OASN Every Student Counts: School Level Chronic Condition of Students 2018-19
This report should be submitted by EACH school within a district. All numbers should represent aggregate results for the ENTIRE school year. If a category does not apply to your school, please enter NA.
District *
Your answer
County *
Your answer
School *
Your answer
Grade levels in assigned school *
Indicate the grade levels in the assigned school. Example K,1,2,3
Your answer
Number of students enrolled in assigned school *
Total number of students in assigned school. Use the school’s official October count (many states submit this number to ODE). Only students Kindergarten to Grade 12. Do NOT include Preschool students.
Your answer
Number of students with a diagnosis of life threatening allergy from a health care provider *
Include only those with a diagnosis of a life threatening allergy from a health care provider.
Your answer
Number of students with a diagnosis of life threatening allergy from a health care provider with an antihistamine ordered at school *
Your answer
Number of students with a diagnosis of life threatening allergy from a health care provider with an epinephrine autoinjector ordered at school *
Your answer
Number of students with a diagnosis of asthma from a health care provider *
Include only those with a diagnosis of asthma from a health care provider.
Your answer
Number of students with a diagnosis of asthma from a parent report *
Asthma diagnosis from parent report only, no action plan or medication on file or returned
Your answer
Number of students with a diagnosis of Type 1 Diabetes from a health care provider *
Include only those with a diagnosis of Type 1 Diabetes from a health care provider.
Your answer
Number of students with a diagnosis of Type 2 Diabetes from a health care provider *
Include only those with a diagnosis of Type 2 Diabetes from a health care provider.
Your answer
Number of students with Type 1 Diabetes with BG monitoring during the school day *
Number of students with Type 1 Diabetes with blood glucose monitoring during the school day
Your answer
Number of students with Type 1 Diabetes with carb counting during the school day *
Number of students with Type 1 Diabetes with carb counting during the school day
Your answer
Number of students with Type 1 Diabetes with ketone testing ordered at school *
Number of students with Type 1 Diabetes with ketone testing ordered at school day
Your answer
Number of students with Type 1 Diabetes with glucagon ordered for school *
Your answer
Number of students with Type 1 Diabetes with insulin administration via syringe/pen during the school day *
Your answer
Number of students with Type 1 Diabetes with insulin administration via pump during the school day *
Your answer
Number of students with a diagnosis of seizures from a health care provider *
Your answer
Number of students with a diagnosis of seizures from a health care provider with Diastat ordered at school *
Your answer
Number of students with a diagnosis of seizures from a health care provider with Nasal Versed ordered at school *
Your answer
Submitted by *
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