District Nursing Services / Parent Resources

Request for Medication to be Taken During School Hours, Form 33.199 (7/12)

Request for Self-Admin of Medication, From 33.205 (7/12)

SPHCS Guidelines	Authorization Form
Adrenal Insufficiency - Solu-Cortef	English-Spanish
Anaphylaxis	English-Spanish
Autonomic Dysreflexia	English-Spanish
Catheterization, Clean	English-Spanish
Catheterization, Sterile	English-Spanish
Clean Self Catheterization with Assistance	English-Spanish
Clean Self-Catheterization	English-Spanish
Diabetic Care - Blood Glucose Testing	English
Diabetic Care - Hypoglycemia	English
Diabetic Care - Glucagon	English
Diabetic Care - Hyperglycemia	English
Gastrostomy - Bolus Method Feeding	English-Spanish
Gastrostomy - Slow Drip Method or Pump	English-Spanish
Gastrostomy - Replacement	English-Spanish
Jejunostomy - Slow Drip or Pump	English-Spanish
Oral - Nasal Suctioning	English-Spanish
Oro-Nasopharyngeal Suctioning	English-Spanish
Ostomy Care	English-Spanish
Oxygen Therapy	English-Spanish
Seizure Care - Action Plan	English-Spanish
Seizure Care- Parent Questionnaire	English-Spanish
Seizure Care - Diastat Administration	English-Spanish
Seizure Care - Vagus Nerve Stimulation	English-Spanish
Tracheostomy - Suctioning	English-Spanish
Tracheostomy - Tube Replacement (Emergency Procedure Only)	English-Spanish

Please contact 211 for assistance with basic needs and other resources at https://211la.org/search-resources