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 Training Opportunities

PANDAS and PANS Standards of Care Summit - October 4, 2018
  • For nearly thirty years, Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections (PANDAS) has been studied extensively at the National Institute of Mental Health (NIMH) and elsewhere across the U.S. and internationally. More recently, a consortium of clinicians, researchers, and scientists has dedicated considerable time and effort to clinical care and study of children with PANDAS and the larger cohort of patients with Pediatric Acute-onset Neuropsychiatric Syndrome (PANS). A medically treatable cause can be found for most cases of PANDAS and PANS. Preliminary data suggest that with appropriate treatment early in the course of illness, and effective use of antibiotics prophylaxis, we may be able to prevent up to 25-30% of childhood mental illnesses.

    In accordance with P.A. 99-0320, the Illinois State Board of Education is part of a statewide Advisory Council on PANDAS and PANS.   The Council is charged with a number of activities including education and outreach to educators, parents, and healthcare providers.  The Council is sponsoring a Standards of Care Summit on PANDAS/PANS on Oct. 4, 2018.  Registration is fee and available at https://ipac-summit-2018.bpt.me .

School Health Update - 2018-19 / IDPH Session 
  • Join us for a webinar on Aug 16, 2018 at 10:30 AM CDT.School staff who have responsibility for assuring that students meet the health requirements for school attendance are invited to this session offered by staff from the Illinois Department of Public Health. Topics to be discussed include the schedule of required immunizations, including medical or religious waivers; the requirements of the child health examination (physical exam), including what constitutes a fully compliant exam; screenings for vision and hearing by qualified screeners; lead screening; screening for communicable diseases, the conditions under which a child may be lawfully excluded from school attendance, and new laws or regulations related to student or staff health over which IDPH has jurisdiction. The live event will offer attendees a chance to ask questions covered in the webinar or other topics, if time is available. Continuing Nursing Education (CNE) offering 1.25 contact hours will be emailed to those attending the live event and for those attending the recorded event through Oct. 15, 2018. The recorded webinar and slides will be available beginning no later than Sept. 1, 2018 and for the remainder of the 2018-19 school year.
    After registering, you will receive a confirmation email containing information about joining the webinar.
 
School Health Update - 2018-19 / ISBE Session 
  • Join us for a webinar on Friday, Aug 17, 2018 at 1:45 PM  to 3 PM CDT.
    Register now!Go To Meeting Link
    School staff who have responsibility for assuring that both students and staff meet health requirements as appropriate are invited to this session offered by staff from the Illinois State Board of Education. Topics to be discussed include the monitoring of and enforcement of the health requirements for school attendance; the health examination and/or immunization requirement of school staff; required health education of both students and staff; the health evaluations of students being evaluated for special education; legislative updates related to school health/behavioral health/whole child framework, and other topics. The live event will offer attendees a chance to ask questions covered in the webinar or other topics, if time is available. A continuing Nursing Education (CNE) offering 1.25 contact hours will be emailed to those attending the live event and for those attending the recorded event through Oct. 15, 2018. The recorded webinar and slides will be available beginning no later than Sept. 1, 2018 and for the remainder of the 2018-19 school year. 
    View System Requirements  Go To Meeting Link


Registered nurses and licensed practical nurses in Illinois can earn 1.5 CNE by viewing this webinar. A link to an evaluation survey is included in the broadcast; the link must be copied into a browser to access the survey. Participants who view the entire presentation and provide an evaluation will be sent a certificate of award for 1.5 CNE via email.

 Allergies

  • Use of Undesignated Epinephrine by Non-Nurse Personnel

    Schools who adopt a policy for the use of undesignated epinephrine by non-nurse personnel may utilize one of these resources to satisfy some of the training requirements of the law. Additional training requirements include a review of the high risk areas within the school and its related facilities, and documented practice on a training device of the same type ordered for the undesignated epinephrine. It is recommended that the school RN or another medical provider be the person who provides and documents the practice session and basic understanding of the prevention, indications and use of an epinephrine auto injector.

  • CDC Toolkit for Managing Food Allergies in Schools
  • Free Epi-Pen® to schools who have physician orders for stock epinephrine

    The 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 ToolkitPDF Document”, which among other objectives, can assist a physician in writing the school prescription. The “toolkit” also answers physician questions on liability.

 Asthma

 Concussion

Training Resources for School Nurses

The Illinois Youth Sports Concussion Safety Act (P.A. 99-0245 and its companion legislation, P.A. 99-0486) requires that if a school employs a nurse, that nurse must be a member of the school concussion oversight team. The nurse (and others on the concussion oversight team) must obtain training in concussion from an authorized training provider at least once every two years, beginning September 2016. The training course for the nurse must be one that meets the continuing nursing education requirements set by the Illinois Department of Financial and Professional Regulation (IDFPR). 

  • HEADS UP for Clinicians - Ongoing Online Training - 1.0 CEU

    This one-hour course is provided by the Centers for Disease Control and the American College of Sports Medicine, in collaboration with medical and nursing professional association partners, including the National Association of School Nurses.

