SIT Minutes 4-22-13

SIT meeting 04-22-2013

Members

Present

Absent

Members

Present

Absent

 

 

 

Donna Garvin

x

 

Sara Blankenship

x

 

Lisa Marx

x

 

Dusty West

x

 

Elena Oian

x

 

Krista Wilson

x

 

Carol Ray

 

x

Mary Rose Slaughter

x

 

Colleen Robertson

x

 

 

 

 

Kelly Lane

x

 

Katy Haughney

x

 

Larry Weigel

x

 

Jan Zboyovski

 

x

Jackie Romanos

x

 

 

 

 

Jen Freer (temporary participant)

 

x

 

 

 

 

 

 

 

1. ADGENDA from March:

     Kelly Lane will initiate a staff-wide vote on TCR staff representatives to join the SIT team, including the SIT description. Nominations need to be gathered before April 5th. Larry will take ballots to each site and have the whole staff vote by the 8th of April.

2. Donna Garvin reviewed the previous SIT minutes.

3. Kelley Lane updated SIT on new SIT members, 3 new members have been nominated and have accepted (Mani Sloan, Lance Jaynes, Leigh Holland). High school needs to hold a vote to nominate one additional member. Miss Ramanos will not be available to serve on SIT next school year.

4. Donna Garvin introduced our guests and updated them on our needs. Cindy Runion and Debra Thornberry, as well as Lynn Smarjesse, Nurse at Valley Springs, and Amy Dyer, Nursing Supervisor.

 

Current safety concerns and points of concerns, based on guidelines from the state health department, and best practices (there is no such thing as PEP specific guidelines):*

 

-Food Handling and Preparation – Sinks for washing hands after toileting, and general/ food prep should be separate. Modifying the consistency of food needs to be done at home (students need to have separate blenders, and specific sanitation requirements for food to modified in the classroom).

-G-tubes- We have 6-7 classrooms that Adapters need to be washed between feedings, water should not be left inside tubes where bacteria can grow; solution: make sure that your area is clean, rinse out with hot soapy water, and each child should have a separate plastic storage box to wash.* At the end of the day, tubes should be dried.

-Swimming- Larry wanted to ask about Requiring 2 CPR certified staff, currently one certified lifeguard in the pool area with each class, and all students with poor skills or seizure activity must wear life vests.

-Toileting and Changing- You need to wash in a separate sink. Do not launder clothes with feces on them.

-Medical forms- Getting them from parents is a problem (some students go all year without the proper forms in place); solution: all forms need to be in place before the first day of school. Any diaper cream, sunscreen or chap stick needs a medical order.

-School Safety- If a child has been hospitalized, or has a major change in their health, the school should be notified. Staff should not be making medical decisions for students (ie, cannot decided to give 1 vs. 2 Tylenol for a headache); no child should come to school within 6 hours of being given Diastat.

-Emergency Kits- Safely stored and readily accessible medications (on trips and busses as well). All instructions and appropriate forms should be with the medication. Each classroom should have a medical emergency school safety procedure. Separate, easy to access bags for each student’s VNS.

-Medical Record keeping- Nurses get a copy of incident reports. Larry Weigel told the team that special education records need to be kept indefinitely.

 

5. The team discussed the possibility of making the medical packet mandatory for student attendance for each school year, making the expectation that all forms be turned in on or by the first day of school.

This is a medical facility within an academic environment, and PEP needs are unique; medical acuity is increasing.

The director of nutrition needs to weigh in on whether or not to use diet orders from previous school years until forms are updated.

6. The team agreed that the medical training that PEP received before this school year was very helpful, and could be more comprehensive. PEP needs to have consistency for what to document, which forms to use, and who to send that form to or where to store it.

7. Teachers should be preparing parents to receive forms and have any information available be the end of the summer.

8. Discussed the need to make a post-discharge/readmission to school form and/or guidelines for doctors (specifically for non-verbal students)

9. Nursing staff will follow up on any thoughts or concerns on the detailed information packet at future meetings. All staff should discuss the toileting, feeding and other procedures for problem-solving/acceptance of procedures.

10. A reference for all detailed procedures should be developed and available for next school year.

 

11. Next meeting is May 20th, next meeting will focus on behavior form standards and procedures. The team will review the packet of nurse suggestions and bring feedback to the next meeting/email.

12. SIT adjourned at 4:45pm.

 

*Nurse team collaborated on a detailed information packet with full procedures and concerns and suggested solutions.