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Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency...

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Chris McLain, BSOM, CCEMTP I/C Clinical Manager AMR / Rural Metro TN Saving Lives at School: School Nurses Response to Emergencies
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Page 1: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

Chris McLain, BSOM, CCEMTP I/C Clinical Manager AMR / Rural Metro TN

Saving Lives at School: School Nurses Response to

Emergencies

Page 2: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

Emergencies happen at school

The school nurse is the professional responsible to plan for a response

to a health related emergency

The work of School Nurses helps to save lives.

Page 3: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

Objectives: *Overview of Knox County Emergency Response System *Recognizing emergencies *Basic emergency care *How to be efficient in medical emergency situations

Page 4: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

Objectives: *Narcan in the school setting *Mass Event Response *Stop the Bleed Program

Page 5: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

*Overview of Knox County Emergency Response System - ALS vs BLS -EMD -First Responders -Standby for sporting events

Page 6: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

*Recognizing emergencies -Emergency vs Non Emergency -Patient complaint (Life, Limb, or eyesight) -Simple A,B,C approach -Mental Status changes (A.V.P.U) -Signs of Shock

Page 7: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

*Basic emergency care -Scene Safe -Determine MOI / NOI -Perform rapid head to toe assessment

Page 8: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

*Basic emergency care continued -Gather S.A.M.P.L.E history -Baseline Vital Signs -If other equipment / MEDS are available consider use (AED,EPI Pen,Narcan,Glucose Kit,STB Kit,etc)

Page 9: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

*Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants for child health services, to give an additional preference to a state that allows self-administration of asthma and anaphylaxis medication and makes a certification concerning the adequacy of the state's civil liability protection law to protect trained school personnel who may administer epinephrine to a student reasonably believed to be having an anaphylactic reaction)

-https://www.tn.gov/health/health-program-areas/epinephrine-auto-injector-law.html

Page 10: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

*Basic emergency care continued -Gather S.A.M.P.L.E history -Baseline Vital Signs -If other equipment / MEDS are available consider use (AED,EPI Pen,Narcan,Glucose Kit,STB Kit,etc)

Page 11: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

*Basic emergency care continued -Gather S.A.M.P.L.E history -Baseline Vital Signs -If other equipment / MEDS are available consider use (AED,EPI Pen,Narcan,Glucose Kit,STB Kit,etc)

Page 12: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

*How to be efficient in medical emergency situations -ASPEN information system -EAPs in place -Review and Practice your plan

Page 13: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

*Narcan in the school setting -Opioides knock out respiratory drive -Pinpoint pupils -Knox County EMS administering avg 40 doses a week -Tennessee Passes Good Samaritin Law (Narcan Distribution) 2014

Page 14: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

- SENATE BILL NO. 1631 / House Bill No. 1427 - https://www.tn.gov/health/health-program-areas/health-professional-boards/csmd-board/csmd-board/naloxone-training-information.html

Page 15: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

Objectives: *Narcan in the school setting *Mass Event Response *Stop the Bleed Program

Page 16: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

- SENATE BILL NO. 1631 / House Bill No. 1427

Page 17: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

*Mass Event Response -noun: triage 1. (in medical use) the assignment of degrees of urgency to wounds or illnesses to decide the order of treatment of a large number of patients or casualties.

Page 18: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

Objectives: *Narcan in the school setting *Mass Event Response *Stop the Bleed Program

Page 19: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

Objectives: *Narcan in the school setting *Mass Event Response *Stop the Bleed Program

Page 20: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

*Stop the Bleed Program -East Tennessee Healthcare Coalition bought 8 kits for every school -Joint training provided by AMR / Rural Metro Fire Dept / UT Medical Center Outreach program / Knox County Sheriff’s Office / KCHD / Homeland Security

Page 21: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants
Page 22: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

*Stop the Bleed Program -East Tennessee Healthcare Coalition bought 8 kits for every school -Joint training provided by AMR / Rural Metro Fire Dept / UT Medical Center Outreach program / Knox County Sheriff’s Office / KCHD / Homeland Security

Page 23: Saving Lives at School€¦ · *Epi Pen Legislation -H.R.2094 (School Access to Emergency Epinephrine Act - Amends the Public Health Service Act, with respect to asthma-related grants

Thank you for what you do taking care of our kiddos!

Questions ?

[email protected]

865 978 1224


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