School Nurse Office Questionnaire
I am a
Support Staff Member
Major areas of School Health Service Activities
Please check those activities you know to be available through your school.
Administration of medication
Immunization review and referral
Special procedures (bladder cath, blood glucose monitoring, etc.)
Teacher/nurse conferences for program adjustments pertinent to health problems
School Health Fair
Linking to outside health agencies or health resources
Staffing conference for student placement in special learning situations
Limited or modified physical education
Individual health counseling
Medical Emergency Preparedness
Health assessments, medical referrals, and follow -up
List three current School Health Services activities that you feel are meeting your expectations and/or an asset to the organization:
List current School Health Services activities that you feel could be improved:
Please list those services that are not currently available but would be desirable:
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