- Los Angeles Unified School District
- Protocols
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Protocols
Each Specialized Physical Healthcare Service (SPHCS) or protocol has specific authorization form posted under the protocol guidelines.
- Protocol Training Video Links and Related Forms
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A. Specialized Health Care Services:(1) Form(2) GuidelinesD. For a protocol or SPHCS that is not listed on the standardized specialized physical health care services, please download the Generic Authorization Form (English/Spanish)H. Protocol and Medication Training & Supervision Checklist Form- for Licensed and UnlicensedAssistive PersonnelI. Review of Support Services Due to Health Needs - Complete for Student with Protocol Before the IEP Meeting
- Adrenal Insufficiency
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Guidelines
Solu-Cortef Protocol Guidelines
Authorization Forms:
English/Spanish Other languages are not available
Emergency Medication Authorization
Related Forms and Information:
Emergency Care Plan for School
Adrenal Insufficiency - Power Point
- Anaphylaxis
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Protocols Guidelines:Anaphylaxis Protocol Emergency Treatment of Anaphylaxis (03/2019)Attachment B - Anaphylaxis GuidelinesAttachment C - Letter TemplateAttachment D - Special Diet Form. For the most recent version of the Special Diet form, click here.Forms:Training:FOR SCHOOL BASED CLINIC USE ONLY: Anaphylactic Reaction Clinic Emergency Protocol - August 2022
- Autonomic Dysreflexia
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Autonomic Dysreflexia: Emergency Care GuidelinesAuthorization Form:English/Spanish (2/2023)
- Catheterization
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a. Clean Catheterization Guidelines (3/2019)Authorization Form for Clean Catheterization (2/2023): English/Spanishb. Clean Self-Catheterization with Assistance Guidelines (3/2019)Authorization Form for Clean Self-Catheterization with Assistance (2/2023) English/Spanishc. Clean Self-Catheterization Guidelines (3/2019)Authorization Form for Clean Self-Catherization (2/2023) English/Spanishd. Sterile Catheterization Guidelines (3/2019)Authorization Form for Sterile Catheterization (2/2023) English/Spanishe. Training Videos Link
- Diabetic Protocols
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Guidelines:1. Blood Glucose Testing (3/2019)2. Baqsimi(Glucagon Nasal Spray/Severe Hypoglycemia) (12/2021)3. Glucagon Injection(Severe Hypoglycemia) (3/2019)4. Treatment of Hypoglycemia(3/2019)5. Ketone Testing (Hyperglycemia) (3/2019)Authorization Forms:1. Blood Glucose Testing(3/2023)2. Hypoglycemic Reaction(3/2023)3. Glucagon Injection(3/2023)4. Hyperglycemia (Ketone Testing)(3/2023)Other Related Forms and Information:
For LAUSD Food Services Web Page for Menu click here; for carbohydrate count click here.
- Epinephrine for Schools (SB1266)
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- Gastrostomy and Jejunostomy
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Gastrostomya. Gastrostomy Tube Feeding: Bolus Method (3/2019)Authorization Form (2/2023): English/SpanishAuthorization Form (2/2023): English/Spanishc. Gastrostomy Tube Replacement (3/2019)Authorization Form (2/2023): English/Spanishd. Training Videos LinkJejunostomyAuthorization Form (3/2023): English/SpanishProtocol Related Form: Special Diet Form
- Mechanical Nebulizer
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Mechanical Nebulizer Guidelines (3/2019)Authorization Form with the Parent Section (2/2023): English/Spanish
- Mechanical Ventilation
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Mechanical Ventilation Guidelines (3/2019)Authorization Form for Mechanical Ventilation (2/2023): English/Spanish2. Daily Mechanical Ventilator Checklist (Rev. 6/2015)
- Ostomy Care
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Ostomy Care (3/2019)
Authorization Form (2/2023): English/Spanish - Oxygen Therapy
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Oxygen Therapy - Guidelines (3/2019)
Authorization Form (3/2023): English/Spanish - Seizure Care
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Protocols:2. Diastat - Diastat Guidelines (3/2019)Authorization Form (3/2023): English/Spanish3. Vagus Nerve Stimulation (VNS) - VNS Guidelines (3/2019)Authorization Form (3/2023): English/SpanishRelated Forms and Informationb. Seizure Action Plan: English/Spanishd. Parent Questionnaire for Students with Seizures: English/Spanish
- Suctioning
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Protocols1. Oral Nasal Suctioning (3/2019)Authorization Form for Oral/Nasal Suctioning (3/2023): English/SpanishAuthorization Form: (3/2023): English/Spanish3. Tracheostomy Suctioning(3/2019)Authorization Form: (3/2023): English/Spanish4. Tracheostomy Tube Replacement(3/2019)Authorization Form (3/2023): English/SpanishTraining Videos Link and Related Forms:(4) Daily Suctioning Checklist (6/15)
- School-site Crisis Team Training Recorded Webinar Series 2021
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ALL 14 WEBINARS ARE NOW AVAILABLE FOR VIEWING ON MyPLN
- Search Keyword: RECORDED WEBINARS 2021
School-site Crisis Team Training Recorded Webinar Series 2021 FLYER
- COVID-19 Employee Resources
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Link to the Division of District Operations > Emergency Services
- Nursing E-Library
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District Policies Regarding Critical Issues
- Immunizations and Enrollment
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Immunizations Guidelines and School Based Clinics
Immunization Toolkit for Schools
- Important Health Information
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- Local District Nursing Services
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Types of Services and Supervisor Contact Information
- Special Education Services
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Infant and Preschool Special Education
Special Education Resource Nurse
Pre-school Transition School Nurse
Specialized Physical Healthcare Services
- Specialized Nursing Programs
- DNS Parent Resources Page
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DNS RETIREMENT SHOW (22-23)
...for general access or to download the file, click hereContact
Director:
Sosse Bedrossian, MSN, MA, RN, FNP-CAddress:
121 N. Beaudry Ave.,
Los Angeles, CA 90012
P: (213) 202-7580F: (213) 580-6557