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School Nurse Procedure Manual - The School District of Philadelphia

School Nurse Procedure Manual - The School District of Philadelphia

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SCHOOL DISTRICT OF PHILADELPHIASCHOOL NURSE PROCEDURE MANUALVI. Confidentiality :A. <strong>The</strong> Physical Examination Report is confidential and shall be retained by the school nurse.VII. Process :A. All parents and caregivers should be referred to their primary care provider to obtain physicalexaminations for their children.B. Form MEH-2 Student Medical History and Form MEH-1, Private Physicians Report must begiven to parents to take to their provider.C. Encourage the parent to have the examination done within a reasonable amount <strong>of</strong> time.D. Instruct the parent or student to return the completed MEH-2 and MEH-1 to the <strong>School</strong> <strong>Nurse</strong>.E. A Physical Examination Report completed by a primary care provider, other than an MEH-1 isacceptable for purposes <strong>of</strong> meeting this mandate provided it contains all <strong>of</strong> the requiredinformation. One example <strong>of</strong> an acceptable form is the EPSDT Physical Form.VIII. <strong>School</strong> Physician Service :A. <strong>School</strong> Physician Service is available for physical examinations <strong>of</strong> students in accordance with thefollowing criteria:1. <strong>The</strong> student has no other means <strong>of</strong> obtaining a physical examination, e.g., has no healthinsurance.2. <strong>The</strong> student is in a mandated grade (or age equivalent) or never had a physical.3. <strong>The</strong> health history and parent consent are on file.B. <strong>School</strong> nurses may also request school physician service for these reasons:1. Consultation with <strong>Nurse</strong> Practitioner.2. Consultation with <strong>School</strong> <strong>Nurse</strong>s, <strong>School</strong> <strong>Nurse</strong> Practitioners, and/or <strong>School</strong> Support Teamsregarding, for example, case management <strong>of</strong> unresolved health problems or to assist the teamwith decisions regarding homebound instruction etc.3. Support for Health Education and Health Promotion Activities, e.g., staff development,assemblies, health fairs, and other programs.IX. Requesting <strong>School</strong> Physician Service :A. Written requests for school physician service shall be submitted to:<strong>The</strong> <strong>School</strong> <strong>District</strong> <strong>of</strong> <strong>Philadelphia</strong><strong>School</strong> Health ServicesJFK Center, Room 500734 Schuylkill Ave., Phila. PA 19146).1. <strong>The</strong> request must include <strong>School</strong> name; Location number; Academic Area; type <strong>of</strong> servicerequested; Day <strong>of</strong> the week requested; Name and phone number <strong>of</strong> the <strong>School</strong> <strong>Nurse</strong>.2. Requests will be honored on a first come, first serve basis.3. Schedules will be mailed ONLY to nurses and schools which are listed on the schedule.4. If you wish to contact a <strong>School</strong> Physician you may obtain information by contacting 215-875-3490.X. Medical Examination in <strong>School</strong> :A. <strong>The</strong> parent MUST be notified <strong>of</strong> the date, time and place <strong>of</strong> the physical examination, and beencouraged to be present.B. Schedule students at 15 minute intervals.C. Notify appropriate school personnel that students will be examined.September 1, 2002 Page 14

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