Family Information Notebook (FIN) - Vanderbilt Kennedy Center

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12 LATEX ALLERGY Latex exposure may occur through: • direct contact with latex products • indirect contact (a provider touching a latex product and then touching a patient) • inhalation of airborne latex particles • injection of materials through latex IV ports ITEMS CONTAINING LATEX adhesive tape diaphragms rubber balls air mattresses elastic bandages rubber bands baby bath toys erasers rubber boots balloons eye cups on binoculars rubber cement balls eye cups on cameras rubber gloves Band-Aids foam pillows rubber stamps bathing caps foam rubber rubber bottom shoes belts for clothing Halloween rubber masks rubber anything beach shoes pacifiers shower caps bottle nipples paint sneakers chewing gum teething rings stretch fabrics condoms racquet handles telephone cords crib mattress pads raincoats/slickers underwear MEDICAL PRODUCTS CONTAINING LATEX Ace wraps (brown tensor) latex gloves blood pressure cuffs IV ports inner bladder and tubing red rubber anything syringes (rubber stoppers) rubber stoppers on multi-dose vials tourniquets rubber bands bulb syringes stethoscope tubing catheters syringe plungers electrode pads face masks (rubber) wheelchair tires tape (adhesive, butterfly closure, & moleskin) LATEX-FREE MEDICAL PRODUCTS Ace wraps (white) Tegaderm silk tape steri-strips EKG pads (Red Dot - 3M and Baxter) © Junior League Family Resource Center 2005
13 MEDICAL POWER OF ATTORNEY I, _____________________________________________________________, do give (Name of Parent or Guardian) permission for the following people to make decisions regarding medical treatment for my child, ______________________________________________, should the need arise. (Child’s Name) Power of Attorney is given for emergency medical and dental care, including anesthesia when it is needed. This consent is effective from this date and remains active until the date indicated here, unless otherwise revoked: Name: Address: Phone: Beeper: Name: Address: Phone: Beeper: Name: Address: Phone: Beeper: NOTARY Parent name: __________________ (Date) Parent signature: Notary name: Date Notary signature: seal here Date © Junior League Family Resource Center 2005
Page 1 and 2: 1 Family Information Notebook (FIN)
Page 3 and 4: 3 TABLE OF CONTENTS Emergency Healt
Page 5 and 6: 5 INTRODUCTION TO EMERGENCY HEALTH
Page 7 and 8: CHILD’S NAME: DATE OF BIRTH: CURR
Page 9 and 10: CHILD’S NAME: DATE OF BIRTH: 9 BA
Page 11: CHILD’S NAME: DATE OF BIRTH: 11 A
Page 15 and 16: 15 Health and Development • Intro
Page 17 and 18: CHILD’S NAME: DATE OF BIRTH: 17 M
Page 19 and 20: Eye Exams 19 CHILD’S NAME: DATE O
Page 21 and 22: At home: 21 CHILD’S NAME: DATE OF
Page 23 and 24: 23 SUGGESTED INFORMATION TO INCLUDE
Page 25 and 26: 25 INTRODUCTION TO DAILY ROUTINE Th
Page 27 and 28: CHILD’S NAME: DATE OF BIRTH: 27 S
Page 29 and 30: 1. Equipment: Who provides (agency,
Page 31 and 32: CHILD’S NAME: DATE OF BIRTH: 31 M
Page 33 and 34: CHILD’S NAME: DATE OF BIRTH: 33 P
Page 35 and 36: CHILD’S NAME: DATE OF BIRTH: 35 T
Page 37 and 38: 37 INTRODUCTION TO EDUCATION / SCHO
Page 39 and 40: CHILD’S NAME: DATE OF BIRTH: Name
Page 41 and 42: Doctor Nurse Teacher CHILD’S NAME
Page 43 and 44: � TEIS Evaluations and ISPs � C
Page 45 and 46: INTRODUCTION TO RESOURCES / OPTIONA
Page 47 and 48: Your Child’s Educational Rights:
Page 49 and 50: 49 Kay Flowers, Complaints Consulta
Page 51 and 52: 51 State Special Schools Tennessee
Page 53 and 54: 53 TENNESSEE DEPARTMENT OF CHILDREN
Page 55 and 56: 55 ADDITIONAL EDUCATION AND HEALTH
Page 57 and 58: 57 SPECIAL EDUCATION MEDIATION REQU
Page 59 and 60: DUE PROCESS HEARING REQUEST FORM TE
Page 61 and 62: 61 INTRODUCTION TO APPENDICES SECTI
Page 63 and 64:
Physical Therapist (PT): a licensed
Page 65 and 66:
QUALITY HEALTH CARE • There are s
Page 67 and 68:
67 Month: _________________________
Page 69 and 70:
F Page Family Resource Center Conta
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Family Information Notebook (FIN) - Vanderbilt Kennedy Center

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