School Nurse Resources
Please CONTACT US to suggest further additions to this resource list. Thank you. These may be third party resources and therefore you may be directed to a site that is not part of CSNO.
Research shows that school nurse case-management of chronically ill students increases attendance. (Engelke, M.K., Guttu, M., Warren, W.B, & Swanson, M. (2008); Levy, M., Heffner, B., Stewart, T., Beeman, G. (2006).
The California Attorney General’s Office, the Ad Council, California Endowment and community partners including CSNO, sent communications experts to interview nearly 1,000 parents of chronically absent elementary school students. They learned some very interesting things, including:
Attendance Works (http://www.attendanceworks.org/ ) is a national and state initiative that promotes better policy and practice around school attendance. We promote tracking chronic absence data for each student beginning in kindergarten, or ideally earlier, and partnering with families and community agencies to intervene when poor attendance is a problem for students or schools.
Medical Emergencies Occurring at School: http://pediatrics.aappublications.org/content/122/4/887.short
Breast feeding: Young and Teenage Parents
Lactation accommodations in California Public School districts.
Section 222 of the California Education Code outlines requirements for school districts.
California Bullying Laws
California Department of Education
California Department of Education (CDE) Health Services and School Nursing website: http://www.cde.ca.gov/ls/he/hn/
California Board of Registered Nursing
BRN Strategic Plan 2015-2017
Continuing Education Provider and Contact hours
California Healthy Kids Survey
Kids Data: http://www.kidsdata.org
Find data about the health and well being of children in communities across California
Children Now: https://www.childrennow.org/
Children Now’s mission is to find common ground among influential opinion leaders, interest groups and policymakers, who can develop and drive socially innovative, “win-win” approaches to helping all children achieve their full potential.
California Healthy Kids Survey http://chks.wested.org/
The California Healthy Kids Survey (CHKS) is the largest statewide survey of resiliency, protective factors, and risk behaviors in the nation.
Children with Special Health Care needs.
Lucille Packard Foundation for Children's Health
e-Cigarettes AAP Resources about ENDS)
Electronic Nicotine Delivery Systems (ENDS), also called e-cigarettes, personal vaporizers, vape pens, e-cigars, e-hookah, or vaping devices, are products that produce an aerosolized mixture containing flavored liquids and nicotine that is inhaled by the user.
CSNO has developed a training product to address the Education Code requirements outline in 49414. http://codes.findlaw.com/ca/education-code/edc-sect-49414.html
Anaphylaxis: Ed Code 49414 Training Standards for the Administration of Epinephrine Auto Injectors http://www.cde.ca.gov/ls/he/hn/epiadmin.asp
These are the updated Training Standards that were last reviewed on the California Department of Education website as of May 9, 2016.
Quick Take #2 Asthma in the Schools: Reducing Exposures to Indoor Asthma Triggers ;
Quick Take #3 Asthma in the Schools: Reducing the Exposure to Outdoor Asthma Triggers
AWARE: Alliance Working for Antibiotic Resistance Education
Chronic Health Conditions
Children with Special Health Care Needs
Children with Special Health Care Needs (CSHN): research findings/studies - L Packard Foundation for Children's Health
Chronic Fatique Syndrome (see Myalgic Encephalomeylitis
Concussion Training/ CDC-Heads Up On-line Training: https://www.cdc.gov/headsup/youthsports/training/index.html
An Educators Guide to Concussions
Cutting (Also referred to as Non-suicidal Self-Injury or Self-Harm)
Drug Abuse (Substance Abuse)
EV-D68 is a respiratory illness that spreads through close contact, similar to the common cold. It is also spread through touching infected/contaminated objects or surfaces.
Epilepsy: see Seizure Disorders
Epinephrine Auto Injector-Please see Anaphylaxis
- CSNO First Aid Flip Chart (2016)
- EMSA: Emergency First Aid Guidelines for California (2013)
- First Aid http://www.mayoclinic.org/first-aid
The Choking Game
AAP article: Choking Game and Suicidal Thoughts (2016)
Growth Charts from the CDC:
Head Lice (Please see pediculosis)
Health Services and Nursing Services
Health Education Standards
California Health Education Content Standards (2008)
National Health Education Standards (2014)
Hearing screening is mandated in kindergarten/first grade and in second, fifth, eighth, tenth/eleventh grade and upon first school entry (California Code of Regulations, Title 17, Section 2952 (c)(1)) . Hearing screening in California public schools must be conducted by a credentialed school audiometrist.
National Human Trafficking Resource Center 1 (888) 373-7888
Immunization Assessment Reporting
Immunization Information and Frequently Asked Questions
Measles begins with a fever that lasts for a couple of days, followed by a cough, runny nose, conjunctivitis (pink eye), and a rash. The rash typically appears first on the face, along the hairline, and behind the ears and then affects the rest of the body. Infected people are usually contagious from about 4 days before their rash starts to 4 days afterwards. Children routinely get their first dose of the MMR (measles, mumps, rubella) vaccine at 12 months old or later. The second dose of MMR is usually administered before the child begins kindergarten but may be given one month or more after the first dose.
