Create a Substitute Nurse Packet
Compiled from NH School Nurses by Kerry Turner

In a three ring binder (with lots of dividers and pockets)  labeled
Substitute Nurse the following information is provided:

* A welcome letter with the names of the principal, vice principal and
other key personnel

* A statement regarding the confidentiality of health information

* The phone numbers for the Fire, Police, Public Health Department,and Poison Control

* The extenions of principals, guidance department, maintenance, etc.

* School Health Resource Manual

* "Health office rules of thumb" - where to find things within the
office; supplies, forms, emergency cards, meds, keys etc.

* Map of school (including emergency exits, etc.)

* Policies and Procedures of the office

* Where to find students and teachers at any given time

* Daily medication list, procedure, and administration rules

* Instruction on how to access the computer, phone, etc.

* Use of the "pass system" for students

* Confidential health concern lists by grade level.  Included in this
division is specific handout information for specific student medical
issues. (One nurse has a student with hemophilia and therefore includes
information from this student's doctor) 

* List of "frequent flyers"  (I loved this one,what a great way to
prevent unnecessary dismissals!!!)

* Location of emergency bags and its contents

* Nurse communication list of nurses in the district

* Care plans for anaphylaxis, respiratory, etc.

* An outline of the days usual flow

* A copy of the Health Office Services definition as seen in the
student/parent handbook (easy reference for fielding parent questions)

* Inside the binder in the front flap- a large manila envelope labeled
"Confidential" for any sensitive issues the sub would like you to know

* One nurse gave a great suggestion-"The last division is a copy of
"Emergency Guidlines for Schools" printed from the internet at the Ohio
chapter of the American Academy of Pediatrics....a great help for when I do
not have an RN and an administrator ends up watching my office.  It allows
them quick reference for specific injuries."