Alabama School Health

Alabama Safe at Schools

Title

Description

ABN Delegation Roster 2018

Alabama Board of Nursing Delegation Chapter 610-x-7-.10

Delegation Of Insulin And Glucagon Administration in the School Setting

Standardized Form Diabetes Delegation Decision-Making Grid

Individualized Healthcare Plan (IHP) Packet

Assessment documentation utilized as part of the individual students medication management plan

Student Agreement Form

Tier I sign-in sheet

Tier II sign-in sheet

Tier III sign-in sheet

Glucagon Skill Check Sheet August 2018

Glucagon Emergency Medication Post Test

Glucagon Protocol revised August 2018

Glucagon Provider Competency revised August 2018

Powerpoint Presentation

Curriculum and Programs – Seizures

Title

Description

Seizure Curriculum Seizure Training and Medication Administration to Unlicensed Personnel

Act No. 2021-76 Delegation of pre-measured Seizure Medication

Curriculum and Programs – AED Guidelines

Title

Description

AED Law: HB 246 / Act No. 2015-161, Code of Alabama 1975, amended to Section 1

Curriculum and Programs – Anaphylaxis Preparedness

Title

Description

Anaphylaxis Preparedness Act No 2014-2015

Anaphylaxis Preparedness Program Guidelines

Curriculum and Programs – Diabetes Safe at Schools

Title

Description

Self Administration of Medication Legislation Act No. 2007-463

Diabetic Curriculum revised August 2018

Prescriber Parent Authorization Form (Alabama Public Schools Standardized Document)

Curriculum and Programs – Naloxone

Title

Description

Naloxone Training Program for Unlicensed Personnel

Curriculum and Programs – Medication Curriculum

Title

Description

ABN Delegation By School Nurses

Amended Medication Curriculum 2018

PDF format Controlled Substance Inventory Form

Unlicensed Medication Assistant Post Test Written Examination (revised March 2018)

Medication Assistant Delegation Form

Medication Assistant sign-in sheet

Prescriber Parent Authorization procedure for CIC (Alabama Public Schools standardized form for clean intermittent catheterization)

Prescriber Parent Authorization Form, only for OTC medication

Prescriber Parent Authorization tracheotomy form (Alabama Public Schools standardized form for tracheotomy care)

Prescriber Parent Authorization form for vagus nerve stimulator (Alabama Public Schools standardized form)

​Prescriber Parent Authorization Gastro form (Alabama Public Schools standardized form)

Curriculum and Programs – Scoliosis Manual 2019

Title

Description

Revised 2019 Scoliosis Manual

Forms and Documents

Title

Description

Alabama School Health (2017 Health Record Assessment Form)

Controlled Substance Inventory Form 2017

ADD/ADHD Individualized Healthcare Plan (IHP) Packet

Anaphylaxis Individualized Healthcare Plan (IHP) Packet

Asthma Individualized Healthcare Plan (IHP) Packet

General Individualized Healthcare Plan (IHP) Packet

Headache Individualized Healthcare Plan (IHP) Packet

Seizure Individualized Healthcare Plan (IHP) Packet

Medication Administration Record (MAR)

Prescriber Parent Authorization Form 2019

Self Administration and / or Keep on Person Documentation 2017 (Including parent / guardian signature)

Health Information

Title

Description

Flu Information

Standard Precautions

Powerpoint for Standard Precautions (Basic sample)

Exam for Standard Precautions (A sample, per request)

Pandemic Flu Preparation Guidance​

Alabama Department of Public Health Division of Disease Control Administrative Code Chapter 420-4-1 Notifiable Disease

Immunizations

Title

Description

Meningococcal Disease and Vaccine Flyer​

Meningococcal Information / Jessica Elkins Law Act​ 2014-274

Link to U.S. Department of Education Laws and Guidance, Education of Homeless Children and Youth

Laws and Policies

Title

Description

AED Act 2015-161

AED Act 2009-754

AED Act 99-370

Backpack Act 2017-19

Concussion Law

Immunization Law

Influenza Act 2017-368

Alabama State Board of Health, Alabama Department of Public Health Division of Disease Control, Administrative Code Chapter 420-4-1 Notifiable Diseases

Self Administration of Medications Act 2007-463 HB 423

Sunscreen Act 2017-278

Dept. of Public Safety Legislative Authority​

Drivers License Act related to school behavior.

Dept. of Public Safety form​ for use when students leave school before graduating.

Seclusion and Restraint Administrative Code​ procedures

Resources and Links

Title

Description

PDF, LEA Sample: AED Monthly Checklist

PDF, LEA Sample: Nurse Monitoring Check Sheet

PDF, LEA Sample: Nurse Monitoring Form

PDF, LEA Sample: School Nurse Evaluation Form

PDF, LEA Sample: Timeline and Checklist for Health Services