Care in Schools and Daycares
- Helping the Student with Diabetes Succeed: A Guide for School Personnel
- Trained Diabetes Personnel in Missouri Schools (Cade’s Law)-Webinar
Diabetes Toolkit
- Supporting Students with Diabetes – Role of the School Nurse (2019)
- Sample Staff Training
- Trained Diabetes Personnel (TDP) sample forms
Epilepsy
- 1st Aid Complex Partial Poster
- 1st Aid Tonic Clonic Poster
- Diastat Administration Video
- CDC Epilepsy FAQs
- CDC’s Epilepsy Training for Students, Teachers, and Nurses
- Medicines for Epilepsy Information
- Seizure Action Plan-English
- Seizure Action Planning Form Description
- Seizure Observation Record-English
- A Child's Guide to Seizure Disorder
- Epilepsy Fact Sheet
- First Aid for Seizures
- Seizure First Aid Epilepsy Foundation
- Ketogenic Diet
Flu/Influenza
- DHSS Influenza Site and Links
- CDC How Flu Vaccines Work
- CDC Seasonal Flu Recommendations - (Spanish)
- CDC Information for Schools and Childcare Providers
- CDC “Take 3” - Actions to Fight the Flu
Head Lice
DHSS Head Lice
- Head Lice Guidelines
- Management Flowchart
- Treatment Guidelines
- Sample Parent Letter
- Managing Head lice in the School Setting - PowerPoint
CDC’s Head Lice Information for Schools
Heart Disease
- DHSS Missouri Heart Disease and Stroke Prevention Program
- Missouri Statute regarding AEDs
- Section 190.092, RSMo, Defibrillators, use authorized when, conditions, notice--good faith immunity from civil liability, when.
- AHA Article: School Nurses Play a Key Role in Preventing Heart Disease in Children
HIV/STD/Hepatitis
- DHSS Bureau of HIV, STD, and Hepatitis
- DHSS Sites and Links for Hepatitis B and Hepatitis C
- CDC HIV Information and Prevention
- CDC STD Prevention
- CDC Viral Hepatitis Site
Hypothermia / Hyperthermia
- DHSS Hypothermia
- DHSS Warming Centers Map
- CDC’s Winter Weather Site
- DHSS Hyperthermia
- DHSS Cooling Centers Map
- CDC’s Extreme Heat Site
Immunizations
- Section 167.183, RSMo: Immunizations records, disclosure
- Foreign Products Table-a tool for translating foreign Immunization Records (2019)
- DHSS Bureau of Immunizations
- ShowMeVax
- Immunization Materials Order Form
- CDC’s (For Parents: Vaccines for Your Children)
- Immunizations A-Z
- Immunization Schedules
- PreSchool/Child Care Immunizations Requirements
- School Immunization Requirements
- Manual for the Surveillance of Vaccine - Preventable Diseases (CDC, 2014)
Meningococcal Meningitis
Mental Health Prevention & Promotion
- Mental Health America resources for recognizing signs of Mental Health concerns in youth.
- Missouri Department of Mental Health
- MO Department of Mental Health crisis line and resources specific to Missouri.
- CDC Mental Health Information
- CDC’s Children’s Mental Health
US Dept. of Education
Methicillin Resistant Staphylococcus Aureus (MRSA)
- DHSS MRSA Information for Schools
- CDC Sites and Links
Sickle Cell
- DHSS Missouri Sickle Cell Anemia Program
- CDC Sickle Cell Disease
- CDC Sickle Cell Disease Education Videos and Podcasts
- CDC’s Tips for Supporting Students with Sickle Cell Disease
Smoking/Tobacco
- DHSS Missouri Comprehensive Tobacco Control Program
- DHSS Smoking and Tobacco Quitline
- CDC Youth Tobacco Prevention
- Campaign for Tobacco Free Kids
Suicide
Missouri Hotlines
- Suicide Prevention Lines
1-800-SUICIDE (1-800-784-2433)
1-800-273-TALK (1-800-273-8255) - After a Suicide: Toolkit for Schools
- The Trevor Helpline – Offers a national 24-hour, toll-free suicide prevention hotline aimed at gay and questioning youth and young adults: 1-866-4U-TREVOR
- Mental Health America - resources on Child and Adolescent Suicide, offers warning signs and action items.
- MO Suicide Prevention Network for students that are in crisis now with suicidal ideation.
- Suicide Prevention Publications-National Institute of Mental Health
- Suicide Prevention Resource Center
- Surgeon General’s Advisory on the Youth Mental Health Crisis has statistics on overall Mental Health as well as some very critical statistics on youth and adolescent suicide (2021)
Tuberculosis