- 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 for 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)Attachments: Attachment A - Printer Friendly Version Authorization FormAttachment 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 (1/2021)
- Autonomic Dysreflexia
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Autonomic Dysreflexia: Emergency Care GuidelinesAuthorization Forms: (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese (4)English/Korean
- Catheterization
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a. Clean Catheterization Guidelines (3/2019)Authorization Forms for Clean Catheterization (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese (4) English/Koreanb. Clean Self-Catheterization with Assistance Guidelines (3/2019)Authorization Forms for Clean Self-Catheterization with Assistance (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese (4) English/Koreanc. Clean Self-Catheterization Guidelines (3/2019)Authorization Forms for Clean Self-Catherization (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese (4) English/Koreand. Sterile Catheterization Guidelines (3/2019)Authorization Forms for Sterile Catheterization (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese (4) English/Koreane. Training Videos Link
- Diabetic Protocols
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Guidelines:1. Blood Glucose Testing (3/2019)2. Baqsimi (Glucagon Nasal Spray) (12/2021)3. Glucagon Injection (Severe Hypoglycemia) (3/2019)4. Hypoglycemic Reaction (3/2019)5. Ketone Testing (Hyperglycemia) (3/2019)Authorization Forms:1. Blood Glucose Testing (1/2020)2. Hypoglycemic Reaction (1/2020)3. Glucagon Injection (1/2020)4. Ketone Testing (Hyperglycemia) (1/2020)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 Feeding: Bolus Method (3/2019)Authorization Forms for Gastrostomy Feeding: Bolus Method (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese (4) English/Koreanb. Gastrostomy Feeding: Slow Drip Method or Pump (3/2019)Authorization Forms for Gastrostomy Feeding: Slow Drip Method or Pump (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese (4) English/Koreanc. Gastrostomy Tube Replacement (3/2019)Authorization Forms for Gastrostomy Tube Replacement (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese (4) English/Koreand. Training Videos LinkJejunostomyAuthorization Forms for Jejunostomy Tube Feeding: Slow Drip Method or Pump (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese (4) English/KoreanProtocol Related Form: Special Diet Form
- Mechanical Nebulizer
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Mechanical Nebulizer Treatment - Guidelines (3/2019)Authorization Forms with the Parent Section in Different Languages (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese(4) English/Korean
- Mechanical Ventilation
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Mechanical Ventilation Guidelines (3/2019)Authorization Forms for Mechanical Ventilation (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese (4) English/Korean2. Daily Mechanical Ventilator Checklist (Rev. 6/2015)
- Ostomy Care
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Ostomy Care (3/2019)
Authorization Forms with the Parent Section in Different Languages (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese (4) English/Korean - Oxygen Therapy
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Oxygen Therapy - Guidelines (3/2019)Authorization Forms for Oxygen Therapy (5/2017)(1) English/Spanish (2) English/Armenian (3) English/Chinese (4) English/Korean
- Seizure Care
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Protocols:
1. Benzodiazepine (Valtoco and Nayzilam) Guidelines (8/2021)Authorization Forms for Valtoco or Nayzilam(a) English/Spanish (b) English/Armenian (c) English/Chinese (d) English/Korean2. Diastat - Diastat Guidelines (3/2019)Authorization Forms for Diastat (5/2017)(a) English/Spanish (b) English/Armenian (c) English/Chinese (d) English/Korean3. Vagus Nerve Stimulation (VNS) - VNS Guidelines (3/2019)Authorization Forms for VNS (5/2017)(a) English/Spanish (b) English/Armenian (c) English/Chinese (d) English/KoreanRelated Forms and Informationb. Seizure Action Plan: English/Spanishd. Parent Questionnaire for Students with Seizures(1) English/Spanish (2) English/Armenian (3) English/Chinese (4) English/Korean - Suctioning
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Protocols1. Oral Nasal Suctioning (3/2019)Authorization Forms for Oral/Nasal Suctioning (5/2017)(a) English/Spanish (b) English/Armenian (c) English/Chinese (d) English/Korean2. Oropharyngeal and Nasopharyngeal Suctioning (3/2019)Authorization Forms for Oropharyngeal and Nasopharyngeal Suctioning (5/2017)(a) English/Spanish(b) English/Armenian (c) English/Chinese (d) English/Korean3. Tracheostomy Suctioning(3/2019)Authorization Forms for Tracheostomy Suctioning (5/2017)(a) English/Spanish (b) English/Armenian (c) English/Chinese (d) English/Korean4. Tracheostomy Tube Replacement (3/2019)Authorization Forms for Tracheostomy Tube Replacement (5/2017)(a) English/Spanish (b) English/Armenian (c) English/Chinese (d) English/KoreanTraining 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 Slide Show
...for general access or to download the file, click here.
Contact
Director:
Sosse Bedrossian, MSN, MA, RN, FNP-CAddress:
121 N. Beaudry Ave.,
Los Angeles, CA 90012
P: (213) 202-7580F: (213) 580-6557