    This course provides Continuing Medical Education (CME) and therefore may be used to fulfill the nurse training requirement according to IDFPR rules on continuing education.

    The 1.0 Continuing Education Credit certificate must be printed or saved at the conclusion of the course. Once you close the program you will not be able to access your certificate without repeating the course. The website also has numerous resources, including assessment checklists.

    Visit http://www.cdc.gov/concussion/HeadsUp/clinicians/index.html to register and take the course.

  • Online Concussion Management Resources

The Illinois High School Association has a variety of resources on concussions on its website at www.ihsa.org/Resources/SportsMedicine.aspx. Check under “Recent Announcements” for the latest, including guidelines for management of concussion in sports and a video on the National Federation of State High School Associations’ Concussion Risk ProgramBranshark Video Link.​​

 CPR/AED Training for Students

A student who has been shown a video on cardiopulmonary resuscitation (CPR) may be in a better position to save a life in school, at home or in the community. Public Act 097-0714PDF Document, effective June 28, 2012, recommends such training for students in grades 6 through 8 as part of the school’s safety education curriculum. Schools may choose to but are not required to provide this training. The training in “hands only” CPR and in the use of automated external defibrillator (AED) may be met through a free video provided to schools courtesy of the Northwestern University Department of Emergency Medicine. The video has the endorsement of Illinois State Board of Education, the American Heart Association and other community health agencies.

 Diabetes

Additional Diabetes Resources

 Eye Health

Vision screening is required annually on all children in special education, children new to the district, and teacher/parent referrals. Vision screening is also required beginning at age 3 in all licensed daycare/preschool programs. Once a child begins school, vision screening is required in grades K, 2 and 8.

 Health Examination and Immunization Forms

Child Health Examination Forms

Students entering kindergarten (or first grade if not previously enrolled in kindergarten), sixth grade and ninth grade at any Illinois public or private school (including charter schools) must provide proof of physical examination on a form approved by both the Illinois Department of Public Health and the Illinois State Board of Education. Students entering an Illinois school from out of state or out of country for the first time at any grade level must also provide the physical exam form. The exam must be completed no earlier than a year (365 days) prior to the start of attendance at an Illinois school.

The Child Health Examination Form labeled 11/15 must be used by students who need to provide proof of the physical exam​.

 Hearing

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.

 Heat/Wind Chill

  • Wind Chill and Heat Index ChartsPDF Document

    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.

  • Irregular Days PolicyPDF Document

 Home/Hospital Instruction

Some students are in need of instruction provided at home or in the hospital, or another location that temporarily provides for a safe and healthy learning environment. In those situations, a certificate of need is provided by the student’s physician, advanced practice registered nurse, or physician assistant. The school district, in consultation with the parents and the health care provider, determine how much time each day the student can tolerate instructional services. These forms and documents may be but are not mandated to be used. They are provided for the convenience of the school district and could serve evidence of having met the student’s need for services related to a medical disability.

 Medications

 School Health Notices

  • Zika Virus Guidance for District and School Administrators

    The Centers for Disease Control has developed interim guidance for grade K-12 district and school administrators for public health actions pertaining to the Zika virus infection. This guidance is intended to address concerns about the risk for Zika virus infection in K–12 schools and provide school districts with information for planning school-related activities, and recommend actions that can be taken, in consultation with local public health authorities and government officials, to reduce the potential risk for Zika virus transmission on school premises and among students.​

    To view the Zika virus guidance, please visit www.cdc.gov/zika/schools.html

  • Ebola Guidance Available for Schools

    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 Resources

 Sexual Health Education

 Special Education and Mental Health

  • PANDAS and PANS Standards of Care Summit - October 4, 2018
    For nearly thirty years, Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections (PANDAS) has been studied extensively at the National Institute of Mental Health (NIMH) and elsewhere across the U.S. and internationally. More recently, a consortium of clinicians, researchers, and scientists has dedicated considerable time and effort to clinical care and study of children with PANDAS and the larger cohort of patients with Pediatric Acute-onset Neuropsychiatric Syndrome (PANS). A medically treatable cause can be found for most cases of PANDAS and PANS. Preliminary data suggest that with appropriate treatment early in the course of illness, and effective use of antibiotics prophylaxis, we may be able to prevent up to 25-30% of childhood mental illnesses.

    In accordance with P.A. 99-0320, the Illinois State Board of Education is part of a statewide Advisory Council on PANDAS and PANS.   The Council is charged with a number of activities including education and outreach to educators, parents, and health care providers.  The Council is sponsoring a Standards of Care Summit on PANDAS/PANS on Oct. 4, 2018.  Registration is fee and available at https://ipac-summit-2018.bpt.me
  • Bullying Resources
  • Residential Treatment for Youth With Mental Health Needs: A Guide for Parents and GuardiansPDF Document
  • Comprehensive System of Learning Supports
  • School Health Services and Health Education – What's New? Applications for Special Education PresentationPDF Document
  • Section 504 on the Rehabilitation Act of 1973
  • Special Education Directors Needing Nurses to Complete Health Evaluations

    Health assessments and recommendations for health-related goals for students with Individuals Education Programs (IEPs) must be provided by a Registered Nurse (RN) with an ISBE-issued Professional Educator License (PEL) endorsed in school nursing (as written in School Code). The PEL (formerly known as CSN) is the legally defined and required School Code credential for school nurses performing any job duties that include student academic evaluations.

