• Protocols

     

    Each Specialized Physical Healthcare Procedure (SPHCS) are NOW with specific authorization form posted next to the protocol guideline below. The authorization form has both the parent and licensed healthcare provider in one page with the parent section available in four languages.
     
 
A. FormSpecialized Physical Health Care Services, 2017/2018 (5/2017)
B. GuidelinesSpecialized Physical Health Care Services, (Rev. 4/2017) 
G  Protocol and Medication Checklist Form- Medication/Protocol Checklist for Licensed and Unlicensed
        Assistive Personnel
H. Review for Support Services Due to Health Needs -Complete for Student with Protocol Before the IEP
       Meeting
 
  
  
 
Protocols: 
 
(1) Anaphylactic Reaction to Immunizing Agent (Emergency Care Protocol), (11/2017)
 
Authorization Forms with the Parent Section in Different Languages (5/2017):
   
 
Authorization Forms with the Parent Section in Different Languages (5/2017)
 
 
 
 
 
a. Clean Catheterization (Rev. 6/15)
   Authorization Forms with the Parent Section in Different Languages (5/2017)
 
    Authorization Forms with the Parent Section in Different Languages (5/2017)
 
   Authorization Forms with the Parent Section in Different Languages (5/2017)
 
d. Sterile Catheterization  (Rev. 05/2016)
   Authorization Forms with the Parent Section in Different Languages (5/2017)
 
 
1. Blood Glucose Testing (6/2017)
2. Glucagon Injection (6/2017)
3. Hypoglycemic Reaction (6/2017)
 
 
Authorization Forms 
 
Other Related Forms and Information

For LAUSD Food Services Web Page for Menu click here; for carbohydrate count click here.

 

Gastrostomy
 
    Authorization Forms with the Parent Section in Different Languages (5/2017) 
 
    Authorization Forms with the Parent Section in Different Languages (5/2017) 
 
    Authorization Forms with the Parent Section in Different Languages (5/2017) 
 
  
Jejunostomy
 
 Authorization Forms with the Parent Section in Different Languages (5/2017) 
 
 
 
 
Authorization Forms with the Parent Section in Different Languages (5/2017) 
 
 
 
 
Mechanical Ventilation (Rev. 5/2016)
 Authorization Forms with the Parent Section in Different Languages (5/2017) 
Other Related Forms/Information 
 
 
 

 

Ostomy Care (Rev. 4/2017)

Authorization Forms with the Parent Section in Different Languages (5/2017) 
 
 
 
Oxygen Therapy (Rev. 12/15)
 
Authorization Forms with the Parent Section in Different Languages (5/2017)
 
 
 
Protocols:
1.  Diastat
Diazepam Rectal Gel (Diastat) Administration  (11/15) - Seizure Action Plan and Parent Questionnaire MUST be completed(see below) 
 
Authorization Forms with the Parent Section in Different Languages (5/2017)
 
2.   Vagus Nerve Stimulation (VNS)
Authorization Forms with the Parent Section in Different Languages (5/2017)
Related Forms and Information
      d. Seizure Record
      e. Parent Questionnaire for Students with Seizures
          (1) English/Spanish (2)  English/Armenian (3) English/Chinese (4) English/Korean
Protocols 
   1. Oral Nasal Suctioning (Rev. 6/15)
       Authorization Forms with the Parent Section in Different Languages (5/2017)
 
      Authorization Forms with the Parent Section in Different Languages (5/2017)
 
   3. Tracheostomy Suctioning (Rev. 6/15)
      Authorization Forms with the Parent Section in Different Languages (5/2017)
   4. Tracheostomy Tube Replacement (Rev. 6/15)
      Authorization Forms with the Parent Section in Different Languages (5/2017)
 
Related Forms:
 
 
  • Announcements


    Immunization Program and SMS School-based Clinics Schedule CPR

    LAUSD American Heart Association