2024-048-E-Health Dept-Memorandum of Agreement between Orange County Health Department and Orange County Schools 2023-2024 school year

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4884-1724-9679, v. 1 ORANGE COUNTY SCHOOLS (OCS) PERSONNEL ORANGE COUNTY HEALTH DEPARTMENT (OCHD) PERSONNEL ● Maintains a current list of available nurses on file with OCHD with current licensure and CPR certification. ● Notifies the Nursing Director of any changes in availability of staff due to long-term illness, termination, etc. ● Assures school nurses attend shelter training and crisis/disaster training as arranged by OCHD, including ICS 100, ICS 200 and NIMS 700. ▪ As circumstances allow, pairs of OCHD nurses will be assigned on a rotating basis for 8-12 hour shifts until all available staff have been exhausted. ● Assigns nurses to respond to a widespread crisis or disaster utilizing OCHD nurses first. ● Arranges for training of staff regarding disaster shelter responsibilities and crisis/disaster response, including ICS 100, ICS 200 and NIMS 700. ii. Respiratory Protection School Nurse ● Follows OCHD Respiratory Protection Plan ● Nurses and other at-risk staff complete initial Medical Evaluation Questionnaire and thereafter as needed based on changes in medical condition ● Nurses and other at-risk staff complete Respiratory Protection Training via OCHD’s FlexTraining web-based training software ● Nurses and other at-risk staff coordinate N95 respirator fit testing with OCHD Preparedness Coordinator ● OCS maintains supply of N95 respirators based on N95 respirator to which nurses and other at-risk staff were fitted ● Will supply alternative respiratory protection devices, such as PAPR, in the event someone cannot be fit-tested to an N95 respirator. ● Participates in annual respiratory protection training and N95 fit testing OCHD Staff ● Provides current copy of OCHD Respiratory Protection Plan ● Provides medical evaluation questionnaire to be completed and returned ● Enrolls OCS nurses and other at-risk staff in respiratory protection training ● Performs N95 respirator fit-testing and supplies two (2) N95 respirators to each OCS staff fit-tested annually. XIV. Records and Reports Objective: To document health services as required by federal, state and local guidelines, and to maintain appropriate healt h information. School Nurse ● Maintains the Permanent Health Record folder (salmon-colored) in a secure location with restricted access in a manner consistent with the Family Educational Rights and Privacy Act (FERPA) ● Maintains in the Permanent Health Record folder documentation of ▪ The child’s health status at the time of school enrollment or transfer, including immunizations ▪ Health Assessment Transmittal Form ▪ Results of medical evaluations/nursing assessments. ▪ Teacher/nurse referrals for health care, as appropriate ▪ Referrals to providers of health care, as appropriate, ▪ Results of services rendered by referral source, and a plan for continuity of care, if indicated ▪ authorization form(s) for the administration of medications, signed by the physician and parent/guardian ▪ Documentation of parent/guardian health-related conferences or contacts, as appropriate ▪ Evidence of mutual planning for health care needs ● Maintain each student’s Permanent Health Record card/folder in a manner consistent with FERPA in the student’s cumulative file ● Maintains each student’s Permanent Health Record card/folder in the student’s cumulative file documentation of: ● Immunizations ● Screenings/referral results ● Emergency/urgent health conditions ● Other health information (non-sensitive), as necessary Following successful completion of HIPAA Privacy and Security training, provides view access to NCIR. Principal ● Ensures that the health record of all new and transfer students into the school shall be made available to the school nurse as soon as available DocuSign Envelope ID: CEF0A315-C0D6-4618-8F2A-729FFE153BB6