    Many RNs have completed coursework and internships leading to the PEL, but some districts have tried and been unable to hire a qualified school nurse. Such districts may apply to ISBE to hire and train a non-PEL RN and remain in compliance with special education evaluation rules if they follow these steps:

    1. Encourage, require, and/or support an existing staff RN with at least a bachelor’s degree to enter into an approved school nurse certification program offered by an Illinois university. DePaul University, Lewis University and the University of Illinois-Chicago currently have approved programs. The programs offer extensive distance learning options, and most nurses would be able to complete the program within 12 months.
    2. If time is of the essence, you may apply to ISBE to have an RN obtain an IEP designation through two other options, but only after a district submits prerequisite documents to ISBE that verify a search for a fully qualified RN (PEL with school nurse endorsement) has been made:
      • An ISBE-sponsored IEP course is available through Illinois Virtual Schools. Next school year, the course will be offered once, in as many sections as needed, in a six-week course that runs Jan. 16 through Feb. 26. 
      • An RN may opt out of the ISBE-sponsored IEP course and directly take the school nurse content test #236, which is available from the Illinois Licensure Testing System (ILTS) beginning Sept. 3, 2018. The test option remains available through the ILTS system year-round.

    It may be helpful in some districts to restructure the job duties of personnel in the nursing services department. A nurse with a bachelor’s degree who does not hold either the PEL or IEP designation may still perform 80 percent, four of the five components, of IEP health evaluations as identified in 23 IAC 226.160 (a) - Medical Review. 

    Hiring an RN who already holds the IEP designation does not remove the requirement upon the district to first seek a PEL school nurse and apply to ISBE to utilize the new hire who holds only an IEP designation.

    Since the rule creating the IEP designation credential was instituted in the fall of 2013, 802 RNs obtained the IEP designation through additional coursework and 45 by testing out. During this same time period, 208 RNs have obtained the PEL license with the school nurse endorsement. It is important to note that fully qualified RNs (PEL with school nurse endorsement) are entitled, according to the School Code, to the same benefits and compensation as teachers.

    More information is available by contacting Jessica Gerdes at jgerdes@isbe.net or Rebecca Doran at RDORAN@isbe.net or by reviewing information regarding the required credentialsPDF Document.   (pursuant to 226.160 Special Education, Medical Review)

 State Laws/Statutes and Rules/Regulations

  • Child Health Examination Code - IDPH Rules (77 IL Administrative Code 665)
  • ISBE Guidance 15-6 (P.A. 98-0632): Non-regulatory guidance on the requirement to provide training on CPR and AED in all secondary schoolsPDF Document
  • IDPH Laws and Administrative Rules
    • Reports of Communicable Disease: Some illnesses are so serious that the Centers for Disease Control and Prevention (CDC) requires health care providers (including nurses working in schools) to report to the state health department any suspected or confirmed cases of certain diseases. For a poster of those reportable diseases and conditions go to reportable-diseases-poster.pdfPDF Document.

      Federal and state laws protecting student privacy normally require written parental release of information to any entities outside of the school system. However, some threats to health and safety are great enough that federal law (FERPA – Family Educational Rights and Privacy Act) allow written consent to release to be waived. Obtaining parental permission for release is preferable, and parents should be notified that the release will be made. The Illinois State Board of Education and Illinois Department of Public Health (IDPH) have agreed in principle that for diseases that are required to be reported “immediately” [Class I(a)] or “within 24 hours” [Class I(b)] schools may release the student’s identity and other necessary information without written parental release. Any reportable illnesses that fall under a longer reporting time period than 24 hours must be accompanied by written parental consent. If the parent does not consent to release information on conditions requiring reporting beyond the 24-hour timeline, school nurses and other school officials may remind other health care providers outside of school, including physicians, hospitals, and laboratories, that they also are mandated to report the case to the state health department and they are protected by the regulations for HIPAA (Health Insurance and Portability Act) when doing so. Schools in general are not subject to nor protected by HIPAA; educational entities and personnel are required to follow regulations in FERPA and ISSRA (Illinois School Students Records Act) when releasing educational (including student health) information to persons or entities outside of the school system.
  • School Nurse Licensure
    • Administrative Rules
      • Part 25PDF Document - Educator Licensure - Endorsement for School Nurses (Parts 25.200; 25.215; 25.245; 25.710; 25.800; 25.Appendix E)
      • Part 226PDF Document - Special Education - Medical Reviews (Part 226.160; 226.850)
        • Special Education Medical Review
    • Renewal Information​
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