Pediculosis (Head Lice)
Lice Lessons is an educational initiative focused on dispelling common head lice misperceptions, providing information about the value of engaging healthcare professionals and building awareness of new treatment options. The portfolio of tools and resources below are designed to help school nurses, often on the front-lines in the battle against head lice, reduce fear and stigma and help parents navigate treatment choices.
Prader Willi Syndrome
Lice (Please see pediculosis)
Lesbian, Gay, Transgender, Bi-Sexual & Questioning (LGBTQ)
Local Control Funding Formula
Mesothelioma Cancer Alliance
Methicillin Resistant Staphylococcus-Aureus Infections (MRSA)
Myalgic Encephalomyelitis (Chronic Fatigue Syndrome
LGTBQ (please see above)
School Nursing Services
American Academy of Pediatrics (2016) Recommend Full-Time Nurse in Every School.
Tara, H (2014). School nursing: Beyond medication administration and procedures. Journal American Medical Association,
Wang, Ly, et al (2014) Cost benefits savings of school nurses.
Scoliosis (Postural Screening)
For the fifth year in a row, Scoliosis Screening (postural screening) has been suspended. In a document released by the California Department of Finance, secured from www.mandates.gov revealed that scoliosis screening is one of many suspended mandates.
It is important to note that NASN and CSNO have not supported postural screening as a best practice. This is based upon the following: The U.S. Preventive Services Task Force (USPSTF) recommends against the routine screening of asymptomatic adolescents for idiopathic scoliosis. Rationale: The USPSTF recommends against the service. There is moderate or high certainty that the service has no net benefit or that the harms outweigh the benefits
Real Talk with Dr. Offutt uses the internet to present safe, user-friendly, non-judgmental medical information to teens and young adults. Simply armed with a mission to provide a safe, ad-free, accurate, non-judgmental, no embarrassment, no-question-is-too-dumb, feel-free-to-disagree kind of online teen health community. http://realtalkwithdroffutt.com
Teen Pregnancy Prevention
Vaccinations (see Immunizations above)
The California Department of Education (CDE) issued a letter on August 16, 2016 addressed to School District/COE Superintendents and Administrators on the Zika Virus.The letter provides ZIKA prevention resources as well as a checklist outlining precautions or considerations. You may want to share the information on your school district website, in school newsletters, and/or disseminate to parents/staff directly. To view the letter and resources, please click on the buttons below.
Sexual Health and HIV/AIDS Education
Under the California Healthy Youth Act, comprehensive sexual health education must be provided at least once to middle and once in high school students. Click on the button below to discover other requirements.
-Super Ventricular Tachycardia (SVT)
Truancy (See Attendance)
Tuberculosis: Risk Assessment Questionnaire, (AB1667 changes ED 49406 as of January 1, 2015) replaces universal Tuberculosis testing with universal risk assessment. The questionnaire may be administered and if no risk factors are identified, a more in-depth examination is not required. If tuberculosis risk factors are identified, the individual must be referred and examined to determine that they are free of infectious tuberculosis by a physician, surgeon, physician’s assistant, or nurse practitioner. Ed Code 49406
CSNO, in partnership with the California TB Controllers Association (CTCA), the California Department of Public Health TB Control Branch (CDPH-TB), and the California Department of Education (CDE), are pleased to announce the release of materials to support the implementation of AB 1667, which replaces universal TB testing for private, parochial, public K-12 school and nursery school employees and volunteers. Many school districts, in partnership with a local physician or health officer have been delegated the responsibility via standing orders to place PPD skin tests. Read more.......
Update 1.8.2015-The California Department of Public Health has provided additional information on the recent release of AB 1667:
AB 1667 did not change RN scope practice. AB 1667 requires determining the presence of TB risk factors & an examination when risk factors are assessed. Yes, the RN can administer the risk assessment; if no risk factors are present, the RN can also sign the certificate of completion. The RN may also perform the TB test (blood draw for IGRA or injection for PPD); if the TB test is negative, the RN may also sign the certificate of completion. If the TB test is positive, the RN must ensure it be followed by a chest x-ray and an examination (& other tests as necessary) by a MD, PA or NP who would certify on the certificate following that exam.
Women, Infants and Children (WIC)
Workplace Injury Reduction
Insurance Information Institute www.iii.org/article/steps-to-reduce-workplace-injuries
Cal Occupational Safety Administration (Cal OSHA) www.dir.ca.gov/dosh/
Please CONTACT US to suggest further additions to this resource list. Thank you so much!
Last Updated 7/31/17