Bulletin One 2012 2013 Final.pdf - Fort Worth ISD

V. Medication errors involving other FWISD employees will be processed by the Human Capital
Management Department as appropriate for the medication error.
VI. The consequences of medication errors may include, but are not limited to, verbal conferences,
letters of concern, letters of reprimand, or a recommendation for the termination of employment.
In all instances, disciplinary action will draw upon the professional judgment of administrators in
Health Services and Human Capital Management and will be correlated to the seriousness of the
offense, previous actions by the employee, and the effect of the misconduct on the school
environment.
3.14 Guidelines for Heat Precautions
I. Because children are particularly vulnerable to heat injuries, there are some simple measures that
can be taken to help prevent injury and can be easily applied to the school setting.
II. Ambient temperatures of greater than 90 degrees with relative humidity greater than 60% must
be regarded as posing the highest risk for heat injuries. For school purposes, regard temperatures
of 90 degrees or greater as highest risk regardless of relative humidity.
III. Heat injury may manifest itself with the onset of mild symptoms of headache and cramps to severe
alterations in consciousness with loss of body temperature regulatory mechanisms. Heat injuries
may fall within one (1) of three (3) categories:
A. Heat stress is the result of mild disturbances in electrolyte balance thought to be caused from
excessive perspiration. Headache, muscle cramps and nausea are the typical symptoms. It is
completely reversible with hydration, electrolyte replacement and rest in a cool environment.
B. Heat exhaustion is seen in persons exposed to prolonged periods (several days) of excessive
heat with inadequate or partial replacement of fluids and electrolytes. This can cause more
serious injury to the tissues and autonomic regulatory systems. This form of heat injury is
often seen in the elderly or infirmed and can precipitate cardiovascular events. Again, adequate
hydration and electrolyte replacement prevent this injury.
C. Heat stroke is the most serious form of heat injury and has a high case fatality rate. This results
from overwhelming the body’s ability to cool itself leading to an elevated core temperature of
greater than 105 degrees F. The surface of skin can often feel cool and dry to the touch. Initial
symptoms in persons suffering heat stroke may be headache and nausea rapidly followed by
confusion and coma.
IV. All heat injuries are preventable! Adequate hydration prior to and during heat exposure is critical.
In prolonged exposures, electrolyte replacement must be addressed. Because a mere 15 minutes in
the Texas sun can lead to a heat injury, we must take prevention seriously. The following
measures need to be adhered to at all times:
A. Have the children drink water before going to P.E. and recess. (1-2 cups if possible)
B. After P.E. and recess, prior to going back to class, the children should drink additional water.
C. Classrooms should be cool. Fans blowing warm air can actually lead to increased numbers of
12-13 SY Bulletin Number One 56 Revised: 10/9/2012